Beneficial Exercises for Cancer-Related Fatigue among Women with Breast Cancer: A Systematic Review and Network Meta-Analysis

Author: Yu-Chen Liu1, Tsai-Tzu Hung2, Sriyani Padmalatha Konara Mudiyanselage3, Chi-Jane Wang3, Mei-Feng Lin3
1 School of Nursing, College of Medicine, National Taiwan University, Taipei 100, Taiwan.
2 Nursing Department, National Cheng Kung University Hospital, Tainan 70101, Taiwan.
3 Department of Nursing, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
Conference/Journal: Cancers (Basel)
Date published: 2022 Dec 27
Other: Volume ID: 15 , Issue ID: 1 , Pages: 151 , Special Notes: doi: 10.3390/cancers15010151. , Word Count: 280

Cancer-related fatigue (CRF) is the most common cause of physical powerlessness in women with breast cancer (BC). The practice of continuous effective exercise is beneficial with respect to reducing CRF.

To explore exercise efficacy and respective ranks with respect to reducing CRF in women with BC within the inter-treatment and post-treatment periods.

Throughout this systematic review and network meta-analysis, articles published from 2000 to March 2022 were included. Article searches were conducted on the MEDLINE, Embase, CINAHL, and CENTRAL databases. Adult women with BC and different exercise programs were compared with those involved in regular care as a control during or after treatment. In addition, randomized controlled trials (RCT) were also included. A risk-of-bias assessment, with the revised Cochrane risk-of-bias tool regarding RCT and probability-based ranking, was established based on the surface under the cumulative rank (SUCRA) method via network meta-analysis.

a total of 5747 women with BC followed seven exercise interventions. Yoga (SMD = -0.54, 95% CI [-0.86, -0.22]) was ranked first (94.5%), with significant effects in respect of mitigating CRF, followed by resistance exercise (66.2%), and aerobic resistance (63.3%), while Qigong ranked last (22.2%) among the 36 RCT in inter-treatment. Aerobic resistance exercise (SMD = -0.52, 95% CI [-0.98, -0.07]) induced significant effects in respect of mitigating CRF in the 38 RCTs in the post-treatment period. Yoga, aerobic yoga, and aerobic resistance exercise ranked as the top three (75.5%, 75.0%, and 72.4%, respectively), whereas relaxation ranked last (38.8%) in the post-treatment period.

Yoga, aerobic resistance, and aerobic yoga are recommended for the purposes of inter- and post-treatment exercise to reduce CRF in women with BC by enhancing their physical resilience and long-term quality of life.

Keywords: breast cancer; cancer-related fatigue; exercise; network meta-analysis; palliative care inter-treatment; post-treatment.

PMID: 36612147 DOI: 10.3390/cancers15010151