Evidence map›Paper›PMID 39499396›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Development of a Leg And Walking Self-exercise (LAWS) program for older adults during cancer treatment.

Tomohiro F Nishijima, Mototsugu Shimokawa, Tomoko Hamabe, Masato Komoda, Yuta Okumura, Kohei Arimizu, Masaru Morita, Taito Esaki, Kirsten A Nyrop

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Tomohiro F NishijimaGeriatric Oncology Service, NHO Kyushu Cancer Center, Fukuoka, Japan. nishijima.tomohiro.zg@mail.hosp.go.jp.
Mototsugu ShimokawaDepartment of Biostatistics, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Tomoko HamabeDepartment of Nursing, NHO Kyushu Cancer Center, Fukuoka, Japan.
Masato KomodaDepartment of Gastrointestinal and Medical Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Yuta OkumuraDepartment of Gastrointestinal and Medical Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Kohei ArimizuGeriatric Oncology Service, NHO Kyushu Cancer Center, Fukuoka, Japan.
Masaru MoritaDepartment of Gastroenterological Surgery, NHO Kyushu Cancer Center, Fukuoka, Japan.
Taito EsakiDepartment of Gastrointestinal and Medical Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Kirsten A NyropDepartment of Medicine, Division of Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe developed a self-directed Leg And Walking Self-exercise (LAWS) program informed by the Exercise is Medicine initiative and evaluated the feasibility and acceptability of this program in older adults with cancer.

methodsOver a 1-year period, we prospectively enrolled 40 older adults who received a comprehensive geriatric assessment (CGA) at a geriatric oncology service and initiated a new line of systemic therapy for advanced cancer as inpatients. LAWS is a tailored, self-directed exercise program consisting of leg resistance training and walking. Exercise adherence was recorded using an exercise diary to assess feasibility. Patient perspectives on this program were evaluated using the Feasibility of Intervention Measure (FIM) and Acceptability of Intervention Measure (AIM), with a score range of 1-5, higher being better.

resultsOverall, 28% of patients were fit, 53% pre-frail, and 20% frail based on the CGA. During hospitalization (average 12 days), 63% of the patients adhered to exercises at lowest intensity during more than 50% of their inpatient stay: on average, 2.8 leg exercises, 23 repetitions a day, 5.6 days/week, and 19 min of walking a day, 4.9 days/week. Patients rated their perceived exertion at 3.0 for leg exercise and 3.0 for walking on a 1-10 Likert scale. During the period between discharge and their first outpatient appointment (average 11 days), 71% of patients adhered to the LAWS program. Mean scores of FIM and AIM were 4.2 (SD = 0.5) and 4.2 (SD = 0.7), respectively.

conclusionsFor older adults undergoing cancer treatment, LAWS is a feasible and acceptable self-directed exercise program.

Indexed as

Exercise TherapyNeoplasmsWalkingAgedAged, 80 and overFeasibility StudiesFemaleGeriatric AssessmentHumansLegMalePatient ComplianceProspective StudiesResistance TrainingSelf CareComprehensive geriatric assessmentExerciseFrailtyOlder adults with cancerSystemic therapy

Identifiers

PMID39499396

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.