Effects of a 12-week home-based exercise program on quality of life, psychological health, and the level of physical activity in colorectal cancer survivors: a randomized controlled trial

  • Ji Young Kim
  • Mi Kyung Lee
  • Dong Hoon Lee
  • Dong Woo Kang
  • Ji Hee Min
  • Ji Won Lee
  • Sang Hui Chu
  • Min Su Cho
  • Nam Kyu Kim
  • Justin Y. JeonEmail author
Original Article



To examine the effects of a home-based exercise program on quality of life (QOL), psychological health, and the level of physical activity (PA) in colorectal cancer survivors.


Seventy-one colorectal cancer survivors were randomized into either a home-based exercise group (N = 37) or control group (N = 34). The home-based exercise program included unsupervised walking, stationary bike, or swimming for aerobic exercise, as well as resistance exercise DVDs, a pedometer, and an exercise log. The Functional Assessment of Cancer Therapy-Colorectal, Functional Assessment of Chronic Illness Therapy-Fatigue Scale, patient health questionnaire, and Godin Leisure-Time Exercise Questionnaire were used to assess QOL, fatigue, depression, and PA levels.


Among the 71 participants, 30 in the exercise group and 28 in the control group completed the study. The change in the QOL between the intervention and control groups was insignificant. However, QOL was significantly improved in the exercise group (QOL, p = 0.024). Sub-domain of QOL, emotional well-being, and trial outcome index-physical/functional/colorectal (p = 0.015 and p = 0.035, respectively) were improved in the exercise group. The level of PA was significantly increased after 12 weeks in the exercise group (97.0 ± 188.5 vs. 332.6 ± 306.1, p < 0.001), and the change significantly differed compared with the control group (mean change 235.6 vs. 16.3, p < 0.001).


The home-based exercise program may improve the QOL and psychological health in colorectal cancer survivors. We have demonstrated that the home-based exercise program was effective in increasing the level of PA in colorectal cancer survivors.


Colorectal cancer Home-based exercise Quality of life Psychological health Physical activity 



This research was supported by a grant from the National R&D program for Cancer Control, Ministry of Health and Welfare, Republic of Korea (1631020) and the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2015S1A5B8036349).  This research was also  partially supported by the Graduate School of YONSEI University Research Scholarship Grants in 2017.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Ji Young Kim
    • 1
  • Mi Kyung Lee
    • 1
  • Dong Hoon Lee
    • 2
  • Dong Woo Kang
    • 3
  • Ji Hee Min
    • 1
  • Ji Won Lee
    • 4
  • Sang Hui Chu
    • 5
  • Min Su Cho
    • 6
  • Nam Kyu Kim
    • 6
  • Justin Y. Jeon
    • 1
    Email author
  1. 1.Department of Sport Industry Studies, Exercise Medicine Center for Diabetes and Cancer Patients (ICONS), Cancer Prevention Center, Yonsei Cancer CenterYonsei UniversitySeoulRepublic of Korea
  2. 2.Department of Epidemiology and NutritionHarvard T.H. Chan School of Public HealthBostonUSA
  3. 3.Behavioural Medicine Lab, Faculty of Kinesiology, Sport, and RecreationUniversity of AlbertaEdmontonCanada
  4. 4.Department of Family Medicine, College of MedicineYonsei UniversitySeoulRepublic of Korea
  5. 5.Department of Clinical Nursing Science, College of Nursing, Biobehavioural Research Center, Yonsei UniversityNursing Policy Research InstituteSeoulRepublic of Korea
  6. 6.Department of SurgeryYonsei University College of MedicineSeoulRepublic of Korea

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