{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:07:18Z","timestamp":1792627638277,"version":"4.5.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100003392","name":"Natural Science Foundation of Fujian Province","doi-asserted-by":"publisher","award":["2017J01815"],"award-info":[{"award-number":["2017J01815"]}],"id":[{"id":"10.13039\/501100003392","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013795","name":"Fujian Medical University","doi-asserted-by":"publisher","award":["2017\/00041"],"award-info":[{"award-number":["2017\/00041"]}],"id":[{"id":"10.13039\/501100013795","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","painmanagementnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Pain Management Nursing"],"published-print":{"date-parts":[[2023,12]]},"DOI":"10.1016\/j.pmn.2023.04.007","type":"journal-article","created":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T17:54:52Z","timestamp":1684173292000},"page":"650-658","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effects of Multimodal Exercise on Health-related Physical Fitness and Quality of Life in Patients with Nasopharyngeal Carcinoma during Radiotherapy"],"prefix":"10.1016","volume":"24","author":[{"given":"Jihong","family":"Song","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zilan","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukuan","family":"Chuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenzong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sitian","family":"Niu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinsheng","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yichih","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiurong","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Litao","family":"Zhuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.pmn.2023.04.007_bib0001","first-page":"93","article-title":"The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more \"personalized\" approach to cancer staging","volume":"67","author":"Amin","year":"2017","journal-title":"CA: A Cancer Journal for Clinicians"},{"issue":"12","key":"10.1016\/j.pmn.2023.04.007_bib0002","doi-asserted-by":"crossref","first-page":"2536","DOI":"10.3390\/cells9122536","article-title":"Nutraceuticals and exercise against muscle wasting during cancer cachexia","volume":"9","author":"Aquila","year":"2020","journal-title":"Cells"},{"issue":"2","key":"10.1016\/j.pmn.2023.04.007_bib0003","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3857\/roj.2020.00213","article-title":"Late side effects of radiation treatment for head and neck cancer","volume":"38","author":"Brook","year":"2020","journal-title":"Radiation Oncology Journal"},{"key":"10.1016\/j.pmn.2023.04.007_bib0004","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ctrv.2016.11.010","article-title":"Effects and moderators of exercise on quality of life and physical","volume":"52","author":"Buffart","year":"2017","journal-title":"Cancer Treatment Reviews"},{"issue":"3","key":"10.1016\/j.pmn.2023.04.007_bib0005","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1093\/ptj\/pzz090","article-title":"The effect of exercise on cancer-related cognitive impairment and applications for physical therapy: Systematic review of randomized controlled trials","volume":"100","author":"Campbell","year":"2020","journal-title":"Physical Therapy"},{"issue":"6","key":"10.1016\/j.pmn.2023.04.007_bib0006","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1136\/bjsports-2015-094684","article-title":"The impact of physical activity on health-related fitness and quality of life for patients with head and neck cancer: A systematic review","volume":"50","author":"Capozzi","year":"2016","journal-title":"British Journal of Sports Medicine"},{"issue":"6","key":"10.1016\/j.pmn.2023.04.007_bib0007","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1158\/1055-9965.EPI-20-1702","article-title":"The evolving epidemiology of nasopharyngeal carcinoma","volume":"30","author":"Chang","year":"2021","journal-title":"Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology"},{"issue":"7","key":"10.1016\/j.pmn.2023.04.007_bib0008","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1200\/JCO.20.03237","article-title":"Chemotherapy in combination with radiotherapy for definitive-intent treatment of stage II-IVA nasopharyngeal carcinoma: