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Exercise and nutrition interventions in advanced lung cancer: a systematic review

Payne, Catherine, Larkin, Philip J, McIlfatrick, Sonja J, Dunwoody, Lynn and Gracey, Jackie H (2013) Exercise and nutrition interventions in advanced lung cancer: a systematic review. Current Oncology, 20 (4). e321-e337. [Journal article]

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Abstract

ABSTRACTIn this systematic review, we sought to evaluate the effect of physical activity or nutrition interventions (or both) in adults with advanced non-small-cell lung cancer (NSCLC).MethodsA systematic search for relevant clinical trials was conducted in 6 electronic databases, by hand searching, and by contacting key investigators. No limits were placed on study language. Information about recruitment rates, protocol adherence, patient-reported and clinical outcome measures, and study conclusions was extracted. Methodologic quality and risk of bias in each study was assessed using validated tools.Main ResultsSix papers detailing five studies involving 203 participants met the inclusion criteria. Two of the studies were single-cohort physical activity studies (54 participants), and three were controlled nutrition studies (149 participants). All were conducted in an outpatient setting. None of the included studies combined physical activity with nutrition interventions.ConclusionsOur systematic review suggests that exercise and nutrition interventions are not harmful and may have beneficial effects on unintentional weight loss, physical strength, and functional performance in patients with advanced NSCLC. However, the observed improvements must be interpreted with caution, because findings were not consistent across the included studies. Moreover, the included studies were small and at significant risk of bias.More research is required to ascertain the optimal physical activity and nutrition interventions in advanced inoperable NSCLC. Specifically, the potential benefits of combining physical activity with nutrition counselling have yet to be adequately explored in this population.

Item Type:Journal article
Keywords:Palliation, rehabilitation, systematic review, lungs, exercise, nutrition
Faculties and Schools:Faculty of Life and Health Sciences > School of Nursing
Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
Psychology Research Institute > Health, Education and Well-being
Psychology Research Institute
ID Code:26384
Deposited By: Mrs Cathy Payne
Deposited On:07 Aug 2013 11:03
Last Modified:07 Aug 2013 11:03

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