Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors. - OpacWWW

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Tytuł:: Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors.
Autorzy:: Doré I; Scool of Komnesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, 2100, boulevard Édouard-Montpetit, Montreal, Québec, H3T 1J4, Canada. .; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, (CRCHUM), Montreal, Canada. .; School of Public Health, Université de Montréal, Montreal, Canada. .
Plante A; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, (CRCHUM), Montreal, Canada.; School of Public Health, Université de Montréal, Montreal, Canada.
Peck SS; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.
Bedrossian N; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, (CRCHUM), Montreal, Canada.; School of Public Health, Université de Montréal, Montreal, Canada.
Sabiston CM; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.
Źródło:: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2022 Jan; Vol. 30 (1), pp. 785-792. Date of Electronic Publication: 2021 Aug 13.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Berlin : Springer International, c1993-
MeSH Terms:: Breast Neoplasms*/therapy
Cancer Survivors*
Depression/epidemiology ; Depression/etiology ; Exercise ; Fatigue/epidemiology ; Fatigue/etiology ; Female ; Health Promotion ; Humans ; Middle Aged ; Pain/epidemiology ; Pain/etiology ; Sedentary Behavior
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Grant Information:: 28180 Canada CAPMC CIHR; 28180 Canada CAPMC CIHR
Contributed Indexing:: Keywords: Accelerometer; Breast cancer survivors; Depressive symptoms; Fatigue; Longitudinal study; Pain; Physical activity; Sedentary time
Entry Date(s):: Date Created: 20210813 Date Completed: 20211203 Latest Revision: 20211214
Update Code:: 20240105
DOI:: 10.1007/s00520-021-06469-2
PMID:: 34387728
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Introduction: Despite the recommendations for cancer survivors to engage in physical activity (PA), little is known about the effects of both PA and sedentary time (ST) on key health symptoms. This study prospectively examined the lifestyle behaviors of moderate-to-vigorous PA (MVPA) and ST as predictors of depressive symptoms, pain, and fatigue in breast cancer survivors using longitudinal data from early post-treatment to 4-year survivorship.
Methods: Breast cancer survivors (n = 199, mean(SD) age = 55.0(11.0) years) self-reported depressive symptoms, pain, and fatigue, and wore an accelerometer to measure MVPA and ST every 3 months during the first year (times 1 to 5) and 2 and 4 years (times 6 and 8) post-cancer treatment. Linear mixed models were adjusted for personal (e.g., age, BMI, education) and cancer (e.g., stage, time since treatment) variables.
Results: MVPA and ST were independent predictors of depressive symptoms, but not fatigue, and only ST was associated with pain over 4 years post-treatment. Higher levels of MVPA were associated with lower scores of depressive symptoms ([Formula: see text] (95%CI): - 0.062 (- 0.092, - 0.031) p < .001), whereas higher levels of ST were associated with higher scores of depressive symptoms ([Formula: see text] (95%CI): 0.023 (0.017, 0.028) p < .001). Higher levels of ST were associated with increased pain level over time ([Formula: see text] (95%CI): 0.017 (0.007, 0.027) p = .001).
Conclusions: Rehabilitation interventions should aim to both increase MVPA and reduce ST to promote health and well-being among breast cancer survivors, in particular during the early post-treatment period.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

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Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors.