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. 2012 Aug 15;2012(8):CD008465. doi: 10.1002/14651858.CD008465.pub2

Chang 2008.

Study characteristics
Methods Study design: RCT
Number randomized: 24; 12 to the exercise group and 12 to the control group
Study start and stop dates: not reported
Length of intervention: 3 weeks
Length of follow‐up: to end of the intervention
Participants Type cancer: AML
Time since cancer diagnosis: not reported
Time in active treatment: not reported
Inclusion criteria:
  • Aware of diagnosis

  • Prescribed chemotherapy: specifically, induction therapy with cytarabine 100 mg/m2/day by continuous intravenous infusion for 7 days and idarubicin 12 mg/m2/day by intravenous push on days 1, 2, and 3

  • Performance status 0 to 3 on ECOG


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


Exclusion criteria:
  • none


Gender, n (%):
  • exercise group: male, 8 (72.7%); female, 3 (27.3%)

  • control group: male, 4 (36.4%); female, 7 (63.6%)


Current age, mean (SD) years:
  • exercise group: 49.4 (15.3) years

  • control group: 53.3 (13.6) years


Age at cancer diagnosis: not reported
Ethnicity/race: not reported
Education level: not reported
SES: not reported
Employment status: not reported
Comorbidities: not reported
Past exercise history: not reported
On hormone therapy: not reported
Interventions 12 participants assigned to the exercise intervention, including:
  • walking exercise program consisted of 12 minutes' supervised walking in the hospital hallway on 5 days per week


Type exercise (aerobic/anaerobic): aerobic
Intensity of the experimental exercise intervention: target HR = resting + 30
Frequency: 5 days per week
Duration of individual sessions: 12 minutes
Duration of exercise program: 3 weeks
Total number of exercise sessions: 15 sessions
Format: individual
Facility: hospital
Professionally led by an Masters‐prepared nurse research assistant, who accompanied patient on walk
Adherence: not reported
12 participants assigned to control group, including:
  • visit by trained research assistant to maintain same patient contact


Contamination of control group: not reported
Outcomes No primary outcome was identified. QoL outcomes included:
  • fatigue, measured using the BFI, and subscales:

    • fatigue intensity

    • fatigue interference

  • 12‐MWT

  • overall symptom distress, assessed using the Symptom Distress Scale Modified Form

  • mood disturbance, assessed using the Profile of Moods State short‐form


Outcomes were measured at baseline, 1 week, 2 weeks, and 3 weeks:
  • exercise group: n = 11 at baseline and all subsequent time points

  • control group: n = 11 at baseline and at all subsequent time points


Subgroup analysis: none
Adverse events: not reported
Notes Country: Taiwan
Funding: none reported
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 conceal allocation to the intervention from the participants
Blinding of outcome assessment (detection bias)
All outcomes High risk Allocation to the intervention was not concealed from the study personnel
Incomplete outcome data (attrition bias)
All outcomes High risk 1 participant from the exercise group and 1 from the control group were not included in any analyses
Selective reporting (reporting bias) Low risk There is no evidence of 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