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Berretta M, Garozzo D, Foti C, Roselli M, Materazzo M, Vita G, Iellamo F, Scordari M, Di Mauro G, Spatari G, Ottaiano A, Noce A, Pelicciaro M, Bignucolo A, Vanni G, Buonomo OC. Implementing fencing as adapted physical activity in non-metastatic breast cancer patients: design and early rehabilitation strategy of the FENICE study protocol. Front Oncol 2024; 14:1407919. [PMID: 39184037 PMCID: PMC11341382 DOI: 10.3389/fonc.2024.1407919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Accepted: 07/24/2024] [Indexed: 08/27/2024] Open
Abstract
Background Improving prognosis of BC patients has drawn the attention of health care professionals on disease related long-term side effects and on the multiple treatments BC patients must undergo. Despite advances in procedures, surgery still has multiple detrimental effects, including pain, edema, and limited mobility. For this reason, fostering adapted physical activity (APA) and healthy lifestyle (including a balanced diet and weight management) should become an everyday purpose of healthcare professionals. Fencing may be a well-suited activity to counteract fatigue, pain, and limited arm mobility. Method and analysis The FENICE study is a mono-center, randomized clinical trial targeting women with BC stages I-III within four weeks from BC surgery. Participants in the control arm will receive the usual recommendations based on the good clinical practice guidelines. In the study arm, participants will be treated with the usual clinical and therapeutic recommendations together with APA and correct lifestyle suggestions. Objective The primary objective of the study is to compare whether implementation of APA and healthy lifestyle in BC patient after surgery will result in an overall improvement of physical and mental status. Conclusion Fencing and its early application in postoperative period may represent a feasible strategy to be implemented in the rehabilitation journey of BC patients. Ethics and dissemination The study protocol FENICE has been approved by an Italian Ethics Committee on May 2023 (R.S 100.23 5th May 2023).
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Affiliation(s)
- Massimiliano Berretta
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Daniele Garozzo
- Department of Clinical Science and Translational Medicine and School of Sports Medicine, University Tor Vergata, Rome, Italy
| | - Calogero Foti
- Physical and Rehabilitation Medicine, Tor Vergata University, Rome, Italy
| | - Mario Roselli
- Medical Oncology Unit, Department of Systems Medicine, Tor Vergata University Hospital, Rome, Italy
| | - Marco Materazzo
- Breast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, Rome, Italy
| | - Giulia Vita
- Physical and Rehabilitation Medicine, Tor Vergata University, Rome, Italy
| | - Ferdinando Iellamo
- Department of Clinical Science and Translational Medicine and School of Sports Medicine, University Tor Vergata, Rome, Italy
| | - Marco Scordari
- Physical and Rehabilitation Medicine, Tor Vergata University, Rome, Italy
| | - Giordana Di Mauro
- School of Specialization in Medical Oncology, University of Messina, Messina, Italy
| | - Giovanna Spatari
- Department of Biomedical and Dentistry Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Alessandro Ottaiano
- Istituto Nazionale Tumori di Napoli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) “G. Pascale”, Napoli, Italy
| | - Annalisa Noce
- Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
- UOSD Nephrology and Dialysis, Policlinico Tor Vergata, Rome, Italy
| | - Marco Pelicciaro
- Breast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, Rome, Italy
| | - Alessia Bignucolo
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Gianluca Vanni
- Breast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, Rome, Italy
| | - Oreste Claudio Buonomo
- Breast Unit, Department of Surgical Science, PTV Policlinico Tor Vergata University, Rome, Italy
- Department of Health Science, University of Basilicata, Potenza, Italy
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Bayyat MM, Amarin R, AlDabbas H, Akkawi M. Quality of life and physical activity levels among colorectal cancer patients: An observational study. Medicine (Baltimore) 2024; 103:e38778. [PMID: 38996152 PMCID: PMC11245208 DOI: 10.1097/md.0000000000038778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 06/11/2024] [Indexed: 07/14/2024] Open
Abstract
This study investigated the influence of physical activity on the quality of life of patients with postsurgical colorectal cancer in Jordan. A total of 108 colorectal cancer patients aged ≥18 years who underwent surgery at the King Hussein Cancer Center participated voluntarily. The exclusion criteria were severe comorbidities, absolute contraindications to physical activity, and concurrent cancers. Data collection involved phone interviews using The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and the Godin Leisure Time Exercise Questionnaire due to coronavirus disease 2019 restrictions. Significant positive differences in the quality of life subcategory "physical score" were observed between active and less active patients, favoring the active group. However, no significant differences were found in the impact of physical roles on quality of life between active and less active patients. Participation in physical activity is associated with enhanced physical function in both active and less active colorectal cancer patients. We recommend the implementation of physical activity programs and clinics at King Hussein Cancer Center. Future experimental studies assessing the impact of tailored physical activity training on quality of life are warranted.
