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Effects of a 12-week home-based exercise program on quality of life, psychological health, and the level of physical activity in colorectal cancer survivors: a randomized controlled trial

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Abstract

Purpose

To examine the effects of a home-based exercise program on quality of life (QOL), psychological health, and the level of physical activity (PA) in colorectal cancer survivors.

Methods

Seventy-one colorectal cancer survivors were randomized into either a home-based exercise group (N = 37) or control group (N = 34). The home-based exercise program included unsupervised walking, stationary bike, or swimming for aerobic exercise, as well as resistance exercise DVDs, a pedometer, and an exercise log. The Functional Assessment of Cancer Therapy-Colorectal, Functional Assessment of Chronic Illness Therapy-Fatigue Scale, patient health questionnaire, and Godin Leisure-Time Exercise Questionnaire were used to assess QOL, fatigue, depression, and PA levels.

Results

Among the 71 participants, 30 in the exercise group and 28 in the control group completed the study. The change in the QOL between the intervention and control groups was insignificant. However, QOL was significantly improved in the exercise group (QOL, p = 0.024). Sub-domain of QOL, emotional well-being, and trial outcome index-physical/functional/colorectal (p = 0.015 and p = 0.035, respectively) were improved in the exercise group. The level of PA was significantly increased after 12 weeks in the exercise group (97.0 ± 188.5 vs. 332.6 ± 306.1, p < 0.001), and the change significantly differed compared with the control group (mean change 235.6 vs. 16.3, p < 0.001).

Conclusions

The home-based exercise program may improve the QOL and psychological health in colorectal cancer survivors. We have demonstrated that the home-based exercise program was effective in increasing the level of PA in colorectal cancer survivors.

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Acknowledgments

This research was supported by a grant from the National R&D program for Cancer Control, Ministry of Health and Welfare, Republic of Korea (1631020) and the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2015S1A5B8036349).  This research was also  partially supported by the Graduate School of YONSEI University Research Scholarship Grants in 2017.

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Authors and Affiliations

  1. Department of Sport Industry Studies, Exercise Medicine Center for Diabetes and Cancer Patients (ICONS), Cancer Prevention Center, Yonsei Cancer Center, Yonsei University, 50 Yonsei-Ro, Seodaemun-Gu, Seoul, 03722, Republic of Korea

    Ji Young Kim, Mi Kyung Lee, Ji Hee Min & Justin Y. Jeon

  2. Department of Epidemiology and Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA

    Dong Hoon Lee

  3. Behavioural Medicine Lab, Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada

    Dong Woo Kang

  4. Department of Family Medicine, College of Medicine, Yonsei University, Seoul, Republic of Korea

    Ji Won Lee

  5. Department of Clinical Nursing Science, College of Nursing, Biobehavioural Research Center, Yonsei University, Nursing Policy Research Institute, Seoul, Republic of Korea

    Sang Hui Chu

  6. Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea

    Min Su Cho & Nam Kyu Kim

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  1. Ji Young Kim
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Correspondence to Justin Y. Jeon.

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Kim, J.Y., Lee, M.K., Lee, D.H. et al. Effects of a 12-week home-based exercise program on quality of life, psychological health, and the level of physical activity in colorectal cancer survivors: a randomized controlled trial. Support Care Cancer 27, 2933–2940 (2019). https://doi.org/10.1007/s00520-018-4588-0

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