CSCO and ASCO guideline","volume":"39","author":"Chen","year":"2021","journal-title":"Journal of Clinical Oncology: Official journal of the American Society of Clinical Oncology"},{"issue":"1","key":"10.1016\/j.pmn.2023.04.007_bib0009","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1007\/s00520-020-05499-6","article-title":"Exercise prescription for symptoms and quality of life improvements in lung cancer patients: A systematic review","volume":"29","author":"Codima","year":"2021","journal-title":"Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer"},{"key":"10.1016\/j.pmn.2023.04.007_bib0010","unstructured":"Feito, Y., & Magal, M. (2021). ACSM's Fitness Assessment Manual (A. C. o. S. Medicine, Ed.). Wolters Kluwer. Retrieved Jan 12, 2023 from https:\/\/connect.lww.com\/."},{"issue":"3","key":"10.1016\/j.pmn.2023.04.007_bib0011","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1007\/s12282-022-01347-z","article-title":"Impact of exercise interventions on physical fitness in breast cancer patients and survivors: A systematic review","volume":"29","author":"Ficarra","year":"2022","journal-title":"Breast Cancer"},{"issue":"3","key":"10.1016\/j.pmn.2023.04.007_bib0012","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s40279-021-01605-8","article-title":"Minimal-dose resistance training for improving muscle mass, strength, and function: A narrative review of current evidence and practical considerations","volume":"52","author":"Fyfe","year":"2022","journal-title":"Sports Medicine"},{"issue":"4","key":"10.1016\/j.pmn.2023.04.007_bib0013","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1093\/ehjqcco\/qcaa015","article-title":"Association of post-diagnosis cardiorespiratory fitness with cause-specific mortality in cancer","volume":"6","author":"Groarke","year":"2020","journal-title":"European Heart Journal. Quality of Care & Clinical Outcomes"},{"issue":"4","key":"10.1016\/j.pmn.2023.04.007_bib0014","first-page":"3017","article-title":"High-intensity interval training effects in cardiorespiratory fitness of lung cancer survivors: A systematic review and meta-analysis","volume":"30","author":"Heredia-Ciuro","year":"2022","journal-title":"Support Care Cancer"},{"issue":"10","key":"10.1016\/j.pmn.2023.04.007_bib0015","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1136\/bjsports-2016-096422","article-title":"Exercise and other non-pharmaceutical interventions for cancer-related fatigue in patients during or after cancer treatment: A systematic review incorporating an indirect-comparisons meta-analysis","volume":"52","author":"Hilfiker","year":"2018","journal-title":"British Journal of Sports Medicine"},{"issue":"9","key":"10.1016\/j.pmn.2023.04.007_bib0016","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1080\/07357907.2022.2105349","article-title":"Exercise interventions to combat cancer-related fatigue in cancer patients undergoing treatment: A review","volume":"40","author":"Hussey","year":"2022","journal-title":"Cancer Investigation"},{"issue":"1","key":"10.1016\/j.pmn.2023.04.007_bib0017","first-page":"31","article-title":"Reliability and validity of EORTC QLQ-C30","volume":"13","author":"Jiang","year":"2005","journal-title":"Chinese Journal of Clinical Psychology"},{"issue":"11","key":"10.1016\/j.pmn.2023.04.007_bib0018","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1111\/josh.13080","article-title":"Health-related physical fitness and activity in homeschool: A systematic review with implications for return to public school","volume":"91","author":"Kabiri","year":"2021","journal-title":"The Journal of School Health"},{"issue":"2","key":"10.1016\/j.pmn.2023.04.007_bib0019","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/hup.2514","article-title":"Effects of methylphenidate on body index and physical fitness in Korean children with attention deficit hyperactivity disorder","volume":"31","author":"Kang","year":"2016","journal-title":"Human Psychopharmacology"},{"issue":"3","key":"10.1016\/j.pmn.2023.04.007_bib0020","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/MRR.0000000000000479","article-title":"Efficacy and safety of a simple home-based resistance exercise program for older adults with low muscle mass: A prospective longitudinal clinical trial","volume":"44","author":"Kuptniratsaikul","year":"2021","journal-title":"International Journal of