Yoga and cancer-related fatigue during breast cancer treatment: protocol for a randomized clinical trial
DOI:
https://doi.org/10.12820/rbafs.29e0362Keywords:
Breast neoplasm, Physical activity, Quality of life, MindfulnessAbstract
Cancer-related fatigue is one of the symptoms that most impacts the quality of life of patients undergoing treatment for breast cancer. Yoga has been used as a non pharmacological intervention to alleviate symptoms during breast cancer treatment. However, further studies are needed to elucidate and fill possible gaps regarding the effects of Yoga in this population. This article describes the protocol for a randomized clinical trial that aims to analyze the effects of a Yoga program, compared to a control group, on the physical and psychological outcomes of patients diagnosed with breast cancer, undergoing treatment within the Unified Health System (Sistema Único de Saúde - SUS) in the city of Pelotas, Rio Grande do Sul. Thirty women will be randomized into a Yoga or control group. Participants in the Yoga group will undergo a Yoga program associated with health education, twice a week for eight weeks, with each session lasting 60 minutes. The control group will participate only in health education meetings, once a week, also for eight weeks with sessions of 60 minutes. Assessments of cancer-related fatigue, quality of life, pain, functional capacity, and level of leisure time physical activity will be performed before and after the intervention. Data will be analyzed using Generalized Estimating Equations and Bonferroni post-hoc tests (α = 0.05). The study protocol is registered in the Brazilian Clinical Trials Registry under number RBR- 6vk2vjr.
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Jemal A, Bray F, Centro MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(Suppl 2):69-90. DOI: https://doi.org/10.3322/caac.20107
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre AL, Jemal A. Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidene and Mortality Worldwide for 36 Cancers in 185 Coutries. CA Cancer J Clin. 2018;68(Suppl 6):S394-424. DOI: https://doi.org/10.3322/caac.21492
INCA. Estimativa 2023: I ncidência de câncer no Brasil / Instituto Nacional de Câncer: 2022. Rio de Janeiro: INCA; 2022. Disponível em: <https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2023.pdf.> [2023 Abril].
INCA. Dados e números sobre Câncer de Mama Relatório annual 2023. Instituto Nacional de Câncer: 2023. Rio de Janeiro: INCA; 2023. Disponível em: <https://www.inca.gov.br/mama> [2024 Abril].
INCA. Tratamento do Câncer de Mama 2022. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/tratamento [2024 Abril].
Paltrinieri S, Cavuto S, Contri A, Bassi MC, Bravi F, Schiavi M, et al. Needs of breast cancer survivors: a systematic review of quantitative data. Crit Rev Oncol Hematol. 2024;201:104432. DOI: https://doi.org/10.1016/j.critrevonc.2024.104432
Ligibel JA, Bohlke K, May AM, Clinton SK, Demark-Wahnefriend W, Gilchrist SC, et al. Exercise, Diet, and Weight Management During Cancer Treatment: Asco Guideline. J Clin Oncol. 2022;40(Suppl 22):S2491-2507. DOI: https://doi.org/10.1200/JCO.22.00687
Carson JW, Carson KM, Olsen MK, Sanders L, Porter SL. Mindful Yoga women with metastatic breast cancer: design of a randomized controlled trial. BMC Complement Altern Med. 2017;17(Suppl 1):153. DOI: https://doi.org/10.1186/s12906-017-1672-9
Patel SR, Zayas J, Medina-Inojosa JR, Loprinzi C, Cathcart-Rake EJ, Bhagra A, et al. Real-World Experiences With Yoga on Cancer-Related Symptoms in Women With Breast Cancer. Glob Adv Integr Med Health. 2021;10: 216495612098414. DOI: https://doi.org/10.1177/2164956120984140
Liu Y C, Hung T T, Mudiyanselagem S P K, Wang C J e Lin M F. Beneficial Exercises for Cancer-Related Fatigue among Women with Breast Cancer: A Systematic Review and Network Meta-Analysis. Cancers (Basel). 2022;15(1):151. DOI: https://doi.org/10.3390/cancers15010151
Cramp F, Byron DJ. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012;11(11):CD006145. DOI: https://doi.org/10.1002/14651858.CD006145.pub3
