Physical activity levels of women with breast cancer during and after treatment, a comparison with the Dutch female population
| Autor: | Evelyn M. Monninkhof, G. C. W. Wendel-Vos, Helena M. Verkooijen, P. H. M. Peeters, Roxanne Gal, C. H. van Gils, Nicolaas P.A. Zuithoff, D. Van den Bongard, A. M. May |
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| Přispěvatelé: | Academic Medical Center |
| Rok vydání: | 2019 |
| Předmět: |
Oncology
Adult medicine.medical_specialty Physical activity MEDLINE Breast Neoplasms 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Breast cancer Internal medicine Journal Article Medicine Humans Video-Audio Media Radiology Nuclear Medicine and imaging Comparative Study Patient Reported Outcome Measures skin and connective tissue diseases Exercise Female population Aged Netherlands Hematology business.industry Follow up studies General Medicine Middle Aged medicine.disease Breast Neoplasms/therapy 030220 oncology & carcinogenesis Female business After treatment Follow-Up Studies |
| Zdroj: | Acta Oncologica, 58(5), 673. Informa Healthcare Acta oncologica (Stockholm, Sweden), 58(5), 673-681. Informa Healthcare |
| ISSN: | 0284-186X |
| DOI: | 10.6084/m9.figshare.7680218.v1 |
| Popis: | Background: Physical activity has been shown to reduce side-effects of breast cancer and its treatment. As physical activity levels of patients with breast cancer are largely unknown, we investigated these levels and compared them to women from the general population. Methods: In this prospective cohort study, physical activity levels of women with breast cancer participating in the UMBRELLA cohort were assessed at radiotherapy intake and thereafter every 6 months up to 3 years with the SQUASH questionnaire, which was also used in a random sample of the Dutch population. We compared physical activity levels (no activity, low, moderate or high levels of sports, leisure time or total activity) between patients and the Dutch female population using multinomial logistic regression. Standardized Prevalence Ratios (SPR) were calculated to compare adherence to Dutch physical activity guidelines. Results: Women with breast cancer (nbaseline = 1655, n6 months = 1414, n12 months = 1186, n18 months = 957, n24 months = 744, n30 months = 555, and n36 months = 377) were less likely to spend time in physical activity compared to the general population (n = 11,710) until 3 years post-diagnosis, especially after 6 months (ORhigh-vs.-no activity = 0.34, 95% CI: 0.28–0.41). From 12 months onwards, patients were more likely to perform sports compared to the general population, especially patients who underwent systemic therapy. Guideline adherence was significantly lower in patients at baseline and 6 months (SPRbaseline = 89, 95% CI: 82–97; SPR6 months = 88, 95% CI: 81–96), and comparable to the general population at 12–36 months, especially in older women. Conclusions: Physical activity levels in women with breast cancer during and after treatment were lower compared to the Dutch female population. Three years post-treatment, they were still less physically active, although they spend more time in sport activities. As about half of the patients did not perform any sports, physical activity needs to be stimulated during and after treatment. |
| Databáze: | OpenAIRE |
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