Variations of physical activity and sedentary behavior between before and after cancer diagnosis

Fassier, Philippine; Zelek, Laurent; Partula, Valentin; Srour, Bérnard; Bachmann, Patrick; Touillaud, Marina; Druesne-Pecollo, Nathalie; Galán, Pilar; Cohen, Patrice; Hoarau, Hélène; Latino‐Martel, Paule; Menai, Mehdi; Oppert, Jean‐Michel; Herçberg, Serge; Deschasaux, Mélanie; Touvier, Mathilde

doi:10.1097/md.0000000000004629

Cited by 79 publications

(31 citation statements)

References 45 publications

(133 reference statements)

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“…However, they preferred to exercise in low or moderate intensities, showing significantly lower levels of MET-min per week expended in high intensity PAs compared with the healthy controls. These findings are in agreement with previous studies implying that cancer patients demonstrate lower levels of vigorous-intensity PAs post than before diagnosis [26,27]. Even though it has been established that high-intensity activities can safely be performed by cancer patients, offering different health benefits than those derived from the conventional exercise programs, cancer patients appear to hesitate to participate in vigorous PAs [28].…”

Section: Discussionsupporting

confidence: 92%

The Assessment and Relationship Between Quality of Life and Physical Activity Levels in Greek Breast Cancer Female Patients under Chemotherapy

Maridaki

Papadopetraki

Karagianni

et al. 2020

Sports

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A growing body of evidence suggests that physical activity (PA) can be a complementary intervention during breast cancer (BCa) treatment, contributing to the alleviation of the chemotherapy-related side-effects. The purpose of this study was to assess physical activity (PA) levels and quality of life (QoL) parameters of BCa patients undergoing chemotherapy and compare them with healthy controls. A total of 94 BCa female patients and 65 healthy women were recruited and self-reported QoL and PA levels. The results reveal that women suffering from BCa spent only 134 ± 469 metabolic equivalents (MET)/week in vigorous PAs compared with the healthy females who spent 985±1508 MET/week. Also, BCa patients were spending 4.62±2.58 h/day sitting, contrary to the 2.34±1.05 h/day of the controls. QoL was scored as 63.43±20.63 and 70.14±19.49 while physical functioning (PF) as 71.48±23.35 and 84.46±15.48 by BCa patients and healthy participants, respectively. Negative correlations were found between QoL and fatigue, PF and pain, and fatigue and dyspnea, while a positive correlation was found between QoL and PF. This study indicated that the BCa group accumulated many hours seated and refrained from vigorous Pas, preferring PAs of moderate intensity. Additionally, BCa patients’ levels of functioning and QoL were moderate to high; however, they were compromised by pain, dyspnea and fatigue.

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Section: Discussionsupporting

confidence: 92%

The Assessment and Relationship Between Quality of Life and Physical Activity Levels in Greek Breast Cancer Female Patients under Chemotherapy

Maridaki

Papadopetraki

Karagianni

et al. 2020

Sports

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“…Despite the benefits related to PA and exercise, a large percentage of cancer patients from 25% to 84% are not sufficiently active [17][18][19] and the level of exercise has been seen to decrease after cancer diagnosis [20]. A multitude of factors influence the participation of the general population in exercise programs (e.g., lack of time, cost, logistic difficulties, etc.)…”

