Effects of Baduanjin exercise on cancer-related fatigue in patients with prostate cancer treated with androgen deprivation therapy in Shanghai, China: a study protocol for a randomised controlled trial.

IF 2.4 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL BMJ Open Pub Date : 2024-11-13 DOI:10.1136/bmjopen-2024-092363
Yihang Wang, Yuan Qin, Xiruo Xu, Yali Li, Xuanying Zhu, Guangpu Yang, Yifei Xu, Fei Yao, Guangxin Guo
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Abstract

Introduction: Cancer-related fatigue (CRF) is one of the most common and painful symptoms in patients with prostate cancer (PCa). Moreover, PCa patients who receive the androgen deprivation therapy (ADT) are more likely to develop CRF. Baduanjin exercise has been shown to improve CRF in some cancers. However, such effects have not been verified in patients with PCa treated with the ADT. So, this study was designed as a randomised controlled trial (RCT) to explore the effects of Baduanjin exercise on CRF in PCa patients treated with the ADT.

Methods and analysis: This study will be a single-centre, assessor and statistician blinded, RCT consisting of a 12 week intervention and 12 week follow-up. Patients with PCa who meet the inclusion criteria will be recruited from Shanghai Hudong Hospital. Participants will be randomly assigned to Baduanjin exercise group (n=42) and the control group (n=42), performing 12 weeks of Baduanjin exercise or reeiving the standard care. The primary outcome will be the clinical effect of Baduanjin exercise on CRF in PCa patients, which will be measured using the Piper Fatigue Self-Assessment (PFS) scale, a multidimensional measure of CRF using three different dimensions: somatic, emotional and cognitive. The secondary outcome will be the clinical effect of the Baduanjin exercise on the patient's level of fatigue, sleep, depression and life quality at the time, which will be assessed by the Brief Fatigue Inventory (BFI), the Pittsburgh Sleep Quality Index (PSQI), the Beck Depression Inventory (BDI) and the Functional Assessment of Cancer Therapy-Prostate (FACT-P).

Ethics and dissemination: This study has been approved by Shanghai Hudong Hospital Ethics Committee, Shanghai province (2022 SHHDKY08). The trial results will be submitted to conferences and peer-reviewed journals.

Trail registration number: ChiCTR2300074293.

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八段锦运动对中国上海接受雄激素剥夺疗法的前列腺癌患者癌症相关疲劳的影响:随机对照试验研究方案。
导言:癌症相关疲劳(CRF)是前列腺癌(PCa)患者最常见、最痛苦的症状之一。此外,接受雄激素剥夺疗法(ADT)的 PCa 患者更容易出现 CRF。有研究表明,八段锦运动可以改善某些癌症患者的CRF。然而,这种效果尚未在接受 ADT 治疗的 PCa 患者身上得到验证。因此,本研究设计了一项随机对照试验(RCT),以探讨八段锦运动对接受 ADT 治疗的 PCa 患者 CRF 的影响:本研究将是一项单中心、评估员和统计员双盲的随机对照试验,包括为期 12 周的干预和 12 周的随访。符合纳入标准的 PCa 患者将从上海沪东医院招募。参与者将被随机分配到八段锦锻炼组(42 人)和对照组(42 人),分别进行为期 12 周的八段锦锻炼或接受标准治疗。主要结果是八段锦锻炼对PCa患者CRF的临床影响,将使用派珀疲劳自评量表(PFS)进行测量,该量表是一种多维度的CRF测量方法,包括躯体、情绪和认知三个不同维度。次要结果是八段锦锻炼对患者当时疲劳程度、睡眠、抑郁和生活质量的临床影响,将通过简易疲劳量表(BFI)、匹兹堡睡眠质量指数(PSQI)、贝克抑郁量表(BDI)和前列腺癌治疗功能评估(FACT-P)进行评估:本研究已获得上海市沪东医院伦理委员会批准(2022 SHHDKY08)。试验结果将提交给会议和同行评审期刊:试验注册号:ChiCTR2300074293。
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来源期刊
BMJ Open
BMJ Open MEDICINE, GENERAL & INTERNAL-
CiteScore
4.40
自引率
3.40%
发文量
4510
审稿时长
2-3 weeks
期刊介绍: BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
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