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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors</title><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff></affiliation></author><author><name sortKey="John, Gabriella M" sort="John, Gabriella M" uniqKey="John G" first="Gabriella M." last="John">Gabriella M. John</name><affiliation><nlm:aff id="A2">Department of Epidemiology, Columbia University, New York, NY</nlm:aff></affiliation></author><author><name sortKey="Segal, Saya" sort="Segal, Saya" uniqKey="Segal S" first="Saya" last="Segal">Saya Segal</name><affiliation><nlm:aff id="A3">Division of Female Pelvic Medicine and Reconstructive Surgery; University of Medicine and Dentistry of New Jersey, New Brunswick, NJ</nlm:aff></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><nlm:aff id="A4">Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania, PA</nlm:aff></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><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23657171</idno><idno type="pmc">4122421</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122421</idno><idno type="RBID">PMC:4122421</idno><idno type="doi">10.1249/MSS.0b013e318299afd4</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">003735</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003735</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors</title><author><name sortKey="Brown, Justin C" sort="Brown, Justin C" uniqKey="Brown J" first="Justin C." last="Brown">Justin C. Brown</name><affiliation><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff></affiliation></author><author><name sortKey="John, Gabriella M" sort="John, Gabriella M" uniqKey="John G" first="Gabriella M." last="John">Gabriella M. John</name><affiliation><nlm:aff id="A2">Department of Epidemiology, Columbia University, New York, NY</nlm:aff></affiliation></author><author><name sortKey="Segal, Saya" sort="Segal, Saya" uniqKey="Segal S" first="Saya" last="Segal">Saya Segal</name><affiliation><nlm:aff id="A3">Division of Female Pelvic Medicine and Reconstructive Surgery; University of Medicine and Dentistry of New Jersey, New Brunswick, NJ</nlm:aff></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><nlm:aff id="A4">Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania, PA</nlm:aff></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><nlm:aff id="A1">Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, PA</nlm:aff></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="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">Physical activity (PA) is known to provide physical and mental health benefits to uterine cancer survivors. However, it is unknown if PA associates 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.</p></sec><sec id="S2"><title>Methods</title><p id="P2">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 metabolic equivalent hours per week (MET-hrs∙wk<sup>−1</sup>), and walking was calculated using blocks per day (blocks∙d<sup>−1</sup>).</p></sec><sec id="S3"><title>Results</title><p id="P3">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-hrs∙wk<sup>−1</sup> of PA, participants who reported ≥18.0 MET-hrs∙wk<sup>−1</sup> of PA had an odds ratio of LLL of 0.32 (95% CI: 0.15–0.69; <italic>P<sub>trend</sub></italic> = .003). Stratified analyses suggested the association of PA and LLL existed only among women with a body mass index (BMI) <30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .007), compared to women with a BMI ≥30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .47). Compared with participants who reported <4.0 blocks∙d<sup>−1</sup> of walking, participants who reported ≥12 blocks∙d<sup>−1</sup> of walking had an odds ratio of LLL of 0.19 (95% CI: 0.09–0.43; <italic>P<sub>trend</sub></italic> < .0001). Stratified analyses suggested the association of walking and LLL was similar among women with a BMI <30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .007) and women with a BMI ≥30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .03).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">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 investigated in future studies.</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">23657171</article-id><article-id pub-id-type="pmc">4122421</article-id><article-id pub-id-type="doi">10.1249/MSS.0b013e318299afd4</article-id><article-id pub-id-type="manuscript">NIHMS602235</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors</article-title></title-group><contrib-group><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>John</surname><given-names>Gabriella M.</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Segal</surname><given-names>Saya</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Chu</surname><given-names>Christina S.</given-names></name><xref ref-type="aff" rid="A4">4</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>Department of Epidemiology, Columbia University, New York, NY</aff><aff id="A3"><label>3</label>Division of Female Pelvic Medicine and Reconstructive Surgery; University of Medicine and Dentistry of New Jersey, New Brunswick, NJ</aff><aff id="A4"><label>4</label>Divsion of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Pennsylvania, PA</aff><author-notes><corresp id="cor1">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>12</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>11</month><year>2014</year></pub-date><volume>45</volume><issue>11</issue><fpage>2091</fpage><lpage>2097</lpage><pmc-comment>elocation-id from pubmed: 10.1249/MSS.0b013e318299afd4</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title><p id="P1">Physical activity (PA) is known to provide physical and mental health benefits to uterine cancer survivors. However, it is unknown if PA associates 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.</p></sec><sec id="S2"><title>Methods</title><p id="P2">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 metabolic equivalent hours per week (MET-hrs∙wk<sup>−1</sup>), and walking was calculated using blocks per day (blocks∙d<sup>−1</sup>).</p></sec><sec id="S3"><title>Results</title><p id="P3">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-hrs∙wk<sup>−1</sup> of PA, participants who reported ≥18.0 MET-hrs∙wk<sup>−1</sup> of PA had an odds ratio of LLL of 0.32 (95% CI: 0.15–0.69; <italic>P<sub>trend</sub></italic> = .003). Stratified analyses suggested the association of PA and LLL existed only among women with a body mass index (BMI) <30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .007), compared to women with a BMI ≥30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .47). Compared with participants who reported <4.0 blocks∙d<sup>−1</sup> of walking, participants who reported ≥12 blocks∙d<sup>−1</sup> of walking had an odds ratio of LLL of 0.19 (95% CI: 0.09–0.43; <italic>P<sub>trend</sub></italic> < .0001). Stratified analyses suggested the association of walking and LLL was similar among women with a BMI <30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .007) and women with a BMI ≥30 kg/m<sup>2</sup> (<italic>P<sub>trend</sub></italic> = .03).</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">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 investigated in future studies.</p></sec></abstract><kwd-group><kwd>gynecologic cancer</kwd><kwd>exercise</kwd><kwd>mobility disability</kwd><kwd>edema</kwd><kwd>quality of life</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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