A randomized controlled bicenter trial of yoga for patients with colorectal cancer.

Objective: The aim of this trial was to evaluate the effects of yoga on health-related quality of life in patients with colorectal cancer.Methods: Patients with non-metastatic colorectal cancer were randomly assigned to a 10-week yoga intervention (90 min once weekly) or a waitlist control group. Pr...

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Published in:Psycho-Oncology Vol. 25; no. 4; pp. 412 - 421
Main Authors: Cramer, Holger, Pokhrel, Bijay, Fester, Claudia, Meier, Beate, Gass, Florian, Lauche, Romy, Eggleston, Brandon, Walz, Martin, Michalsen, Andreas, Kunz, Reiner, Dobos, Gustav, Langhorst, Jost
Format: research randomized controlled trial Journal Article
Published: Wiley-Blackwell Apr2016
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: A randomized controlled bicenter trial of yoga for patients with colorectal cancer.
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          Cramer, Holger
          Pokhrel, Bijay
          Fester, Claudia
          Meier, Beate
          Gass, Florian
          Lauche, Romy
          Eggleston, Brandon
          Walz, Martin
          Michalsen, Andreas
          Kunz, Reiner
          Dobos, Gustav
          Langhorst, Jost
        affil: Department of Internal and Integrative Medicine, Kliniken Essen‐Mitte, Faculty of Medicine, University of Duisburg‐Essen, Essen Germany
      sug:
        subj:
          Health Status
          Yoga
          Colorectal Neoplasms Therapy
          Quality of Life
          Meditation
          Anxiety Therapy
          Colorectal Neoplasms Psychosocial Factors
          Treatment Outcomes
          Human
          Adult
          Aged
          Middle Age
          Depression Therapy
          Aged, 80 and Over
          Female
          Male
          Fatigue Therapy
          Self-Efficacy
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Clinical Assessment Tools
          Psychological Tests
          Scales
          Questionnaires
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Female
          Male
      ab: Objective: The aim of this trial was to evaluate the effects of yoga on health-related quality of life in patients with colorectal cancer.Methods: Patients with non-metastatic colorectal cancer were randomly assigned to a 10-week yoga intervention (90 min once weekly) or a waitlist control group. Primary outcome measure was disease-specific quality of life (Functional Assessment of Cancer Therapy - Colorectal [FACT-C]) at week 10. Secondary outcome measures included FACT-C subscales: spiritual well-being (FACT - Spirituality); fatigue (FACT - Fatigue); sleep disturbances (Pittsburgh Sleep Quality Inventory); depression and anxiety (Hospital Anxiety and Depression Scale); body awareness (Scale of Body Connection); and body-efficacy expectations (Body-Efficacy Expectations Scale). Outcomes were assessed at week 10 and week 22 after randomization.Results: Fifty-four patients (mean age 68.3 ± 9.7 years) were randomized to yoga (n = 27; attrition rate 22.2%) and control group (n = 27; attrition rate 18.5%). Patients in the yoga group attended a mean of 5.3 ± 4.0 yoga classes. No significant group differences for the FACT-C total score were found. Group differences were found for emotional well-being at week 22 (∆ = 1.59; 95% CI = 0.27,2.90; p = 0.019), sleep disturbances at week 22 (∆ = -1.08; 95% CI = -2.13, -0.03; p = 0.043), anxiety at week 10 (∆ = -1.14; 95% CI = -2.20, -0.09; p = 0.043), and depression at week 10 (∆ = -1.34; 95% CI = -2.61, -0.8; p = 0.038). No serious adverse events occurred in the yoga group, while liver metastases were diagnosed in one patient in the control group.Conclusion: This randomized trial found no effects of yoga on health-related quality of life in patients with colorectal cancer. Given the high attrition rate and low intervention adherence, no definite conclusions can be drawn from this trial.
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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