Differential Effects of Exercise on Cancer-Related Fatigue During and Following Treatment

Puetz, Timothy W.; Herring, Matthew P.

doi:10.1016/j.amepre.2012.04.027

Cited by 219Cancer survivorship and careCancer-related cognitive impairment studiesChildhood Cancer Survivors' Quality of Life

Differential Effects of Exercise on Cancer-Related Fatigue During and Following Treatment

Puetz, Timothy W., Herring, Matthew P.·2012·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2012.04.027

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Abstract

Context Exercise-induced improvements in cancer-related fatigue may be moderated differentially in patients during and following treatment. These effects have not been reviewed systematically. In accordance with PRISMA guidelines, the population effect size for exercise training on cancer-related fatigue during and following treatment was estimated and the extent to which the effect is differentiated across the time course of treatment and recovery was determined.Evidence acquisition Articles published before August 2011 were retrieved using Google Scholar, MEDLINE, PsycINFO, PubMed, and Web of Science databases. Seventy studies involving 4881 cancer patients during or following treatment were selected. Articles included a cancer-related fatigue outcome measured at baseline and post-intervention and randomized allocation to exercise or non-exercise comparison. From August to October 2011, Hedges' d effect sizes were computed, study quality was evaluated, and random effects models were used to estimate sampling error and population variance.Evidence synthesis Exercise significantly reduced cancer-related fatigue by a mean effect Δ (95% CI) of 0.32 (0.21, 0.43) and 0.38 (0.21, 0.54) during and following cancer treatment, respectively. During treatment, patients with lower baseline fatigue scores and higher exercise adherence realized the largest improvements. Following treatment, improvements were largest for trials with longer durations between treatment completion and exercise initiation, trials with shorter exercise program lengths, and trials using wait-list comparisons.Conclusions Exercise reduces cancer-related fatigue among patients during and following cancer treatment. These effects are moderated differentially over the time course of treatment and recovery. Exercise has a palliative effect in patients during treatment and a recuperative effect post-treatment.

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Exercise interventions can effectively reduce cancer-related fatigue.
“Meta-analyses and reviews showed that exercise interventions can effectively reduce CRF21,22,23,24”
From Effects of Acceptance and Commitment Therapy on fatigue interference and health-related quality of life among patients with advanced lung cancer: A pilot randomized controlled trial (2022) · cites this paper as [23]
Moderate intensity aerobic training three times per week for at least 12 weeks or twice weekly combined aerobic plus resistance training for 6-12 weeks significantly reduces depressive symptoms in cancer survivors during and after treatment.
“Moderate intensity aerobic training performed three times per week and for at least 12 weeks or twice weekly combined aerobic plus resistance training lasting 6–12 weeks can significantly reduce depressive symptoms in cancer survivors during and after treatment(18, 19).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [18]

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Donovan, K. A., Jacobsen, P. B., Andrykowski, M. A., Winters, E. M., Balducci, L., Malik, U., Kenady, D. E., & McGrath, P. C. (2004) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2004.01.012 · Cited by 162 · see citing works
Predictors of Supervised Exercise Adherence during Breast Cancer Chemotherapy
Courneya, K. S., SEGAL, R. J., Gelmon, K. A., Reid, R. D., Mackey, J. R., Friedenreich, C. M., PROULX, C., Lane, K. N., Ladha, A. B., Vallance, J. K., et al. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318168da45 · Cited by 160 · see citing works