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Affiliation(s)
- Manal M. Bayyat
- School of Sport Sciences, University of Jordan, Amman, Jordan
| | - Rula Amarin
- Department of Medical Oncology, King Hussein Cancer Center (KHCC), Amman, Jordan
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Hasnaoui S, Van Hoye A, Soudant M, Rotonda C, Carvalho de Freitas A, Peiffert D, Delattre C, Raft J, Temperelli M, Allado E, Hily O, Chenuel B, Hornus-Dragne D, Omorou AY, Poussel M. Evaluating the feasibility and acceptability of an adapted fencing intervention in breast cancer surgery post-operative care: the RIPOSTE pilot randomized trial. Front Oncol 2024; 14:1335442. [PMID: 38665959 PMCID: PMC11043494 DOI: 10.3389/fonc.2024.1335442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 03/25/2024] [Indexed: 04/28/2024] Open
Abstract
Background Adapted physical activity programs have shown promising results in reducing the physical, social and psychological side effects associated with breast cancer, but the extent to which they can be effectively adopted, implemented and maintained is unclear. The aim of this study is to use the framework to guide the planning and evaluation of programs according to the 5 following keys: Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework to evaluate a fencing program under the French acronym RIPOSTE (Reconstruction, Image de soi, Posture, Oncologie, Santé, Thérapie, Escrime) literally in English (Reconstruction, Self-Image, Posture, Oncology, Health, Therapy, Fencing). This program is an innovative intervention focused on improving the quality of life (QoL) of breast cancer surgery patients through fencing. Methods A convergent mixed methods pilot study was conducted to preliminary evaluate the different RE-AIM dimension of the pilot program. Twenty-four participants who have just undergone surgery for invasive breast cancer were randomly allocated in two groups: one group started immediately after their inclusion (Early RIPOSTE group) and the other started 3 months following their inclusion (Delayed RIPOSTE group). Participants answered a questionnaire at inclusion and at the end of the program on QoL, shoulder functional capacity, fatigue, anxiety-depression and physical activity. Results RIPOSTE program was able to reach mainly young and dynamic participants, attracted by the originality of fencing and keen to improve their physical condition. Regarding effectiveness, our results suggest a trend to the improvement of QoL, shoulder functional capacity, fatigue and anxiety-depression state, even without any significant differences between the Early RIPOSTE group and the Delayed RIPOSTE group. Discussions The cooperation, exchanges and cohesion within the group greatly facilitated the adoption of the program, whereas interruptions during school vacations were the main barriers. The intervention was moderately well implemented and adherence to the protocol was suitable. Conclusion RIPOSTE is an acceptable and effective program for involving breast cancer survivors in physical activity, that needs to be tested at a larger scale to investigate its effectiveness, but has the potential to be transferred and scaled up worldwide.
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Affiliation(s)
- Sabrine Hasnaoui
- Université de Lorraine, INSERM, UMR 1319, INSPIIRE, Nancy, France
| | - Aurélie Van Hoye
- Université de Lorraine, INSERM, UMR 1319, INSPIIRE, Nancy, France
- University of Limerick, Physical Activity for Health Research Center, Limerick, Ireland
| | - Marc Soudant
- Université de Lorraine, CHRU-Nancy, Inserm CIC-1433 Clinical Epidemiology, Nancy, France
| | - Christine Rotonda
- Université de Lorraine, INSERM, UMR 1319, INSPIIRE, Metz, France
- Université de Lorraine, Centre Pierre Janet, Metz, France
| | | | - Didier Peiffert
- Université de Lorraine, INSERM, UMR 1319, INSPIIRE, Nancy, France
- Lorraine Institute of Oncology, Department of Radiation Oncology, Vandoeuvre-Lès-Nancy, France
| | - Cécile Delattre
- Lorraine Institute of Oncology, Supportive Care Unit, Vandoeuvre-Lès-Nancy, France
| | - Julien Raft
- Lorraine Institute of Oncology, Department of Anesthesiology, Vandoeuvre-Lès-Nancy, France
- Université de Lorraine, INSERM UMR-S 1116 Equipe 2, Nancy, France
| | - Margaux Temperelli
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
| | - Edem Allado
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
- Université de Lorraine, DevAH, Department of Physiology, Nancy, France
| | - Oriane Hily
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
| | - Bruno Chenuel
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
- Université de Lorraine, DevAH, Department of Physiology, Nancy, France
| | | | - Abdou Y. Omorou
- Université de Lorraine, INSERM, UMR 1319, INSPIIRE, Nancy, France
- Université de Lorraine, CHRU-Nancy, Inserm CIC-1433 Clinical Epidemiology, Nancy, France
- The French National Platform Quality of Life and Cancer, Nancy, France
| | - Mathias Poussel
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
- Université de Lorraine, DevAH, Department of Physiology, Nancy, France
