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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis</title>
<author><name sortKey="Alfano, Catherine M" sort="Alfano, Catherine M" uniqKey="Alfano C" first="Catherine M." last="Alfano">Catherine M. Alfano</name>
<affiliation><nlm:aff id="A1">Comprehensive Cancer Center and School of Public Health, The Ohio State University</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Smith, Ashley Wilder" sort="Smith, Ashley Wilder" uniqKey="Smith A" first="Ashley Wilder" last="Smith">Ashley Wilder Smith</name>
<affiliation><nlm:aff id="A2">Outcomes Research Branch, ARP, DCCPS, National Cancer Institute</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Irwin, Melinda L" sort="Irwin, Melinda L" uniqKey="Irwin M" first="Melinda L." last="Irwin">Melinda L. Irwin</name>
<affiliation><nlm:aff id="A3">Department of Epidemiology and Public Health, Yale School of Medicine</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bowen, Deborah J" sort="Bowen, Deborah J" uniqKey="Bowen D" first="Deborah J." last="Bowen">Deborah J. Bowen</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sorensen, Bess" sort="Sorensen, Bess" uniqKey="Sorensen B" first="Bess" last="Sorensen">Bess Sorensen</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reeve, Bryce B" sort="Reeve, Bryce B" uniqKey="Reeve B" first="Bryce B." last="Reeve">Bryce B. Reeve</name>
<affiliation><nlm:aff id="A2">Outcomes Research Branch, ARP, DCCPS, National Cancer Institute</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meeske, Kathleen A" sort="Meeske, Kathleen A" uniqKey="Meeske K" first="Kathleen A." last="Meeske">Kathleen A. Meeske</name>
<affiliation><nlm:aff id="A5">Dept of Preventive Medicine and USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name>
<affiliation><nlm:aff id="A5">Dept of Preventive Medicine and USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baumgartner, Kathy B" sort="Baumgartner, Kathy B" uniqKey="Baumgartner K" first="Kathy B." last="Baumgartner">Kathy B. Baumgartner</name>
<affiliation><nlm:aff id="A6">Department of Epidemiology & Clinical Information Sciences, University of Louisville</nlm:aff>
</affiliation>
</author>
<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>
</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>
</author>
<author><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">18648952</idno>
<idno type="pmc">2996230</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996230</idno>
<idno type="RBID">PMC:2996230</idno>
<idno type="doi">10.1007/s11764-007-0014-1</idno>
<date when="2007">2007</date>
<idno type="wicri:Area/Pmc/Corpus">002826</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002826</idno>
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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>
<author><name sortKey="Alfano, Catherine M" sort="Alfano, Catherine M" uniqKey="Alfano C" first="Catherine M." last="Alfano">Catherine M. Alfano</name>
<affiliation><nlm:aff id="A1">Comprehensive Cancer Center and School of Public Health, The Ohio State University</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Smith, Ashley Wilder" sort="Smith, Ashley Wilder" uniqKey="Smith A" first="Ashley Wilder" last="Smith">Ashley Wilder Smith</name>
<affiliation><nlm:aff id="A2">Outcomes Research Branch, ARP, DCCPS, National Cancer Institute</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Irwin, Melinda L" sort="Irwin, Melinda L" uniqKey="Irwin M" first="Melinda L." last="Irwin">Melinda L. Irwin</name>
<affiliation><nlm:aff id="A3">Department of Epidemiology and Public Health, Yale School of Medicine</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bowen, Deborah J" sort="Bowen, Deborah J" uniqKey="Bowen D" first="Deborah J." last="Bowen">Deborah J. Bowen</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Sorensen, Bess" sort="Sorensen, Bess" uniqKey="Sorensen B" first="Bess" last="Sorensen">Bess Sorensen</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Reeve, Bryce B" sort="Reeve, Bryce B" uniqKey="Reeve B" first="Bryce B." last="Reeve">Bryce B. Reeve</name>
<affiliation><nlm:aff id="A2">Outcomes Research Branch, ARP, DCCPS, National Cancer Institute</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meeske, Kathleen A" sort="Meeske, Kathleen A" uniqKey="Meeske K" first="Kathleen A." last="Meeske">Kathleen A. Meeske</name>
<affiliation><nlm:aff id="A5">Dept of Preventive Medicine and USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bernstein, Leslie" sort="Bernstein, Leslie" uniqKey="Bernstein L" first="Leslie" last="Bernstein">Leslie Bernstein</name>
