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Wang X, Liu M, Stevinson C, Dai YB, Tang YX, Peng D, Yan MB, Zheng H, Liu XN, Liu Y, Huang WT, Chen LJ, Ku PW. Effect of a Single Light-intensity Walking Session on Sleep Quality of Patients with Bladder Cancer: A Randomized Cross-Over Study. Semin Oncol Nurs 2024; 40:151571. [PMID: 38142189 DOI: 10.1016/j.soncn.2023.151571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 11/09/2023] [Accepted: 11/29/2023] [Indexed: 12/25/2023]
Abstract
OBJECTIVES Exercise has been recommended to enhance sleep. However, there is a paucity of studies investigating the relationships between exercise and sleep problems in patients with bladder cancer. The authors explored the effects of a single bout of light-intensity walking on the sleep quality of patients with bladder cancer who have sleep disorders. DATA SOURCES A total of 14 patients with bladder cancer with sleep disorders were recruited for this trial. The participants were randomly assigned to the walking or control condition in a cross-over design to explore the effects of a single light-intensity walking session on objectively measured sleep quality. A two-way repeated measures analysis of variance and a nonparametric permutation test were used to examine intervention effects. Twelve participants (85.7%) completed the trial. A significant group × time interaction for sleep latency (P = .023) was identified. The pairwise comparison showed significant results (P = .012) for the difference between the post-test sleep latency and the pre-test. No significant group × time interactions were observed for the remaining seven sleep parameters. Additionally, only the main effects of time on length of awakening and time in bed were significant (P < .001). CONCLUSION A single bout of light-intensity walking has a positive effect on shortening the sleep latency of patients with bladder cancer who have sleep disorders. IMPLICATIONS FOR NURSING PRACTICE Oncology nurses can encourage patients with bladder cancer to exercise, even light-intensity walking, which may improve sleep quality.
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Affiliation(s)
- Xiang Wang
- Lecturer Department of Nursing, Zhuhai Campus of Zunyi Medical University, Zhuhai, China
| | - Min Liu
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Clare Stevinson
- Senior Lecturer School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Ying-Bo Dai
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Yu-Xin Tang
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Dan Peng
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Min-Bo Yan
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Hao Zheng
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Xiu-Na Liu
- Associate Professor Faculty of Medicine, Macau University of Science and Technology, Macau, China
| | - Ying Liu
- Associate Professor The Fifth Clinical College, Zhuhai Campus of Zunyi Medical University, Zhuhai, China
| | - Wan-Ting Huang
- Supervisor Nurse, Head Nurse (Min Liu); Chief Physician, Director (Ying-Bo Dai); Chief Physician, Professor (Yu-Xin Tang); Supervisor Nurse (Dan Peng); Attending Physician (Min-Bo Yan); Associate Chief Physician (Hao Zheng); Junior Nurse (Wan-Ting Huang) Department of Urology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China
| | - Li-Jung Chen
- Professor Department of Exercise Health Science, National Taiwan University of Sport, Taichung, Taiwan.
| | - Po-Wen Ku
- Professor Graduate Institute of Sports and Health Management, National Chung Hsing University, Taichung, Taiwan; Department of Behavioural Science and Health, University College London, London, UK.
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Association between urine 6-sulfatoxy-melatonin level and intravesical Bacillus Calmette-Guerin treatment-induced sleep quality deterioration in patients with non-muscle invasive bladder cancer. Support Care Cancer 2022; 30:6145-6153. [PMID: 35426045 DOI: 10.1007/s00520-022-07043-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 04/05/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE The level of 6-sulfatoxy-melatonin (SaMT), a metabolite of melatonin, in first-void morning urine reflects blood melatonin levels from the previous night. We investigated the association between urine SaMT and sleep quality deterioration in patients with non-muscle invasive bladder cancer (NMIBC) treated with intravesical Bacillus Calmette-Guerin induction therapy (iBCG). METHODS We enrolled 51 patients who received iBCG once weekly for 6 or 8 weeks. Patient-reported outcomes were assessed with questionnaires including the International Prostate Symptom Score (IPSS) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQC30). Questionnaires were completed before (baseline), during, at completion, and 1 and 3 months after iBCG. Melatonin and SaMT levels at baseline were measured in serum and first-void morning urine samples, respectively. RESULTS Based on changes in the QLQC30 insomnia subscale, 28 (55%) patients experienced sleep quality deterioration (deterioration group). Urine SaMT values in the deterioration group were lower than those in the non-deterioration group (P = 0.0015; 7.5 vs 15.4 ng/mg creatinine, respectively). Nocturia scores in the non-deterioration group decreased over time, while those of the deterioration group remained high after completion of iBCG. A binary logistic regression analysis revealed that low urine SaMT levels (≤ 9.6 ng/mg creatinine), high IPSS nocturia scores at baseline, and high IPSS storage subscores at baseline were associated with BCG-induced sleep quality deterioration. CONCLUSIONS This study confirmed the association among urine SaMT levels, nocturia, and sleep disturbance in patients with NMIBC who receive iBCG. We should be aware of treatment-induced impairments to aid in appropriate decision-making.
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Intravesical Bacillus Calmette-Guerin treatment-induced sleep quality deterioration in patients with non-muscle invasive bladder cancer: functional outcome assessment based on a questionnaire survey and actigraphy. Support Care Cancer 2021; 30:887-895. [PMID: 34398288 DOI: 10.1007/s00520-021-06468-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 07/25/2021] [Indexed: 12/24/2022]
Abstract
PURPOSE We investigated sleep parameters and patient-reported outcomes before, during, and after induction Bacillus Calmette-Guerin therapy using questionnaires and actigraphy in patients with non-muscle invasive bladder cancer. METHODS We investigated 10 patients who received Bacillus Calmette-Guerin therapy once weekly for 8 weeks. The International Prostate Symptom Score, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, Functional Assessment of Cancer Therapy-Bladder, and multi-item Short Form-8 tools were used to assess patient-reported outcomes. Participants completed all questionnaires before (baseline), at the 4th and 8th doses, and 1 month after the last Bacillus Calmette-Guerin dose. The MotionWatch8 was fastened to patients' waist throughout the study. Composite sleep quality was determined based on sleep duration, efficiency, and fragmentation. RESULTS We observed a transient increase in frequency/nocturia subscores and the insomnia subscore. The number of patients with poor sleep quality increased from 0 (0%) at baseline to 7 (70%) at the 4th dose and to 6 (60%) patients at the 8th dose. Among 10 patients, 6 (60%) were assigned to the sleep deterioration group and 4 (40%) to the non-deterioration group. Sleep quality was restored to baseline levels in 5 of 6 patients (83%) within 1 month after the last dose in the sleep deterioration group, and the nocturia subscore of the International Prostate Symptom Score was significantly increased only in this group (P=0.03). CONCLUSIONS This is the first study that confirms intravesical Bacillus Calmette-Guerin-induced sleep quality deterioration based on a questionnaire survey and actigraphy.
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