Galliford Melissa, Robinson Stephanie, Bridge Pete, Carmichael MaryAnn
Genesis Cancer Care, Bunbury, Western Australia, Australia.
Radiation Oncology Centres, Brisbane, Queensland, Australia.
J Med Radiat Sci. 2017 Sep;64(3):232-238. doi: 10.1002/jmrs.218. Epub 2017 Jan 30.
Interest in the application of yoga for health benefits in western medicine is growing rapidly, with a significant rise in publications. The purpose of this systematic review is to determine whether the inclusion of yoga therapy to the treatment of breast cancer can improve the patient's physical and psychosocial quality of life (QoL).
A search of peer reviewed journal articles published between January 2009 and July 2014 was conducted. Studies were included if they had more than 15 study participants, included interventions such as mindfulness-based stress reduction (MBSR) or yoga therapy with or without comparison groups and had stated physical or psychological outcomes.
Screening identified 38 appropriate articles. The most reported psychosocial benefits of yoga therapy were anxiety, emotional and social functioning, stress, depression and global QoL. The most reported physical benefits of yoga therapy were improved salivary cortisol readings, sleep quality and lymphocyte apoptosis. Benefits in these areas were linked strongly with the yoga interventions, in addition to significant improvement in overall QoL.
The evidence supports the use of yoga therapy to improve the physical and psychosocial QoL for breast cancer patients with a range of benefits relevant to radiation therapy. Future studies are recommended to confirm these benefits. Evidence-based recommendations for implementation of a yoga therapy programme have been derived and included within this review. Long-term follow-up is necessary with these programmes to assess the efficacy of the yoga intervention in terms of sustainability and patient outcomes.
在西方医学中，对瑜伽用于健康益处的应用兴趣正在迅速增长，相关出版物显著增加。本系统综述的目的是确定将瑜伽疗法纳入乳腺癌治疗是否能改善患者的身体和心理社会生活质量（QoL）。
检索了2009年1月至2014年7月发表的同行评审期刊文章。纳入的研究需有超过15名研究参与者，包括诸如基于正念减压疗法（MBSR）或瑜伽疗法等干预措施，有或没有对照组，并陈述了身体或心理方面的结果。
筛选出38篇合适的文章。瑜伽疗法最常被报道的心理社会益处包括焦虑、情绪和社交功能、压力、抑郁以及总体生活质量。瑜伽疗法最常被报道的身体益处包括唾液皮质醇读数改善、睡眠质量提高和淋巴细胞凋亡。除了总体生活质量有显著改善外，这些方面的益处与瑜伽干预密切相关。
证据支持使用瑜伽疗法来改善乳腺癌患者的身体和心理社会生活质量，有一系列与放射治疗相关的益处。建议未来的研究证实这些益处。本综述得出了关于实施瑜伽疗法项目的循证建议并将其纳入其中。对这些项目进行长期随访很有必要，以评估瑜伽干预在可持续性和患者结果方面的效果。
