Skip to main content
Top
Published in: Supportive Care in Cancer 6/2012

01-06-2012 | Original Article

Effect of medical Qigong on cognitive function, quality of life, and a biomarker of inflammation in cancer patients: a randomized controlled trial

Authors: Byeongsang Oh, Phyllis N. Butow, Barbara A. Mullan, Stephen J. Clarke, Philip J. Beale, Nick Pavlakis, Myeong Soo Lee, David S. Rosenthal, Linda Larkey, Janette Vardy

Published in: Supportive Care in Cancer | Issue 6/2012

Login to get access

Abstract

Purpose

Cancer patients often experience diminished cognitive function (CF) and quality of life (QOL) due to the side effects of treatment and the disease symptoms. This study evaluates the effects of medical Qigong (MQ; combination of gentle exercise and meditation) on CF, QOL, and inflammation in cancer patients.

Methods

Eighty-one cancer patients recruited between October 2007 and May 2008 were randomly assigned to two groups: a control group (n = 44) who received the usual health care and an intervention group (n = 37) who participated in a 10-week MQ program. Self-reported CF was measured by the European Organization for Research and Treatment of Cancer (EORTC-CF) and the Functional Assessment of Cancer Therapy—Cognitive (FACT-Cog). The Functional Assessment of Cancer Therapy—General (FACT-G) was used to measure QOL. C-reactive protein (CRP) was assessed as a biomarker of inflammation.

Results

The MQ group self-reported significantly improved CF (mean difference (MD) = 7.78, t 51 = −2.532, p = 0.014) in the EORTC-CF and all the FACT-Cog subscales [perceived cognitive impairment (MD = 4.70, t 43 = −2.254, p = 0.029), impact of perceived cognitive impairment on QOL (MD = 1.64, t 45 = −2.377, p = 0.024), and perceived cognitive abilities (MD = 3.61, t 45 = −2.229, p = 0.031)] compared to controls. The MQ group also reported significantly improved QOL (MD = 12.66, t 45 = −5.715, p < 0.001) and had reduced CRP levels (MD = −0.72, t 45 = 2.092, p = 0.042) compared to controls.

