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Lack of Efficacy of Tai Chi in Improving Quality of Life in Breast Cancer Survivors: a Systematic Review and Meta-analysis

  • Yan, Jun-Hong (Department of Clinical Medical Technology, Affiliated Hospital of Binzhou Medical College) ;
  • Pan, Lei (Department of Clinical Medical Technology, Affiliated Hospital of Binzhou Medical College) ;
  • Zhang, Xiao-Min (Department of Clinical Medical Technology, Affiliated Hospital of Binzhou Medical College) ;
  • Sun, Cui-Xiang (Hospital of Chinese Medicine of Fei Cheng, Feicheng) ;
  • Cui, Guang-He (Department of Clinical Medical Technology, Affiliated Hospital of Binzhou Medical College)
  • Published : 2014.04.30

Abstract

Background: It is controversial whether Tai Chi (TC) benefits breast cancer survivors (BCS) on quality of life (QoL). We therefore undertook a meta-analysis to assess this question. Materials and Methods: A computerized search through electronic databases was performed to identify relevant randomized controlled trials (RCTs). The primary outcome was QoL, while secondary outcomes included body mass index (BMI), bone mineral density (BMD), and muscle strength. Results: Five RCTs involving 407 patients were included in the meta-analysis. The pooled standardized mean differences were 0.10 (95% confidence interval (CI): -0.35-0.54) for physical well-being, 0.03 (95%CI: -0.18-0.25) for social/family well-being, 0.24 (95%CI: 0.02-0.45) for emotional well-being, 0.23 (95%CI: -0.03-0.49) for functional well-being, and 0.09 (95%CI: -0.19-0.36) for additional concerns. TC failed to improve BMI, BMD, and muscle strength. Conclusions: There is currently lack of sufficient evidence to support TC improving QoL and other important clinical endpoints.

