LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000020

Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors

Identifieur interne : 000020 ( PascalFrancis/Corpus ); précédent : 000019; suivant : 000021

Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors

Auteurs : Justin C. Brown ; Gabriella M. John ; Saya Segal ; Christina S. Chu ; Kathryn H. Schmitz

Source :

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

RBID : Pascal:13-0347471

Descripteurs français

Pascal (Inist)
- Lymphoedème, Cancer de l'utérus, Pathologie de l'appareil génital femelle, Exercice physique, Membre inférieur, Survivant, Mobilité, Incapacité, Oedème, Qualité de vie.

English descriptors

KwdEn :
- Disability, Edema, Female genital diseases, Lower limb, Lymphedema, Mobility, Physical exercise, Quality of life, Survivor, Uterus cancer.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02	`01`			`@0 MSPEDA`
A03		`1`		`@0 Med. sci. sports exerc.`
A05				`@2 45`
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A08	`01`	`1`	`ENG`	`@1 Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors`
A11	`01`	`1`		`@1 BROWN (Justin C.)`
A11	`02`	`1`		`@1 JOHN (Gabriella M.)`
A11	`03`	`1`		`@1 SEGAL (Saya)`
A11	`04`	`1`		`@1 CHU (Christina S.)`
A11	`05`	`1`		`@1 SCHMITZ (Kathryn H.)`
A14	`01`			`@1 Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania @2 Philadelphia, PA @3 USA @Z 1 aut. @Z 5 aut.`
A14	`02`			`@1 Department of Epidemiology, Columbia University @2 New York, NY @3 USA @Z 2 aut.`
A14	`03`			`@1 Division of Female Pelvic Medicine and Reconstructive Surgery, Robert Wood Johnson Medical School, Rutgers University @2 New Brunswick, NJ @3 USA @Z 3 aut.`
A14	`04`			`@1 Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania @2 Philadelphia, PA @3 USA @Z 4 aut.`
A20				`@1 2091-2097`
A21				`@1 2013`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 17103 @5 354000501590460090`
A44				`@0 0000 @1 © 2013 INIST-CNRS. All rights reserved.`
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A61				`@0 A`
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C01	`01`		`ENG`	@0 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.
C02	`01`	`X`		`@0 002A24`
C02	`02`	`X`		`@0 002B29`
C02	`03`	`X`		`@0 002B12B04`
C02	`04`	`X`		`@0 002B20C02`
C03	`01`	`X`	`FRE`	`@0 Lymphoedème @5 01`
C03	`01`	`X`	`ENG`	`@0 Lymphedema @5 01`
C03	`01`	`X`	`SPA`	`@0 Linfedema @5 01`
C03	`02`	`X`	`FRE`	`@0 Cancer de l'utérus @2 NM @5 02`
C03	`02`	`X`	`ENG`	`@0 Uterus cancer @2 NM @5 02`
C03	`02`	`X`	`SPA`	`@0 Cáncer del útero @2 NM @5 02`
C03	`03`	`X`	`FRE`	`@0 Pathologie de l'appareil génital femelle @5 03`
C03	`03`	`X`	`ENG`	`@0 Female genital diseases @5 03`
C03	`03`	`X`	`SPA`	`@0 Aparato genital hembra patología @5 03`
C03	`04`	`X`	`FRE`	`@0 Exercice physique @5 09`
C03	`04`	`X`	`ENG`	`@0 Physical exercise @5 09`
C03	`04`	`X`	`SPA`	`@0 Ejercicio físico @5 09`
C03	`05`	`X`	`FRE`	`@0 Membre inférieur @5 10`
C03	`05`	`X`	`ENG`	`@0 Lower limb @5 10`
C03	`05`	`X`	`SPA`	`@0 Miembro inferior @5 10`
C03	`06`	`X`	`FRE`	`@0 Survivant @5 11`
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C03	`08`	`X`	`FRE`	`@0 Incapacité @5 13`
C03	`08`	`X`	`ENG`	`@0 Disability @5 13`
C03	`08`	`X`	`SPA`	`@0 Incapacidad @5 13`
C03	`09`	`X`	`FRE`	`@0 Oedème @5 14`
C03	`09`	`X`	`ENG`	`@0 Edema @5 14`
C03	`09`	`X`	`SPA`	`@0 Edema @5 14`
C03	`10`	`X`	`FRE`	`@0 Qualité de vie @5 15`
C03	`10`	`X`	`ENG`	`@0 Quality of life @5 15`
C03	`10`	`X`	`SPA`	`@0 Calidad vida @5 15`
C07	`01`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 37`
C07	`01`	`X`	`ENG`	`@0 Cardiovascular disease @5 37`
C07	`01`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 38`
C07	`02`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Linfático patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Tumeur maligne @2 NM @5 39`
C07	`03`	`X`	`ENG`	`@0 Malignant tumor @2 NM @5 39`
C07	`03`	`X`	`SPA`	`@0 Tumor maligno @2 NM @5 39`
C07	`04`	`X`	`FRE`	`@0 Cancer @2 NM`
C07	`04`	`X`	`ENG`	`@0 Cancer @2 NM`
C07	`04`	`X`	`SPA`	`@0 Cáncer @2 NM`
C07	`05`	`X`	`FRE`	`@0 Pathologie de l'utérus @5 40`
C07	`05`	`X`	`ENG`	`@0 Uterine diseases @5 40`
C07	`05`	`X`	`SPA`	`@0 Utero patología @5 40`
N21				`@1 329`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 13-0347471 INIST
ET :	Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors
AU :	BROWN (Justin C.); JOHN (Gabriella M.); SEGAL (Saya); CHU (Christina S.); SCHMITZ (Kathryn H.)
AF :	Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania/Philadelphia, PA/Etats-Unis (1 aut., 5 aut.); Department of Epidemiology, Columbia University/New York, NY/Etats-Unis (2 aut.); Division of Female Pelvic Medicine and Reconstructive Surgery, Robert Wood Johnson Medical School, Rutgers University/New Brunswick, NJ/Etats-Unis (3 aut.); Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania/Philadelphia, PA/Etats-Unis (4 aut.)
DT :	Publication en série; Niveau analytique
SO :	Medicine and science in sports and exercise; ISSN 0195-9131; Coden MSPEDA; Etats-Unis; Da. 2013; Vol. 45; No. 11; Pp. 2091-2097; Bibl. 48 ref.
LA :	Anglais
EA :	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.
CC :	002A24; 002B29; 002B12B04; 002B20C02
FD :	Lymphoedème; Cancer de l'utérus; Pathologie de l'appareil génital femelle; Exercice physique; Membre inférieur; Survivant; Mobilité; Incapacité; Oedème; Qualité de vie
FG :	Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Tumeur maligne; Cancer; Pathologie de l'utérus
ED :	Lymphedema; Uterus cancer; Female genital diseases; Physical exercise; Lower limb; Survivor; Mobility; Disability; Edema; Quality of life
EG :	Cardiovascular disease; Lymphatic vessel disease; Malignant tumor; Cancer; Uterine diseases
SD :	Linfedema; Cáncer del útero; Aparato genital hembra patología; Ejercicio físico; Miembro inferior; Sobreviviente; Movilidad; Incapacidad; Edema; Calidad vida
LO :	INIST-17103.354000501590460090
ID :	13-0347471

