LymphedemaV1, Main, Exploration, bibRecord, 003C72

Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors

Identifieur interne : 003C72 ( Main/Exploration ); précédent : 003C71; suivant : 003C73

Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors

Auteurs : Justin C. Brown [États-Unis] ; Gabriella M. John [États-Unis] ; Saya Segal [États-Unis] ; Christina S. Chu [États-Unis] ; Kathryn H. Schmitz [États-Unis]

Source :

Medicine and science in sports and exercise [ 0195-9131 ] ; 2013.

RBID : Pascal:13-0347471

Descripteurs français

KwdFr :
- Activité motrice (physiologie), Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Indice de masse corporelle, Lymphoedème (épidémiologie), Lymphoedème (étiologie), Marche à pied (physiologie), Membre inférieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'utérus (), Équivalent métabolique, Études transversales.
MESH :
- physiologie : Activité motrice, Marche à pied.
- épidémiologie : Lymphoedème.
- étiologie : Lymphoedème.
Pascal (Inist)
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Indice de masse corporelle, Lymphoedème, Cancer de l'utérus, Membre inférieur, Pathologie de l'appareil génital femelle, Exercice physique, Membre inférieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Survivant, Mobilité, Incapacité, Oedème, Qualité de vie, Tumeurs de l'utérus, Équivalent métabolique, Études transversales.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Body Mass Index, Cross-Sectional Studies, Disability, Edema, Female, Female genital diseases, Humans, Lower Extremity, Lower limb, Lymphedema, Lymphedema (epidemiology), Lymphedema (etiology), Metabolic Equivalent, Middle Aged, Mobility, Motor Activity (physiology), Physical exercise, Quality of life, Surveys and Questionnaires, Survivor, Uterine Neoplasms (complications), Uterus cancer, Walking (physiology).
MESH :
- complications : Uterine Neoplasms.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- physiology : Motor Activity, Walking.
- Adult, Aged, Aged, 80 and over, Body Mass Index, Cross-Sectional Studies, Female, Humans, Lower Extremity, Metabolic Equivalent, Middle Aged, Surveys and Questionnaires.

Abstract

Purpose: Physical activity (PA) is known to provide physical and mental health benefits to uterine cancer survivors. However, it is unknown if PA is associated with lower limb lymphedema (LLL), an accumulation of protein-rich fluid in the lower limbs. Therefore, we sought to examine the association between PA and LLL in uterine cancer survivors, with a focus on walking. Methods: We conducted a cross-sectional study using mailed surveys among uterine cancer survivors who received care at a university-based cancer center. We asked about PA, walking, and LLL symptoms using validated self-report questionnaires. PA was calculated using MET-hours per week, and walking was calculated using blocks per day. Results: The response rate to our survey was 43%. Among the 213 uterine cancer survivors in our survey, 36% were classified as having LLL. Compared with participants who reported <3 MET.h.wk^-1 of PA, participants who reported ≥18.0 MET.h.wk^-1 of PA had an odds ratio of LLL of 0.32 (95% confidence interval, 0.15-0.69; P_trend = 0.003). Stratified analyses suggested the association between PA and LLL existed only among women with body mass index (BMI) <30 kg.m^-2 (P_trend = 0.007) compared with women with BMI≥30 kg.m^-2 (P_trend = 0.47). Compared with participants who reported <4.0 blocks per day of walking, participants who reported ≥12 blocks per day of walking had an odds ratio of LLL of 0.19 (95% confidence interval, 0.09-0.43; P_trend< 0.0001). Stratified analyses suggested the association between walking and LLL was similar among women with BMI <30 kg.m^-2 (P_trend = 0.007) and women with BMI >30 kg.m^-2 (P_trend = 0.03). Conclusion: Participation in higher levels of PA or walking is associated with reduced proportions of LLL in dose-response fashion. These findings should be interpreted as preliminary and should be investigated in future studies.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122421

Affiliations:

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Body Mass Index</term>
<term>Cross-Sectional Studies</term>
<term>Disability</term>
<term>Edema</term>
<term>Female</term>
<term>Female genital diseases</term>
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<term>Lower Extremity</term>
<term>Lower limb</term>
<term>Lymphedema</term>
<term>Lymphedema (epidemiology)</term>
<term>Lymphedema (etiology)</term>
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<term>Mobility</term>
<term>Motor Activity (physiology)</term>
<term>Physical exercise</term>
<term>Quality of life</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Activité motrice (physiologie)</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Lymphoedème (épidémiologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Marche à pied (physiologie)</term>
<term>Membre inférieur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de l'utérus ()</term>
<term>Équivalent métabolique</term>
<term>Études transversales</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Uterine Neoplasms</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Activité motrice</term>
<term>Marche à pied</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Activity</term>
<term>Walking</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Body Mass Index</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Metabolic Equivalent</term>
<term>Middle Aged</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Lymphoedème</term>
<term>Cancer de l'utérus</term>
<term>Membre inférieur</term>
<term>Pathologie de l'appareil génital femelle</term>
<term>Exercice physique</term>
<term>Membre inférieur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Survivant</term>
<term>Mobilité</term>
<term>Incapacité</term>
<term>Oedème</term>
<term>Qualité de vie</term>
<term>Tumeurs de l'utérus</term>
<term>Équivalent métabolique</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en">Purpose: Physical activity (PA) is known to provide physical and mental health benefits to uterine cancer survivors. However, it is unknown if PA is associated with lower limb lymphedema (LLL), an accumulation of protein-rich fluid in the lower limbs. Therefore, we sought to examine the association between PA and LLL in uterine cancer survivors, with a focus on walking. Methods: We conducted a cross-sectional study using mailed surveys among uterine cancer survivors who received care at a university-based cancer center. We asked about PA, walking, and LLL symptoms using validated self-report questionnaires. PA was calculated using MET-hours per week, and walking was calculated using blocks per day. Results: The response rate to our survey was 43%. Among the 213 uterine cancer survivors in our survey, 36% were classified as having LLL. Compared with participants who reported <3 MET.h.wk<sup>-1</sup>
 of PA, participants who reported ≥18.0 MET.h.wk<sup>-1</sup>
 of PA had an odds ratio of LLL of 0.32 (95% confidence interval, 0.15-0.69; P<sub>trend</sub>
 = 0.003). Stratified analyses suggested the association between PA and LLL existed only among women with body mass index (BMI) <30 kg.m<sup>-2</sup>
 (P<sub>trend</sub>
 = 0.007) compared with women with BMI≥30 kg.m<sup>-2</sup>
 (P<sub>trend</sub>
 = 0.47). Compared with participants who reported <4.0 blocks per day of walking, participants who reported ≥12 blocks per day of walking had an odds ratio of LLL of 0.19 (95% confidence interval, 0.09-0.43; P<sub>trend </sub>
< 0.0001). Stratified analyses suggested the association between walking and LLL was similar among women with BMI <30 kg.m<sup>-2</sup>
 (P<sub>trend</sub>
 = 0.007) and women with BMI >30 kg.m<sup>-2</sup>
 (P<sub>trend</sub>
 = 0.03). Conclusion: Participation in higher levels of PA or walking is associated with reduced proportions of LLL in dose-response fashion. These findings should be interpreted as preliminary and should be investigated in future studies.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
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<li>Pennsylvanie</li>
<li>État de New York</li>
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<settlement><li>New Brunswick (New Jersey)</li>
<li>New York</li>
</settlement>
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<li>Université Rutgers</li>
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<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name>
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<name sortKey="Chu, Christina S" sort="Chu, Christina S" uniqKey="Chu C" first="Christina S." last="Chu">Christina S. Chu</name>
<name sortKey="John, Gabriella M" sort="John, Gabriella M" uniqKey="John G" first="Gabriella M." last="John">Gabriella M. John</name>
<name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name>
<name sortKey="Segal, Saya" sort="Segal, Saya" uniqKey="Segal S" first="Saya" last="Segal">Saya Segal</name>
</country>
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</record>

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Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors

Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors

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Descripteurs français

English descriptors

Abstract

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