Self-Management Support for Lung Cancer Patients With Cachexia

The goal of this randomized clinical trial is to test the efficacy of self-management support based exercise combine nutrition intervention in lung cancer patient with cancer cachexia anorexia syndrome . The main question it aims to answer is:• Would exercise combine nutrition intervention improve lung cancer patients' nutrition status? Participants will make custom exercise plan and eat enough protein food after self-management support based education.And there is a comparison group: Researchers will compare comparison group to see nutrition status who receive routine health education.

Inclusion Criteria:Diagnosed lung cancer(ICD-10 code: C33-C34)Body weight loss: body weight loss 2% before recruitment 2 months or body weight loss 5% before recruitment 6months.Physician judged may do home exercise without supervisor.Has smart phone and agree to use exercise associated application.Agree to wear Xioami smart band as long as passible.Conscious clear and communication.Eastern Cooperative Oncology Group (ECOG) 0-1.Exclusion Criteria:Participants with cardiovascular disease can't exercise without supervisor.Diabetes Mellitus with blood sugar poor control.Chronic obstructive pulmonary disease with dyspnea on exertion.Platelets < 50000mm3 due to disease or treatment.Hemoglobin <10mg/dl.Recently stumble, severe pain, cognitive and behavior change.Suspect or diagnosed brain metastasis.Suspect or diagnosed bone metastasis.Receive Nasogastric tube feeding or parenteral nutrition.Physician judged can't do home exercise.