Conclusions

Results suggest that MQ benefits cancer patients’ self-reported CF, QOL, and inflammation. A larger randomized controlled trial including an objective assessment of CF is planned.
Literature
1.
go back to reference Vardy J, Wefel JS, Ahles T et al (2008) Cancer and cancer-therapy related cognitive dysfunction: an international perspective from the Venice cognitive workshop. Ann Oncol 19(4):623–629PubMedCrossRef Vardy J, Wefel JS, Ahles T et al (2008) Cancer and cancer-therapy related cognitive dysfunction: an international perspective from the Venice cognitive workshop. Ann Oncol 19(4):623–629PubMedCrossRef
2.
go back to reference Jenkins V (2006) A 3-year prospective study of the effects of adjuvant treatments on cognition in women with early stage breast cancer. Br J Cancer 94:828–834PubMedCrossRef Jenkins V (2006) A 3-year prospective study of the effects of adjuvant treatments on cognition in women with early stage breast cancer. Br J Cancer 94:828–834PubMedCrossRef
3.
go back to reference Shilling V, Jenkins V (2007) Self-reported cognitive problems in women receiving adjuvant therapy for breast cancer. Eur J Oncol Nurs 11(1):6–15PubMedCrossRef Shilling V, Jenkins V (2007) Self-reported cognitive problems in women receiving adjuvant therapy for breast cancer. Eur J Oncol Nurs 11(1):6–15PubMedCrossRef
4.
go back to reference Boykoff N, Moieni M, Subramanian S (2009) Confronting chemobrain: an in-depth look at survivors’ reports of impact on work, social networks, and health care response. J Cancer Surviv 3(4):223–232PubMedCrossRef Boykoff N, Moieni M, Subramanian S (2009) Confronting chemobrain: an in-depth look at survivors’ reports of impact on work, social networks, and health care response. J Cancer Surviv 3(4):223–232PubMedCrossRef
5.
go back to reference Vardy J, Rourke S, Tannock I (2007) Evaluation of cognitive function associated with chemotherapy: a review of published studies and recommendations for future research. J Clin Oncol 25(17):2455PubMedCrossRef Vardy J, Rourke S, Tannock I (2007) Evaluation of cognitive function associated with chemotherapy: a review of published studies and recommendations for future research. J Clin Oncol 25(17):2455PubMedCrossRef
6.
go back to reference Schagen SB (1999) Cognitive deficits after postoperative adjuvant chemotherapy for breast carcinoma. Cancer 85:640–650PubMedCrossRef Schagen SB (1999) Cognitive deficits after postoperative adjuvant chemotherapy for breast carcinoma. Cancer 85:640–650PubMedCrossRef
7.
go back to reference van Dam FS (1998) Impairment of cognitive function in women receiving adjuvant treatment for high-risk breast cancer: high-dose versus standard-dose chemotherapy. J Natl Cancer Inst 90:210–218PubMedCrossRef van Dam FS (1998) Impairment of cognitive function in women receiving adjuvant treatment for high-risk breast cancer: high-dose versus standard-dose chemotherapy. J Natl Cancer Inst 90:210–218PubMedCrossRef
8.
go back to reference Castellon SA (2004) Neurocognitive performance in breast cancer survivors exposed to adjuvant chemotherapy and tamoxifen. J Clin Exp Neuropsychol 26:955–969PubMedCrossRef Castellon SA (2004) Neurocognitive performance in breast cancer survivors exposed to adjuvant chemotherapy and tamoxifen. J Clin Exp Neuropsychol 26:955–969PubMedCrossRef
9.
go back to reference Ahles TA (2002) Neuropsychological impact of standard-dose chemotherapy in long-term survivors of breast cancer and lymphoma. J Clin Oncol 20:485–493PubMedCrossRef Ahles TA (2002) Neuropsychological impact of standard-dose chemotherapy in long-term survivors of breast cancer and lymphoma. J Clin Oncol 20:485–493PubMedCrossRef
10.
go back to reference Vardy J, Xu W, Booth C et al (2008) Relation between perceived cognitive function and neuropsychological performance in survivors of breast and colorectal cancer. ASCO Meeting Abstracts, p 9520 Vardy J, Xu W, Booth C et al (2008) Relation between perceived cognitive function and neuropsychological performance in survivors of breast and colorectal cancer. ASCO Meeting Abstracts, p 9520
