Table 1. Physical intervention randomized control trials among older cancer survivors.
Author | Sample # | Age: Mean (Range) | Cancer | Design | Intervention | Intervention timing | Outcomes/Measures | Results |
---|---|---|---|---|---|---|---|---|
Demark-Wahnefried et al.28 (2006) | 182 | 71.5 (65–86) | Breast Prostate | RCT | 6 month (20 to 30 min bimonthly) Home based diet and exercise interventions (telephone and mail-based counseling versus general health education) |
Diagnosis to 18 months |
|
↑ functional status ↑Physical activity (CHAMPS) ↑↑Diet quality index -6 months post intervention there was no difference in outcomes between the two groups |
Morey et al.29 (2009) | 641 | 73 (65–91) | Breast Colorectal Prostate And BMI>25 -early stage |
RCT | 12 month (30 min-initial weekly×3, then bimonthly×2 and subsequently monthly) home-based diet and exercise interventions (telephone and mail counseling regarding diet and exercise) Immediate versus delayed until after 12 months |
≥5 years since diagnosis |
|
↑↑Physical Function (SF-36 subscale) ↑↑Physical activity ↑↑QoL ↓↓BMI |
Winters-Stone et al.31 (2012) | 106 | 62.3 (53–83) | Breast -early stage |
RCT | 12 month[3 – 1-h sessions/week(2 clinic and I home based)]Progressive resistance + impact exercise versus stretching placebo program | ≥1 year since chemotherapy or RT |
|
↑↑Bench press and leg press strength |
Campo et al.30 (2013) | 40 | 72 (58–93) | Prostate cancer | RCT | 12 week (2× week Qigong) versus stretch | 5 years median from diagnosis. |
|
↑↑FACIT-fatigue ↑↑Distress (BSI-18) |
Cormie et al.43 (2015) | 63 | 69.6 (NR) | Prostate cancer | RCT | 3 month(2 supervised sessions/week, 60 min each-aerobic and resistance exercise regimen) versus normal care | Within 10 days of first hormonal therapy |
|
Preservation of lean mass ↑↑Muscular strength ↑Lower body function ↓Fatigue ↑↑Social functioning ↓Psychological distress |
Winters-Stone et al.49 (2015) | 51 | 70.2 (NR) | Prostate cancer | RCT | 12 month[3 – 1 h sessions/week(2 clinic and I home based)]Progressive resistance + impact exercise versus stretching placebo program | On hormonal therapy |
|
↑↑ Bench press and leg strength ↑ objective and self-reported physical function ↓ disability |
Sprod et al.50 (2015) | 97 | 67 (NR) | Breast Other cancers | RCT | 4 week (2 sessions per week each lasting 75 min) yoga intervention + Standard of care versus standard of care | 2 months to 2 years post cancer treatment |
|
↓Cancer related fatigue ↓global side effect burden |
Notes to Table 1
Abbreviation: RCT—randomized controlled trials.
BMI—body mass index.
QoL –quality of life.
BMI-body mass index.
RT—radiotherapy.
Pca—Prostate cancer.
FACIT—Fatigue: Functional assessment of chronic illness therapy—Fatigue; BSI-18—Brief symptom inventory.
CHAMPS: Community Healthy Activities Models Program for Seniors, Short Form-36 subscale.↑—Trend towards improvement;
↑↑—significant improvement.
NA—not available.
NR—not reported.