TY - JOUR
T1 - Walking is more effective than yoga at reducing sleep disturbance in cancer patients
T2 - A systematic review and meta-analysis of randomized controlled trials
AU - Tang, Mei Fen
AU - Chiu, Hsiao Yean
AU - Xu, Xinyi
AU - Kwok, Jojo Yan
AU - Cheung, Denise Shuk Ting
AU - Chen, Chun Yuan
AU - Lin, Chia Chin
N1 - Publisher Copyright:
© 2019 Elsevier Ltd
PY - 2019/10/1
Y1 - 2019/10/1
N2 - This review aimed to determine whether walking is more effective than yoga at improving sleep disturbance in cancer patients. A systematic search of randomized controlled trials was performed in the PubMed, EMBASE, CINAHL, Cochrane Library, CNKI, Airiti Library, and other health-related databases. Twenty-five studies were identified with a total of 1918 participants. The Pittsburgh sleep quality index was the most commonly used outcome measurement tool, and moderate-intensity walking was the most frequently used intervention. The majority of the included subjects were breast cancer patients. Overall, walking significantly improved sleep disturbance compared to yoga (p = 0.01). Statistically significant moderators included adherence rate for walking (p < 0.001) and allocation concealment and outcome measurement tool for yoga (p = 0.04; p = 0.03). We concluded that walking is more effective than yoga in improving sleep disturbance in cancer patients. Thus, moderate-intensity walking is recommended for cancer patients with sleep disturbance.
AB - This review aimed to determine whether walking is more effective than yoga at improving sleep disturbance in cancer patients. A systematic search of randomized controlled trials was performed in the PubMed, EMBASE, CINAHL, Cochrane Library, CNKI, Airiti Library, and other health-related databases. Twenty-five studies were identified with a total of 1918 participants. The Pittsburgh sleep quality index was the most commonly used outcome measurement tool, and moderate-intensity walking was the most frequently used intervention. The majority of the included subjects were breast cancer patients. Overall, walking significantly improved sleep disturbance compared to yoga (p = 0.01). Statistically significant moderators included adherence rate for walking (p < 0.001) and allocation concealment and outcome measurement tool for yoga (p = 0.04; p = 0.03). We concluded that walking is more effective than yoga in improving sleep disturbance in cancer patients. Thus, moderate-intensity walking is recommended for cancer patients with sleep disturbance.
KW - Cancer patients
KW - Exercise
KW - PSQI
KW - Sleep disturbance
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U2 - 10.1016/j.smrv.2019.05.003
DO - 10.1016/j.smrv.2019.05.003
M3 - Review article
C2 - 31207341
AN - SCOPUS:85067197355
SN - 1087-0792
VL - 47
SP - 1
EP - 8
JO - Sleep Medicine Reviews
JF - Sleep Medicine Reviews
ER -