Campos MPO, Hassan BJ, Riechelmann R, Giglio O. Fadiga relacionada ao câncer: uma revisão. Rev Assoc Med Bras. 2011;57(Suppl 2):211-19. DOI: https://doi.org/10.1590/S0104-42302011000200021
Hou L, Wang J, Mao M, Zhang Z, Liu D, Gao S, et al. Effect of yoga on cancer-related fatigue in patients with breast cancer: A systematic review and meta-analysis. Medicine (Baltimore). 2024;103(1):e36468. DOI: https://doi.org/10.1097/MD.0000000000036468
Baker F, Denniston M, Smith T, West MM. Adult cancer survivors: How are they faring? Cancer. 2005;104(Suppl 11):2565-76. DOI: https://doi.org/10.1002/cncr.21488
Meneses-Echávez JF, González-Jiménez E, Ramírez-Vélez R. Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: a systematic review and meta-analysis. BMC Cancer. 2015;15:77. DOI: https://doi.org/10.1186/s12885-015-1069-4
Chan AW, Tetzlaff JM, Gøtzsche PC, Altman DG, Mann H, Berlim JA, et al. SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials. BMJ. 2013;346:7586. DOI: https://doi.org/10.1136/bmj.e7586
Buffart LM, Uffelen JGZV, Rifagen II, Brug J, Mechelen WV, Brown WJ, et al. Physical and psychosocial benefits of Yoga in cancer patients and survivors, a systematic review and meta-analysis of randomized controlled trials. BMC Cancer. 2012;12:559. DOI: https://doi.org/10.1186/1471-2407-12-559
Borg G. Psichophysical scaling with applications in physical work and perception of exertion. Scand J Work Environ Health. 1990;16(Suppl 1):55-8. DOI: https://doi.org/10.5271/sjweh.1815
Mota DDCF, Pimenta CAM, Piper BF. Fatigue in Brazilian cancer patients, caregivers, and nursing students: a psychometric validation study of the Piper Fatigue Scale-Revised. Support Care Cancer. 2009;17(6):645-52. DOI: https://doi.org/10.1007/s00520-008-0518-x
São-joão TM, Rodrigues RCM, Gallanil MCBJ, Miura CTP, Domingues GBL, Godin G. Adaptación cultural brasileña del Godin-Shephard Leisure-Time Physical Activity Questionnaire. Rev Saúde Publ. 2013;47(3):479-87. d DOI: https://doi.org/10.1590/S0034-8910.2013047003947
Brady MJ, Cella DF, Bonomi AE, Tuisky DS, Lloyd SR, Deasy S, et al. Reability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. J Clin Oncol. 1997;15(3):974-86. DOI: https://doi.org/10.1200/JCO.1997.15.3.974
Michels FAS, Latorre MRDO, Maciel MS, et al. Validity and reliability of the FACT-B+4 quality of life questionnaire specific for breast cancer and comparison of IBCSG, EORTC-BR23 and FACT-B+4 questionnaires. Cad Saúde Colet. 2012;20(3):321-28.
Rikli RE, Jones CJ. Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist. 2013;53(2):255-67. DOI: https://doi.org/10.1093/geront/gns071
Ferreira KA, Teixeira MJ, Mendonza T, Cleeland CS, et al. Validation of brief pain inventory to Brazilian patients with pain. Support Care Cancer. 2011; 19(4):505-11. DOI: https://doi.org/10.1007/s00520-010-0844-7
Cleeland CS, Ryan KM. Pain assessment: global use of the brief pain inventory. Ann Acad Med Singapura. 1994;23(2):129-38.
Heyward V H. Avaliação física e prescrição de exercício técnicas avançadas. 6ª ed. Porto Alegre: Artmed, 2013.
Yi LJ, Tian X, Jin YF, Luo MJ, Jiménez-Herrera MF. Effects of yoga on health-related quality, physical health and psychological health in women with breast cancer receiving chemotherapy: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(2):1961-75. DOI: https://doi.org/10.21037/apm-20-1484
Qi Y, Li H, Chan DNS, Ma X, Wong CL. Effects of yoga interventions on the fatigue-pain-sleep disturbance symptom cluster in breast cancer patients: A systematic review. Eur J Oncol Nurs. 2024;70:102594. DOI: https://doi.org/10.1016/j.ejon.2024.102594
Dong B, Xie C, Jing X, Lin L, Tian L. Yoga has a solid effect on cancer-related fatigue in patients with breast cancer: a meta-analysis. Breast Cancer Res Treat. 2019; 177(1):5-16. DOI: https://doi.org/10.1007/s10549-019-05278-w
Giridharan S, Kumar NV. Bibliometric Analysis of Randomized Controlled Trials on Yoga Interventions for Cancer Patients: A Decade in Review. Cureus. 2024;16(4):e58993. DOI: https://doi.org/10.7759/cureus.58993
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