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Nyrop KA, Page A, Deal AM, Wagoner C, Kelly EA, Kimmick GG, Copeland A, Speca J, Wood WA, Muss HB. Association of self-directed walking with toxicity moderation during chemotherapy for the treatment of early breast cancer. Support Care Cancer 2023; 32:68. [PMID: 38153568 DOI: 10.1007/s00520-023-08275-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 12/18/2023] [Indexed: 12/29/2023]
Abstract
BACKGROUND In the field of exercise oncology, there is a need to quantify the potential benefits of moderate, self-directed physical activity during active treatment. In a pooled analysis of three identical single-arm intervention studies, we investigate the association of activity tracker steps with patient-reported toxicities during chemotherapy. METHODS Women with early breast cancer who were enrolled in the intervention studies reported their symptom severity every 2-3 weeks throughout chemotherapy, and daily steps were documented through a Fitbit activity tracker. Relative risks (RR) and 95% confidence intervals (CI) were calculated using Poisson regression models with robust variance. For outcomes significant in unadjusted models, adjusted RRs were calculated controlling for race, age, and education level. Tracker step cut point (high step, low step) was determined by the means. Cumulative incidence functions of moderate, severe, and very severe (MSVS) symptoms were estimated using the Kaplan-Meier method and compared using a Cox proportional hazard model. RESULTS In a sample of 283 women, mean age was 56 years and 76% were White. Mean tracker-documented steps/week were 29,625, with 55% walking below the mean (low step) and 45% above (high step). In multivariable analysis, high step patients had lower risk for fatigue [RR 0.83 (0.70, 0.99)] (p = 0.04), anxiety [RR 0.59 (0.42, 0.84)] (p = 0.003), nausea [RR 0.66 (0.46, 0.96)] (p = 0.03), depression [RR 0.59 (0.37, 0.03)] (p = 0.02), and ≥ 6 MSVS symptoms [RR 0.73 (0.54, 1.00)] (p = 0.05) and had 36% lower risk for dose reductions [RR 0.64 (95% CI 0.43, 0.97)] (p = 0.03). CONCLUSION Self-directed walking at a rate of at least 30,000 steps/week may moderate the severity of treatment side effects during chemotherapy for early breast cancer. TRIAL NUMBERS NCT02167932, NCT02328313, NCT03761706.
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Affiliation(s)
- K A Nyrop
- Division of Oncology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA.
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA.
| | - A Page
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - A M Deal
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - C Wagoner
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - E A Kelly
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | | | | | - JoEllen Speca
- UNC Rex Cancer Care, UNC Rex Healthcare, Raleigh, USA
| | - William A Wood
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
- Division of Hematology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - H B Muss
- Division of Oncology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, USA
- Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, USA
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Herranz-Gómez A, Cuenca-Martínez F, Suso-Martí L, Varangot-Reille C, Prades-Monfort M, Calatayud J, Casaña J. Effectiveness of Therapeutic Exercise Models on Cancer-Related Fatigue in Patients With Cancer Undergoing Chemotherapy: A Systematic Review and Network Meta-analysis. Arch Phys Med Rehabil 2023; 104:1331-1342. [PMID: 36736602 DOI: 10.1016/j.apmr.2023.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 01/08/2023] [Accepted: 01/11/2023] [Indexed: 02/04/2023]
Abstract
OBJECTIVE To assess and compare the effectiveness of different exercise modalities in reducing cancer-related fatigue (CRF) in patients with cancer undergoing chemotherapy. Exercise intensities for selected exercise types were also compared. DATA SOURCES We conducted a search in MEDLINE, Embase, CINAHL, Scopus, SPORTDiscus, and Web of Science from inception to October 15, 2021. STUDY SELECTION Randomized controlled trials concerning the effectiveness of exercise modalities on CRF in patients with cancer undergoing chemotherapy were included. DATA EXTRACTION Study characteristics were extracted using a structured protocol. Methodological quality was assessed employing the PEDro scale and risk of bias was assessed using the Revised Cochrane Risk of Bias Tool for Randomized Trials. The certainty of evidence was assessed based on Grading of Recommendations, Assessment, Development and Evaluation. The measure of effect used was the adjusted standardized mean difference (SMD) or Hedge's g, together with the corresponding 95% confidence intervals (CI). DATA SYNTHESIS Forty-seven studies were included. Data were pooled employing a random-effects model. There was a trend that adding low-intensity aerobic and resistance exercise (SMD=1.28, 95% CI -0.18; 2.75, P=.086), or moderate-intensity aerobic and resistance exercise (SMD=0.85; 95% CI -0.12; 1.82, P=.087), was more effective than adding flexibility training to usual care (UC). There was also a trend that UC alone was less effective than adding moderate-intensity aerobic and resistance exercise (SMD=-0.47, 95% CI -0.96, 0.02, P=.060) to UC. CONCLUSIONS The addition of low- to moderate-intensity aerobic and/or resistance exercise demonstrated a positive trend for improvement in CRF in patients with cancer undergoing chemotherapy, when compared with UC alone or UC with flexibility training.
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Affiliation(s)
- Aida Herranz-Gómez
- Department of Physiotherapy, Faculty of Health Sciences, European University of Valencia, Valencia, Spain; Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Ferran Cuenca-Martínez
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain.
| | - Luis Suso-Martí
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | | | - Miriam Prades-Monfort
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Joaquín Calatayud
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
| | - Jose Casaña
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain
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Chen L, Xu X. Relationships between the Physical Activity Intensity and the Medical Expenditure of Middle-Aged and Elderly People: Parsing from the CHARLS Database. Behav Sci (Basel) 2023; 13:566. [PMID: 37504013 PMCID: PMC10376150 DOI: 10.3390/bs13070566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 06/24/2023] [Accepted: 07/03/2023] [Indexed: 07/29/2023] Open
Abstract
There are many studies on the impact of physical activity on health but few studies on the relationship between physical activity and medical expenditure among the elderly. Based on the China Health and Retirement Longitudinal Survey (CHARLS) database and selected 4456 valid samples, this paper used a two-part model to analyze the effects of high, moderate, and low physical activity intensity on medical expenditure. It is found that the intensity of physical activity was negatively correlated with medical expenditure, and the medical expenditure of the high physical activity intensity group was significantly lower than that of the low physical activity intensity group. For example, compared to people with no physical activity, the total medical expenditure decreased by 22.4%, 40.4%, and 62.5% per week in those with low, moderate, and high physical activity intensity. Thus, the government should provide more places for the elderly to exercise, planning special exercise areas for the elderly in community playgrounds, such as a dancing square, which will also help the elderly to increase their amount of exercise per week and develop a daily exercise habit.
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Affiliation(s)
- Linhong Chen
- School of Marxism, Chongqing Technology and Business University, Chongqing 400067, China
| | - Xiaocang Xu
- School of Economics and Management, Huzhou University, Huzhou 313000, China
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Omorou AY, Peiffert D, Rotonda C, Van Hoye A, Allado E, Hily O, Temperelli M, Chenuel B, Hornus-Dragne D, Poussel M. Adapted Fencing for Patients With Invasive Breast Cancer: The RIPOSTE Pilot Randomized Controlled Trial. Front Sports Act Living 2022; 4:786852. [PMID: 35425895 PMCID: PMC9002110 DOI: 10.3389/fspor.2022.786852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 03/08/2022] [Indexed: 11/13/2022] Open
Abstract
IntroductionEven if indications for mastectomy have been progressively reduced in loco-regional breast cancer (BC) treatment, the harmful effects of surgery are still numerous and can impact physical and psychological wellbeing of women. The RIPOSTE (Reconstruction, self-Image, Posture, Oncology, “Santé”-Health, Therapy, “Escrime”-Fencing) program aimed to propose adapted fencing to patients with BC. This study aims to investigate the effect and conditions of effectiveness of the RIPOSTE program.Methods and analysisThis is a prospective randomized controlled trial including 24 patients with invasive BC who have just undergone surgery. The study will be proposed to the patient and if interested, the patient will be referred to a sports physician for a medico-sportive evaluation. At the end the evaluation, if the patient meets the inclusion criteria, she will be randomly assigned to one of the 2 groups based on a 1:1 principle: Early RIPOSTE group (receive one fencing session per week for 3 months immediately after their inclusion), Delayed RIPOSTE group (receive one fencing session per week for 3 months but within the 3 months following their inclusion). Patients will be included for 6 months with 3 follow-up times (0, 3, and 6 months) by a sport physician. The primary outcome is the evolution of quality of life score. Secondary outcomes are disability score, fatigue, anxiety-depression, cost-effectiveness and process evaluation.Ethics and disseminationThe study protocol has been approved by a French ethics committee (CPP Sud Méditerranée IV, N°ID-RCB: 2020-A01916-33). Results will be submitted for publication, at scientific conferences and through press releases.Trial RegistrationNCT04627714.
