LymphedemaV1, Main, Exploration, bibRecord, 007156

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

Identifieur interne : 007156 ( Main/Exploration ); précédent : 007155; suivant : 007157

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

Auteurs : Catherine M. Alfano ; Ashley Wilder Smith ; Melinda L. Irwin ; Deborah J. Bowen ; Bess Sorensen ; Bryce B. Reeve ; Kathleen A. Meeske [États-Unis] ; Leslie Bernstein [États-Unis] ; Kathy B. Baumgartner ; Rachel Ballard-Barbash ; Kathleen E. Malone ; Anne Mctiernan

Source :

Journal of cancer survivorship : research and practice [ 1932-2259 ] ; 2007.

RBID : PMC:2996230

Abstract

Introduction

Many breast cancer survivors experience persistent physical symptoms of cancer and treatment that can decrease health-related quality of life (HRQOL). This prospective study investigated physical activity (PA), occurrence of physical symptoms, and HRQOL in a large, ethnically-diverse cohort of breast cancer survivors.

Methods

Survivors (n=545), on average 6 months post-diagnosis, were assessed in person or by mail at baseline (retrospective reports of pre-diagnosis PA), at 29 months post-diagnosis (post-diagnosis PA), and at 39 months post-diagnosis (pain, hormone symptoms, sexual interest/dysfunction, fatigue, physical subscales of HRQOL). Linear regression and analysis of covariance assessed the relationships between pre- and post-diagnosis PA and PA change after cancer with symptoms and HRQOL.

Results

Greater pre-diagnosis PA was associated with better physical functioning at 39 months (βs 1.1–2.3; all p<.01) but was generally unrelated to symptoms. Greater post-diagnosis sports/recreational PA was related to less fatigue and better physical functioning (βs -.146, 2.21; both p < .01). Increased PA after cancer was related to less fatigue and pain and better physical functioning (all p<.01). Significant positive associations were found for moderate to vigorous and vigorous sports/recreation PA, not household activity. Results were similar for Hispanic and non-Hispanic White women.

Discussion/Conclusions

Increased PA, especially after cancer, was consistently related to better physical functioning and to reduced fatigue and bodily pain, underscoring the need for PA promotion among survivors.

Implications for Cancer Survivors

Survivors may be able to decrease fatigue and bodily pain and be better able to pursue daily activities through increasing recreational PA after cancer.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996230

DOI: 10.1007/s11764-007-0014-1
PubMed: 18648952
PubMed Central: 2996230

Affiliations:

Le document en format XML

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<author><name sortKey="Smith, Ashley Wilder" sort="Smith, Ashley Wilder" uniqKey="Smith A" first="Ashley Wilder" last="Smith">Ashley Wilder Smith</name>
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<author><name sortKey="Irwin, Melinda L" sort="Irwin, Melinda L" uniqKey="Irwin M" first="Melinda L." last="Irwin">Melinda L. Irwin</name>
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<author><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis</title>
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<wicri:noCountry code="subfield">National Cancer Institute</wicri:noCountry>
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<region type="state">Californie</region>
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<wicri:noCountry code="subfield">University of Louisville</wicri:noCountry>
</affiliation>
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<author><name sortKey="Ballard Barbash, Rachel" sort="Ballard Barbash, Rachel" uniqKey="Ballard Barbash R" first="Rachel" last="Ballard-Barbash">Rachel Ballard-Barbash</name>
<affiliation><nlm:aff id="A7">Applied Research Program, National Cancer Institute</nlm:aff>
<wicri:noCountry code="subfield">National Cancer Institute</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Malone, Kathleen E" sort="Malone, Kathleen E" uniqKey="Malone K" first="Kathleen E." last="Malone">Kathleen E. Malone</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
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<author><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name>
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<series><title level="j">Journal of cancer survivorship : research and practice</title>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title>
<p id="P1">Many breast cancer survivors experience persistent physical symptoms of cancer and treatment that can decrease health-related quality of life (HRQOL). This prospective study investigated physical activity (PA), occurrence of physical symptoms, and HRQOL in a large, ethnically-diverse cohort of breast cancer survivors.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Survivors (n=545), on average 6 months post-diagnosis, were assessed in person or by mail at baseline (retrospective reports of pre-diagnosis PA), at 29 months post-diagnosis (post-diagnosis PA), and at 39 months post-diagnosis (pain, hormone symptoms, sexual interest/dysfunction, fatigue, physical subscales of HRQOL). Linear regression and analysis of covariance assessed the relationships between pre- and post-diagnosis PA and PA change after cancer with symptoms and HRQOL.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Greater pre-diagnosis PA was associated with better physical functioning at 39 months (βs 1.1–2.3; all p<.01) but was generally unrelated to symptoms. Greater post-diagnosis sports/recreational PA was related to less fatigue and better physical functioning (βs -.146, 2.21; both p < .01). Increased PA after cancer was related to less fatigue and pain and better physical functioning (all p<.01). Significant positive associations were found for moderate to vigorous and vigorous sports/recreation PA, not household activity. Results were similar for Hispanic and non-Hispanic White women.</p>
</sec>
<sec id="S4"><title>Discussion/Conclusions</title>
<p id="P4">Increased PA, especially after cancer, was consistently related to better physical functioning and to reduced fatigue and bodily pain, underscoring the need for PA promotion among survivors.</p>
</sec>
<sec id="S5"><title>Implications for Cancer Survivors</title>
<p id="P5">Survivors may be able to decrease fatigue and bodily pain and be better able to pursue daily activities through increasing recreational PA after cancer.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
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<name sortKey="Malone, Kathleen E" sort="Malone, Kathleen E" uniqKey="Malone K" first="Kathleen E." last="Malone">Kathleen E. Malone</name>
<name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name>
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<name sortKey="Smith, Ashley Wilder" sort="Smith, Ashley Wilder" uniqKey="Smith A" first="Ashley Wilder" last="Smith">Ashley Wilder Smith</name>
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Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis

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

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Abstract

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