#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients


Autoři: Jessica Gorzelitz aff001;  Erin S. Costanzo aff002;  Ryan J. Spencer aff003;  Meredith Rumble aff002;  Stephen L. Rose aff003;  Lisa Cadmus-Bertram aff001
Působiště autorů: Department of Kinesiology, University of Wisconsin—Madison, Madison, WI, United States of America aff001;  Department of Psychiatry, University of Wisconsin—Madison, Madison, WI, United States of America aff002;  Department of Obstetrics and Gynecology, Gynecologic Oncology, University of Wisconsin—Madison, Madison, WI, United States of America aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0223791

Souhrn

Objective

Physical activity plays a key role in cancer survivorship. The purpose of this investigation was to (a) describe the post-surgical physical activity trajectories of endometrial (n = 65) and ovarian (n = 31) cancer patients and (b) identify clinical and demographic predictors of physical activity over time.

Methods

96 participants wore an Actiwatch accelerometer for three days at each of three time points (one week, one month and four months) after surgical intervention for their endometrial or ovarian cancer diagnosis. Analyses were conducted using linear mixed effects regression modeling in SAS 9.4.

Results

For both tumor types, although physical activity levels increased with time after surgery, even at four months patients were performing only a small fraction of the 150 minutes of recommended weekly moderate to vigorous physical activity. At 1 week, subjects were completing on average 14 minutes/week (SD = 4) of moderate-to-vigorous physical activity, compared to 14 minutes/week (SD = 2) of moderate-to-vigorous physical activity at four months post-surgery (p < .05). Better self-rated health was associated with higher physical activity (p = 0.02) in endometrial cancer survivors only. BMI, age, surgery type and use of neoadjuvant chemotherapy were not associated with activity over time.

Conclusions

Our findings suggest that physical activity levels are different for those with better self-rated health, but those individuals are still insufficiently active. This study adds new information describing the trajectories and variables that influence physical activity in gynecologic cancer survivors after surgery and highlights the need for health promotion interventions in this population.

Klíčová slova:

Accelerometers – Cancer detection and diagnosis – Health informatics – Ovarian cancer – Physical activity – Surgical and invasive medical procedures – Surgical oncology – Uterine cancer


Zdroje

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018;68(1):7–30. doi: 10.3322/caac.21442 29313949

2. DeSantis CE, Lin CC, Mariotto AB, Siegel RL, Stein KD, Kramer JL, et al. Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin. 2014;64(4):252–71. doi: 10.3322/caac.21235 24890451

3. Arem H, Irwin ML. Obesity and endometrial cancer survival: A systematic review. Int J Obes (2005). 2013;37(5):634–9.

4. Moorman PG, Jones LW, Akushevich L, Schildkraut JM. Recreational physical activity and ovarian cancer risk and survival. Ann Epidemiol. 2011;21(3):178–87. doi: 10.1016/j.annepidem.2010.10.014 21296269

5. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: The evidence. CMAJ. 2006;174(6):801–9. doi: 10.1503/cmaj.051351 16534088

6. Warburton DER, Bredin SSD. Health benefits of physical activity: A systematic review of current systematic reviews. Curr Opin Cardiol. 2017;32(5):541–56. doi: 10.1097/HCO.0000000000000437 28708630

7. McTiernan A, Friedenreich CM, Katzmarzyk PT, Powell KE, Macko R, Buchner D, et al. Physical activity in cancer prevention and survival: A systematic review. MSSE. 2019;51(6):1252–61.

8. Strasser B, Steindorf K, Wiskemann J, Ulrich CM. Impact of resistance training in cancer survivors: A meta-analysis. MSSE. 2013;45(11):2080–90.

9. Fong DYT, Ho JWC, Hui BPH, Lee AM, Macfarlane DJ, Leung SSK. Physical activity for cancer survivors: Meta-analysis of randomised controlled trials. BMJ. 2012;344.

10. Ballard-Barbash R, Friedenreich CM, Courneya KS, Siddiqi SM, McTiernan A, Alfano CM. Physical activity, biomarkers, and disease outcomes in cancer survivors: A systematic review. J Natl Cancer Inst. 2012;104(11):815–40. doi: 10.1093/jnci/djs207 22570317

11. Lin LL, Brown JC, Segal S, Schmitz KH. Quality of life, body mass index, and physical activity among uterine cancer patients. IJGC. 2014;24(6):1027–32. doi: 10.1097/IGC.0000000000000166 24927246

12. Rossi A, Garber CE, Kaur G, Xue X, Goldberg GL, Nevadunsky NS. Physical activity-related differences in body mass index and patient-reported quality of life in socioculturally diverse endometrial cancer survivors. Support Care Cancer. 2017;25(7):2169–77. doi: 10.1007/s00520-017-3622-y 28210862

13. Zhang X, McClean D, Ko E, Morgan MA, Schmitz K. Exercise among women with ovarian cancer: A feasibility and pre-/post-test exploratory pilot study. Oncology nursing forum. 2017;44(3):366–74. doi: 10.1188/17.ONF.366-374 28635971

14. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62(4):242–74.

15. Littman AJ, Tang M-T, Rossing MA. Longitudinal study of recreational physical activity in breast cancer survivors. J Cancer Surviv. 2010;4(2):119–27. doi: 10.1007/s11764-009-0113-2 20180037

16. Brunet J, Amireault S, Chaiton M, Sabiston CM. Identification and prediction of physical activity trajectories in women treated for breast cancer. Ann Epidemiol. 2014;24(11):837–42. doi: 10.1016/j.annepidem.2014.07.004 25174285

17. Chung JY, Lee DH, Park J-H, Lee MK, Kang D-W, Min J, et al. Patterns of physical activity participation across the cancer trajectory in colorectal cancer survivors. Support Care Cancer. 2013;21(6):1605–12. doi: 10.1007/s00520-012-1703-5 23292698

18. Lucas AR, Levine BJ, Avis NE. Posttreatment trajectories of physical activity in breast cancer survivors. Cancer. 2017;123(14):2773–80. doi: 10.1002/cncr.30641 28272835

19. Rossi A, Frechette L, Miller D, Miller E, Friel C, Van Arsdale A, et al. Acceptability and feasibility of a Fitbit physical activity monitor for endometrial cancer survivors. Gynecol Oncol. 2018.

20. von Gruenigen VE, Waggoner SE, Frasure HE, Kavanagh MB, Janata JW, Rose PG, et al. Lifestyle challenges in endometrial cancer survivorship. Obstet Gynecol. 2011;117(1):93–100. doi: 10.1097/AOG.0b013e31820205b3 21173649

21. von Gruenigen VE, Frasure HE, Jenison EL, Hopkins MP, Gil KM. Longitudinal assessment of quality of life and lifestyle in newly diagnosed ovarian cancer patients: The roles of surgery and chemotherapy. Gynecol Oncol. 2006;103(1):120–6. doi: 10.1016/j.ygyno.2006.01.059 16556458

22. Stevinson C, Steed H, Faught W, Tonkin K, Vallance JK, Ladha AB, et al. Physical activity in ovarian cancer survivors: Associations with fatigue, sleep, and psychosocial functioning. IJGC. 2009;19(1):73–8. doi: 10.1111/IGC.0b013e31819902ec 19258945

23. Mizrahi D, Naumann F, Broderick C, Samara J, Ryan M, Friedlander M. Quantifying physical activity and the associated barriers for women with ovarian cancer. IJGC. 2015;25(4):577–83. doi: 10.1097/IGC.0000000000000349 25628105

24. Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: A systematic review. Int J Behav Nutr Phys Act. 2008;5:56. doi: 10.1186/1479-5868-5-56 18990237

25. Gorzelitz J, Peppard PE, Malecki K, Gennuso K, Nieto FJ, Cadmus-Bertram L. Predictors of discordance in self-report versus device-measured physical activity measurement. Ann Epidemiol. 2018;28(7):427–31. doi: 10.1016/j.annepidem.2018.03.016 29681429

26. Thraen-Borowski KM, Gennuso KP, Cadmus-Bertram L. Accelerometer-derived physical activity and sedentary time by cancer type in the United States. PloS one. 2017;12(8):e0182554. doi: 10.1371/journal.pone.0182554 28806753

27. Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM. Riding the crest of the teachable moment: Promoting long-term health after the diagnosis of cancer. J Clin Oncol. 2005;23(24):5814–30. doi: 10.1200/JCO.2005.01.230 16043830

28. Rumble ME, Rose SL, White KH, Moore AH, Gehrman P, Benca RM, et al. Circadian actigraphic rest-activity rhythms following surgery for endometrial cancer: A prospective, longitudinal study. Gynecol Oncol. 2015;137(3):448–55. doi: 10.1016/j.ygyno.2015.04.001 25906914

29. Ware JE Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical care. 1992;30(6):473–83. 1593914

30. Routen A, Upton D, Edwards M, Peters D. Intra-and inter-instrument reliability of the actiwatch 4 accelerometer in a mechanical laboratory setting. J Hum Kinet. 2012;31:17–24. doi: 10.2478/v10078-012-0002-z 23487398

31. Martikainen S, Pesonen A-K, Lahti J, Heinonen K, Tammelin T, Kajantie E, et al. Muddying the waters. J Pediatr. 2013;162(5):1082–4.

32. Montgomery-Downs HE, Insana SP, Bond JA. Movement toward a novel activity monitoring device. Sleep Breath. 2012;16(3):913–7. doi: 10.1007/s11325-011-0585-y 21971963

33. Swartz AM, Strath SJ, Bassett DR Jr., O'Brien WL, King GA, Ainsworth BE. Estimation of energy expenditure using CSA accelerometers at hip and wrist sites. MSSE. 2000;32(9 Suppl):S450–6.

34. Matthews CE, Hagstromer M, Pober DM, Bowles HR. Best practices for using physical activity monitors in population-based research. MSSE. 2012;44(1 Suppl 1):S68–76.

35. Ovesen L, Hannibal J, Mortensen EL. The interrelationship of weight loss, dietary intake, and quality of life in ambulatory patients with cancer of the lung, breast, and ovary. 1993. doi: 10.1080/01635589309514246 8502586

36. Parks SE, Housemann RA, Brownson RC. Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. 2003;57(1):29–35. doi: 10.1136/jech.57.1.29 12490645

37. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW. Correlates of physical activity: Why are some people physically active and others not? The Lancet. 2012;380(9838):258–71.

38. Robertson MC, Lyons EJ, Song J, Cox-Martin M, Li Y, Green CE, et al. Change in physical activity and quality of life in endometrial cancer survivors receiving a physical activity intervention. Health Qual Life Out. 2019;17(1):91.

39. Maxwell‐Smith C, Hince D, Cohen PA, Bulsara MK, Boyle T, Platell C, et al. A randomized controlled trial of WATAAP to promote physical activity in colorectal and endometrial cancer survivors. Psycho‐Oncology. 2019.

40. Han MA, Kim KS, Park J, Kang MG, Ryu SY. Association between levels of physical activity and poor self-rated health in Korean adults: The Third Korea National Health and Nutrition Examination Survey (KNHANES), 2005. Public health. 2009;123(10):665–9. doi: 10.1016/j.puhe.2009.08.005 19854457

41. Sodergren M, Sundquist J, Johansson SE, Sundquist K. Physical activity, exercise and self-rated health: a population-based study from Sweden. BMC public health. 2008;8:352. doi: 10.1186/1471-2458-8-352 18840294

42. Abu-Omar K, Rutten A, Robine JM. Self-rated health and physical activity in the European Union. Sozial- und Praventivmedizin. 2004;49(4):235–42. doi: 10.1007/s00038-004-3107-x 15357524


Článek vyšel v časopise

PLOS One


2019 Číslo 10
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

plice
INSIGHTS from European Respiratory Congress
nový kurz

Současné pohledy na riziko v parodontologii
Autoři: MUDr. Ladislav Korábek, CSc., MBA

Svět praktické medicíny 3/2024 (znalostní test z časopisu)

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#