Walking is more effective than yoga at reducing sleep disturbance in cancer patients: A systematic review and meta-analysis of randomized controlled trials.


Author: Tang MF1, Chiu HY2, Xu X3, Kwok JY3, Cheung DST3, Chen CY4, Lin CC5

Affiliation: <sup>1</sup>School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.

<sup>2</sup>School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; Research Center of Sleep Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan.

<sup>3</sup>School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.

<sup>4</sup>Department of Medical Research, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; Biostatistics Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.

<sup>5</sup>School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong; Alice Ho Miu Ling Nethersole Charity Foundation Professor in Nursing, Hong Kong. Electronic address: cclin@hku.hk.
Conference/Journal: Sleep Med Rev.
Date published: 2019 May 24
Other:
 Volume ID: 47   ,  Pages: 1-8   ,  Special Notes: doi: 10.1016/j.smrv.2019.05.003. [Epub ahead of print]   ,  Word Count: 158  
    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.



Copyright © 2019 Elsevier Ltd. All rights reserved.



KEYWORDS: Cancer patients; Exercise; PSQI; Sleep disturbance



PMID: 31207341  DOI: 10.1016/j.smrv.2019.05.003