Are Exercise Programs Effective for Improving Health-Related Quality of Life Among Cancer Survivors? A Systematic Review and Meta-Analysis

Mishra, Shiraz I.; Scherer, Roberta W.; Snyder, Claire; Geigle, Paula; Gotay, Carolyn

doi:10.1188/14.onf.e326-e342

Cited by 170Cancer survivorship and careChildhood Cancer Survivors' Quality of LifeCancer-related cognitive impairment studies

Are Exercise Programs Effective for Improving Health-Related Quality of Life Among Cancer Survivors? A Systematic Review and Meta-Analysis

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Mishra, Shiraz I., Scherer, Roberta W., Snyder, Claire, Geigle, Paula, Gotay, Carolyn·2014·Oncology Nursing Forum

DOI 10.1188/14.onf.e326-e342PMC PMC4332787

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Abstract

PURPOSE/OBJECTIVES: To evaluate the effectiveness of exercise interventions on overall health-related quality of life (HRQOL) and its domains among cancer survivors who have completed primary treatment. DATA SOURCES: 11 electronic databases were searched from inception (dates varied) to October 2011. The authors also identified eligible trials through a search of additional sources. DATA SYNTHESIS: 40 trials with 3,694 participants met the inclusion criteria. At 12 weeks, cancer survivors exposed to exercise interventions had greater positive improvement in overall HRQOL (standardized mean difference [SMD] 0.48; 95% confidence interval [CI] [0.16, 0.81]), emotional well-being (SMD 0.33; 95% CI [0.05, 0.61]), and social functioning (SMD 0.45; 95% CI [0.02, 0.87]); and had a significant reduction in anxiety (SMD -0.26; 95% CI [-0.44, -0.07]) and fatigue (SMD -0.82; 95% CI [-1.5, -0.14]). CONCLUSIONS: Exercise programs have a beneficial effect on HRQOL and most of its domains and can be integrated into the management plans for cancer survivors who have completed treatment. Future research is needed to help understand specific attributes of exercise programs that are beneficial for improving HRQOL within and across cancer types. IMPLICATIONS FOR NURSING: Evidence presented in this review supports the inclusion of exercise programs in clinical guidelines for the management of cancer survivors who have completed treatment, such as the Oncology Nursing Society's Putting Evidence Into Practice resource.

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Piringer, G., Holzner, B., Mayrbaeurl, B., Heibl, S., Sztankay, M. J., Frantal, S., Gnant, M., & Thaler, J. (2020) · Integrative Cancer Therapies · doi:10.1177/1534735420938458 · Cited by 8 · see citing works
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The Effectiveness of Exercise Interventions for Improving Health-Related Quality of Life From Diagnosis Through Active Cancer Treatment
Mishra, S. I., Scherer, R. W., Snyder, C. F., Geigle, P. M., & Gotay, C. C. (2014) · Oncology nursing forum · doi:10.1188/15.onf.e33-e53 · Cited by 57 · see citing works
Self-citation
Cochrane Review Brief: Exercise Interventions on Health-Related Quality of Life for Cancer Survivors
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Exercise interventions on health-related quality of life for cancer survivors
Mishra, S. I., Scherer, R. W., Geigle, P. M., Berlanstein, D. R., Topaloglu, Ö., Gotay, C. C., & Snyder, C. F. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007566.pub2 · Cited by 857 · see citing works
Self-citation
Effect of Physical Activity on Health-Related Quality of Life among Cancer Patients and Survivors: A Systematic Review and Meta-Analysis
Gupta, B., Goel, R., Goel, A., & Mittal, A. (2024) · Asian Pacific Journal of Cancer Prevention · doi:10.31557/apjcp.2024.25.7.2247 · Cited by 7 · see citing works
Effects of exercise-based interventions on health-related quality of life in adults after cancer: A systematic review and meta-analysis
Mármol-Pérez, A., Gracia‐Marco, L., Clavero‐Jimeno, A., Amaro‐Gahete, F. J., Ruiz, J. R., & Carneiro‐Barrera, A. (2025) · Annals of Physical and Rehabilitation Medicine · doi:10.1016/j.rehab.2025.101954 · Cited by 5 · see citing works

Authors: Mishra, S. I., Scherer, R. W., Snyder, C., Geigle, P., & Gotay, C.
Affiliations: University of New Mexico (US)
Johns Hopkins University (US)
University of Maryland, Baltimore (US)
University of British Columbia (CA)
ORCID: Mishra, Shiraz I.
Scherer, Roberta W.
Snyder, Claire
Gotay, Carolyn
Venue: Oncology Nursing Forum
Publisher: Oncology Nursing Society (ONS)
Published: 2014-10-29
Volume: 41
Issue: 6
Pages: E326-E342
ISSN: 0190-535X (ISSN-L)
1538-0688
DOI: 10.1188/14.onf.e326-e342
PMC: PMC4332787
OpenAlex: W2061856176
Cited by: 170
References: 63
Citations by year: 2026: 6 · 2025: 6 · 2024: 11 · 2023: 11 · 2022: 10 · 2021: 16 · 2020: 19 · 2019: 17 · 2018: 24 · 2017: 19 · 2016: 22 · 2015: 8 · 2013: 1
FWCI: 1.85
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Oncology nursing forum (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute for Health and Care Research (10/81/01)
National Cancer Institute (P30CA006973)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
Keywords: exercise intervention, cancer survivors, health-related quality of life, emotional well-being, social functioning, anxiety, fatigue, exercise program
MeSH terms: Humans, Neoplasms, Quality of Life, Exercise, Survivors

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Are Exercise Programs Effective for Improving Health-Related Quality of Life Among Cancer Survivors? A Systematic Review and Meta-Analysis

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