A Home-Based Exercise Program to Improve Function, Fatigue, and Sleep Quality in Patients With Stage IV Lung and Colorectal Cancer: A Randomized Controlled Trial
Open accessAbstract
Context Exercise benefits patients with cancer, but studies of home-based approaches, particularly among those with Stage IV disease, remain small and exploratory.Objectives To conduct an adequately powered trial of a home-based exercise intervention that can be facilely integrated into established delivery and reimbursement structures.Methods Sixty-six adults with Stage IV lung or colorectal cancer were randomized, in an eight-week trial, to usual care or incremental walking and home-based strength training. The exercising participants were instructed during a single physiotherapy visit and subsequently exercised four days or more per week; training and step-count goals were advanced during bimonthly telephone calls. The primary outcome measure was mobility assessed with the Ambulatory Post Acute Care Basic Mobility Short Form. Secondary outcomes included ratings of pain and sleep quality as well as the ability to perform daily activities (Ambulatory Post Acute Care Daily Activities Short Form), quality of life (Functional Assessment of Cancer Therapy-General), and fatigue (Functional Assessment of Cancer Therapy-Fatigue).Results Three participants dropped out and seven died (five in the intervention and two in the control group, P=0.28). At Week 8, the intervention group reported improved mobility (P=0.01), fatigue (P=0.02), and sleep quality (P=0.05) compared with the usual care group, but did not differ on the other measures.Conclusion A home-based exercise program seems capable of improving the mobility, fatigue, and sleep quality of patients with Stage IV lung and colorectal cancer.
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Skillful management of energy (self-management) in fatigue is vital for survivors to remember how fatigue has a profound and broad impact on daily functions and roles.
“The skillful management of energy (self-management) in fatigue is vital for survivors to remember how fatigue has a profound and broad impact on their daily functions and roles [55,56].”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [55]
The Methods > Intervention section describes a home exercise and walking program, and the Discussion reports reduced fatigue and improved physical function in patients with Stage IV cancer. Neither section addresses skillful energy self-management or says that fatigue has a profound, broad impact on daily functions and roles. Searches for energy management, fatigue’s impact on roles, and self-management found no passage establishing that claim; page numbers were not available in our copy. (LLM, conf=0.76)
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- Authors
- Cheville, A. L., Kollasch, J., Vandenberg, J., Shen, T., Grothey, A., Gamble, G., & Basford, J. R.
- Affiliations
- Mayo Clinic (US)
- Shirley Ryan AbilityLab (US)
- Corresponding author
- Cheville, Andrea L.
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 45
- Issue
- 5
- Pages
- 811-821
- ISSN
- 0885-3924 (ISSN-L)
- PMC
- PMC4524515
- OpenAlex
- W2107377178
- Cited by
- 299
- References
- 41
- Citations by year
- 2026: 12 · 2025: 21 · 2024: 24 · 2023: 20 · 2022: 34 · 2021: 25 · 2020: 30 · 2019: 20 · 2018: 22 · 2017: 27 · 2016: 22 · 2015: 20 · 2014: 14 · 2013: 8
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (KL2 RR024151-01)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- home-based exercise, stage IV lung cancer, stage IV colorectal cancer, walking, resistance training, fatigue, sleep quality, mobility (physical function), functional status, quality of life, telephone coaching, cancer rehabilitation
- MeSH terms
- Activities of Daily Living, Aged, Exercise Therapy, Fatigue, Female, Home Care Services, Humans, Liver Neoplasms, Male, Middle Aged, Neoplasm Staging, Palliative Care, Quality of Life, Sleep Wake Disorders, Terminal Care, Colorectal Neoplasms, Treatment Outcome, Recovery of Function
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