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Mind-body exercises like Yoga and Dance improve quality of life, anxiety, and depression in breast cancerMind body exercises improve quality of life for breast cancer patients

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Key Takeaway
Consider mind-body exercises to improve quality of life and mood in breast cancer patients despite low evidence certainty.

This systematic review and network meta-analysis evaluated 55 RCTs involving 3,770 participants to assess the impact of mind-body exercises (Yoga, Tai Chi, Qigong, Pilates, Dance) on quality of life, anxiety, and depression in patients with breast cancer. The analysis found that Qigong, Dance, and Yoga significantly improved quality of life compared to control groups, with Qigong having a SUCRA ranking of 83.9%.

Regarding psychological symptoms, Dance was significantly superior to controls for anxiety (SUCRA 90.6%). For depression, Yoga (SUCRA 64.3%) and Tai Chi (SUCRA 64.1%) were both significantly superior to control groups. The authors noted that SUCRA rankings are exploratory and hypothesis-generating rather than evidence of definitive superiority.

Several limitations impact the strength of these findings, including a high risk of bias in 55% of the included trials. Consequently, the certainty of evidence is rated as low to very low. No significant differences were detected between different active interventions. These results suggest that while mind-body exercises may improve symptoms and quality of life, clinical application should be tempered by the limited certainty of current data.

How this fits prior evidence

This finding extends prior evidence regarding supportive care for breast cancer patients. While previous findings showed that CBSM can increase the likelihood of MVPA engagement in survivors and activity trackers with walking programs can increase physical activity levels, this meta-analysis specifically addresses the impact of mind-body exercises on quality of life, anxiety, and depression.

Living with a breast cancer diagnosis brings heavy emotional weight. Patients often struggle not just with physical symptoms, but with feelings of anxiety and depression. New research looked at how mind body exercises like Yoga, Tai Chi, Qigong, Pilates, and Dance can help manage these challenges.

The study looked at 3,770 people across many different trials. The results showed that Qigong, dance, and yoga all significantly improved quality of life compared to standard care. Specifically, dance showed the strongest results for reducing anxiety, while yoga and Tai Chi were most effective at lowering feelings of depression.

While these findings are encouraging, it is important to note that the evidence is currently not very strong. Many of the original studies had a high risk of bias, meaning the data could be less certain. However, the results suggest that moving your body in these intentional ways can be a helpful tool for emotional well-being.

What this means for you:
Yoga, dance, and Qigong may help breast cancer patients manage anxiety, depression, and quality of life.

Common questions

Which specific exercises helped the most with anxiety?

The study found that dance was significantly better than control groups for reducing anxiety. It had a high ranking probability, suggesting it is a very effective way to manage these feelings during treatment.

Can yoga or Tai Chi help with depression in breast cancer patients?

Yes, both yoga and Tai Chi were found to be significantly better than control groups for reducing depression. They performed very similarly in helping patients feel better emotionally.

How certain are these results for my treatment plan?

The evidence is currently considered low to very low certainty because many of the original trials had a high risk of bias. You should talk to your doctor about how these exercises might fit into your specific care plan.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
BackgroundComparative evidence on the effects of different mind-body exercises (MBEs) for psychological outcomes in breast cancer patients remains limited. This study aimed to compare the effects of Yoga, Tai Chi, Qigong, Pilates, and Dance on quality of life, anxiety, and depression in breast cancer patients.MethodsPubMed, Embase, Web of Science, and the Cochrane Library were searched from inception to January 31, 2026. Pairwise meta-analyses were performed using random-effects models with Hedges' g. Bayesian network meta-analyses were conducted to estimate standardized mean differences (SMDs) with 95% credible intervals (CrIs). Ranking probabilities were summarized using SUCRA values. Risk of bias and evidence certainty were assessed using the RoB 2 tool and GRADE framework, respectively.ResultsFifty-five RCTs involving 3,770 participants were included. Network meta-analysis showed that Qigong, Dance, and Yoga significantly improved quality of life compared with control, with Qigong showing the highest ranking probability (SUCRA 83.9%). For anxiety, Dance was significantly superior to control and showed the highest ranking probability (SUCRA 90.6%). For depression, Yoga was significantly superior to control and ranked highest, closely followed by Tai Chi (SUCRA 64.3% and 64.1%, respectively). No significant differences were detected between active interventions. Exercise frequency and total dose appeared to be consistent moderators across outcomes. Overall, 55% of included trials were judged to be at high risk of bias, and the certainty of evidence was low to very low.ConclusionMind-body exercises may improve quality of life, anxiety, and depression in breast cancer patients. However, because no significant differences were found between active interventions and the certainty of evidence was low to very low, SUCRA rankings should be interpreted as exploratory and hypothesis-generating rather than as evidence of definitive superiority. Higher exercise dose may be associated with greater improvements. Future high-quality head-to-head RCTs are needed to strengthen the evidence base.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420261335679, Identifier: CRD420261335679.
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