Rehabilitation Research"},{"issue":"8","key":"10.1016\/j.pmn.2023.04.007_bib0021","first-page":"1216","article-title":"Association between acute radiation response and weight loss during intensity modulated radiotherapy for nasopharyngeal carcinoma","volume":"33","author":"Li","year":"2017","journal-title":"The Journal of Practical Medicine"},{"key":"10.1016\/j.pmn.2023.04.007_bib0022","series-title":"Development and Evaluation of Rhythmic Exercise for Nasopharyngeal Carcinoma Patients during Radiotherapy","author":"Li","year":"2020"},{"issue":"8","key":"10.1016\/j.pmn.2023.04.007_bib0023","doi-asserted-by":"crossref","first-page":"2240","DOI":"10.3390\/cancers12082240","article-title":"Aerobic exercise-induced changes in cardiorespiratory fitness in breast cancer patients receiving chemotherapy: A systematic review and meta-analysis","volume":"12","author":"Maginador","year":"2020","journal-title":"Cancers (Basel)"},{"issue":"23","key":"10.1016\/j.pmn.2023.04.007_bib0024","doi-asserted-by":"crossref","first-page":"16332","DOI":"10.3390\/ijerph192316332","article-title":"Physical activity readiness in patients with heart failure","volume":"19","author":"Marques-Sule","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"19","key":"10.1016\/j.pmn.2023.04.007_bib0025","doi-asserted-by":"crossref","first-page":"7289","DOI":"10.3390\/ijerph17197289","article-title":"Effects of chemotherapy treatment on muscle strength, quality of life, fatigue, and anxiety in women with breast cancer","volume":"17","author":"Marques","year":"2020","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"1","key":"10.1016\/j.pmn.2023.04.007_bib0026","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1002\/pmrj.12741","article-title":"Translation of Karnofsky Performance Status (KPS) for use in inpatient cancer rehabilitation","volume":"15","author":"McNair","year":"2021","journal-title":"PM & R: The Journal of Injury, Function, and Rehabilitation"},{"issue":"18","key":"10.1016\/j.pmn.2023.04.007_bib0027","doi-asserted-by":"crossref","first-page":"6511","DOI":"10.3390\/ijerph17186511","article-title":"Resistance training in breast cancer survivors: A systematic review of exercise programs","volume":"17","author":"Monta\u00f1o-Rojas","year":"2020","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"10.1016\/j.pmn.2023.04.007_bib0028","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.ejca.2018.11.024","article-title":"General population normative data for the EORTC QLQ-C30 health-related quality of life questionnaire based on 15,386 persons across 13 European countries, Canada and the Unites States","volume":"107","author":"Nolte","year":"2019","journal-title":"European Journal of Cancer (Oxford, England: 1990)"},{"issue":"6","key":"10.1016\/j.pmn.2023.04.007_bib0029","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.1519\/JSC.0000000000000807","article-title":"Testing strength and power in soccer players: The application of conventional and traditional methods of assessment","volume":"29","author":"Paul","year":"2015","journal-title":"Journal of Strength and Conditioning Research"},{"issue":"2","key":"10.1016\/j.pmn.2023.04.007_bib0030","article-title":"Exercise training for advanced lung cancer","volume":"2","author":"Peddle-McIntyre","year":"2019","journal-title":"The Cochrane Database of Systematic Reviews"},{"key":"10.1016\/j.pmn.2023.04.007_bib0031","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.breast.2022.03.014","article-title":"Effects of physical exercise on cognitive function of breast cancer survivors receiving chemotherapy: A systematic review of randomized controlled trials","volume":"63","author":"Ren","year":"2022","journal-title":"Breast (Edinburgh, Scotland)"},{"issue":"8","key":"10.1016\/j.pmn.2023.04.007_bib0032","doi-asserted-by":"crossref","first-page":"1178","DOI":"10.1002\/hed.23118","article-title":"Pilot, randomized trial of resistance exercise during radiation therapy for head and neck cancer","volume":"35","author":"Rogers","year":"2013","journal-title":"Head & Neck"},{"key":"10.1016\/j.pmn.2023.04.007_bib0033","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2021.712696","article-title":"Translation, cultural adaptation, and reproducibility of the physical activity Readiness Questionnaire for Everyone (PAR-Q+): The Brazilian Portuguese