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@ARTICLE{Steindorf:144648,
author = {K. Steindorf$^*$ and D. Clauss$^*$ and C. Tjaden and T.
Hackert and F. Herbolsheimer$^*$ and T. Bruckner and L.
Schneider and C. M. Ulrich and J. Wiskemann},
title = {{Q}uality of {L}ife, {F}atigue, and {S}leep {P}roblems in
{P}ancreatic {C}ancer {P}atients - {A} {R}andomized {T}rial
on the {E}ffects of {E}xercise},
journal = {Deutsches Ärzteblatt international},
volume = {116},
number = {27-28},
issn = {1866-0452},
address = {Köln},
publisher = {Dt. Ärzte-Verl.},
reportid = {DKFZ-2019-02090},
pages = {471-478},
year = {2019},
note = {EA:C110},
abstract = {Improving quality of life (QoL) is an important treatment
goal in pancreatic cancer patients. Although the beneficial
effects of exercise on QoL are well understood, few studies
have investigated more aggressive cancers such as pancreatic
cancer.Within a randomized trial, we assessed the efficacy
of 6-month resistance training on physical functioning
(primary outcome) and further QoL-related outcomes. 65
pancreatic cancer patients were assigned to home-based
training, supervised training, or a usual care control
group. Analysis-of-covariance models on changes from
baseline to 6 and 3 months were ap- plied.47 patients
completed the intervention period. After 6 months, no
effects of resistance training were observed. However, after
3 months, explorative analyses showed significant
between-group mean differences (MD) in favor for resistance
training for physical functioning (pooled group: MD=11.0;
p=0.016; effect size[ES]=0.31), as well as for global QoL
(MD=12.1; p=0.016; effect size=0.56), and other outcomes,
such as sleep problems and fatigue. Multiple imputation
analyses yielded similar results. Home-based and supervised
training performed similarly.This first randomized
resistance training trial in pancreatic cancer patients
indicated clinically relevant improve- ments in QoL after 3
but not after 6 months. Given the severity of pancreatic
cancer, exercise recommendations may already commence at
surgery.},
cin = {C110},
ddc = {610},
cid = {I:(DE-He78)C110-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31431236},
doi = {10.3238/arztebl.2019.0471},
url = {https://inrepo02.dkfz.de/record/144648},
}