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Erschienen in: Supportive Care in Cancer 7/2018

21.03.2018 | Review Article

Ameliorative effects of Tai Chi on cancer-related fatigue: a meta-analysis of randomized controlled trials

verfasst von: Shangjin Song, Jiahui Yu, Yi Ruan, Xuan Liu, Lijuan Xiu, Xiaoqiang Yue

Erschienen in: Supportive Care in Cancer | Ausgabe 7/2018

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Abstract

Purpose

This meta-analysis investigated the effectiveness of Tai Chi on cancer-related fatigue (CRF).

Methods

Nine databases (PubMed, Web of Science, Ovid, the Cochrane Library, Embase, and four Chinese databases) were searched to identify randomized controlled trials (RCTs) that evaluated the effects of Tai Chi on CRF. The reference lists given in the identified RCTs were also reviewed to identify potentially relevant studies.

Results

Six RCTs involving 373 patients were included. The change in short- and long-term CRF (SCRF and LCRF, respectively) was calculated as the change in the mean score for CRF from baseline to the end of intervention period and to the end of post-intervention follow-up, respectively. Pooled results suggested that Tai Chi had a significant positive effect on standard mean difference (i.e., SCRF; SMD = − 0.54; p < 0.0001), but the impact on LCRF remained unclear. Subgroup analyses of SCRF indicated positive effects of Tai Chi among patients with breast (SMD = − 0.81; p < 0.00001) and lung cancer (SMD = − 0.50; p = 0.002), but not prostate cancer (p = 0.98). Tai Chi also had effects on SCRF that were superior to physical exercise and psychological support (SMD = − 0.49 and − 0.84, respectively; both p < 0.05). A longer intervention time (8–12 weeks) benefited SCRF more than a shorter time (SMD = − 1.08 and − 0.36, respectively; both p < 0.05).

Conclusion

Tai Chi for more than 8 weeks has short-term ameliorative effects on CRF, especially among patients with breast and lung cancer. Its beneficial effects are superior to physical exercise and psychological support. It remains unclear whether there are long-term benefits, and further study is needed.
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Metadaten
Titel
Ameliorative effects of Tai Chi on cancer-related fatigue: a meta-analysis of randomized controlled trials
verfasst von
Shangjin Song
Jiahui Yu
Yi Ruan
Xuan Liu
Lijuan Xiu
Xiaoqiang Yue
Publikationsdatum
21.03.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 7/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4136-y

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