Effects of a Walking Intervention on Fatigue-Related Experiences of Hospitalized Acute Myelogenous Leukemia Patients Undergoing Chemotherapy: A Randomized Controlled Trial
Chang, P.-H., Lai, Y., Shun, S., Lin, L.-Y., Chen, M.-L., Yang, Y., Tsai, J.-C., Huang, G., & Cheng, S.-Y. (2008) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2007.06.013 · Cited by 152 · see citing works
Randomized controlled pilot trial of yoga in overweight and obese breast cancer survivors: effects on quality of life and anthropometric measures
Littman, A. J., Bertram, L. A. C., Ceballos, R. M., Ulrich, C. M., Ramaprasad, J., McGregor, B., & McTiernan, A. (2011) · Supportive Care in Cancer · doi:10.1007/s00520-010-1066-8 · Cited by 151 · see citing works
Correlates of adherence and contamination in a randomized controlled trial of exercise in cancer survivors: An application of the theory of planned behavior and the five factor model of personality
Courneya, K. S., Friedenreich, C. M., Sela, R. A., Quinney, H. A., & Rhodes, R. E. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2404_02 · Cited by 148 · see citing works
Three independent factors predicted adherence in a randomized controlled trial of resistance exercise training among prostate cancer survivors
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Six-Month Follow-up of Patient-Rated Outcomes in a Randomized Controlled Trial of Exercise Training during Breast Cancer Chemotherapy
Courneya, K. S., SEGAL, R. J., Gelmon, K. A., Reid, R. D., Mackey, J. R., Friedenreich, C. M., Proulx, C., Lane, K. N., Ladha, A. B., Vallance, J. K., et al. (2007) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-07-0413 · Cited by 144 · see citing works
A Pilot Study to Examine the Feasibility and Effects of a Home-Based Aerobic Program on Reducing Fatigue in Children With Acute Lymphoblastic Leukemia
Yeh, C. H., Wai, J. P. M., Lin, U.-S., & Chiang, Y. (2010) · Cancer Nursing · doi:10.1097/ncc.0b013e3181e4553c · Cited by 143 · see citing works
A 4-week home-based aerobic and resistance exercise program during radiation therapy: a pilot randomized clinical trial.
Mustian, K. M., Peppone, L. J., Darling, T. V., Palesh, O. G., Heckler, C. E., & Morrow, G. R. (2009) · PubMed · Cited by 142 · see citing works
Effects of yoga on symptom management in breast cancer patients: A randomized controlled trial
Nagarathna, R., Hosakote, V., Rao, M., Nagendra, R., Mohan, R., Nanjundiah, V., Gopinath, S., Srinath, B. S., Vishweshwara, M. S., Madhavi, Y. S., et al. (2009) · International Journal of Yoga · doi:10.4103/0973-6131.60048 · Cited by 130 · see citing works
A Brief Intervention for Fatigue Management in Breast Cancer Survivors
Fillion, L., Gagnon, P., Leblond, F., Gélinas, C., Savard, J., Dupuis, R., Duval, K., & Larochelle, M. (2008) · Cancer Nursing · doi:10.1097/01.ncc.0000305698.97625.95 · Cited by 128 · see citing works
Pragmatic Lifestyle Intervention in Patients Recovering From Colon Cancer: A Randomized Controlled Pilot Study
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Effects of a 6-Week Walking Program on Taiwanese Women Newly Diagnosed With Early-Stage Breast Cancer
Wang, Y., Boehmke, M. M., Wu, Y. B., Dickerson, S. S., & Fisher, N. M. (2010) · Cancer Nursing · doi:10.1097/ncc.0b013e3181e4588d · Cited by 117 · see citing works
A Randomized Controlled Trial of Home-Based Exercise for Cancer-Related Fatigue in Women During and After Chemotherapy With or Without Radiation Therapy
Dodd, M. J., Cho, M. H., Miaskowski, C. A., Painter, P., Paul, S. M., Cooper, B. A., Duda, J., Krasnoff, J. B., & Bank, K. A. (2010) · Cancer Nursing · doi:10.1097/ncc.0b013e3181ddc58c · Cited by 111 · see citing works
Predictors of adherence and contamination in a randomized trial of exercise in colorectal cancer survivors
Courneya, K. S., Friedenreich, C. M., Quinney, H. A., Fields, A. L. A., Jones, L. W., & Fairey, A. (2004) · Psycho-Oncology · doi:10.1002/pon.802 · Cited by 109 · see citing works
