How effective is Nia exercise in improving fatigue and quality of life during radiation therapy?

In 2013, a randomized clinical trial conducted by Debra Reis, M. Eileen Walsh, Stacey Young-McCaughan, and Tisha Jones at a large community-based hospital in the midwestern United States has unveiled promising findings regarding the benefits of a nontraditional exercise program known as Nia for women undergoing radiation therapy for breast cancer.

Nia is a non-traditional exercise program that provides whole body conditioning with less impact forces on the body.

The study focused on 41 women diagnosed with stage I, II, or III breast cancer, who were beginning their radiation therapy. The participants were divided into two groups: 22 women were assigned to the Nia exercise group, and 19 were in the usual care group. Those in the Nia group practiced the exercise at home for 20-60 minutes, three times a week over a 12-week period. In contrast, the usual care group continued with their regular activities.

The researchers aimed to investigate the effects of Nia on various health parameters, including fatigue, quality of life (QOL), aerobic capacity, and shoulder flexibility. The results were notable. Women who participated in the Nia exercise program at least 13 times over the 12-week period experienced significantly less fatigue between weeks 6 and 12 compared to those in the control group (p = 0.05).

Although the study did not find statistically significant differences in QOL, aerobic capacity, or shoulder flexibility between the two groups, there were positive trends indicating potential benefits of Nia in these areas as well.

The study concludes that Nia can be a valuable tool for alleviating fatigue in women undergoing radiation therapy for breast cancer. The researchers suggest that further investigation into the effects of Nia on arm and shoulder mobility and preservation is warranted.

For oncology nurses, these findings highlight the potential of incorporating Nia into cancer survivorship programs to help manage fatigue. As interest grows in nontraditional exercise options, Nia stands out as a beneficial practice for women battling breast cancer.

Exercise continues to be a cornerstone of supportive care for cancer patients, and this study underscores the importance of exploring diverse exercise modalities to enhance the well-being of those undergoing treatment.

Reference: Reis, D., Walsh, M. E., Young-McCaughan, S., & Jones, T. (2013, September). Effects of Nia exercise in women receiving radiation therapy for breast cancer. In Oncology nursing forum (Vol. 40, No. 5).

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