11.
go back to reference Schagen SB, Muller MJ, Boogerd W et al (2006) Change in cognitive function after chemotherapy: a prospective longitudinal study in breast cancer patients. J Natl Cancer Inst 98(23):1742–1745PubMedCrossRef Schagen SB, Muller MJ, Boogerd W et al (2006) Change in cognitive function after chemotherapy: a prospective longitudinal study in breast cancer patients. J Natl Cancer Inst 98(23):1742–1745PubMedCrossRef
12.
go back to reference Wefel J, Lenzi R, Theriault R et al (2004) Chemobrain in breast carcinoma? A prologue. Cancer 101(3):466–475PubMedCrossRef Wefel J, Lenzi R, Theriault R et al (2004) Chemobrain in breast carcinoma? A prologue. Cancer 101(3):466–475PubMedCrossRef
13.
go back to reference Von Ah D, Harvison KW, Monahan PO et al (2009) Cognitive function in breast cancer survivors compared to healthy age- and education-matched women. Clin Neuropsychol 23(4):661–674CrossRef Von Ah D, Harvison KW, Monahan PO et al (2009) Cognitive function in breast cancer survivors compared to healthy age- and education-matched women. Clin Neuropsychol 23(4):661–674CrossRef
14.
go back to reference Fan HGM, Houede-Tchen N, Yi Q-L et al (2005) Fatigue, menopausal symptoms, and cognitive function in women after adjuvant chemotherapy for breast cancer: 1- and 2-year follow-up of a prospective controlled study. J Clin Oncol 23(31):8025–8032PubMedCrossRef Fan HGM, Houede-Tchen N, Yi Q-L et al (2005) Fatigue, menopausal symptoms, and cognitive function in women after adjuvant chemotherapy for breast cancer: 1- and 2-year follow-up of a prospective controlled study. J Clin Oncol 23(31):8025–8032PubMedCrossRef
15.
go back to reference Vardy J (2009) Cognitive function in survivors of cancer. ASCO Educational Book 2009(1):570–574 Vardy J (2009) Cognitive function in survivors of cancer. ASCO Educational Book 2009(1):570–574
17.
go back to reference Seruga B, Zhang H, Bernstein L et al (2008) Cytokines and their relationship to the symptoms and outcome of cancer. Nat Rev Cancer 8(11):887–899PubMedCrossRef Seruga B, Zhang H, Bernstein L et al (2008) Cytokines and their relationship to the symptoms and outcome of cancer. Nat Rev Cancer 8(11):887–899PubMedCrossRef
18.
go back to reference Onem Y, Terekeci H, Kucukardali Y et al (2010) Albumin, hemoglobin, body mass index, cognitive and functional performance in elderly persons living in nursing homes. Arch Gerontol Geriatr 50(1):56–59PubMedCrossRef Onem Y, Terekeci H, Kucukardali Y et al (2010) Albumin, hemoglobin, body mass index, cognitive and functional performance in elderly persons living in nursing homes. Arch Gerontol Geriatr 50(1):56–59PubMedCrossRef
19.
go back to reference Seeman TE, McEwen BS, Singer BH et al (1997) Increase in urinary cortisol excretion and memory declines: MacArthur studies of successful aging. J Clin Endocrinol Metab 82(8):2458–2465PubMedCrossRef Seeman TE, McEwen BS, Singer BH et al (1997) Increase in urinary cortisol excretion and memory declines: MacArthur studies of successful aging. J Clin Endocrinol Metab 82(8):2458–2465PubMedCrossRef
20.
go back to reference Jim H, Small B, Patterson S et al (2010) Cognitive impairment in men treated with luteinizing hormone-releasing hormone agonists for prostate cancer: a controlled comparison. Supportive Care Cancer 18(1):21–27. doi:10.1007/s00520-009-0625-3 CrossRef Jim H, Small B, Patterson S et al (2010) Cognitive impairment in men treated with luteinizing hormone-releasing hormone agonists for prostate cancer: a controlled comparison. Supportive Care Cancer 18(1):21–27. doi:10.​1007/​s00520-009-0625-3 CrossRef
21.
go back to reference Ahles TA, Saykin AJ, Noll WW et al (2003) The relationship of APOE genotype to neuropsychological performance in long-term cancer survivors treated with standard dose chemotherapy. Psychooncology 12(6):612–619PubMedCrossRef Ahles TA, Saykin AJ, Noll WW et al (2003) The relationship of APOE genotype to neuropsychological performance in long-term cancer survivors treated with standard dose chemotherapy. Psychooncology 12(6):612–619PubMedCrossRef
