Giridharan Selvaraj, Soumian Soni, Ansari Jawaher
Oncology, Tawam Hospital, Al Ain, ARE.
General Surgery, Tawam Hospital, Al Ain, ARE.
Cureus. 2024 Oct 19;16(10):e71857. doi: 10.7759/cureus.71857. eCollection 2024 Oct.
Cancer survivors frequently experience prolonged physical and psychological symptoms including cancer-related fatigue (CRF), sleep disturbances, cognitive impairment, and musculoskeletal pain. Conventional treatments for these symptoms have demonstrated limited efficacy, emphasising the need for complementary therapies. The Yoga for Cancer Survivors (YOCAS) program is a structured mind-body intervention designed to address these challenges. This systematic review evaluated the efficacy of YOCAS in managing CRF, sleep quality, cognitive function, and musculoskeletal symptoms in cancer survivors using randomised controlled trials (RCTs). A comprehensive search was conducted across the Google Scholar, Scopus, Cochrane Library, and PubMed databases for RCTs published between January 2000 and September 2024. Eligible studies included adult cancer survivors who had completed primary treatment and compared YOCAS interventions to control groups. The primary outcomes were cancer-related fatigue, sleep quality, cognitive function, and musculoskeletal symptoms. The risk of bias was evaluated using the Cochrane Risk of Bias Tool, and the findings were synthesised. Six RCTs, involving 1,717 participants, met the inclusion criteria. The YOCAS program demonstrated significant improvements in the reduction of cancer-related fatigue and sleep quality. Cognitive function and memory were improved, particularly among breast cancer survivors, with reduced musculoskeletal pain reported in participants undergoing hormonal therapy. Despite variations in study design, the risk of bias was generally low. The YOCAS program effectively reduced cancer-related fatigue, improved sleep quality, and addressed the cognitive and musculoskeletal symptoms in cancer survivors. Given its low risk and broad applicability, YOCAS shows promise as a complementary therapy for cancer survivorship care. Future research should focus on the long-term sustainability of these benefits and explore the impact of the program across diverse cancer populations.
癌症幸存者经常经历长期的身体和心理症状，包括癌症相关疲劳（CRF）、睡眠障碍、认知障碍和肌肉骨骼疼痛。针对这些症状的传统治疗方法疗效有限，这凸显了补充疗法的必要性。癌症幸存者瑜伽（YOCAS）项目是一项结构化的身心干预措施，旨在应对这些挑战。本系统评价使用随机对照试验（RCT）评估了YOCAS在管理癌症幸存者的CRF、睡眠质量、认知功能和肌肉骨骼症状方面的疗效。在谷歌学术、Scopus、Cochrane图书馆和PubMed数据库中进行了全面检索，以查找2000年1月至2024年9月发表的RCT。符合条件的研究包括已完成初始治疗的成年癌症幸存者，并将YOCAS干预措施与对照组进行比较。主要结局为癌症相关疲劳、睡眠质量、认知功能和肌肉骨骼症状。使用Cochrane偏倚风险工具评估偏倚风险，并对研究结果进行综合分析。六项RCT，涉及1717名参与者，符合纳入标准。YOCAS项目在减轻癌症相关疲劳和改善睡眠质量方面显示出显著改善。认知功能和记忆力得到改善，尤其是在乳腺癌幸存者中，接受激素治疗的参与者报告的肌肉骨骼疼痛有所减轻。尽管研究设计存在差异，但偏倚风险总体较低。YOCAS项目有效减轻了癌症相关疲劳，改善了睡眠质量，并缓解了癌症幸存者的认知和肌肉骨骼症状。鉴于其低风险和广泛适用性，YOCAS有望成为癌症幸存者护理的补充疗法。未来的研究应关注这些益处的长期可持续性，并探索该项目对不同癌症人群的影响。
