Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?
A Randomized Trial of Aerobic Exercise and Sleep Quality in Lymphoma Patients Receiving Chemotherapy or No Treatments
Background : Patients with lymphoma experience sleep problems that may be managed with aerobic exercise but no previous study has examined this issue . Methods : We r and omized 122 patients with lymphoma to usual care ( n = 62 ) or 12 weeks of supervised aerobic exercise training ( AET ; n = 60 ) . Our primary sleep endpoint was global sleep quality assessed by the Pittsburgh Sleep Quality Index ( PSQI ) . Secondary endpoints were the PSQI component scores . Planned subgroup analyses were also conducted . Results : Intention-to-treat analyses indicated that AET result ed in a nonsignificant ( P = 0.16 ) improvement in global sleep quality compared with usual care [ mean group difference = −0.64 ; 95 % confidence interval ( CI ) , −1.56 to + 0.27 ] . In planned subgroup analyses , statistically significant or borderline significant interactions were identified for type of lymphoma ( Pinteraction = 0.006 ) , current treatment status ( Pinteraction = 0.036 ) , time since diagnosis ( Pinteraction = 0.010 ) , body mass index ( Pinteraction = 0.075 ) , and baseline sleep quality ( Pinteraction = 0.041 ) . Specifically , AET  improved global sleep quality in patients with lymphoma who had indolent non – Hodgkin lymphoma ( P = 0.001 ) , were receiving chemotherapy ( P = 0.013 ) , were < 2 years post-diagnosis ( P = 0.005 ) , were obese ( P = 0.025 ) , and were poor sleepers at baseline ( P = 0.007 ) . Conclusions : AET did not significantly improve sleep quality in this heterogeneous sample of patients with lymphoma ; however , clinical ly identifiable subgroups appeared to benefit . Future exercise trials targeting these responsive subgroups are needed to confirm these findings . Impact : If replicated in larger and more focused trials , aerobic exercise may be an attractive option to manage sleep dysfunction in patients with cancer because of its favorable safety profile and other documented health benefits . Cancer Epidemiol Biomarkers Prev ; 21(6 ) ; 887–94 . © 2012 AACR
Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?