22.
go back to reference Ahles TA, Saykin AJ (2007) Candidate mechanisms for chemotherapy-induced cognitive changes. Nat Rev Cancer 7(3):192–201PubMedCrossRef Ahles TA, Saykin AJ (2007) Candidate mechanisms for chemotherapy-induced cognitive changes. Nat Rev Cancer 7(3):192–201PubMedCrossRef
23.
go back to reference Silverman D, Dy C, Castellon S et al (2007) Altered frontocortical, cerebellar, and basal ganglia activity in adjuvant-treated breast cancer survivors 5–10 years after chemotherapy. Breast Cancer Res Treat 103(3):303–311PubMedCrossRef Silverman D, Dy C, Castellon S et al (2007) Altered frontocortical, cerebellar, and basal ganglia activity in adjuvant-treated breast cancer survivors 5–10 years after chemotherapy. Breast Cancer Res Treat 103(3):303–311PubMedCrossRef
24.
go back to reference Oh B, Butow P, Mullan B et al (2009) Impact of medical Qigong on quality of life, fatigue, mood and inflammation in cancer patients: a randomized controlled trial. Ann Oncol 21:608–614PubMedCrossRef Oh B, Butow P, Mullan B et al (2009) Impact of medical Qigong on quality of life, fatigue, mood and inflammation in cancer patients: a randomized controlled trial. Ann Oncol 21:608–614PubMedCrossRef
25.
go back to reference Kemoun G, Thibaud M, Roumagne N et al (2010) Effects of a physical training programme on cognitive function and walking efficiency in elderly persons with dementia. Dement Geriatr Cogn Disord 29(2):109–114PubMedCrossRef Kemoun G, Thibaud M, Roumagne N et al (2010) Effects of a physical training programme on cognitive function and walking efficiency in elderly persons with dementia. Dement Geriatr Cogn Disord 29(2):109–114PubMedCrossRef
26.
go back to reference Etnier J, Johnston R, Dagenbach D et al (1999) The relationships among pulmonary function, aerobic fitness, and cognitive functioning in older COPD patients*. Chest 116(4):953–960PubMedCrossRef Etnier J, Johnston R, Dagenbach D et al (1999) The relationships among pulmonary function, aerobic fitness, and cognitive functioning in older COPD patients*. Chest 116(4):953–960PubMedCrossRef
27.
go back to reference Colcombe AM, Kramer AF, Irwin DE et al (2003) Age-related effects of attentional and oculomotor capture by onsets and color singletons as a function of experience. Acta Psychologica 113(2):205–225PubMedCrossRef Colcombe AM, Kramer AF, Irwin DE et al (2003) Age-related effects of attentional and oculomotor capture by onsets and color singletons as a function of experience. Acta Psychologica 113(2):205–225PubMedCrossRef
28.
go back to reference Lautenschlager NT, Cox KL, Flicker L et al (2008) Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a randomized trial. JAMA 300(9):1027–1037PubMedCrossRef Lautenschlager NT, Cox KL, Flicker L et al (2008) Effect of physical activity on cognitive function in older adults at risk for Alzheimer disease: a randomized trial. JAMA 300(9):1027–1037PubMedCrossRef
29.
go back to reference Heikkila K, Ebrahim S, Rumley A et al (2007) Associations of circulating C-reactive protein and interleukin-6 with survival in women with and without cancer: findings from the British Women’s Heart and Health Study. Cancer Epidemiol Biomarkers Prev 16(6):1155–1159PubMedCrossRef Heikkila K, Ebrahim S, Rumley A et al (2007) Associations of circulating C-reactive protein and interleukin-6 with survival in women with and without cancer: findings from the British Women’s Heart and Health Study. Cancer Epidemiol Biomarkers Prev 16(6):1155–1159PubMedCrossRef
30.
go back to reference Aaronson NK, Ahmedzai S, Bergman B et al (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85(5):365–376PubMedCrossRef Aaronson NK, Ahmedzai S, Bergman B et al (1993) The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 85(5):365–376PubMedCrossRef
31.
go back to reference Jacobs SR, Jacobsen PB, Booth-Jones M et al (2007) Evaluation of the functional assessment of cancer therapy cognitive scale with hematopoetic stem cell transplant patients. J Pain Symptom Manag 33(1):13–23CrossRef Jacobs SR, Jacobsen PB, Booth-Jones M et al (2007) Evaluation of the functional assessment of cancer therapy cognitive scale with hematopoetic stem cell transplant patients. J Pain Symptom Manag 33(1):13–23CrossRef
