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. 2012 Aug 15;2012(8):CD007566. doi: 10.1002/14651858.CD007566.pub2

Bai 2004.

Study characteristics
Methods Study design: RCT
Number randomized: 45; 24 to the exercise group and 21 to the control group
Study start, 2003; stop date, not reported
Length of intervention: 3 months
Length of follow‐up: to end of the intervention
Participants Type cancer: nasopharyngeal carcinoma
Time since cancer diagnosis: unclear
Time beyond active treatment: immediately after radiation therapy
Inclusion criteria:
  • treated using same method and dosage of radiation therapy

  • KPS score > 60


Eligibility criterion related to interest or ability to exercise, or both:
  • none reported


Exclusion criteria:
  • transfer to distant location

  • chronic disease

  • treated using chemotherapy

  • distant metastasis


Gender, n: male, 26, female, 19
Current age: 23 to 65 years old
Age at cancer diagnosis: not reported
Ethnicity/race: 100% Asian
Education level: not reported
SES: not reported
Employment status: not reported
Comorbidities: not reported
Past exercise history: not reported
Interventions 24 participants assigned to the exercise intervention, including:
  • exercise of low to medium strength including jogging, swimming, and exercise with equipment every day

  • relaxation training of body muscles at least once per day

  • education on the diseases and psychological support


Type exercise (aerobic/anaerobic): aerobic and anaerobic
Intensity of experimental exercise intervention: low to moderate
Frequency: once a day
Duration of individual sessions: not reported
Duration of exercise program: 3 months
Total number of exercise sessions: unclear
Participants were monitored every 2 weeks
Format: individual
Facility: not reported
Professionally led: not reported
Adherence: not reported
Control group: 21 participants assigned to control group, including
  • no exercise


Contamination of control group: none
Outcomes Outcomes: QoL and physiologic outcomes, including:
  • QoL, assessed using the EORTC QLQ‐C30; subscales included physical well‐being, role function, EWB, social function, and cognitive function

  • nausea and vomiting

  • fatigue, but unclear how assessed

  • pain, but unclear how assessed


Outcomes were measured at baseline and at 3 months:
  • exercise group: n = 24 at baseline, n = 24 after the intervention

  • control group: n = 21 at baseline, n = 21 after intervention


Adverse events: none reported
Notes Country: China
Funding: not reported
Correspondence with investigator sought
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The generation of the random sequence was not described
Allocation concealment (selection bias) Unclear risk Whether the treatment assignment was concealed from study personnel and participants was not described
Blinding of participants and personnel (performance bias)
All outcomes High risk Owing to the nature of the intervention, it was not possible to blind the participants; however, it is unclear whether the outcome was influenced by a lack of masking
Blinding of outcome assessment (detection bias)
All outcomes High risk Study personnel and outcome assessors were not masked or blinded to the study interventions
Incomplete outcome data (attrition bias)
All outcomes Low risk No study participants were lost to follow‐up and all were included in the analyses
Selective reporting (reporting bias) Low risk There appears to be no selective reporting of outcomes
Other bias Low risk The trial appears to be free of other problems that could put it at a high risk of bias