Severe fatigue and related factors in cancer patients before the initiation of treatment
Goedendorp, M. M., Gielissen, M. F. M., Verhagen, C. A. H. H. V. M., Peters, M. E. W. J., & Bleijenberg, G. (2008) · British Journal of Cancer · doi:10.1038/sj.bjc.6604739 · Cited by 107 · see citing works
A randomized study of a rehabilitation program for cancer patients: The ‘starting again’ group
Berglund, G., Bolund, C., Gustafsson, U., & Sjödén, P. (1994) · Psycho-Oncology · doi:10.1002/pon.2960030205 · Cited by 102 · see citing works
Strength Training Following Hematopoietic Stem Cell Transplantation
Hacker, E. D., Larson, J. L., Kujath, A. S., Peace, D. J., Rondelli, D., & Gaston, L. (2010) · Cancer Nursing · doi:10.1097/ncc.0b013e3181fb3686 · Cited by 96 · see citing works
Effects of a home-based walking program on perceived symptom and mood status in postoperative breast cancer women receiving adjuvant chemotherapy
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Cancer-Related Fatigue and Rehabilitation: A Randomized Controlled Multicenter Trial Comparing Physical Training Combined With Cognitive-Behavioral Therapy With Physical Training Only and With No Intervention
van Weert, E., May, A. M., Korstjens, I., Post, W. J., van der Schans, C. P., van den Borne, B. H. P., Mesters, I., Ros, W. J. G., & Hoekstra‐Weebers, J. E. H. M. (2010) · Physical Therapy · doi:10.2522/ptj.20090212 · Cited by 84 · see citing works
Will Improvement in Quality of Life (QOL) Impact Fatigue in Patients Receiving Radiation Therapy for Advanced Cancer?
Brown, P., Clark, M., Atherton, P., Huschka, M., Sloan, J., Gamble, G., Girardi, J., Frost, M., Piderman, K. M., & Rummans, T. (2006) · American Journal of Clinical Oncology · doi:10.1097/01.coc.0000190459.14841.55 · Cited by 81 · see citing works
Effects of Aerobic Exercise Training in Anemic Cancer Patients Receiving Darbepoetin Alfa: A Randomized Controlled Trial
Courneya, K. S., Jones, L. W., Peddle‐McIntyre, C. J., Sellar, C. M., Reiman, T., Joy, A. A., Chua, N. S., Tkachuk, L., & Mackey, J. R. (2008) · The Oncologist · doi:10.1634/theoncologist.2008-0017 · Cited by 77 · see citing works
Therapeutic Exercise during Outpatient Radiation Therapy for Advanced Cancer
Cheville, A. L., Girardi, J., Clark, M. M., Rummans, T. A., Pittelkow, T. P., Brown, P. D., Hanson, J. M., Atherton, P. J., Johnson, M. E., Sloan, J. A., et al. (2010) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e3181d3e782 · Cited by 68 · see citing works
Three versus six months of exercise training in breast cancer survivors
Sprod, L. K., Hsieh, C. C., Hayward, R., & Schneider, C. M. (2010) · Breast Cancer Research and Treatment · doi:10.1007/s10549-010-0913-0 · Cited by 66 · see citing works
Effects of a scapula-oriented shoulder exercise programme on upper limb dysfunction in breast cancer survivors: a randomized controlled pilot trial
Lee, S.-A., Kang, J.-Y., Kim, Y. D., An, A.-R., Kim, S.-W., Kim, Y., & Lim, J.-Y. (2010) · Clinical Rehabilitation · doi:10.1177/0269215510362324 · Cited by 65 · see citing works
Home-based exercise to alleviate fatigue and improve functional capacity among breast cancer survivors.
Yuen, H. K., & Sword, D. O. (2007) · PubMed · Cited by 61 · see citing works
Facilitating Exercise Adherence for Patients With Multiple Myeloma
Coleman, E. A., Hall-Barrow, J., Coon, S. K., & Stewart, C. B. (2003) · Clinical journal of oncology nursing · doi:10.1188/03.cjon.529-534 · Cited by 56 · see citing works
Predictors of Adherence to Supervised Exercise in Lymphoma Patients Participating in a Randomized Controlled Trial
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RESPONSE OF CANCER PATIENTS ON CHEMOTHERAPY TO A SUPERVISED EXERCISE PROGRAM
Winninghan, M. L., MacVicar, M. G., & Johnson, J. (1985) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198504000-00494 · Cited by 17 · see citing works
The effect of a structured exercise program on fatigue, strength, endurance, physical self -efficacy, and functional wellness in women with early stage breast cancer.
