Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis

Alfano, Catherine M.; Smith, Ashley Wilder; Irwin, Melinda L.; Bowen, Deborah J.; Sorensen, Bess; Reeve, Bryce B.; Meeske, Kathleen; Bernstein, Leslie; Baumgartner, Kathy B.; Ballard‐Barbash, Rachel; Malone, Kathleen E.; McTiernan, Anne

doi:10.1007/s11764-007-0014-1

Cited by 112 publications

(90 citation statements)

References 37 publications

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“…The previously reported decline in physical activity level after breast cancer surgery [1,3] was not found in our study. The mean physical activity level at leisure time was similar to that at baseline, 1269 84 min per week, and did not decline significantly at six months or at five years after surgery (Table I).…”

Section: Discussioncontrasting

confidence: 96%

“…The cancer treatment seems to affect several parameters included in HRQoL questionnaires [3,4]. Women diagnosed with ALE, arm pain or other arm symptoms have shown to have a lower physical and mental HRQoL compared to BCS without ALE or arm symptoms [6,18].…”

mentioning

confidence: 99%

“…Women diagnosed with ALE, arm pain or other arm symptoms have shown to have a lower physical and mental HRQoL compared to BCS without ALE or arm symptoms [6,18]. In addition, physical activity level and chemotherapy are associated with changes in physical functioning [3]; however, cancer treatment does not seem to influence negatively the overall long-term HRQoL in BCS [4].…”

mentioning

confidence: 99%

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Changes in arm morbidities and health-related quality of life after breast cancer surgery – a five-year follow-up study

et al. 2009

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Section: Discussioncontrasting

confidence: 96%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Changes in arm morbidities and health-related quality of life after breast cancer surgery – a five-year follow-up study

et al. 2009

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“…Because there are increasing numbers of breast cancer survivors [1], high quality of life and hence high physical activity levels become more and more important [2]. In addition, high physical activity levels are associated with 30% decreased risk of mortality after breast cancer [3].…”

Section: Introductionmentioning

confidence: 99%

Physical activity levels after treatment for breast cancer: one-year follow-up

Devoogdt

Kampen

Geraerts

et al. 2010

Breast Cancer Res Treat

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Among patients with breast cancer, few studies have examined the pattern of change of physical activity levels over time or the predictive factors for this change. Particularly sparse are studies comparing pre-surgical physical activity levels with those 12 months post-surgery.Patients with a primary operable breast cancer (N=267) filled in the Physical Activity Computerised Questionnaire before breast surgery and one, three, six and twelve months postoperatively. Patient-, disease-and treatment-related factors were prospectively collected.Total physical activity level and occupational, sport and household activity levels were significantly decreased the first month postoperatively and did not recover during the first year after surgery. 'Being employed' was a predictive factor for a larger decrease of the total activity level, comparing the pre-operative and 12 months post-surgery stages. Having a spouse, a pN2-3 lesion and over 20 lymph nodes dissected predicted a decrease in occupational activity. Advanced age and smoking behaviour predicted a decrease in sport activities, and not having a spouse predicted a decrease in household activities.This study showed that one year after breast cancer surgery, preoperative physical activity levels were not recovered. Breast cancer patients, and in particular those at risk for a decreased physical activity level, should be identified, encouraged and guided to increase their activities.

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“…Most breast cancer survivors experience about 15% reduction in sexual satisfaction after treatment ( Bukovic et al, 2005). Approximately 20-30% of breast cancer survivors experience sexual problems including general sexual disruption, decreased frequency of intercourse, and difficulties reaching orgasm that may persist 20 years post-treatment (Alfano et al, 2007).The reported prevalence of this problem varies greatly, partly due to the various methods and instruments used in their assessment. In terms of specific sexual difficulties, the most common current symptoms reported in this study were absence of sexual desire (48%), reduced sexual desire (64%), anorgasmia (44%), lubrication difficulties (42%), and dyspareunia (38%) while two or more problems were present in about 97% of the participants.…”

Section: Female Breast Cancer Survivorsmentioning

confidence: 99%