32.
go back to reference Wagner L, Sweet J, Butt Z et al (2009) Measuring patient self-reported cognitive function: development of the Functional Assessment of Cancer Therapy—Cognitive Function instrument. J Support Oncol 7(6):W32–W39 Wagner L, Sweet J, Butt Z et al (2009) Measuring patient self-reported cognitive function: development of the Functional Assessment of Cancer Therapy—Cognitive Function instrument. J Support Oncol 7(6):W32–W39
33.
go back to reference Cella DF, Tulsky DS, Gray G et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11(3):570–579PubMed Cella DF, Tulsky DS, Gray G et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11(3):570–579PubMed
34.
go back to reference Hwang SS, Chang VT, Kasimis BS et al (2003) A comparison of three fatigue measures in veterans with cancer. Cancer Investigation 21(3):363–373PubMedCrossRef Hwang SS, Chang VT, Kasimis BS et al (2003) A comparison of three fatigue measures in veterans with cancer. Cancer Investigation 21(3):363–373PubMedCrossRef
35.
go back to reference Carlson LE, Speca M, Patel KD et al (2004) Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology 29(4):448–474PubMedCrossRef Carlson LE, Speca M, Patel KD et al (2004) Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology 29(4):448–474PubMedCrossRef
36.
go back to reference Mutrie N, Campbell AM, Whyte F et al (2007) Benefits of supervised group exercise programme for women being treated for early stage breast cancer: pragmatic randomised controlled trial. BMJ 334(7592):517PubMedCrossRef Mutrie N, Campbell AM, Whyte F et al (2007) Benefits of supervised group exercise programme for women being treated for early stage breast cancer: pragmatic randomised controlled trial. BMJ 334(7592):517PubMedCrossRef
37.
go back to reference Pierce BL, Ballard-Barbash R, Bernstein L et al (2009) Elevated biomarkers of inflammation are associated with reduced survival among breast cancer patients. J Clin Oncol 27(21):3437–3444PubMedCrossRef Pierce BL, Ballard-Barbash R, Bernstein L et al (2009) Elevated biomarkers of inflammation are associated with reduced survival among breast cancer patients. J Clin Oncol 27(21):3437–3444PubMedCrossRef
38.
go back to reference Noble JM, Manly JJ, Schupf N et al (2010) Association of C-reactive protein with cognitive impairment. Arch Neurol 67(1):87–92PubMedCrossRef Noble JM, Manly JJ, Schupf N et al (2010) Association of C-reactive protein with cognitive impairment. Arch Neurol 67(1):87–92PubMedCrossRef
39.
go back to reference Yeh M, Lee T, Chen H et al (2006) The influences of Chan-Chuang Qi-gong therapy on complete blood cell counts in breast cancer patients treated with chemotherapy. Cancer Nurs 29(2):149–155PubMedCrossRef Yeh M, Lee T, Chen H et al (2006) The influences of Chan-Chuang Qi-gong therapy on complete blood cell counts in breast cancer patients treated with chemotherapy. Cancer Nurs 29(2):149–155PubMedCrossRef
40.
go back to reference Luo S, Tong T (1988) Effect of vital gate Qigong exercise on malignant tumor. First World Conference for Academic Exchange of Medical Qigong, Beijing, p 122 Luo S, Tong T (1988) Effect of vital gate Qigong exercise on malignant tumor. First World Conference for Academic Exchange of Medical Qigong, Beijing, p 122
Metadata
Title
Effect of medical Qigong on cognitive function, quality of life, and a biomarker of inflammation in cancer patients: a randomized controlled trial
Authors
Byeongsang Oh
Phyllis N. Butow
Barbara A. Mullan
Stephen J. Clarke
Philip J. Beale
Nick Pavlakis
Myeong Soo Lee
David S. Rosenthal
Linda Larkey
Janette Vardy
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 6/2012
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-011-1209-6

Other articles of this Issue 6/2012

Supportive Care in Cancer 6/2012 Go to the issue

Letter to the Editor

Response letter to the editor

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine