Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors

Doré, Isabelle; Plante, Audrey; Peck, Serena S.; Bedrossian, Nathalie; Sabiston, Catherine M.

doi:10.1007/s00520-021-06469-2

Cited by 25 publications

(12 citation statements)

References 37 publications

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“…Among late middle-aged and older adults in the Korean NHANES study, more time spent sitting-especially over 7 h-was associated with worse pain in the low back. These relationships were strongest among those engaging in the least leisure time physical activity (10,11). In a meta-analysis of pain and sedentary behavior, Dzakpasu (10) found that more sedentary time was associated with greater pain in general, as well as low back and knee pain.…”

Section: Introductionmentioning

confidence: 99%

A remote group-mediated daylong physical activity intervention for older adults with chronic pain: Results of the MORPH-II randomized pilot trial

Fanning

Brooks

Ford

et al. 2022

Front. Digit. Health

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Chronic pain is a debilitating condition that affects many older adults who often have limited access to non-pharmacological pain management strategies. One potentially effective and novel lifestyle medicine for chronic pain involves increasing physical activity through frequent movement across the day, thereby also decreasing the presence of extended sedentary bouts. The MORPH-II pilot randomized controlled refinement trial iterated on the MORPH trial, which was a first-of-its-kind group-mediated daylong physical activity (DPA) intervention for older adults with chronic pain rooted in social cognitive and self-determination theories and supported by an mHealth toolset designed to foster social connection and awareness of physical activity patterns. MORPH-II was delivered fully remotely via videoconference software and supported by a technology kit comprising an iPad, activity monitor, and wireless weight scale. It was also implemented a refined coaching model designed to help participants better understand their own patterns of activity. A total of 44 participants were randomized to receive the 12-week group-mediated DPA intervention or to a low-contact control. Qualitative interviews suggest the program was well-received by participants and that participants developed an understanding of how patterns of physical activity related to their pain symptoms. Participants also highlighted several additional areas for refinement related to the coaching model and feedback provided within the mHealth app. Analyses of covariance, controlling for baseline values, revealed a small effect (η2 = 0.01) on pain intensity favoring the intervention condition, though both groups improved during the study period. There was a large effect favoring the intervention condition on ActivPAL-assessed average daily steps (η2 = 0.23) and postural shifts (η2 = 0.24). Control participants spent less time in short sedentary bouts (η2 = 0.09), and there was a small effect (η2 = 0.02) indicating intervention participants spent less time in extended sedentary bouts. Finally, relative to control, intervention participants demonstrated a moderate improvement in autonomy satisfaction (η2 = 0.05), relatedness frustration (η2 = 0.05), and competence frustration (η2 = 0.06), and a large magnitude improvement in competence satisfaction (η2 = 0.22). These findings indicate that the MORPH-II intervention was feasible and acceptable, and may positively impact steps, postural breaks, and several key domains of basic psychological needs detailed in self-determination theory.

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Section: Introductionmentioning

confidence: 99%

A remote group-mediated daylong physical activity intervention for older adults with chronic pain: Results of the MORPH-II randomized pilot trial

Fanning

Brooks

Ford

et al. 2022

Front. Digit. Health

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“…Sedentary behaviors (i.e. waking time characterized by a low energy expenditure such as screen time or time spent in the car for transportation) [ 36 ] have been identified as an independent risk factor of cancer mortality and cancer-related symptoms or comorbidities [ 29 ] which could potentially be addressed in a strategy for PA promotion. Consistent evidence shows that PA can be safely practiced following a cancer diagnosis, respectively before, during, and after treatment [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

“…Physical activity (PA) is demonstrated to be an effective and safe strategy to improve physical and mental health in populations diagnosed with different cancers [17][18][19][20][21]. Specifically, PA has benefits on physiological (e.g., muscle strength [22,23], cardiorespiratory fitness [24], pain [25], sleep [25], physical fatigue [22,[26][27][28][29] as well as psychological (e.g., health-related quality of life [30,31], stress, anxiety [30] and depressive symptoms [30], mental fatigue [32]) health components. Recent evidence suggests that greater involvement in PA following a cancer diagnosis is associated with significantly reduced cancer-specific and all-cause mortality [33].…”