<affiliation><nlm:aff id="A5">Dept of Preventive Medicine and USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Baumgartner, Kathy B" sort="Baumgartner, Kathy B" uniqKey="Baumgartner K" first="Kathy B." last="Baumgartner">Kathy B. Baumgartner</name>
<affiliation><nlm:aff id="A6">Department of Epidemiology & Clinical Information Sciences, University of Louisville</nlm:aff>
</affiliation>
</author>
<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>
</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>
</author>
<author><name sortKey="Mctiernan, Anne" sort="Mctiernan, Anne" uniqKey="Mctiernan A" first="Anne" last="Mctiernan">Anne Mctiernan</name>
<affiliation><nlm:aff id="A4">Fred Hutchinson Cancer Research Center</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of cancer survivorship : research and practice</title>
<idno type="ISSN">1932-2259</idno>
<idno type="eISSN">1932-2267</idno>
<imprint><date when="2007">2007</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">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>
<pmc article-type="research-article" xml:lang="EN"><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">101307557</journal-id>
<journal-id journal-id-type="pubmed-jr-id">34604</journal-id>
<journal-id journal-id-type="nlm-ta">J Cancer Surviv</journal-id>
<journal-title>Journal of cancer survivorship : research and practice</journal-title>
<issn pub-type="ppub">1932-2259</issn>
<issn pub-type="epub">1932-2267</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">18648952</article-id>
<article-id pub-id-type="pmc">2996230</article-id>
<article-id pub-id-type="doi">10.1007/s11764-007-0014-1</article-id>
<article-id pub-id-type="manuscript">NIHMS249623</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: A prospective analysis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Alfano</surname>
<given-names>Catherine M.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Smith</surname>
<given-names>Ashley Wilder</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Irwin</surname>
<given-names>Melinda L.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bowen</surname>
<given-names>Deborah J.</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sorensen</surname>
<given-names>Bess</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Reeve</surname>
<given-names>Bryce B.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Meeske</surname>
<given-names>Kathleen A.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bernstein</surname>
<given-names>Leslie</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Baumgartner</surname>
<given-names>Kathy B.</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ballard-Barbash</surname>
<given-names>Rachel</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Malone</surname>
<given-names>Kathleen E.</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>McTiernan</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Comprehensive Cancer Center and School of Public Health, The Ohio State University</aff>
<aff id="A2"><label>2</label>
Outcomes Research Branch, ARP, DCCPS, National Cancer Institute</aff>
<aff id="A3"><label>3</label>
Department of Epidemiology and Public Health, Yale School of Medicine</aff>
<aff id="A4"><label>4</label>
Fred Hutchinson Cancer Research Center</aff>
<aff id="A5"><label>5</label>
Dept of Preventive Medicine and USC/Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California</aff>
<aff id="A6"><label>6</label>
Department of Epidemiology & Clinical Information Sciences, University of Louisville</aff>
<aff id="A7"><label>7</label>
Applied Research Program, National Cancer Institute</aff>
<author-notes><corresp id="cor1">Corresponding author: Anne McTiernan, Fred Hutchinson Cancer Research Center, PO Box 19024, M4-B402, Seattle, WA 98109, Telephone: 206-667-6196, Fax: 206-667-7850, <email>amctiern@fhcrc.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>10</day>
<month>11</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>6</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>2</day>
<month>12</month>
<year>2010</year>
</pub-date>
<volume>1</volume>
<issue>2</issue>
<fpage>116</fpage>
<lpage>128</lpage>
<abstract><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>
</abstract>
<kwd-group><kwd>Physical Activity</kwd>
<kwd>Breast Cancer</kwd>
<kwd>Survivors</kwd>
<kwd>Long-term Effects</kwd>
<kwd>Quality of Life</kwd>
</kwd-group>
<contract-num rid="PC1">N01 PC035138-22
||PC</contract-num>
<contract-sponsor id="PC1">Division of Cancer Control and Population Science : NCI</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>
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