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Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial.

Abstract

GOAL OF WORK

Breast cancer survivors have limited options for the treatment of hot flashes and related symptoms. Further, therapies widely used to prevent recurrence in survivors, such as tamoxifen, tend to induce or exacerbate menopausal symptoms. The aim of this preliminary, randomized controlled trial was to evaluate the effects of a yoga intervention on menopausal symptoms in a sample of survivors of early-stage breast cancer (stages IA-IIB).

MATERIALS AND METHODS

Thirty-seven disease-free women experiencing hot flashes were randomized to the 8-week Yoga of Awareness program (gentle yoga poses, meditation, and breathing exercises) or to wait-list control. The primary outcome was daily reports of hot flashes collected at baseline, posttreatment, and 3 months after treatment via an interactive telephone system. Data were analyzed by intention to treat.

MAIN RESULTS

At posttreatment, women who received the yoga program showed significantly greater improvements relative to the control condition in hot-flash frequency, severity, and total scores and in levels of joint pain, fatigue, sleep disturbance, symptom-related bother, and vigor. At 3 months follow-up, patients maintained their treatment gains in hot flashes, joint pain, fatigue, symptom-related bother, and vigor and showed additional significant gains in negative mood, relaxation, and acceptance.

CONCLUSIONS

This pilot study provides promising support for the beneficial effects of a comprehensive yoga program for hot flashes and other menopausal symptoms in early-stage breast cancer survivors.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Anesthesiology and Peri-operative Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. carsonja@ohsu.edu

    , , ,

    Source

    MeSH

    Adult
    Aged
    Breast Neoplasms
    Exercise Therapy
    Female
    Hot Flashes
    Humans
    Menopause
    Middle Aged
    Pilot Projects
    Quality of Life
    Severity of Illness Index
    Survivors
    Treatment Outcome
    Yoga

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    19214594

    Citation

    Carson, James W., et al. "Yoga of Awareness Program for Menopausal Symptoms in Breast Cancer Survivors: Results From a Randomized Trial." Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, vol. 17, no. 10, 2009, pp. 1301-9.
    Carson JW, Carson KM, Porter LS, et al. Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support Care Cancer. 2009;17(10):1301-9.
    Carson, J. W., Carson, K. M., Porter, L. S., Keefe, F. J., & Seewaldt, V. L. (2009). Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 17(10), pp. 1301-9. doi:10.1007/s00520-009-0587-5.
    Carson JW, et al. Yoga of Awareness Program for Menopausal Symptoms in Breast Cancer Survivors: Results From a Randomized Trial. Support Care Cancer. 2009;17(10):1301-9. PubMed PMID: 19214594.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. AU - Carson,James W, AU - Carson,Kimberly M, AU - Porter,Laura S, AU - Keefe,Francis J, AU - Seewaldt,Victoria L, Y1 - 2009/02/12/ PY - 2008/09/08/received PY - 2009/01/20/accepted PY - 2009/2/14/entrez PY - 2009/2/14/pubmed PY - 2010/1/5/medline SP - 1301 EP - 9 JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JO - Support Care Cancer VL - 17 IS - 10 N2 - GOAL OF WORK: Breast cancer survivors have limited options for the treatment of hot flashes and related symptoms. Further, therapies widely used to prevent recurrence in survivors, such as tamoxifen, tend to induce or exacerbate menopausal symptoms. The aim of this preliminary, randomized controlled trial was to evaluate the effects of a yoga intervention on menopausal symptoms in a sample of survivors of early-stage breast cancer (stages IA-IIB). MATERIALS AND METHODS: Thirty-seven disease-free women experiencing hot flashes were randomized to the 8-week Yoga of Awareness program (gentle yoga poses, meditation, and breathing exercises) or to wait-list control. The primary outcome was daily reports of hot flashes collected at baseline, posttreatment, and 3 months after treatment via an interactive telephone system. Data were analyzed by intention to treat. MAIN RESULTS: At posttreatment, women who received the yoga program showed significantly greater improvements relative to the control condition in hot-flash frequency, severity, and total scores and in levels of joint pain, fatigue, sleep disturbance, symptom-related bother, and vigor. At 3 months follow-up, patients maintained their treatment gains in hot flashes, joint pain, fatigue, symptom-related bother, and vigor and showed additional significant gains in negative mood, relaxation, and acceptance. CONCLUSIONS: This pilot study provides promising support for the beneficial effects of a comprehensive yoga program for hot flashes and other menopausal symptoms in early-stage breast cancer survivors. SN - 1433-7339 UR - https://www.unboundmedicine.com/medline/citation/19214594/Yoga_of_Awareness_program_for_menopausal_symptoms_in_breast_cancer_survivors:_results_from_a_randomized_trial_ L2 - https://dx.doi.org/10.1007/s00520-009-0587-5 DB - PRIME DP - Unbound Medicine ER -