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

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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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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 › Oncology › 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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