Cancer-Related Impairments Influence Physical Activity in Uterine Cancer Survivors
Identifieur interne : 001C97 ( Pmc/Checkpoint ); précédent : 001C96; suivant : 001C98Cancer-Related Impairments Influence Physical Activity in Uterine Cancer Survivors
Auteurs : Sean M. Hammer [États-Unis] ; Justin C. Brown [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 ] ; 2014.
Abstract
The extent to which physical activity (PA) participation among uterine cancer survivors may be limited by physical and functional impairments (PFIs) related to cancer treatment is unknown. We sought to describe PA participation, characterize the prevalence of PFIs, and examine the association between PFI status and PA participation within this population.
We conducted a study using a mailed survey among uterine cancer survivors who received treatment at a university hospital. We asked about PA and PFIs using validated self-report questionnaires. PA was calculated using metabolic equivalent hours per week (MET-hrs·wk−1). PFI was defined as having one or more of the following symptoms: lower limb lymphedema (LLL), general pain, fatigue, or severe bladder, bowel, or pelvic issues. Ordinal logistic regression was used to quantify the odds ratio (OR) between PA and PFIs.
The response rate to our survey was 43%. Among the 213 study participants, 40%, 13%, 13%, 12%, and 23% reported participating in <3.0, 3.0–8.9, 9.0–17.9, 18.0–26.9, and ≥ 27.0 MET-hrs·wk−1 of PA, respectively. Walking is the preferred mode of exercise for physically active uterine cancer survivors. 53% of survivors experience at least one PFI. The most common PFI is LLL (36.2%), followed by general pain (22.5%). The OR of PFI decreased as MET-hrs·wk−1 of PA increased (OR = 0.51, 95% CI: 0.31–0.84;
The majority of uterine cancer survivors experience physical and functional impairments that significantly reduce the likelihood of PA participation. Physical activity recommendations for uterine cancer survivors should take into account treatment-related impairments that can affect PA participation.
Url:
DOI: 10.1249/MSS.0000000000000360
PubMed: 24781886
PubMed Central: 4386903
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Brown</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</wicri:cityArea></affiliation></author><author><name sortKey="Segal, Saya" sort="Segal, Saya" uniqKey="Segal S" first="Saya" last="Segal">Saya Segal</name><affiliation wicri:level="2"><nlm:aff id="A2">Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology; Department of Surgery (Urology), University of Medicine and Dentistry of New Jersey, New Brunswick, NJ</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology; Department of Surgery (Urology), University of Medicine and Dentistry of New Jersey, New Brunswick</wicri:cityArea></affiliation></author><author><name sortKey="Chu, Christina S" sort="Chu, Christina S" uniqKey="Chu C" first="Christina S." last="Chu">Christina S. Chu</name><affiliation wicri:level="2"><nlm:aff id="A3">Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania</wicri:cityArea></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24781886</idno><idno type="pmc">4386903</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4386903</idno><idno type="RBID">PMC:4386903</idno><idno type="doi">10.1249/MSS.0000000000000360</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003737</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003737</idno><idno type="wicri:Area/Pmc/Curation">003736</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003736</idno><idno type="wicri:Area/Pmc/Checkpoint">001C97</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001C97</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cancer-Related Impairments Influence Physical Activity in Uterine Cancer Survivors</title><author><name sortKey="Hammer, Sean M" sort="Hammer, Sean M" uniqKey="Hammer S" first="Sean M." last="Hammer">Sean M. Hammer</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</wicri:cityArea></affiliation></author><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</wicri:cityArea></affiliation></author><author><name sortKey="Segal, Saya" sort="Segal, Saya" uniqKey="Segal S" first="Saya" last="Segal">Saya Segal</name><affiliation wicri:level="2"><nlm:aff id="A2">Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology; Department of Surgery (Urology), University of Medicine and Dentistry of New Jersey, New Brunswick, NJ</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology; Department of Surgery (Urology), University of Medicine and Dentistry of New Jersey, New Brunswick</wicri:cityArea></affiliation></author><author><name sortKey="Chu, Christina S" sort="Chu, Christina S" uniqKey="Chu C" first="Christina S." last="Chu">Christina S. Chu</name><affiliation wicri:level="2"><nlm:aff id="A3">Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania</wicri:cityArea></affiliation></author><author><name sortKey="Schmitz, Kathryn H" sort="Schmitz, Kathryn H" uniqKey="Schmitz K" first="Kathryn H." last="Schmitz">Kathryn H. Schmitz</name><affiliation wicri:level="2"><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania</wicri:cityArea></affiliation></author></analytic><series><title level="j">Medicine and science in sports and exercise</title><idno type="ISSN">0195-9131</idno><idno type="eISSN">1530-0315</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Introduction</title><p id="P1">The extent to which physical activity (PA) participation among uterine cancer survivors may be limited by physical and functional impairments (PFIs) related to cancer treatment is unknown. We sought to describe PA participation, characterize the prevalence of PFIs, and examine the association between PFI status and PA participation within this population.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We conducted a study using a mailed survey among uterine cancer survivors who received treatment at a university hospital. We asked about PA and PFIs using validated self-report questionnaires. PA was calculated using metabolic equivalent hours per week (MET-hrs·wk<sup>−1</sup>). PFI was defined as having one or more of the following symptoms: lower limb lymphedema (LLL), general pain, fatigue, or severe bladder, bowel, or pelvic issues. Ordinal logistic regression was used to quantify the odds ratio (OR) between PA and PFIs.