Cancer-related impairments influence physical activity in uterine cancer survivors

Sean M. Hammer, Justin C. Brown, Saya Segal, Christina S. Chu, Kathryn Schmitz

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Introduction: The extent to which physical activity (PA) participation among uterine cancer survivors may be limited by physical and functional impairments (PFI) related to cancer treatment is unknown. We sought to describe PA participation, characterize the prevalence of PFI, and examine the association between PFI status and PA participation within this population.

Methods: We conducted a study using a mailed survey among uterine cancer survivors who received treatment at a university hospital. We asked about PA and PFI using validated self-report questionnaires. PA was calculated using MET-hours per week (METIhIwk-1). PFI was defined as having one or more of the following symptoms: lower limb lymphedema, general pain, fatigue, or severe bladder, bowel, or pelvic issues. Ordinal logistic regression was used to quantify the odds ratio (OR) between PA and PFI.

Results: The response rate to our survey was 43%. Among the 213 study participants, 40%, 13%, 13%, 12%, and 23% reported participating in <3.0, 3.0-8.9, 9.0-17.9, 18.0-26.9, and ≥27.0 METIhIwk-1 of PA, respectively. Walking is the preferred mode of exercise for physically active uterine cancer survivors. Of the survivors, 53% experience at least one PFI. The most common PFI is lower limb lymphedema (36.2%), followed by general pain (22.5%). The OR of PFI decreased as MET-hours per week of PA increased (OR, 0.51; 95% confidence interval, 0.31-0.84; P = 0.009).

Conclusions: The majority of uterine cancer survivors experience PFI that significantly reduce the likelihood of PA participation. PA recommendations for uterine cancer survivors should take into account treatment-related impairments that can affect PA participation.

Original languageEnglish (US)
Pages (from-to)2195-2201
Number of pages7
JournalMedicine and Science in Sports and Exercise
Volume46
Issue number12
DOIs
StatePublished - Dec 10 2014

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Uterine Neoplasms
Survivors
Exercise
Neoplasms
Lymphedema
Odds Ratio
Lower Extremity
Pain
Second Primary Neoplasms
Self Report
Walking
Fatigue
Urinary Bladder
Logistic Models

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Hammer, Sean M. ; Brown, Justin C. ; Segal, Saya ; Chu, Christina S. ; Schmitz, Kathryn. / Cancer-related impairments influence physical activity in uterine cancer survivors. In: Medicine and Science in Sports and Exercise. 2014 ; Vol. 46, No. 12. pp. 2195-2201.
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abstract = "Introduction: The extent to which physical activity (PA) participation among uterine cancer survivors may be limited by physical and functional impairments (PFI) related to cancer treatment is unknown. We sought to describe PA participation, characterize the prevalence of PFI, and examine the association between PFI status and PA participation within this population.Methods: We conducted a study using a mailed survey among uterine cancer survivors who received treatment at a university hospital. We asked about PA and PFI using validated self-report questionnaires. PA was calculated using MET-hours per week (METIhIwk-1). PFI was defined as having one or more of the following symptoms: lower limb lymphedema, general pain, fatigue, or severe bladder, bowel, or pelvic issues. Ordinal logistic regression was used to quantify the odds ratio (OR) between PA and PFI.Results: The response rate to our survey was 43{\%}. Among the 213 study participants, 40{\%}, 13{\%}, 13{\%}, 12{\%}, and 23{\%} reported participating in <3.0, 3.0-8.9, 9.0-17.9, 18.0-26.9, and ≥27.0 METIhIwk-1 of PA, respectively. Walking is the preferred mode of exercise for physically active uterine cancer survivors. Of the survivors, 53{\%} experience at least one PFI. The most common PFI is lower limb lymphedema (36.2{\%}), followed by general pain (22.5{\%}). The OR of PFI decreased as MET-hours per week of PA increased (OR, 0.51; 95{\%} confidence interval, 0.31-0.84; P = 0.009).Conclusions: The majority of uterine cancer survivors experience PFI that significantly reduce the likelihood of PA participation. PA recommendations for uterine cancer survivors should take into account treatment-related impairments that can affect PA participation.",
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Cancer-related impairments influence physical activity in uterine cancer survivors. / Hammer, Sean M.; Brown, Justin C.; Segal, Saya; Chu, Christina S.; Schmitz, Kathryn.

In: Medicine and Science in Sports and Exercise, Vol. 46, No. 12, 10.12.2014, p. 2195-2201.

Research output: Contribution to journalArticle

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AU - Hammer, Sean M.

AU - Brown, Justin C.

AU - Segal, Saya

AU - Chu, Christina S.

AU - Schmitz, Kathryn

PY - 2014/12/10

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N2 - Introduction: The extent to which physical activity (PA) participation among uterine cancer survivors may be limited by physical and functional impairments (PFI) related to cancer treatment is unknown. We sought to describe PA participation, characterize the prevalence of PFI, and examine the association between PFI status and PA participation within this population.Methods: We conducted a study using a mailed survey among uterine cancer survivors who received treatment at a university hospital. We asked about PA and PFI using validated self-report questionnaires. PA was calculated using MET-hours per week (METIhIwk-1). PFI was defined as having one or more of the following symptoms: lower limb lymphedema, general pain, fatigue, or severe bladder, bowel, or pelvic issues. Ordinal logistic regression was used to quantify the odds ratio (OR) between PA and PFI.Results: The response rate to our survey was 43%. Among the 213 study participants, 40%, 13%, 13%, 12%, and 23% reported participating in <3.0, 3.0-8.9, 9.0-17.9, 18.0-26.9, and ≥27.0 METIhIwk-1 of PA, respectively. Walking is the preferred mode of exercise for physically active uterine cancer survivors. Of the survivors, 53% experience at least one PFI. The most common PFI is lower limb lymphedema (36.2%), followed by general pain (22.5%). The OR of PFI decreased as MET-hours per week of PA increased (OR, 0.51; 95% confidence interval, 0.31-0.84; P = 0.009).Conclusions: The majority of uterine cancer survivors experience PFI that significantly reduce the likelihood of PA participation. PA recommendations for uterine cancer survivors should take into account treatment-related impairments that can affect PA participation.

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