Abstract：
Fatigue, insomnia and sleep disturbances are common after cancer diagnosis, and have a negative impact on quality of life and function. This narrative review synthesised evidence on lifestyle and integrative oncology interventions for cancer-related fatigue, insomnia and sleep disturbances in cancer survivors. There is strong evidence in support of aerobic and strength exercise for the relief of cancer-related fatigue. Yoga, massage therapy, acupuncture, Tai Chi and qigong can also be recommended for cancer-related fatigue. The evidence on yoga, acupuncture and massage therapy for sleep disturbances in cancer is mixed, while exercise appears to have a modest favourable effect. There is insufficient evidence on nutrient supplements or dietary interventions for cancer-related fatigue or insomnia and other sleep disturbances after cancer. Beyond alleviating cancer-related fatigue and insomnia-related symptoms, integrative oncology and lifestyle interventions have potential to effect multiple other benefits, such as improvement in symptoms such as pain and menopausal symptoms. There is a need for well-designed randomised controlled trials of interventions, particularly in the areas of diet and nutrient supplements, and for implementation studies of interventions already supported by evidence.
摘要：
疲劳,失眠和睡眠障碍在癌症诊断后很常见，并对生活质量和功能产生负面影响。这篇叙述性综述综合了有关癌症相关性疲劳的生活方式和综合肿瘤学干预措施的证据，癌症幸存者的失眠和睡眠障碍。有强有力的证据支持有氧和力量运动来缓解癌症相关的疲劳。瑜伽,按摩疗法,针灸,太极拳和气功也可以推荐用于癌症相关的疲劳。关于瑜伽的证据,针灸和按摩治疗癌症睡眠障碍是混合的，而锻炼似乎有适度的有利效果。对于癌症相关的疲劳或失眠以及癌症后的其他睡眠障碍，营养补充剂或饮食干预没有足够的证据。除了减轻癌症相关的疲劳和失眠相关的症状，综合肿瘤学和生活方式干预有可能产生多种其他益处，如改善症状，如疼痛和更年期症状。需要精心设计的干预措施随机对照试验，特别是在饮食和营养补充剂领域，以及已经有证据支持的干预措施的实施研究。