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Affiliation(s)
- Abdou Y. Omorou
- Université de Lorraine, CHRU-Nancy, Inserm CIC-1433 Clinical Epidemiology, Nancy, France
- Université de Lorraine, Apemac, Nancy, France
- The French National Platform Quality of Life and Cancer, Nancy, France
| | - Didier Peiffert
- Université de Lorraine, Apemac, Nancy, France
- Lorraine Institute of Oncology, Department of Radiation Oncology, Vandoeuvre-Lès-Nancy, France
| | - Christine Rotonda
- Université de Lorraine, Apemac, Nancy, France
- Université de Lorraine, Centre Pierre Janet, Metz, France
| | | | - Edem Allado
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
- Université de Lorraine, DevAH, Department of Physiology, Nancy, France
| | - Oriane Hily
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
| | - Margaux Temperelli
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
| | - Bruno Chenuel
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
- Université de Lorraine, DevAH, Department of Physiology, Nancy, France
| | | | - Mathias Poussel
- Université de Lorraine, CHRU-Nancy, University Centre of Sports Medicine and Adapted Physical Activity, Nancy, France
- Université de Lorraine, DevAH, Department of Physiology, Nancy, France
- *Correspondence: Mathias Poussel
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A Meta-Analysis: Intervention Effect of Mind-Body Exercise on Relieving Cancer-Related Fatigue in Breast Cancer Patients. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2021; 2021:9980940. [PMID: 34285706 PMCID: PMC8275388 DOI: 10.1155/2021/9980940] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 05/12/2021] [Accepted: 06/16/2021] [Indexed: 11/17/2022]
Abstract
Objective This paper aims to systematically evaluate the intervention effect of mind-body exercise on cancer-related fatigue in breast cancer patients. Methods Databases including PubMed, the Cochrane Library, Embase, Web of Science, CNKI, Wanfang Data, and SINOMED were retrieved to collect randomized controlled trials on the effects of mind-body exercise on relieving cancer-related fatigue in breast cancer patients. The retrieval period started from the founding date of each database to January 6, 2021. Cochrane bias risk assessment tools were used to evaluate the methodological quality assessment of the included literature, and RevMan 5.3 software was used for meta-analyses. Results 17 pieces of researches in 16 papers were included with a total of 1133 patients. Compared with the control group, mind-body exercise can improve cancer-related fatigue in breast cancer patients. The combined effect size SMD = 0.59, 95% CI was [0.27, 0.92], p < 0.00001. Doing Tai Chi for over 40 minutes each time with an exercise cycle of ≤6 weeks can improve cancer-related fatigue in breast cancer patients more significantly. Sensitivity analysis shows that the combined effect results of the meta-analysis were relatively stable. Conclusion Mind-body exercise can effectively improve cancer-related fatigue in breast cancer patients.
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Karpukhina Y, Vasylieva N, Grygus I, Muszkieta R, Zukow W. Study of quality of life and effectiveness of physical therapy of women after mastectomy in the COVID-19 pandemic conditions. BALNEO RESEARCH JOURNAL 2020. [DOI: 10.12680/balneo.2020.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
In case of oncological disease there is a deterioration of patients’ quality of life as such of its characteristics as physiological, psychological, emotional and social decrease. These problems are especially worsened by additional threats of social life. Today, such a challenge to the health of all mankind, and especially cancer patients, is the global pandemic caused by the spread of coronavirus disease COVID-19. Fear of death and loss of loved ones, isolation, economic shock and uncertainty about the future – all this certainly affects the quality of life, especially for patients after mastectomy, because they were already in emotional and physiological stress. The problem of determining the patients’ quality of life after mastectomy and correcting the nature of the personal reaction to the disease in the coronavirus pandemic is an integral part of the physical rehabilitation programme.
The objective of the study: to assess the quality of life and effectiveness of physical rehabilitation programmes of women after mastectomy in the conditions of pandemic COVID-19.
Research methods. The study involved 36 women aged from 42-69, who underwent radical mastectomy and were receiving adjuvant treatment at the Kherson Regional Oncological Center. To restore their health, the patients passed an author's programme of physical therapy for people after radical mastectomy. The methodology of building the author's programme was based on continuity, phasing and its implementation both in the mammology department and at home. The quality of life parameters and the volume indicators of mobility of the joints of the upper extremity were evaluated by the operated part before the application of physical therapy methods (early hospital period), after physical therapy (late hospital period) and after discharge from a hospital, but women continued to perform rehabilitation measures independently and were at home during the COVID-19 pandemic (post-hospital period + quarantine). To assess the quality of life, we used the questionnaire "MOS SF-36", which was used at each stage of rehabilitation.
