Improvement of well-being in cancer patients by yoga training

  • Jörg Haier Healthcare Management, Nordakademie Graduate School, Hamburg
  • Antje Duda Comprehensive Cancer Center Münster, University Hospital Münster
  • Claudia Branss-Tallen Comprehensive Cancer Center Münster, University Hospital Münster
DOI: https://doi.org/10.13181/mji.v27i3.2744
Keywords: cancer, fatigue, non-pharmacological interventions, physical activity, WHO-5 well-being index, yoga
Abstract viewed: 1681 times
PDF downloaded: 853 times
HTML downloaded: 84 times
EPUB downloaded: 122 times

Abstract

Background: Cancer patients frequently suffer from a reduced physical activity. Non-pharmacological interventions, such as yoga, provide opportunities to deal with these symptoms. The aim of this study is to evaluate the effect of yoga on the well-being of cancer patients.

Methods: Between 2015 and 2017, we analyzed the effects of yoga on the well-being of cancer patients. Fifty-one patients received yoga training specifically designed to address cancer-related problems. Before the start (SoS) and after the end (EoS) of training, the WHO-5 well-being index was used to evaluate patients’ perception.

Results: WHO-5 scores significantly improved from 47.1±21.4 at SoS to 69.7±15.1 at EoS. Patients in the middle age group (EoS–SoS: 28.0±20.6) showed a significantly higher benefit (p<0.005) compared with age groups <40 years (EoS–SoS: 10.7±15.4) and>60 years (EoS–SoS: 16.0±12.1). Patients with low initial scores benefited most from yoga.

Conclusion: Our study showed that yoga training under experienced supervision could serve as a beneficial complementary treatment in cancer patients. Best effects were observed in patients with highly reduced well-being and40–60-year-old patients.

Downloads

Download data is not yet available.

References

  1. Ebede CC, Jang Y, Escalante CP. Cancer-related fatigue in cancer survivorship. Med Clin North Am. 2017;101(6):1085-97. https://doi.org/10.1016/j.mcna.2017.06.007

  2. McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ. 2006;175(1):34-41. https://doi.org/10.1503/cmaj.051073

  3. Rao RM, Vadiraja HS, Nagaratna R, Gopinath KS, Patil S, Diwakar RB, et al. Effect of yoga on sleep quality and neuroendocrine immune response in metastatic breast cancer patients. Indian J Palliat Care. 2017;23(3):253-60. https://doi.org/10.4103/IJPC.IJPC_102_17

  4. Kimura K. Yoga therapy in Japan. Int J Yoga Therap. 2017;27(1):127-9. https://doi.org/10.17761/1531-2054-27.1.127

  5. Milbury K, Kavanagh A, Meng Z, Chen Z, Chandwani KD, Garcia K, et al. Depressive symptoms and positive affect in Chinese and United States breast cancer survivors: a cross-cultural comparison. Support Care Cancer. 2017;25(7):2103-9. https://doi.org/10.1007/s00520-017-3612-0

  6. Lipton L. Using yoga to treat disease: an evidence-based review. JAAPA. 2008;21(2):34-6. https://doi.org/10.1097/01720610-200802000-00012

  7. Pascoe MC, Thompson DR, Ski CF. Yoga, mindfulness-based stress reduction and stress-related physiological measures: a meta-analysis. Psychoneuroendocrinology. 2017;86:152-68. https://doi.org/10.1016/j.psyneuen.2017.08.008

  8. Vadiraja HS, Rao RM, Nagarathna R, Nagendra HR, Patil S, Diwakar RB, et al. Effects of yoga in managing fatigue in breast cancer patients: a randomized controlled trial. Indian J Palliat Care. 2017;23(3):247-52. https://doi.org/10.4103/IJPC.IJPC_95_17

  9. Rao RM, Raghuram N, Nagendra HR, Kodaganur GS, Bilimagga RS, Shashidhara HP, et al. Effects of a yoga program on mood states, quality of life, and toxicity in breast cancer patients receiving conventional Treatment: a randomized controlled trial. Indian J Palliat Care. 2017;23(3):237-46. https://doi.org/10.4103/IJPC.IJPC_95_17