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Pascal:13-0347471

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disability</term>
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<term>Mobility</term>
<term>Physical exercise</term>
<term>Quality of life</term>
<term>Survivor</term>
<term>Uterus cancer</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Cancer de l'utérus</term>
<term>Pathologie de l'appareil génital femelle</term>
<term>Exercice physique</term>
<term>Membre inférieur</term>
<term>Survivant</term>
<term>Mobilité</term>
<term>Incapacité</term>
<term>Oedème</term>
<term>Qualité de vie</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>
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<fA14 i1="02"><s1>Department of Epidemiology, Columbia University</s1>
<s2>New York, NY</s2>
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<fA14 i1="03"><s1>Division of Female Pelvic Medicine and Reconstructive Surgery, Robert Wood Johnson Medical School, Rutgers University</s1>
<s2>New Brunswick, NJ</s2>
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<fA14 i1="04"><s1>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania</s1>
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<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Medicine and science in sports and exercise</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002A24</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B29</s0>
</fC02>
<fC02 i1="03" i2="X"><s0>002B12B04</s0>
</fC02>
<fC02 i1="04" i2="X"><s0>002B20C02</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Lymphoedème</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Linfedema</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Cancer de l'utérus</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Uterus cancer</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Cáncer del útero</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Pathologie de l'appareil génital femelle</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Female genital diseases</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Aparato genital hembra patología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Exercice physique</s0>
<s5>09</s5>
</fC03>
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<s5>09</s5>
</fC03>
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<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Membre inférieur</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Lower limb</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Miembro inferior</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Survivant</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Survivor</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Sobreviviente</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Mobilité</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Mobility</s0>
<s5>12</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Movilidad</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Incapacité</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Disability</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Incapacidad</s0>
<s5>13</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Oedème</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Edema</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Edema</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Qualité de vie</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Quality of life</s0>
<s5>15</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Calidad vida</s0>
<s5>15</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Pathologie de l'utérus</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Uterine diseases</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Utero patología</s0>
<s5>40</s5>
</fC07>
<fN21><s1>329</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
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</pA>
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<server><NO>PASCAL 13-0347471 INIST</NO>
<ET>Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors</ET>
<AU>BROWN (Justin C.); JOHN (Gabriella M.); SEGAL (Saya); CHU (Christina S.); SCHMITZ (Kathryn H.)</AU>
<AF>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania/Philadelphia, PA/Etats-Unis (1 aut., 5 aut.); Department of Epidemiology, Columbia University/New York, NY/Etats-Unis (2 aut.); Division of Female Pelvic Medicine and Reconstructive Surgery, Robert Wood Johnson Medical School, Rutgers University/New Brunswick, NJ/Etats-Unis (3 aut.); Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania/Philadelphia, PA/Etats-Unis (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Medicine and science in sports and exercise; ISSN 0195-9131; Coden MSPEDA; Etats-Unis; Da. 2013; Vol. 45; No. 11; Pp. 2091-2097; Bibl. 48 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002A24; 002B29; 002B12B04; 002B20C02</CC>
<FD>Lymphoedème; Cancer de l'utérus; Pathologie de l'appareil génital femelle; Exercice physique; Membre inférieur; Survivant; Mobilité; Incapacité; Oedème; Qualité de vie</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Tumeur maligne; Cancer; Pathologie de l'utérus</FG>
<ED>Lymphedema; Uterus cancer; Female genital diseases; Physical exercise; Lower limb; Survivor; Mobility; Disability; Edema; Quality of life</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease; Malignant tumor; Cancer; Uterine diseases</EG>
<SD>Linfedema; Cáncer del útero; Aparato genital hembra patología; Ejercicio físico; Miembro inferior; Sobreviviente; Movilidad; Incapacidad; Edema; Calidad vida</SD>
<LO>INIST-17103.354000501590460090</LO>
<ID>13-0347471</ID>
</server>
</inist>
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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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