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Physical Activity, Daily Walking, and Lower Limb Lymphedema Associate with Physical Function among Uterine Cancer Survivors

Identifieur interne : 002702 ( Main/Exploration ); précédent : 002701; suivant : 002703

Physical Activity, Daily Walking, and Lower Limb Lymphedema Associate with Physical Function among Uterine Cancer Survivors

Auteurs : Justin C. Brown [États-Unis] ; Lilie L. Lin [États-Unis] ; Saya Segal [États-Unis] ; Christina S. Chu [États-Unis] ; Ashley E. Haggerty [États-Unis] ; Emily M. Ko [États-Unis] ; Kathryn H. Schmitz [États-Unis]

Source :

RBID : PMC:4391462

Descripteurs français

English descriptors

Abstract

Purpose

We sought to quantify the proportion of uterine cancer survivors who self-report poor physical function. We then sought to quantify the association of poor physical function with physical activity (PA), walking, and lower limb lymphedema (LLL), among women with a history of uterine cancer.

Methods

Physical function was quantified using the SF-12 questionnaire. PA, walking, and LLL were measured using self-report questionnaire. PA was calculated using metabolic equivalent hours per week (MET-hrs·wk−1), and walking was calculated using blocks per day (blocks·d−1). Logistic regression estimated odds ratios (OR) and 95% confidence intervals (95% CI).

Results

Among the 213 uterine cancer survivors in our survey (43% response rate), 35% self-reported poor physical function. Compared to participants who reported <3.0 MET-hrs·wk−1 of PA, participants who reported ≥18.0 MET-hrs·wk−1 of PA were less likely to have poor physical function (OR: 0.03, 95% CI: 0.01–0.10; Ptrend<0.0001). Compared to participants who reported <4.0 blocks·d−1 of walking, participants who reported ≥12.0 blocks·d−1 of walking were less likely to have poor physical function (OR: 0.07, 95% CI: 0.03–0.19; Ptrend<0.0001). Compared to participants who did not have LLL, participants with LLL were more likely to have poor physical function (OR: 5.25, 95% CI: 2.41–11.41; P<0.0001).

Conclusion

Higher levels of PA and walking associate with a lower likelihood of reporting poor physical function. The presence of LLL associates with a higher likelihood of reporting poor physical function. These findings are hypothesis-generating, and should be evaluated in future prospective studies.


Url:
DOI: 10.1007/s00520-014-2306-0
PubMed: 24906839
PubMed Central: 4391462


Affiliations:


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<term>Humans</term>
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<term>Lymphedema (physiopathology)</term>
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<term>Motor Activity (physiology)</term>
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<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Marche à pied (physiologie)</term>
<term>Qualité de vie</term>
<term>Survivants</term>
<term>Tumeurs de l'utérus (physiopathologie)</term>
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<term>Marche à pied</term>
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<term>Tumeurs de l'utérus</term>
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<term>Uterine Neoplasms</term>
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<term>Jambe</term>
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<sec id="S1">
<title>Purpose</title>
<p id="P1">We sought to quantify the proportion of uterine cancer survivors who self-report poor physical function. We then sought to quantify the association of poor physical function with physical activity (PA), walking, and lower limb lymphedema (LLL), among women with a history of uterine cancer.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Physical function was quantified using the SF-12 questionnaire. PA, walking, and LLL were measured using self-report questionnaire. PA was calculated using metabolic equivalent hours per week (MET-hrs·wk
<sup>−1</sup>
), and walking was calculated using blocks per day (blocks·d
<sup>−1</sup>
). Logistic regression estimated odds ratios (OR) and 95% confidence intervals (95% CI).</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Among the 213 uterine cancer survivors in our survey (43% response rate), 35% self-reported poor physical function. Compared to participants who reported <3.0 MET-hrs·wk
<sup>−1</sup>
of PA, participants who reported ≥18.0 MET-hrs·wk
<sup>−1</sup>
of PA were less likely to have poor physical function (OR: 0.03, 95% CI: 0.01–0.10;
<italic>P
<sub>trend</sub>
</italic>
<0.0001). Compared to participants who reported <4.0 blocks·d
<sup>−1</sup>
of walking, participants who reported ≥12.0 blocks·d
<sup>−1</sup>
of walking were less likely to have poor physical function (OR: 0.07, 95% CI: 0.03–0.19;
<italic>P
<sub>trend</sub>
</italic>
<0.0001). Compared to participants who did not have LLL, participants with LLL were more likely to have poor physical function (OR: 5.25, 95% CI: 2.41–11.41;
<italic>P</italic>
<0.0001).</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">Higher levels of PA and walking associate with a lower likelihood of reporting poor physical function. The presence of LLL associates with a higher likelihood of reporting poor physical function. These findings are hypothesis-generating, and should be evaluated in future prospective studies.</p>
</sec>
</div>
</front>
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