  10. Chaoul A, Milbury K, Spelman A, Basen-Engquist K, Hall MH, Wei Q, et al. Randomized trial of Tibetan yoga in patients with breast cancer undergoing chemotherapy. Cancer. 2018;124(1):36-45. https://doi.org/10.1002/cncr.30938

  11. Grégoire C, Bragard I, Jerusalem G, Etienne AM, Coucke P, Dupuis G, et al. Group interventions to reduce emotional distress and fatigue in breast cancer patients: a 9-month follow-up pragmatic trial. Br J Cancer. 2017;117(10):1442-9. https://doi.org/10.1038/bjc.2017.326

  12. Carson JW, Carson KM, Olsen MK, Sanders L, Porter LS. Mindful yoga for women with metastatic breast cancer: design of a randomized controlled trial. BMC Complement Altern Med. 2017;17:153. https://doi.org/10.1186/s12906-017-1672-9

  13. Loudon A, Barnett T, Williams A. Yoga, breast cancer-related lymphoedema and well-being: a descriptive report of women's participation in a clinical trial. J Clin Nurs. 2017;26(23-24):4685-95. https://doi.org/10.1111/jocn.13819

  14. Ben-Josef AM, Chen J, Wileyto P, Doucette A, Bekelman J, Christodouleas J, et al. Effect of eischens yoga during radiation therapy on prostate cancer patient symptoms and quality of life: a randomized phase II trial. Int J Radiat Oncol Biol Phys. 2017;98(5):1036-44. https://doi.org/10.1016/j.ijrobp.2017.03.043

  15. Milbury K, Mallaiah S, Mahajan A, Armstrong T, Weathers SP, Moss KE, et al. Yoga program for high-grade glioma patients undergoing radiotherapy and their family caregivers. Integr Cancer Ther. 2018;17(2):332-6. https://doi.org/10.1177/1534735417689882

  16. Courneya KS, McKenzie DC, Reid RD, Mackey JR, Gelmon K, Friedenreich CM, et al. Barriers to supervised exercise training in a randomized controlled trial of breast cancer patients receiving chemotherapy. Ann Behav Med. 2008; 35(1):116-22. https://doi.org/10.1007/s12160-007-9009-4

  17. Rogers LQ, Courneya KS, Verhulst S, Markwell SJ, McAuley E. Factors associated with exercise counseling and program preferences among breast cancer survivors. J Phys Act Health. 2008;5(5):688-705. https://doi.org/10.1123/jpah.5.5.688

  18. Courneya KS, Friedenreich CM, Quinney HA, Fields AL, Jones LW, Vallance JK, et al. A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial. Ann Behav Med. 2005;29(2):147-53. https://doi.org/10.1207/s15324796abm2902_9

  19. Buffart LM, van Uffelen JG, Riphagen II, Brug J, van Mechelen W, 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. https://doi.org/10.1186/1471-2407-12-559

  20. Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev. 2017;1:CD010802.

  21. Greenlee H, DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin. 2017;67(3):194-232. https://doi.org/10.3322/caac.21397

  22. Carlson LE, Zelinski E, Toivonen K, Flynn M, Qureshi M, Piedalue KA, et al. Mind-body therapies in cancer: what is the latest evidence? Curr Oncol Rep. 2017;19(10):67. https://doi.org/10.1007/s11912-017-0626-1

  23. Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. https://doi.org/10.1159/000376585

  24. Staehr Johansen K: The use of well-being measures in primary health care - the DepCare project; in World Health Organization, Regional Office for Europe: Well-Being Measures in Primary Health Care - the DepCare Project. Geneva, World Health Organization, 1998, target 12, E60246.

  25. Arnholdt J, Haier J. Cancer patients' preferences for therapy decisions can be grouped into categories and separated by demographic factors. J Cancer Res Clin Oncol. 2017;143(8):1573-84. https://doi.org/10.1007/s00432-017-2390-x

  26. Galantino ML, Greene L, Daniels L, Dooley B, Muscatello L, O'Donnell L. Longitudinal impact of yoga on chemotherapy-related cognitive impairment and quality of life in women with early stage breast cancer: a case series. Explore (NY). 2012;8(2):127-35. https://doi.org/10.1016/j.explore.2011.12.001

