Exercise in Improving Mobility and Reducing Fatigue and/or Weakness in Older Cancer Survivors
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RATIONALE: Exercise may help improve mobility and relieve fatigue and/or weakness in cancer survivors. It is not yet known whether exercise is more effective than standard therapy in improving mobility and reducing fatigue and/or weakness in older cancer survivors.
PURPOSE: This randomized clinical trial is studying exercise to see how well it works compared to standard therapy in improving mobility and reducing fatigue and/or weakness in older cancer survivors.
Condition | Intervention |
---|---|
Bladder Cancer Breast Cancer Colorectal Cancer Esophageal Cancer Fatigue Lung Cancer Lymphoma Ovarian Cancer Prostate Cancer |
Behavioral: exercise intervention Procedure: complementary or alternative medicine procedure Procedure: fatigue assessment and management Procedure: physical therapy |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Investigator) Primary Purpose: Supportive Care |
Official Title: | A RENEW Intervention for Elderly Cancer Survivors |
- Patient perception and pattern of change [ Time Frame: 3 months of training followed by 6 and 12 months of no formal training ] [ Designated as safety issue: Yes ]To explore the participant's perception and pattern of change in fatigue, weakness, physical activity level and functional status
- Structural and function changes [ Time Frame: 3 months of training followed by 6 and 12 months of no formal training ] [ Designated as safety issue: Yes ]To explore whether changes in muscle structure and function (strength and power production and metabolic function) and mobility occur following twelve weeks of training with RENEW
Enrollment: | 49 |
Study Start Date: | March 2006 |
Study Completion Date: | March 2010 |
Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
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Behavioral: exercise intervention
OBJECTIVES:
- Compare the perception of, and the patterns of change in fatigue, weakness, physical activity level, and functional status in elderly cancer survivors who undergo Resistance Exercise via Negative-Eccentric Work (RENEW) vs standard care.
- Compare changes in muscle structure, function (strength + power production and metabolic function) and mobility.
- Evaluate the patient's adherence to and satisfaction with the RENEW intervention.
OUTLINE: This is a prospective, randomized, controlled, longitudinal study. Patients are randomized to 1 of 2 intervention arms.
- Arm I: Patients undergo resistance exercise via negative-eccentric work (RENEW), using a special seated stationary leg exercise machine, 3 times a week for up to 12 weeks. Exercise exertion and duration is gradually increased weekly for the first 4-5 weeks of RENEW.
- Arm II: Patients receive standard care. In both arms, fatigue, weakness, physical activity, functional status, muscle structure and function, and mobility are assessed at baseline and then at 12 weeks after completion of study intervention. Fatigue and weakness are also assessed weekly during study intervention. Patients in arm I also undergo isometric strength assessment weekly during RENEW and assessment of adherence to and satisfaction with RENEW at 12 weeks after completion of RENEW.
PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.
Ages Eligible for Study: | 60 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
- Survivor of breast, prostate, colon, lung, lymphoma, ovarian, bladder, or esophageal cancer with no evidence of disease
- At least moderate levels of fatigue and/or weakness
Impaired mobility but ambulatory and medically able to participate in an exercise regimen
- No impaired knee flexion, defined as < 90º
PATIENT CHARACTERISTICS:
- Folstein Mini-Mental Status Examination score ≥ 23
- No extreme claustrophobia
- No diagnosed chronic fatigue syndrome/disorder
No neurological impairments, including the following:
- Central nervous system disorder (e.g., multiple sclerosis or Parkinson's disease)
- Neurological insult (cerebrovascular attack) that manifests in a mobility disorder
- No myopathic disease (e.g., focal myopathy) that effects skeletal muscle structure/function
- No rheumatological disease that has an effect on muscle and/or mobility (e.g., polymyalgia rheumatica)
PRIOR CONCURRENT THERAPY:
More than 6 months since prior regular aerobic or resistance exercise
- Regular exercise defined as 2-3 times per week
- At least 6 months since prior cancer treatment (surgery, radiation, and/or chemotherapy )
- No concurrent cancer-related treatment other than hormonal therapy
United States, Utah | |
Huntsman Cancer Institute at University of Utah | |
Salt Lake City, Utah, United States, 84112 |
Principal Investigator: | Paul C. LaStayo, PhD, PT | University of Utah |
Additional Information:
No publications provided by University of Utah
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Paul LaStayo, PT, PhD, University of Utah |
ClinicalTrials.gov Identifier: | NCT00335491 History of Changes |
Obsolete Identifiers: | NCT00286715 |
Other Study ID Numbers: | 14551, R21CA114523, P30CA042014, UUMC-R21CA114523 |
Study First Received: | June 8, 2006 |
Last Updated: | September 28, 2011 |
Health Authority: | United States: Federal Government |
Keywords provided by University of Utah:
small cell lung cancer non-small cell lung cancer colon cancer prostate cancer breast cancer male breast cancer |
fatigue lymphoma ovarian epithelial cancer bladder cancer esophageal cancer |
Additional relevant MeSH terms:
Urinary Bladder Neoplasms Breast Neoplasms Colorectal Neoplasms Esophageal Diseases Esophageal Neoplasms Fatigue Lung Neoplasms Lymphoma Ovarian Neoplasms Prostatic Neoplasms Urologic Neoplasms Urogenital Neoplasms Neoplasms by Site Neoplasms Urinary Bladder Diseases |
Urologic Diseases Breast Diseases Skin Diseases Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Head and Neck Neoplasms Signs and Symptoms Respiratory Tract Neoplasms Thoracic Neoplasms |
ClinicalTrials.gov processed this record on October 16, 2012