</p></sec><sec id="S3"><title>Results</title><p id="P3">The response rate to our survey was 43%. Among the 213 study participants, 40%, 13%, 13%, 12%, and 23% reported participating in <3.0, 3.0–8.9, 9.0–17.9, 18.0–26.9, and ≥ 27.0 MET-hrs·wk<sup>−1</sup> of PA, respectively. Walking is the preferred mode of exercise for physically active uterine cancer survivors. 53% of survivors experience at least one PFI. The most common PFI is LLL (36.2%), followed by general pain (22.5%). The OR of PFI decreased as MET-hrs·wk<sup>−1</sup> of PA increased (OR = 0.51, 95% CI: 0.31–0.84; <italic>P</italic>=.009).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The majority of uterine cancer survivors experience physical and functional impairments that significantly reduce the likelihood of PA participation. Physical activity recommendations for uterine cancer survivors should take into account treatment-related impairments that can affect PA participation.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8005433</journal-id><journal-id journal-id-type="pubmed-jr-id">5723</journal-id><journal-id journal-id-type="nlm-ta">Med Sci Sports Exerc</journal-id><journal-id journal-id-type="iso-abbrev">Med Sci Sports Exerc</journal-id><journal-title-group><journal-title>Medicine and science in sports and exercise</journal-title></journal-title-group><issn pub-type="ppub">0195-9131</issn><issn pub-type="epub">1530-0315</issn></journal-meta><article-meta><article-id pub-id-type="pmid">24781886</article-id><article-id pub-id-type="pmc">4386903</article-id><article-id pub-id-type="doi">10.1249/MSS.0000000000000360</article-id><article-id pub-id-type="manuscript">NIHMS676477</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Cancer-Related Impairments Influence Physical Activity in Uterine Cancer Survivors</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hammer</surname><given-names>Sean M.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Brown</surname><given-names>Justin C.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Segal</surname><given-names>Saya</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Chu</surname><given-names>Christina S.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Schmitz</surname><given-names>Kathryn H.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</aff><aff id="A2"><label>2</label>Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology; Department of Surgery (Urology), University of Medicine and Dentistry of New Jersey, New Brunswick, NJ</aff><aff id="A3"><label>3</label>Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania, PA</aff><author-notes><corresp id="FN1">Corresponding Author: Kathryn H. Schmitz, University of Pennsylvania School of Medicine, 423 Guardian Drive, 8<sup>th</sup> Floor, Blockley Hall, Philadelphia, PA 19104, Phone: 215–898–6604, Fax: 251–573–5311, <email>schmitz@mail.med.upenn.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>1</day><month>4</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2014</year></pub-date><pub-date pub-type="pmc-release"><day>06</day><month>4</month><year>2015</year></pub-date><volume>46</volume><issue>12</issue><fpage>2195</fpage><lpage>2201</lpage><pmc-comment>elocation-id from pubmed: 10.1249/MSS.0000000000000360</pmc-comment>
<abstract><sec id="S1"><title>Introduction</title><p id="P1">The extent to which physical activity (PA) participation among uterine cancer survivors may be limited by physical and functional impairments (PFIs) related to cancer treatment is unknown. We sought to describe PA participation, characterize the prevalence of PFIs, and examine the association between PFI status and PA participation within this population.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We conducted a study using a mailed survey among uterine cancer survivors who received treatment at a university hospital. We asked about PA and PFIs using validated self-report questionnaires. PA was calculated using metabolic equivalent hours per week (MET-hrs·wk<sup>−1</sup>). PFI was defined as having one or more of the following symptoms: lower limb lymphedema (LLL), general pain, fatigue, or severe bladder, bowel, or pelvic issues. Ordinal logistic regression was used to quantify the odds ratio (OR) between PA and PFIs.</p></sec><sec id="S3"><title>Results</title><p id="P3">The response rate to our survey was 43%. Among the 213 study participants, 40%, 13%, 13%, 12%, and 23% reported participating in <3.0, 3.0–8.9, 9.0–17.9, 18.0–26.9, and ≥ 27.0 MET-hrs·wk<sup>−1</sup> of PA, respectively. Walking is the preferred mode of exercise for physically active uterine cancer survivors. 53% of survivors experience at least one PFI. The most common PFI is LLL (36.2%), followed by general pain (22.5%). The OR of PFI decreased as MET-hrs·wk<sup>−1</sup> of PA increased (OR = 0.51, 95% CI: 0.31–0.84; <italic>P</italic>=.009).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The majority of uterine cancer survivors experience physical and functional impairments that significantly reduce the likelihood of PA participation. Physical activity recommendations for uterine cancer survivors should take into account treatment-related impairments that can affect PA participation.</p></sec></abstract><kwd-group><kwd>gynecologic cancer</kwd><kwd>exercise</kwd><kwd>lymphedema</kwd><kwd>pain</kwd><kwd>barriers to exercise</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>New Jersey</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Hammer, Sean M" sort="Hammer, Sean M" uniqKey="Hammer S" first="Sean M." last="Hammer">Sean M. Hammer</name></region><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><name sortKey="Chu, Christina S" sort="Chu, Christina S" uniqKey="Chu C" first="Christina S." last="Chu">Christina S. Chu</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></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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