Crowley, S. A. (2003) · Deep Blue (University of Michigan) · Cited by 14 · see citing works
Aerobic exercise training effects on physical function, fatigue and mood, immune status, and oxidative stress in subjects undergoing radiation treatment for breast cancer
Drouin, J. S. (2002) · Human Biology · Cited by 11 · see citing works
The effect of a healthy lifestyle intervention on quality of life in the chronically ill: a randomized control trial
Malec, C. A. (2002) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/13573 · Cited by 6 · see citing works
Exercise improves cancer-related fatigue
McNeely, M. L. (2008) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(08)70030-8 · Cited by 4 · see citing works

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Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable
CAMPBELL, K. L., WINTERS-STONE, K. M., WISKEMANN, J., MAY, A. M., SCHWARTZ, A. L., COURNEYA, K. S., ZUCKER, D. S., MATTHEWS, C. E., LIGIBEL, J. A., GERBER, L. H., et al. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002116 · Cited by 2,988 · see citing works
Cancer-related fatigue—mechanisms, risk factors, and treatments
Bower, J. E. (2014) · Nature Reviews Clinical Oncology · doi:10.1038/nrclinonc.2014.127 · Cited by 1,666 · see citing works
Breast Cancer, Version 4.2017, NCCN Clinical Practice Guidelines in Oncology
Gradishar, W. J., Anderson, B. O., Balassanian, R., Blair, S. L., Burstein, H. J., Cyr, A. E., ELIAS, A. D., Farrar, W. B., Forero, A., Giordano, S. H., et al. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.0012 · Cited by 1,607 · see citing works
Cancer-Related Fatigue, Version 2.2015
Berger, A. M., Mooney, K. H., Alvarez-Perez, A., BREITBART, W. S., Carpenter, K. M., Cella, D. F., Cleeland, C. S., Dotan, E., Eisenberger, M. A., Escalante, C. P., et al. (2015) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2015.0122 · Cited by 961 · see citing works
Comparison of Pharmaceutical, Psychological, and Exercise Treatments for Cancer-Related Fatigue: A Meta-analysis
Mustian, K. M., Alfano, C. M., Heckler, C., Kleckner, A. S., Kleckner, I. R., Leach, C. R., Mohr, D., Palesh, O. G., Peppone, L. J., Piper, B. F., et al. (2017) · JAMA Oncology · doi:10.1001/jamaoncol.2016.6914 · Cited by 932 · see citing works
Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology
Riba, M. B., Donovan, K. A., Andersen, B., Braun, I., Breitbart, W. S., Brewer, B. W., Buchmann, L. O., Clark, M. M., Collins, M., Corbett, C., et al. (2019) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2019.0048 · Cited by 871 · see citing works
Cancer‐related fatigue
Stasi, R., Abriani, L., Beccaglia, P., Terzoli, E., & Amadori, S. (2003) · Cancer · doi:10.1002/cncr.11742 · Cited by 710 · see citing works
The Impact of Exercise on Cancer Mortality, Recurrence, and Treatment-Related Adverse Effects
Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017) · Epidemiologic Reviews · doi:10.1093/epirev/mxx007 · Cited by 691 · see citing works
Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer: An American Society of Clinical Oncology Clinical Practice Guideline Adaptation
Bower, J. E., Bak, K., Berger, A., Breitbart, W., Escalante, C. P., Ganz, P. A., Schnipper, H. H., Lacchetti, C., Ligibel, J. A., Lyman, G. H., et al. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.53.4495 · Cited by 671 · see citing works
Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment
Fabi, A., Bhargava, R., Fatigoni, S., Guglielmo, M., Horneber, M., Roila, F., Weis, J., Jordan, K., & Ripamonti, C. I. (2020) · Annals of Oncology · doi:10.1016/j.annonc.2020.02.016 · Cited by 583 · see citing works
Impairment‐driven cancer rehabilitation: An essential component of quality care and survivorship
Silver, J. K., Baima, J. A., & Mayer, R. S. (2013) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21186 · Cited by 435 · see citing works
Yoga's Impact on Inflammation, Mood, and Fatigue in Breast Cancer Survivors: A Randomized Controlled Trial
Kiecolt‐Glaser, J. K., Bennett, J. M., Andridge, R., Peng, J., Shapiro, C. L., Malarkey, W. B., Emery, C. F., Layman, R. M., Mrózek, E., & Glaser, R. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.51.8860 · Cited by 392 · see citing works