Research results. Based on the conducted goniometry of women after radical mastectomy, it can be concluded that the amplitude of movements in the shoulder joint differs significantly at all periods of physical therapy (early hospital period, late hospital period and post-hospital period + quarantine) from the standard indicators. Extension of the shoulder among most women after the application of an individual rehabilitation programme has fully recovered, forced quarantine and lack of general physical activity did not affect this indicator. Independent performance of therapeutic gymnastics (in the post-hospital period + quarantine) did not significantly improve this indicator and did not lead to complete recovery of movement. The analysis of the obtained results showed that among women, who underwent mastectomy under the influence of physical exercises, already in the late hospital period of rehabilitation, there was not only an improvement in joint mobility, but there was an improvement in quality of life. At the same time, women in the post-hospital period of physical rehabilitation, which coincided with the quarantine period, there was a slight decrease in quality of life. Namely: there was a decrease in physical activity (PF) by 4.5%, which indicated a decrease in daily physical activity; it was found that the role of physical problems in the limitation of vital functions (RF) decreased by 2.7% (this indicator reflected the impact of physical condition on daily role activities). Low RF values indicate that daily activities are significantly limited by the patient's physical condition; women noted an increase in pain indicator (BP) by 9.6% and its effect on the ability to engage in daily activities, which led to limited activity of patients; deterioration of mental health (MH) – by 3.8%, which was characterized by low mood, depression, anxiety and a decrease in the overall rate of positive emotions. Low scores indicated the presence of depressive, anxious experience and mental distress; decrease of the indicator of role functioning, which is due to emotional state (RE), during forced quarantine by 13.6%, interpreted as a restriction in the performance of daily work, which is due to the deterioration of emotional state; vital activity parameters (VT) decreased during quarantine by 11.7%. The obtained indicators testified to higher fatigue of patients, decrease of their vital activity and decrease of their vivacity.
Conclusions. Quarantine conditions and self-isolation, which appeared during the spread of coronavirus disease, are an additional source of concern for patients after mastectomy and have identified a decline in their quality of life and the effectiveness of physical therapy in general. Although before the quarantine measures, the indicators of quality of life and mobility of the shoulder joints on the operated side were significantly increased under the influence of the physical therapy programme for this category of patients.т Assessment of the quality of life of patients after mastectomy is an integral characteristic of physical, mental, social and spiritual condition, which allows determining the effectiveness of physical rehabilitation measures. Therefore, the assessment of the life quality of women after mastectomy, which is made by the patients themselves, is a secure and reliable indicator of their general condition under normal conditions and during the pandemic period of coronavirus disease. The obtained data on the quality of life allow for constant monitoring of the patients’ general condition after undergoing surgery on the mammary, as well as timely, if necessary, to adjust the physical therapy programme.
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Affiliation(s)
| | | | - Igor Grygus
- 2. Institute of Health Sciences, National University of Water and Environmental, Rivne, Ukraine
| | | | - Walery Zukow
- 3. Nicolaus Copernicus University, Toruń, Poland
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10
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Zhou K, Huo L, He X, Li M, An J, Wang W, Li J, Li X. The Needs Self-Rating Questionnaire for Breast Cancer (NSQ-BC): Development of a tool for the needs assessment of women with breast cancer in mainland China. J Eval Clin Pract 2019; 25:889-895. [PMID: 30773748 DOI: 10.1111/jep.13113] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Revised: 01/17/2019] [Accepted: 01/18/2019] [Indexed: 01/03/2023]
Abstract
RATIONALE, AIMS, AND OBJECTIVES A needs assessment tool considering the cultural background of mainland China has not been reported. This study developed a Needs Self-rating Questionnaire for Breast Cancer (NSQ-BC) based on Maslow's hierarchy of needs for mainland Chinese patients. METHODS The Delphi technique and pilot cross-sectional surveys (two rounds) were performed for item selection. In the Delphi technique, items were selected according to the experts' perspective on the item's significance (ie, 1-5 Likert-scale ratings of importance; mean > 4.0 and coefficients of variation <0.25). In the pilot cross-sectional surveys, items were selected according to internal consistency reliability (Cronbach's α ≥ 0.70), discriminant validity (stronger correlations of the item with the hypothesized subscale than for other subscales), and convergent validity (hypothesized item-subscale correlations ≥0.40). All decisions were made based on the results of statistical analyses, recommendations of the experts, and in-depth discussion among research team members. RESULTS Following the two evaluation rounds, the revised NSQ-BC comprised 26 items across five subscales of needs: physical, psychological, respect/self-esteem, information, and rehabilitation. Item ratings from the expert panellists met the aforementioned criteria (ie, Kendall's W = 0.329, P < 0.001). Except for the "respect/self-esteem needs" subscale, Cronbach's α for all subscales exceeded 0.70. All items had acceptable discriminant and convergent validity. Additionally, two new items-good environment/facilities and economic support-were added to the NSQ-BC, as recommended by the experts. CONCLUSIONS The NSQ-BC was developed fully via the comprehensive use of Delphi technique and pilot cross-sectional surveys. It provides evidence of a proper instrument for needs assessment and evaluation among women with breast cancer in mainland China.