Section: Introductionmentioning

confidence: 99%

Exercise Levels and Preferences in Cancer Patients: A Cross-Sectional Study

Avancini

Pala

Trestini

et al. 2020

IJERPH

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Background: Despite the benefits related to physical exercise, large numbers of cancer patients are not sufficiently active. Methods: To investigate exercise levels and preferences in cancer patients, a cross-sectional study was conducted on a random sample of 392 cancer outpatients who anonymously completed a questionnaire investigating general and medical characteristics, and expressed willingness to participate in exercise programs. Current exercise levels were estimated with the Leisure Score Index (LSI). Results: Most patients (93%) were insufficiently active but 80% declared an interest in exercise programs. Patients preferred oncologist-instructed programs and specified particular exercise needs. Multivariate logistic regression showed that willingness to exercise was associated with education (OR: 1.87; 95% CI: 1.15–3.04 beyond age 14 years vs. up to 14 years) and current physical activity (OR: 1.92; 95% CI: 1.92–3.63 for sweat-inducing activity >2 times/week vs. <1 time/week). Patients given chemotherapy were less inclined to exercise (OR: 0.45; 95% CI: 0.23–0.86) than those who did not. LSI was lower if cancer stage was advanced (β: -0.36; 95% CI: −0.75 to −0.02) than if it was in remission. High LSI was also associated with longer education, lower BMI, and longer time after diagnosis. Conclusion: Cancer patients are insufficiently active but are willing to participate in personalized exercise programs. Information from this survey may help in designing personalized interventions so these patients will achieve sufficient exercise.

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“…Longitudinal studies and trials which examine PA changes over time need valid, reliable PA assessment methods. Both IPAQ-Short and accelerometry have been used separately to measure PA change over time, [17–20] but only a few small studies have used both and compared change in minutes of PA [21, 22]. Other studies have compared self-report PA minutes with either pedometer steps [23, 24] or accelerometry counts [25] which are not directly comparable.…”

Section: Introductionmentioning

confidence: 99%

Measuring change in trials of physical activity interventions: a comparison of self-report questionnaire and accelerometry within the PACE-UP trial

Limb

Ahmad

Cook

et al. 2019

Int J Behav Nutr Phys Act

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BackgroundFew trials have compared estimates of change in physical activity (PA) levels using self-reported and objective PA measures when evaluating trial outcomes. The PACE-UP trial offered the opportunity to assess this, using the self-administered International Physical Activity Questionnaire (IPAQ) and waist-worn accelerometry.MethodsThe PACE-UP trial (N = 1023) compared usual care (n = 338) with two pedometer-based walking interventions, by post (n = 339) or with nurse support (n = 346). Participants wore an accelerometer at baseline and 12 months and completed IPAQ for the same 7-day periods. Main outcomes were weekly minutes, all in ≥10 min bouts as per UK PA guidelines of: i) accelerometer moderate-to-vigorous PA (Acc-MVPA) ii) IPAQ moderate+vigorous PA (IPAQ-MVPA) and iii) IPAQ walking (IPAQ-Walk). For each outcome, 12 month values were regressed on baseline to estimate change.ResultsAnalyses were restricted to 655 (64%) participants who provided data on all outcomes at baseline and 12 months. Both intervention groups significantly increased their accelerometry MVPA minutes/week compared with control: postal group 42 (95% CI 22, 61), nurse group 43 (95% CI 24, 63). IPAQ-Walk minutes/week also increased: postal 57 (95% CI 2, 112), nurse 43 (95% CI -11, 97) but IPAQ-MVPA minutes/week showed non-significant decreases: postal -11 (95% CI -65, 42), nurse -34 (95% CI -87, 19).ConclusionsOur results demonstrate the necessity of using a questionnaire focussing on the activities being altered, as with IPAQ-Walk questions. Even then, the change in PA was estimated with far less precision than with accelerometry. Accelerometry is preferred to self-report measurement, minimising bias and improving precision when assessing effects of a walking intervention.Trial registration: ISRCTN, ISRCTN98538934. Registered 2 March 2012.

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Variations of physical activity and sedentary behavior between before and after cancer diagnosis

Abstract: Supplemental Digital Content is available in the text

Cited by 79 publications

References 45 publications

The Assessment and Relationship Between Quality of Life and Physical Activity Levels in Greek Breast Cancer Female Patients under Chemotherapy

The Assessment and Relationship Between Quality of Life and Physical Activity Levels in Greek Breast Cancer Female Patients under Chemotherapy

Exercise Levels and Preferences in Cancer Patients: A Cross-Sectional Study

Measuring change in trials of physical activity interventions: a comparison of self-report questionnaire and accelerometry within the PACE-UP trial

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