Cancer-related fatigue and associated disability in post-treatment cancer survivors
Jones, J. M., Olson, K. L., Catton, P. A., Catton, C., Fleshner, N. E., Krzyzanowska, M. K., McCready, D. R., Wong, R. K. S., Jiang, H., & Howell, D. (2015) · Journal of Cancer Survivorship · doi:10.1007/s11764-015-0450-2 · Cited by 339 · see citing works
Effect of exercise training on C reactive protein: a systematic review and meta-analysis of randomised and non-randomised controlled trials
Fedewa, M. V., Hathaway, E. D., & Ward-Ritacco, C. L. (2017) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-095999 · Cited by 309 · see citing works
The effect of exercise on fatigue and physical functioning in breast cancer patients during and after treatment and at 6 months follow-up: a meta-analysis
Juvet, L. K., Thune, I., Elvsaas, I. K. Ø., Fors, E. A., Lundgren, S., Bertheussen, G., Leivseth, G., & Oldervoll, L. M. (2017) · The Breast · doi:10.1016/j.breast.2017.04.003 · Cited by 288 · see citing works
Practical clinical interventions for diet, physical activity, and weight control in cancer survivors
Demark‐Wahnefried, W., Rogers, L. Q., Alfano, C. M., Thomson, C. A., Courneya, K. S., Meyerhardt, J. A., Stout, N. L., Kvale, E., Ganzer, H., & Ligibel, J. A. (2015) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21265 · Cited by 251 · see citing works
Effects of physical exercise during adjuvant breast cancer treatment on physical and psychosocial dimensions of cancer-related fatigue: a meta-analysis
van Vulpen, J. K., Peeters, P. H. M., Velthuis, M. J., van der Wall, E., & May, A. M. (2016) · Maturitas · doi:10.1016/j.maturitas.2015.12.007 · Cited by 223 · see citing works
Effect of physical exercise on muscle mass and strength in cancer patients during treatment—a systematic review
Stene, G. B., Helbostad, J. L., Balstad, T. R., Riphagen, I. I., Kaasa, S., & Oldervoll, L. M. (2013) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2013.07.001 · Cited by 210 · see citing works
Life after diagnosis and treatment of cancer in adulthood: Contributions from psychosocial oncology research.
Stanton, A. L., Rowland, J. H., & Ganz, P. A. (2015) · American Psychologist · doi:10.1037/a0037875 · Cited by 221 · see citing works
Cancer-induced muscle wasting: latest findings in prevention and treatment
Aversa, Z., Costelli, P., & Muscaritoli, M. (2017) · Therapeutic Advances in Medical Oncology · doi:10.1177/1758834017698643 · Cited by 212 · see citing works
Therapeutic effects of aerobic and resistance exercises for cancer survivors: a systematic review of meta-analyses of clinical trials
Fuller, J. T., Hartland, M. C., Maloney, L. T., & Davison, K. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2017-098285 · Cited by 199 · see citing works
Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?
Berger, A. M., Mitchell, S. A., Jacobsen, P. B., & Pirl, W. F. (2015) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21268 · Cited by 200 · see citing works
Challenges of advanced hepatocellular carcinoma
Colagrande, S., Inghilesi, A. L., Aburas, S., Taliani, G. G., Nardi, C., & Marra, F. (2016) · World Journal of Gastroenterology · doi:10.3748/wjg.v22.i34.7645 · Cited by 177 · see citing works
Physical activity reduces fatigue in patients with cancer and hematopoietic stem cell transplant recipients: A systematic review and meta-analysis of randomized trials
Oberoi, S., Robinson, P. D., Cataudella, D., Culos-Reed, S. N., Davis, H., Duong, N., Gibson, F., Götte, M., Hinds, P. S., Nijhof, S. L., et al. (2017) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2017.12.011 · Cited by 168 · see citing works
Randomized controlled pilot study of mindfulness-based stress reduction for persistently fatigued cancer survivors
Johns, S. A., Brown, L. F., Beck‐Coon, K., Monahan, P. O., Tong, Y., & Kroenke, K. (2015) · Psycho-Oncology · doi:10.1002/pon.3648 · Cited by 161 · see citing works
“Information regarding the influence of the perception of exhaustion on subsequent diminished physical activity [25] and ample evidence that physical activity is helpful with CRF [9] were included.”