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Affiliation(s)
- Kaina Zhou
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Lanting Huo
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Xiaole He
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Minjie Li
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Jinghua An
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Wen Wang
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Jin Li
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Xiaomei Li
- School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
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11
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Van Hoye A, Omorou Y, Rotonda C, Gendarme S, Tarquinio C, Houtmann B, Peiffert D, Longo R, Martin-Krumm C. Psychological and social determinants of physical activity from diagnosis to remission among French cancer patients (PERTINENCE): protocol for a mixed-method study. BMC Public Health 2019; 19:1053. [PMID: 31387577 PMCID: PMC6683471 DOI: 10.1186/s12889-019-7368-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Accepted: 07/24/2019] [Indexed: 11/21/2022] Open
Abstract
Background Many effective physical activity (PA) interventions have focused on individual factors or a single theoretical model, limiting our understanding of the determinants of PA practice and their interactions in the cancer trajectory. The present mixed-method study aims to capture social and psychological determinants of PA practice from diagnosis to remission among cancer patients, and to identify key levers for PA practice. Methods/design A nested sequential mixed-method design QUAN (QUAL+QUAL) will be used, with qualitative studies embedded in the quantitative study to broaden our understanding of the determinants of PA practice. The design is sequential, since qualitative data on medical staff will be collected before patient inclusion (Phase 1), followed by quantitative patient data collection lasting one year (Phase 2) and a final qualitative data collection one year after inclusion (Phase 3). Phase 1 will be a case study in the two hospitals involved in the study, exploring knowledge of and support for PA practice among medical staff. Through interviews and documental analyses, the PA support dynamic will be evaluated with regard to PA prescription. Phase 2 will be a one-year observational study among 693 cancer patients. Quantitative medical, social, dispositional and psychological data, PA practices and preferences, will be collected at diagnosis, and six months and one year thereafter. Phase 3 will be a retrospective study, evaluating societal and policy factors, as well as unexpected factors playing a role in PA levels and preferences among cancer patients. For this phase thirty patients will be identified six months after inclusion on the basis of their PA profiles. Quantitative data will provide the main dataset, whilst qualitative data will complete the picture, enabling determinants of PA practice and their interactions to be captured throughout the cancer trajectory. Discussion The present study aims to identify key levers and typical trajectories for PA practice among cancer patients, adapted to different times in the course of cancer and taking into account “what works”, “for whom”, “where” and “how”. The challenge is the tailoring of PA interventions to patients at different times in their cancer trajectory, and the implication of medical staff support. Trial registration Clinical Trial NCT03919149, 18 April 2019. Prospectively registered.
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Affiliation(s)
- Aurélie Van Hoye
- University of Lorraine, EA4360 APEMAC, Rue du Jardin Botanique 30, 54600, Villers-les- Nancy, France.
