The impact of gynaecological cancer treatment on physical activity levels: a systematic review of observational studies

Lin, Kun-You; Edbrooke, Lara; Granger, Catherine L; Denehy, Linda; Frawley, Helena

doi:10.1016/j.bjpt.2018.11.007

Cited by 37 publications

(25 citation statements)

References 83 publications

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“…A recently published review, including six studies (n=1607), also supports the claim that gynecological cancer survivors report low physical activity levels compared to before treatment. Two years after treatment, 91% of the gynecological cancer survivors were not meeting physical activity guidelines, and three years after treatment 58% still reported that they were less physically active than before cancer treatment (111).…”

Section: Physical Activity For Cancer Survivorsmentioning

confidence: 99%

“…Stevison et al report in a study from 2014 that prostate cancer survivors were those who best met the recommendations for physical activity (30%), while gynecological cancer survivors reported the lowest levels of physical activity, at only 12% of the 26 indi-viduals studied (123). Furthermore, a recent review concludes not only that gynecological cancer survivors report lower levels of physical activity than before treatment, but also that most gynecological cancer survivors did not even meet the physical activity guidelines two years after treatment (111). The finding that decreased incontinence after pelvic cancer rehabilitation did not facilitate PCS to exercise more frequently further indicates that incontinence is not the only barrier to physical activity after pelvic cancer treatment.…”

Section: Physical Activitymentioning

confidence: 99%

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Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy

Lindgren

2020

Linköping University Medical Dissertations

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Background: Cancer treatment continues to improve, contributing to an evergrowing population of cancer survivors. Pelvic cancer survivors (PCS) constitute the second largest group of female cancer survivors after breast cancer. Many female PCS have been treated with radiotherapy as a part of their cancer treatment. Unfortunately, like all effective cancer treatments, pelvic radiotherapy is associated with a risk of subsequent, unwanted side effects. Some side effects remain or persist long after the end of treatment and some are even lifelong. A common and burdensome side effect after pelvic radiotherapy is urinary and/or fecal incontinence. Incontinence is known to negatively affect quality of life (QoL) and physical activity levels. Physical activity contributes to several positive health effects. In cancer survivors, it may reduce the risk of recurrence and even the mortality risk. Cancer survivors in general, and female PCS in particular, tend to be less physically active after cancer treatment than before treatment. When suffering from urinary and even fecal incontinence, pelvic floor muscle training (PFMT) is recommended as a first-line treatment for the general population. In addition to decreased incontinence levels, PFMT may contribute to increased physical activity and better QoL. However, little attention is given to PFMT as a potential treatment for incontinence in the Swedish national care program for pelvic cancer rehabilitation. Furthermore, there is as yet no evidence that PFMT is as effective in female PCS as in female non-cancer survivors. The effectiveness of PFMT cannot be taken for granted because female PCS survivors often have treatment-induced damage to structures in the pelvic floor that might affect its applicability. However, the problem of incontinence among female PCS remains, along with the fact that they tend to be less physically active than other cancer survivors. Indeed, this is an important research area and a necessary problem for health-care providers to resolve, not least for physiotherapists. Aim: The overall aim of this thesis is to improve the understanding of female PCS' experiences of incontinence in relation to physical activity, QoL, and rehabilitative efforts, including PFMT. This includes gaining increased knowledge about the relation between incontinence and physical activity in the form of exercise and QoL, and whether PCS experience that physiotherapy contributes in a valuable way to reducing their incontinence. This could enable the development of meaningful physiotherapeutic interventions, that PCS can and are willing to engage in, to achieve a potential reduction in incontinence, as well as increased QoL and activity levels. Methods: The thesis includes four different studies, using three different methods, all conducted with female PCS. Studies I (n=13) and IV (n=11) are qualitative individual interview studies, using semi-structured interview guides. Study II is a cohort-based cross-sectional observational study (n=578) and Study III is a prospective cohort-b...

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Section: Physical Activity For Cancer Survivorsmentioning

confidence: 99%

Section: Physical Activitymentioning

confidence: 99%

Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy

Lindgren

2020

Linköping University Medical Dissertations

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“…9 Women's health physical therapists and other healthcare professionals should encourage all women to practice regular physical activity. However, although the literature has consistently indicated the benefits of regular physical activity for cancer survivors, a systematic review showed that levels of physical activity remained low in gynecological cancer survivors up to three years after diagnosis 11 .…”

Section: The Brazilian Journal Of Physical Therapy (Bjpt) Special Issmentioning

confidence: 99%

The Brazilian Journal of Physical Therapy (BJPT) Special Issue on Women's Health Physical Therapy

Ferreira

Driusso

Bø

2019

Brazilian Journal of Physical Therapy

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“…A cancer diagnosis has been suggested to be a 'teachable-moment' which has the potential to motivate patients to make healthy lifestyle changes [8]. Even though 30-60% of cancer survivors change their lifestyle post-diagnosis, adherence to recommendations for physical activity and diet remains relatively low as compared with the cancerfree population [9,10]. Moreover, adherence to recommendations among cancer survivors has been found to decrease over time [11].…”

Section: Introductionmentioning

confidence: 99%

Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross sectional analysis of PROFILES registry data

Driessen

Rooij

Vos

et al. 2021

Preprint

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Purpose: Obesity is prevalent in gynecological cancer survivors and is associated with impaired health outcomes. Concerns due to cancer and its treatment may impact changes in lifestyle after cancer. This study aimed to assess the association between cancer-related psychosocial factors and changes in physical activity and diet, 18 months post-diagnosis among gynecological cancer survivors.Methods: Cross-sectional data from the ROGY care study were used, including endometrial and ovarian cancer patients treated with curative intent. The impact of cancer scale (IOCv2) was used to assess cancer-related psychosocial factors. Self-reported changes in nutrients/food groups and in physical activity post-diagnosis were classified into change groups (less/equal/more). Multivariable logistic regression models were used to assess associations.Results: Data from 229 cancer survivors (59% endometrial, 41% ovarian, mean age 66 ±9.5,70% tumor stage I) were analyzed. In total, 20% reported to eat healthier from diagnosis up to 18 months post-diagnosis, 17%reported less physical activity and 20% more physical activity. Health awareness, body change concerns, life interferences and worry were significantly associated with less physical activity up to 18 months post-diagnosis whereby gastrointestinal symptoms were an important confounder.Conclusion(s): This study underlines the need to raise awareness of the benefits of a healthylifestyle and to provide tailored lifestyle advice, taking into account survivors’ health awareness, body change concerns, life interferences, worry and gastrointestinalsymptoms, in order to improve health behavior among gynecological cancer survivors.Trial Registration: clinicaltrials.gov Identifier: NCT01185626, August 20, 2010

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The impact of gynaecological cancer treatment on physical activity levels: a systematic review of observational studies

Cited by 37 publications

References 83 publications

Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy

Incontinence, physical activity, and pelvic floor muscle training in female pelvic cancer survivors after radiotherapy

The Brazilian Journal of Physical Therapy (BJPT) Special Issue on Women's Health Physical Therapy

Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross sectional analysis of PROFILES registry data

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