  27. Peppone LJ, Janelsins MC, Kamen C, Mohile SG, Sprod LK, Gewandter JS, et al. The effect of YOCAS©® yoga for musculoskeletal symptoms among breast cancer survivors on hormonal therapy. Breast Cancer Res Treat. 2015;150(3):597-604. https://doi.org/10.1007/s10549-015-3351-1

  28. Cramer H, Rabsilber S, Lauche R, Kümmel S, Dobos Yoga and meditation for menopausal symptoms in breast cancer survivors-a randomized controlled trial. Cancer. 2015;121(13):2175-84. https://doi.org/10.1002/cncr.29330

  29. Rao RM, Amritanshu R, Vinutha HT, Vaishnaruby S, Deepashree S, Megha M, et al. Role of yoga in cancer patients: expectations, benefits, and risks: a review. Indian J Palliat Care. 2017;23(3):225-30. https://doi.org/10.4103/IJPC.IJPC_107_17

  30. Lanctôt D, Dupuis G, Marcaurell R, Anestin AS, Bali M. The effects of the Bali Yoga Program (BYP-BC) on reducing psychological symptoms in breast cancer patients receiving chemotherapy: results of a randomized, partially blinded, controlled trial. J Complement Integr Med. 2016;13(4):405–12.

  31. Lötzke D, Wiedemann F, Rodrigues Recchia D, Ostermann T, Sattler D, Ettl J, et al. Iyengar-Yoga compared to exercise as a therapeutic intervention during (Neo)adjuvant therapy in women with stage I-III breast cancer: health-related quality of life, mindfulness, spirituality, life satisfaction, and cancer -related fatigue. Evid Based Complement Alternat Med. 2016;5931816.

  32. Milbury K, Mallaiah S, Lopez G, Liao Z, Yang C, Carmack C, et al. Vivekananda Yoga program for patients with advanced lung cancer and their family caregivers. Integr Cancer Ther. 2015;14(5):446-51. https://doi.org/10.1177/1534735415583554

  33. Chen N, Xia X, Qin L, Luo L, Han S, Wang G, et al. Effects of 8-week Hatha Yoga training on metabolic and inflammatory markers in healthy, female Chinese subjects: a randomized clinical trial. BioMed Res Int. 2016;2016:5387258.

  34. Hughes DC, Darby N, Gonzalez K, Boggess T, Morris RM, Ramirez AG. Effect of a six-month yoga exercise intervention on fitness outcomes for breast cancer survivors. Physiother Theory Pract. 2015;31(7):451-60. https://doi.org/10.3109/09593985.2015.1037409

  35. Amritanshu RR, Rao RM, Nagaratna R, Veldore VH, Rani MR, Gopinath KS, et al. Effect of long-term yoga practice on psychological outcomes in breast cancer survivors. Indian J Palliat Care. 2017;23(3):231-6. https://doi.org/10.4103/IJPC.IJPC_93_17

  36. Komatsu H, Yagasaki K, Yamauchi H, Yamauchi T, Takebayashi T. A self-directed home yoga programme for women with breast cancer during chemotherapy: A feasibility study. Int J Nurs Pract. 2016;22(3):258-66. https://doi.org/10.1111/ijn.12419

  37. Lengacher CA, Reich RR, Ramesar S, Alinat CB, Moscoso M, Cousin L, et al. Feasibility of the mobile mindfulness-based stress reduction for breast cancer (mMBSR(BC)) program for symptom improvement among breast cancer survivors. Psychooncology. 2017;27(2):524-31. https://doi.org/10.1002/pon.4491

  38. Schweer C, Doering S, Haier J, Heuft G, Fritz F, Dugas M, et al. Psychooncological interventions - what do cancer patients aged 60 years or older wish for? Z Psychosom Med Psychother. 2011;57(3):223-32. https://doi.org/10.13109/zptm.2011.57.3.223

Published
2018-10-12
How to Cite
1.
Haier J, Duda A, Branss-Tallen C. Improvement of well-being in cancer patients by yoga training. Med J Indones [Internet]. 2018Oct.12 [cited 2024Jul.3];27(3):185-93. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/2744
Issue
Vol. 27 No. 3 (2018): September
Section
Clinical Research

Copyright (c) 2018 Jörg Haier, Antje Duda, Claudia Branss-Tallen

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with Medical Journal of Indonesia agree to the following terms:

  1. Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
  2. Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.