Version","volume":"8","author":"Schwartz","year":"2021","journal-title":"Frontiers in Cardiovascular Medicine"},{"issue":"2","key":"10.1016\/j.pmn.2023.04.007_bib0034","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jgo.2018.11.008","article-title":"Higher symptom burden is associated with lower function in women taking adjuvant endocrine therapy for breast cancer","volume":"10","author":"Sitlinger","year":"2019","journal-title":"Journal of Geriatric Oncology"},{"key":"10.1016\/j.pmn.2023.04.007_sbref0035","series-title":"Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0","author":"Sonali Shah","year":"2017"},{"issue":"3","key":"10.1016\/j.pmn.2023.04.007_bib0036","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.apmr.2020.06.005","article-title":"Measurement properties of isokinetic dynamometry for assessment of shoulder muscle strength: A systematic review","volume":"102","author":"S\u00f8rensen","year":"2021","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"issue":"3","key":"10.1016\/j.pmn.2023.04.007_bib0037","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.21037\/apm-20-1053","article-title":"Nutrition counseling combined with head and neck rehabilitation exercises can enhance outcomes among nasopharyngeal carcinoma patients in southern China: A prospective study in an epidemic area","volume":"9","author":"Su","year":"2020","journal-title":"Annals of Palliative Medicine"},{"issue":"4","key":"10.1016\/j.pmn.2023.04.007_bib0038","first-page":"338","article-title":"Revision of the Physical Activity Readiness Questionnaire (PAR-Q)","volume":"17","author":"Thomas","year":"1992","journal-title":"Canadian Journal of Sport Sciences\u00a0=\u00a0Journal Canadien des Sciences du Sport"},{"key":"10.1016\/j.pmn.2023.04.007_bib0039","series-title":"Health-Related Quality of Life (HRQOL)","year":"2018"},{"issue":"4","key":"10.1016\/j.pmn.2023.04.007_bib0040","first-page":"63","article-title":"Study on the mechanism of resistance exercise to improve muscular atrophy in type 2 diabetes mellitus","volume":"38","author":"Wang","year":"2019","journal-title":"Physical Education Review (Academic Edition)"},{"issue":"14","key":"10.1016\/j.pmn.2023.04.007_bib0041","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.21037\/atm-21-3412","article-title":"The impact of body composition parameters on severe toxicities in patients with locoregionally advanced nasopharyngeal carcinoma undergoing neoadjuvant chemotherapy","volume":"9","author":"Xing","year":"2021","journal-title":"Annals of Translational Medicine"},{"issue":"2","key":"10.1016\/j.pmn.2023.04.007_bib0042","first-page":"74","article-title":"Research progress of hypothalamus mediating energy metabolism and bone counter-regulation and its mechanism of exercise intervention","volume":"57","author":"Xu","year":"2021","journal-title":"China Sport Science and Technology"},{"issue":"23","key":"10.1016\/j.pmn.2023.04.007_bib0043","first-page":"6","article-title":"Changes of symptom clusters among nasopharyngeal carcinoma patients undergoing concurrent chemoradiotherapy: A longitudinal study","volume":"26","author":"Zhang","year":"2019","journal-title":"Journal of Nursing (China)"},{"key":"10.1016\/j.pmn.2023.04.007_sbref0044","series-title":"Investigation on health status of middle-aged teachers in colleges and universities in Tianjin based on PAR-Q questionnaire","author":"Zhang","year":"2017"}],"container-title":["Pain Management Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1524904223000929?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1524904223000929?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T17:48:05Z","timestamp":1761500885000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1524904223000929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":44,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["S1524904223000929"],"URL":"https:\/\/doi.org\/10.1016\/j.pmn.2023.04.007","relation":{},"ISSN":["1524-9042"],"issn-type":[{"value":"1524-9042","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Effects of Multimodal Exercise on Health-related Physical Fitness and Quality of Life in Patients with Nasopharyngeal Carcinoma during Radiotherapy","name":"articletitle","label":"Article Title"},{"value":"Pain Management Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pmn.2023.04.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}