| | - Yacobou Omorou
- University of Lorraine, EA4360 APEMAC, Rue du Jardin Botanique 30, 54600, Villers-les- Nancy, France.,Inserm, CIC-1433 Clinical Epidemiology, Nancy University Hospital, Nancy, France.,National Clinical Research Platform for Quality of Life in Oncology, Besançon, France
| | - Christine Rotonda
- University of Lorraine, EA4360 APEMAC, Rue du Jardin Botanique 30, 54600, Villers-les- Nancy, France.,Centre Pierre Janet, 57000, Metz, France
| | | | - Cyril Tarquinio
- University of Lorraine, EA4360 APEMAC, Rue du Jardin Botanique 30, 54600, Villers-les- Nancy, France.,Centre Pierre Janet, 57000, Metz, France
| | - Bastien Houtmann
- University of Lorraine, EA4360 APEMAC, Rue du Jardin Botanique 30, 54600, Villers-les- Nancy, France
| | | | - Raffaele Longo
- Service d'oncologie, CHR Metz-Thionville, 57000, Metz, France
| | - Charles Martin-Krumm
- University of Lorraine, EA4360 APEMAC, Rue du Jardin Botanique 30, 54600, Villers-les- Nancy, France.,Laboratoire de Psychologie de l'Ecole de Psychologues Praticiens de Paris, Paris, France.,Institut de Recherche Biomédicale des Armées (IRBA), Brétigny, France.,ChartUpon EA 4004 Nanterre Paris Ouest, Nanterre, France
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12
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Abdin S, Lavallée JF, Faulkner J, Husted M. A systematic review of the effectiveness of physical activity interventions in adults with breast cancer by physical activity type and mode of participation. Psychooncology 2019; 28:1381-1393. [PMID: 31041830 DOI: 10.1002/pon.5101] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Revised: 04/23/2019] [Accepted: 04/25/2019] [Indexed: 11/10/2022]
Abstract
OBJECTIVES Engaging in physical activity following a diagnosis in breast cancer patients improves both survival rates and psychosocial health outcomes. The factors influencing the effectiveness of physical activity interventions for breast cancer patients remain unclear. This systematic review focuses on two questions: are there differences in outcomes depending on; the mode of physical activity undertaken; and whether group-based, or individual, programmes are proposed. METHODS Five databases were searched (PsycINFO, CINAHL, MEDLINE, EMBASE, and Central). Randomised control trials were included if they reported an intervention aiming to increase physical activity amongst breast cancer patients. A total of 1561 records were screened with 17 studies identified for final inclusion. Data extraction and risk of bias analysis were undertaken. A meta-analysis was not possible due to methodological differences between studies. RESULTS Findings indicate no evident differences in outcomes based on exercise mode adopted. There are some indications that group interventions may have additional beneficial outcomes, in comparison to individual interventions, but this conclusion cannot be drawn definitively due to confounds within study designs, lack of group-based intervention designs, and overall lack of long-term intervention effects. CONCLUSIONS Although there are no indications of negative intervention effects, only 6 of 17 trials demonstrated significant intervention effects were maintained. Greater transparency in reporting of interventions, and research enabling a comparison of physical activity delivery and mode is needed to determine optimum physical activity interventions to maintain patient physical activity and outcomes.
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Affiliation(s)
- Shanara Abdin
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | - Jacqueline F Lavallée
- Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
| | - James Faulkner
- Department of Sport, Exercise and Health, University of Winchester, Winchester, UK
| | - Margaret Husted
- Psychology Department, University of Winchester, Winchester, UK
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13
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Zhou K, Wang W, An J, Li M, Li J, Li X. Effects of Progressive Upper Limb Exercises and Muscle Relaxation Training on Upper Limb Function and Health-Related Quality of Life Following Surgery in Women with Breast Cancer: A Clinical Randomized Controlled Trial. Ann Surg Oncol 2019; 26:2156-2165. [DOI: 10.1245/s10434-019-07305-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Indexed: 12/21/2022]
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14
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Boing L, Pereira GS, Vieira MDCS, Seemann T, Cardoso AA, Sperandio FF, Borgatto AF, Baptista F, Guimarães ACDA. PHYSICAL ACTIVITY AND QUALITY OF LIFE IN WOMEN WITH BREAST CANCER – A CROSS-SECTIONAL STUDY. REV BRAS MED ESPORTE 2018. [DOI: 10.1590/1517-869220182405182631] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Introduction: Breast cancer treatment can cause different side effects on the quality of life of women. Physical activity, in turn, can reduce these side effects. Objective: To investigate the physical activity and quality of life of women during and after breast cancer treatment. Methods: Sample of 174 women (57.0±9.5 years) during or after clinical treatment for breast cancer. Interview questionnaire composed of general information, physical activity (IPAQ short version) and quality of life (EORTC QLQ-C30 and BR23). For statistical analysis chi-squared test or Fisher's exact test, student's t-test for independent samples, Mann-Whitney U test and multiple logistic regression analyses (p <0.05). Results: Most women did not achieve the physical activity guidelines, particularly those undergoing clinical treatment. Results showed longer walking time, moderate physical activity, vigorous physical activity, moderate + vigorous physical activity, and total physical activity among the women following completion of treatment. The quality of life scores were also higher among women after clinical treatment. Logistic regression indicated that every 10-minute increment to walking time results in a 19% decrease in the probability of worse functional capacity and a 26% decrease in the probability of worse symptoms associated with treatment side effects. Conclusion: During treatment, women with breast cancer undertake less physical activity and have worse quality of life. Walking appears to be an effective type of physical activity for these women, improving quality of life during and after breast cancer treatment. Level of evidence II; Prognostic studies - Investigation of the effect of patient characteristics on the disease outcome.
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Impact of physical activity on fatigue and quality of life during and after adjuvant treatment for breast cancer. Rev Epidemiol Sante Publique 2018. [DOI: 10.1016/j.respe.2018.05.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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