Background
Effects of an Exercise Program in Colon Cancer Patients undergoing Chemotherapy
van Vulpen, J. K., Velthuis, M. J., Bisschop, C. N. S., Travier, N., van den Buijs, B., BACKX, F. J. G., Los, M., Erdkamp, F., Bloemendal, H. J., Koopman, M., et al. (2015) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000855 · Cited by 152 · see citing works
Long-Term Fatigue and Cognitive Disorders in Breast Cancer Survivors
Joly, F., Lange, M., Santos, M. D., Vaz-Luís, I., & Meglio, A. D. (2019) · Cancers · doi:10.3390/cancers11121896 · Cited by 148 · see citing works
Putting Evidence Into Practice: An Update of Evidence-Based Interventions for Cancer-Related Fatigue During and Following Treatment
Mitchell, S. A., Hoffman, A. J., Clark, J. C., DeGennaro, R., Poirier, P., Robinson, C. B., & Weisbrod, B. L. (2014) · Clinical journal of oncology nursing · doi:10.1188/14.cjon.s3.38-58 · Cited by 131 · see citing works
Fatigue, barriers to physical activity and predictors for motivation to exercise in advanced Cancer patients
Frikkel, J., Götte, M., Beckmann, M., Kasper, S., Hense, J., Teufel, M., Schüler, M., & Tewes, M. (2020) · BMC Palliative Care · doi:10.1186/s12904-020-00542-z · Cited by 129 · see citing works
Impact of physical exercise in cancer survivors during and after antineoplastic treatments
Ferioli, M., Zauli, G., Martelli, A. M., Vitale, M., McCubrey, J. A., Ultimo, S., Capitani, S., & Neri, L. M. (2018) · Oncotarget · doi:10.18632/oncotarget.24456 · Cited by 120 · see citing works
Effects of Creative Arts Therapies on Psychological Symptoms and Quality of Life in Patients With Cancer
Puetz, T. W., MORLEY, C. A., & Herring, M. P. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.836 · Cited by 117 · see citing works
Self-citation
Effects of aerobic exercise on cancer-related fatigue: a meta-analysis of randomized controlled trials
Tian, L., Lu, H., Lü, L., & Hu, Y. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2953-9 · Cited by 117 · see citing works
Quantifying the Placebo Effect in Psychological Outcomes of Exercise Training: A Meta-Analysis of Randomized Trials
Lindheimer, J. B., O’Connor, P. J., & Dishman, R. K. (2015) · Sports Medicine · doi:10.1007/s40279-015-0303-1 · Cited by 120 · see citing works
Recommendation for supportive care in patients receiving concurrent chemotherapy and radiotherapy for lung cancer
Ruysscher, D. D., Finn, C. F., Nackaerts, K. L., Jordan, K., Arends, J., Douillard, J.-Y., Ricardi, U., & Peters, S. (2020) · Annals of Oncology · doi:10.1016/j.annonc.2019.10.003 · Cited by 112 · see citing works
Targeting exercise interventions to patients with cancer in need: an individual patient data meta-analysis
Buffart, L. M., Sweegers, M. G., May, A. M., Chinapaw, M. J., van Vulpen, J. K., Newton, R. U., Galvão, D. A., Aaronson, N. K., Stuiver, M. M., Jacobsen, P. B., et al. (2018) · JNCI: Journal of the National Cancer Institute · doi:10.1093/jnci/djy161 · Cited by 103 · see citing works
Levels of fatigue and distress in senior prostate cancer survivors enrolled in a 12-week randomized controlled trial of Qigong
Campo, R. A., Agarwal, N., LaStayo, P. C., O’Connor, K., Pappas, L., Boucher, K. M., Gardner, J., Smith, S., Light, K. C., & Kinney, A. Y. (2014) · Journal of Cancer Survivorship · doi:10.1007/s11764-013-0315-5 · Cited by 102 · see citing works
Why do patients choose (not) to participate in an exercise trial during adjuvant chemotherapy for breast cancer?
van Waart, H., van Harten, W. H., Buffart, L. M., Sonke, G. S., Stuiver, M. M., & Aaronson, N. K. (2016) · Psycho-Oncology · doi:10.1002/pon.3936 · Cited by 95 · see citing works
Moderators of Exercise Effects on Cancer-related Fatigue: A Meta-analysis of Individual Patient Data
van Vulpen, J. K., Sweegers, M. G., Peeters, P. H. M., Courneya, K. S., Newton, R. U., Aaronson, N. K., Jacobsen, P. B., Galvao, D. A., Chinapaw, M. J. M., Steindorf, K., et al. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002154 · Cited by 96 · see citing works
Biobehavioral Factors Mediate Exercise Effects on Fatigue in Breast Cancer Survivors
Rogers, L. Q., Vicari, S. K., Trammell, R. A., Hopkins-Price, P. L., Fogleman, A. J., Spenner, A., Rao, K., Courneya, K. S., Hoelzer, K. L., ROBBS, R. S., et al. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000210 · Cited by 87 · see citing works
Attitudes towards physical activity and exercise in older patients with advanced cancer during oncological treatment – A qualitative interview study
Mikkelsen, M. K., Nielsen, D. L., Vinther, A., Lund, C. M., & Jarden, M. (2019) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2019.04.005 · Cited by 86 · see citing works
Effects of Pharmacotherapy on Combat-Related PTSD, Anxiety, and Depression: A Systematic Review and Meta-Regression Analysis
Puetz, T. W., Youngstedt, S. D., & Herring, M. P. (2015) · PLoS ONE · doi:10.1371/journal.pone.0126529 · Cited by 86 · see citing works
Self-citation
The effects of physical exercise in the palliative care phase for people with advanced cancer: a systematic review with meta-analysis
Toohey, K. L., Chapman, M., Rushby, A.-M., Urban, K., Ingham, G., & Singh, B. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01153-0 · Cited by 84 · see citing works
Supportive Care Considerations for Older Adults With Cancer
Naeim, A., Aapro, M., Subbarao, R., & Balducci, L. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2014.55.3065 · Cited by 76 · see citing works
Fatigue among patients with brain tumors
Asher, A., Fu, J. B., Bailey, C. S. L., & Hughes, J. K. (2016) · CNS Oncology · doi:10.2217/cns-2015-0008 · Cited by 76 · see citing works
Ameliorative effects of Tai Chi on cancer-related fatigue: a meta-analysis of randomized controlled trials
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Authors: Puetz, T. W., & Herring, M. P.
Affiliations: Emory University (US)
University of Alabama at Birmingham (US)
Corresponding author: Puetz, Timothy W.
ORCID: Herring, Matthew P.
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2012-08
Volume: 43
Issue: 2
Pages: e1-e24
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2012.04.027
OpenAlex: W2069263322
Cited by: 219
References: 120
Citations by year: 2026: 10 · 2025: 9 · 2024: 9 · 2023: 10 · 2022: 17 · 2021: 15 · 2020: 22 · 2019: 10 · 2018: 16 · 2017: 23 · 2016: 19 · 2015: 23 · 2014: 18 · 2013: 15 · 2012: 1
FWCI: 1.83
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Keywords: cancer-related fatigue, exercise training, cancer therapy, exercise adherence, post-treatment recovery
MeSH terms: Exercise Therapy, Fatigue, Humans, Neoplasms, Time Factors, Randomized Controlled Trials as Topic, Practice Guidelines as Topic

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Differential Effects of Exercise on Cancer-Related Fatigue During and Following Treatment

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