Randomised controlled trial on the effectiveness of home-based walking exercise on anxiety, depression and cancer-related symptoms in patients with lung cancer

H. M. Chen, C. M. Tsai, Y. C. Wu, K. C. Lin, Chia-Chin Lin

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Background:Although exercise has been addressed as an adjuvant treatment for anxiety, depression and cancer-related symptoms, limited studies have evaluated the effectiveness of exercise in patients with lung cancer.Methods:We recruited 116 patients from a medical centre in northern Taiwan, and randomly assigned them to either a walking-exercise group (n=58) or a usual-care group (n=58). We conducted a 12-week exercise programme that comprised home-based, moderate-intensity walking for 40 min per day, 3 days per week, and weekly exercise counselling. The outcome measures included the Hospital Anxiety and Depression Scale and the Taiwanese version of the MD Anderson Symptom Inventory.Results:We analysed the effects of the exercise programme on anxiety, depression and cancer-related symptoms by using a generalised estimating equation method. The exercise group patients exhibited significant improvements in their anxiety levels over time (P=0.009 and 0.006 in the third and sixth months, respectively) and depression (P=0.00006 and 0.004 in the third and sixth months, respectively) than did the usual-care group patients.Conclusions:The home-based walking exercise programme is a feasible and effective intervention method for managing anxiety and depression in lung cancer survivors and can be considered as an essential component of lung cancer rehabilitation.

Original languageEnglish
Pages (from-to)438-445
Number of pages8
JournalBritish Journal of Cancer
Volume112
Issue number3
DOIs
Publication statusPublished - Feb 3 2015

Keywords

  • anxiety
  • depression
  • exercise
  • lung cancer
  • symptoms

ASJC Scopus subject areas

  • Cancer Research
  • Oncology
  • Medicine(all)

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