Article

Mechanisms for cancer related fatigue suggest that exercise but "not
too much and not too little" could be effective.
This study aimed to investigate
feasibility and estimate the potential effects of a walking exercise program in
people with advanced cancer and fatigue. DESIGN:
A pilot randomized trial.
SETTING: McGill University Health Centre (MUHC), Montreal, Canada. SUBJECTS:
People with advanced cancer undergoing interdisciplinary assessment and
rehabilitation with a fatigue level of 4 to 10 on a visual analogue scale.
INTERVENTIONS: An 8-week fatigue-adapted, walking intervention, facilitated using
a pedometer (STEPS), and offered at the same time as or after rehabilitation.
MEASURES: Measures of fatigue, physical function and well-being were administered
at entry, and 8, 16 and 24 weeks. Generalized estimating equations (GEE)
estimated the odds of response for people receiving the STEPS program in
comparison to the odds of response in the controls (odds ratio, OR). RESULTS:
Twenty-six persons were randomized to three groups: during rehabilitation, after
rehabilitation, and usual care. For the fatigue measures the OR for STEPS offered
at any time using an intention-to-treat approach was 3.68 (95%CI: 1.05-12.88);
for the physical function measures, the OR was 1.40 (95%CI: 0.41- 4.79) and 2.36
(95%CI: 0.66-8.51) for the well-being measures.
CONCLUSION: Fifty percent of
eligible people were able to participate. This small trial suggests that a
personalized exercise program reduces fatigue and that 100 people are needed in a
full strength trial.
CI - (c) The Author(s) 2014.

Langue : ANGLAIS