Keywords

Breast cancer;Tai Chi;quality of life;meta-analysis

References

  1. Schulz KF, Grimes DA (2002). Blinding in randomised trials: hiding who got what. Lancet, 359, 696-700. https://doi.org/10.1016/S0140-6736(02)07816-9
  2. Qiang WM, Dong FQ, Yan L, Chen YH, Tang L (2011). [Comparison of two different exercise program in breast cancer patients after postoperative adjuvant chemotherapy]. Chin J Nuts, 46, 537-40.
  3. Rausch SM (2007). Evaluating psychosocial effects of two intervention, tai chi and spiritual growth groups, in women with breast cancer. College of Humanities and Sciences, MS thesis. Virginia Commonwealth University, Virginia.
  4. Saini KS, Taylor C, Ramirez AJ, et al (2012). Role of the multidisciplinary team in breast cancer management: results from a large international survey involving 39 countries. Ann Oncol, 23, 853-9. https://doi.org/10.1093/annonc/mdr352
  5. Sprod LK, Janelsins MC, Palesh OG, et al (2012). Health-related quality of life and biomarkers in breast cancer survivors participating in tai chi chuan. J Cancer Surviv, 6, 146-54. https://doi.org/10.1007/s11764-011-0205-7
  6. Wang YL, Sun XY, Wang YB, et al (2012). [Different exercise on upper limb function and quality of life in postoperative patients with breast cancer]. Chin J Phys Med Rehabil, 34, 64-6.
  7. Yaw YH, Shariff ZM, Kandiah M, et al (2014). Diet and physical activity in relation to weight change among breast cancer patients. Asian Pac J Cancer Prev, 15, 39-44. https://doi.org/10.7314/APJCP.2014.15.1.39
  8. Yusuf A, Ahmad Z, Keng SL (2013). Quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan, Malaysia. Asian Pac J Cancer Prev, 14, 435-40. https://doi.org/10.7314/APJCP.2013.14.1.435
  9. Mustian KM, Katula JA, Zhao H (2006). A pilot study to assess the influence of tai chi chuan on functional capacity among breast cancer survivors. J Support Oncol, 4, 139-45.
  10. Liu X, Miller YD, Burton NW, Brown WJ (2010). A preliminary study of the effects of Tai Chi and Qigong medical exercise on indicators of metabolic syndrome, glycaemic control, health-related quality of life, and psychological health in adults with elevated blood glucose. Br J Sports Med, 44, 704-9. https://doi.org/10.1136/bjsm.2008.051144
  11. Morrow GR, Andrews PL, Hickok JT, Roscoe JA, Matteson S (2002). Fatigue associated with cancer and its treatment. Support Care Cancer, 10, 389-98. https://doi.org/10.1007/s005200100293
  12. Mustian KM, Katula JA, Gill DL, et al (2004). Tai Chi Chuan, health-related quality of life and self-esteem: a randomized trial with breast cancer survivors. Support Care Cancer, 12, 871-6. https://doi.org/10.1007/s00520-004-0682-6
  13. Mustian KM, Palesh OG, Flecksteiner SA (2008). Tai Chi Chuan for breast cancer survivors. Med Sport Sci, 52, 209-17. https://doi.org/10.1159/000134301
  14. Park IS, Song R, Oh KO, et al (2010). Managing cardiovascular risks with Tai Chi in people with coronary artery disease. J Adv Nurs, 66, 282-92. https://doi.org/10.1111/j.1365-2648.2009.05134.x
  15. Pedraza AM, Pollan M, Pastor-Barriuso R, Cabanes A (2012). Disparities in breast cancer mortality trends in a middle income country. Breast Cancer Res Treat, 134, 1199-207. https://doi.org/10.1007/s10549-012-2026-4
  16. Peppone LJ, Mustian KM, Janelsins MC, et al (2010). Effects of a structured weight-bearing exercise program on bone metabolism among breast cancer survivors: a feasibility trial. Clin Breast Cancer, 10, 224-9. https://doi.org/10.3816/CBC.2010.n.030
  17. Pickett M, Mock V, Ropka ME, et al (2002). Adherence to moderate-intensity exercise during breast cancer therapy. Cancer Pract, 10, 284-92. https://doi.org/10.1046/j.1523-5394.2002.106006.x
  18. Hui SS, Woo J, Kwok T (2009). Evaluation of energy expenditure and cardiovascular health effects from Tai Chi and walking exercise. Hong Kong Med J, 15, 4-7.
  19. Galvao DA, Newton RU (2005). Review of exercise intervention studies in cancer patients. J Clin Oncol, 23, 899-909. https://doi.org/10.1200/JCO.2005.06.085
  20. He JH, Yao L, Chang Z, Liu GN (2011). Rehabilitation effect of systematic exercise in adjuvant chemotherapy for breast cancer patients. Chin J Rehabil, 26, 204-6.
  21. Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003). Measuring inconsistency in meta-analyses. BMJ, 327, 557-60. https://doi.org/10.1136/bmj.327.7414.557
  22. Jadad AR, Moore RA, Carroll D, et al (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials, 17, 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  23. Jaeschke R, Singer J, Guyatt GH (1989). Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials, 10, 407-15. https://doi.org/10.1016/0197-2456(89)90005-6
  24. Janelsins MC, Davis PG, Wideman L, et al (2011). Effects of Tai Chi Chuan on insulin and cytokine levels in a randomized controlled pilot study on breast cancer survivors. Clin Breast Cancer, 11, 161-70. https://doi.org/10.1016/j.clbc.2011.03.013
  25. Kjaergard LL, Villumsen J, Gluud C (2001). Reported methodologic quality and discrepancies between large and small randomized trials in meta-analyses. Ann Intern Med, 135, 982-9. https://doi.org/10.7326/0003-4819-135-11-200112040-00010
  26. Lee MS, Choi TY, Ernst E (2010). Tai chi for breast cancer patients: a systematic review. Breast Cancer Res Treat, 120, 309-16. https://doi.org/10.1007/s10549-010-0741-2
  27. Liberati A, Altman DG, Tetzlaff J, et al (2009). The PRISMA statement for reporting systematic reviews and metaanalyses of studies that evaluate healthcare interventions:explanation and elaboration. BMJ, 339, 2700. https://doi.org/10.1136/bmj.b2700
  28. Anaya-Ruiz M, Vallejo-Ruiz V, Flores-Mendoza L, Perez-Santos M (2014). Female breast cancer incidence and mortality in Mexico, 2000-2010. Asian Pac J Cancer Prev, 15, 1477-9. https://doi.org/10.7314/APJCP.2014.15.3.1477
  29. Chang RY, Koo M, Ho MY, et al (2011). Effects of Tai Chi on adiponectin and glucose homeostasis in individuals with cardiovascular risk factors. Eur J Appl Physiol, 111, 57-66. https://doi.org/10.1007/s00421-010-1628-y
  30. DerSimonian R, Laird N (1986). Meta-analysis in clinical trials. Control Clin Trials, 7, 177-88. https://doi.org/10.1016/0197-2456(86)90046-2
  31. Erdogan B, Cicin I (2014). Medical treatment of breast cancer bone metastasis: from bisphosphonates to targeted drugs. Asian Pac J Cancer Prev, 15, 1503-10. https://doi.org/10.7314/APJCP.2014.15.4.1503
  32. Esch T, Duckstein J, Welke J, Braun V (2007). Mind/body techniques for physiological and psychological stress reduction: stress management via Tai Chi training - a pilot study. Med Sci Monit, 13, 488-97.
  33. Eton DT, Cella D, Yost KJ, et al (2004). A combination of distribution- and anchor-based approaches determined minimally important differences (MIDs) for four endpoints in a breast cancer scale. J Clin Epidemiol, 57, 898-910. https://doi.org/10.1016/j.jclinepi.2004.01.012
  34. Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516

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