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Vol. 21. Issue 1.
Pages 58-68 (01 January 2017)
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Vol. 21. Issue 1.
Pages 58-68 (01 January 2017)
Original Research
DOI: 10.1016/j.bjpt.2016.12.005
Exercise training for people following curative intent treatment for non-small cell lung cancer: a randomized controlled trial
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Vinicius Cavalheria,b,
Corresponding author
vinicius.cavalher@curtin.edu.au

Corresponding author at: School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, Western Australia 6845, Australia.
, Sue Jenkinsa,b,c, Nola Cecinsb,c,d, Kevin Gaine,f, Martin J. Phillipsg, Lucas H. Sandersh, Kylie Hilla,b,i
a School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
b Institute for Respiratory Health, Sir Charles Gairdner Hospital, Perth, WA, Australia
c Physiotherapy Department, Sir Charles Gairdner Hospital, Perth, WA, Australia
d Community Physiotherapy Services, Perth, WA, Australia
e Department of Respiratory Medicine, Royal Perth Hospital, Perth, WA, Australia
f School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia
g Department of Respiratory Medicine, Sir Charles Gairdner Hospital, Perth, WA, Australia
h Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, WA, Australia
i Physiotherapy Department, Royal Perth Hospital, Perth, WA 6001, Australia
Highlights

  • Lung resection for lung cancer is associated with marked reductions in exercise capacity.

  • Exercise training increased exercise capacity in people with non-small cell lung cancer.

  • Exercise training did not improve other outcomes.

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Abstract
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Figures (1)
Tables (4)
Table 1. Characteristics at baseline.
Table 2. Baseline and post-intervention measures of exercise capacity.
Table 3. Baseline and post-intervention measures of physical activity, sedentary behavior and peripheral muscle force.
Table 4. Baseline and post-intervention measures of health-related quality of life.
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Abstract
Objective

In people following curative intent treatment for non-small cell lung cancer, to investigate the effects of supervised exercise training on exercise capacity, physical activity and sedentary behavior, peripheral muscle force, health-related quality of life, fatigue, feelings of anxiety and depression, and lung function.

Method

This pilot randomized controlled trial included participants 6–10 weeks after lobectomy for non-small cell lung cancer or, for those who required adjuvant chemotherapy, 4–8 weeks after their last cycle. Participants were randomized to either 8 weeks of supervised exercise training (exercise group) or 8 weeks of usual care (control group). Prior to and following the intervention period, both groups completed measurements of exercise capacity, physical activity and sedentary behavior, quadriceps and handgrip force, HRQoL, fatigue, feelings of anxiety and depression, and lung function. Intention-to-treat analysis was undertaken.

Results

Seventeen participants (mean age 67, SD=9 years; 12 females) were included. Nine and eight participants were randomized to the exercise and control groups, respectively. Four participants (44%) adhered to exercise training. Compared with any change seen in the control group, those in the exercise group demonstrated greater gains in the peak rate of oxygen consumption (mean difference, 95% confidence interval for between-group difference: 0.19 [0.04–0.33]Lmin−1) and 6-minute walk distance (52 [12–93]m). No other between-group differences were demonstrated.

Conclusions

In people following curative intent treatment for non-small cell lung cancer, 8 weeks of supervised exercise training improved exercise capacity, measured by both laboratory- and field-based exercise tests. These results suggest that this clinical population may benefit from attending exercise training programs.

Keywords:
Lung neoplasms
Carcinoma
Non-small cell
Exercise training
Rehabilitation

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