Section: Introductionmentioning

confidence: 99%

Developing practice guidelines to integrate physical activity promotion as part of routine cancer care: A knowledge-to-action protocol

et al. 2022

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Background Cancer is a leading cause of disease burden worldwide and the first cause of mortality in Canada with 30.2% of deaths attributable to cancer. Given aging of the population and the improvement of prevention and treatment protocols, the number of cancer survivors is steadily increasing. These individuals have unique physical and mental health needs some of which can be addressed by integrating physical activity promotion into ongoing and long-term care. Despite the benefits of being active, delivery of PA programs for cancer patients in both clinical and community settings remains challenging. This knowledge-to-action protocol–called Kiné-Onco–aims to develop a practice guideline for the delivery, implementation, and scaling-up of cancer-specific physical activity promotion programs and services in clinical and community settings located in Québec, Canada. Method The Kiné-Onco project involves knowledge synthesis of scientific and grey literature to establish the benefits and added value of physical activity for cancer patients and survivors, describes current practices in delivering physical activity programs, analyses quantitative data from electronic health records (EHR) of patients participating in a novel hospital-based physical activity program, collects and analyses qualitative data from patients and healthcare providers interviews about lived experience, facilitators, and barriers to physical activity promotion, outlines deliberative workshops among multidisciplinary team members to develop implementation guidelines for physical activity promotion, and summarizes a variety of knowledge transfer and exchange activities to disseminate the practice guidelines. Discussion This paper describes the protocol for a knowledge-to-action project aimed at producing and sharing actionable evidence. Our aim is that physical activity promotion programs and services be scaled up in such a way as to successfully integrate physical activity promotion throughout cancer treatment and survivorship in order to improve the physical and mental health of the growing population of individuals having received a cancer diagnosis.

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“…Inadequate PA is associated with depression or anxiety [15]. Fatigue is also associated with PA [16] as PA can cause fatigue [17], although some studies have found the opposite result [18]. Several other studies have found that emotional problems or fatigue can influence the correlation between the results of self-report and objective measures [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Agreement of Physical Activity Measured Using Self-Reporting Questionnaires with Those Using Actigraph Devices, Focusing on the Correlation with Psychological State

Seo¹,

Jung²,

Suh³

2021

jkbns

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Purpose: This study aimed to evaluate the correlation and agreement of physical activity (PA) between data obtained from wearable Actigraph devices and self-reporting questionnaires, and to investigate the relationship between psychological state (depression, anxiety, and fatigue) and PA. Methods: A descriptive study was conducted using physical measurements and surveys. PA was measured through both the International Physical Activity Questionnaire (IPAQ) and the Actigraph GT3X+ device. The demographic characteristics of the subjects, as well as their depression, anxiety, and fatigue scores, were collected with structured questionnaires. The Spearman' s rank correlation coefficient and the Bland-Altman plot method were employed. Results: Data from 36 healthy adults were analyzed. The overall levels of PA measured using the IPAQ and the Actigraph were 1,891.69 MET min/week and 669.96 MET/ day, respectively. Total levels of PA did not show a significant correlation between the two measurement methodologies. However, the moderate-intensity PA resulting from the IPAQ scores showed a significant positive correlation with the light-intensity PA recorded by the Actigraph. The Bland-Altman plot analysis demonstrated that the levels of PA as measured by the two different methods did not match. In addition, PA measured using the Actigraph showed a significant negative correlation with depression and anxiety whereas PA measured using the IPAQ showed a significant positive correlation with fatigue. Conclusion: The conclusion of this study is that the data obtained from the subjective self-reporting questionnaire and the wearable Actigraph do not correlate or match in healthy adults. Future research should investigate the relationship between depression and PA intensity through the Actigraph, or other wearable devices equipped with smartphone apps.

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Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors

Cited by 25 publications

References 37 publications

A remote group-mediated daylong physical activity intervention for older adults with chronic pain: Results of the MORPH-II randomized pilot trial

A remote group-mediated daylong physical activity intervention for older adults with chronic pain: Results of the MORPH-II randomized pilot trial

Developing practice guidelines to integrate physical activity promotion as part of routine cancer care: A knowledge-to-action protocol

Agreement of Physical Activity Measured Using Self-Reporting Questionnaires with Those Using Actigraph Devices, Focusing on the Correlation with Psychological State

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