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Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients
OBJECTIVE: Physical activity plays a key role in cancer survivorship. The purpose of this investigation was to (a) describe the post-surgical physical activity trajectories of endometrial (n = 65) and ovarian (n = 31) cancer patients and (b) identify clinical and demographic predictors of physical a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795433/ https://www.ncbi.nlm.nih.gov/pubmed/31618279 http://dx.doi.org/10.1371/journal.pone.0223791 |
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author | Gorzelitz, Jessica Costanzo, Erin S. Spencer, Ryan J. Rumble, Meredith Rose, Stephen L. Cadmus-Bertram, Lisa |
author_facet | Gorzelitz, Jessica Costanzo, Erin S. Spencer, Ryan J. Rumble, Meredith Rose, Stephen L. Cadmus-Bertram, Lisa |
author_sort | Gorzelitz, Jessica |
collection | PubMed |
description | OBJECTIVE: Physical activity plays a key role in cancer survivorship. The purpose of this investigation was to (a) describe the post-surgical physical activity trajectories of endometrial (n = 65) and ovarian (n = 31) cancer patients and (b) identify clinical and demographic predictors of physical activity over time. METHODS: 96 participants wore an Actiwatch accelerometer for three days at each of three time points (one week, one month and four months) after surgical intervention for their endometrial or ovarian cancer diagnosis. Analyses were conducted using linear mixed effects regression modeling in SAS 9.4. RESULTS: For both tumor types, although physical activity levels increased with time after surgery, even at four months patients were performing only a small fraction of the 150 minutes of recommended weekly moderate to vigorous physical activity. At 1 week, subjects were completing on average 14 minutes/week (SD = 4) of moderate-to-vigorous physical activity, compared to 14 minutes/week (SD = 2) of moderate-to-vigorous physical activity at four months post-surgery (p < .05). Better self-rated health was associated with higher physical activity (p = 0.02) in endometrial cancer survivors only. BMI, age, surgery type and use of neoadjuvant chemotherapy were not associated with activity over time. CONCLUSIONS: Our findings suggest that physical activity levels are different for those with better self-rated health, but those individuals are still insufficiently active. This study adds new information describing the trajectories and variables that influence physical activity in gynecologic cancer survivors after surgery and highlights the need for health promotion interventions in this population. |
format | Online Article Text |
id | pubmed-6795433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-67954332019-10-20 Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients Gorzelitz, Jessica Costanzo, Erin S. Spencer, Ryan J. Rumble, Meredith Rose, Stephen L. Cadmus-Bertram, Lisa PLoS One Research Article OBJECTIVE: Physical activity plays a key role in cancer survivorship. The purpose of this investigation was to (a) describe the post-surgical physical activity trajectories of endometrial (n = 65) and ovarian (n = 31) cancer patients and (b) identify clinical and demographic predictors of physical activity over time. METHODS: 96 participants wore an Actiwatch accelerometer for three days at each of three time points (one week, one month and four months) after surgical intervention for their endometrial or ovarian cancer diagnosis. Analyses were conducted using linear mixed effects regression modeling in SAS 9.4. RESULTS: For both tumor types, although physical activity levels increased with time after surgery, even at four months patients were performing only a small fraction of the 150 minutes of recommended weekly moderate to vigorous physical activity. At 1 week, subjects were completing on average 14 minutes/week (SD = 4) of moderate-to-vigorous physical activity, compared to 14 minutes/week (SD = 2) of moderate-to-vigorous physical activity at four months post-surgery (p < .05). Better self-rated health was associated with higher physical activity (p = 0.02) in endometrial cancer survivors only. BMI, age, surgery type and use of neoadjuvant chemotherapy were not associated with activity over time. CONCLUSIONS: Our findings suggest that physical activity levels are different for those with better self-rated health, but those individuals are still insufficiently active. This study adds new information describing the trajectories and variables that influence physical activity in gynecologic cancer survivors after surgery and highlights the need for health promotion interventions in this population. Public Library of Science 2019-10-16 /pmc/articles/PMC6795433/ /pubmed/31618279 http://dx.doi.org/10.1371/journal.pone.0223791 Text en © 2019 Gorzelitz et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Gorzelitz, Jessica Costanzo, Erin S. Spencer, Ryan J. Rumble, Meredith Rose, Stephen L. Cadmus-Bertram, Lisa Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
title | Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
title_full | Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
title_fullStr | Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
title_full_unstemmed | Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
title_short | Longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
title_sort | longitudinal assessment of post-surgical physical activity in endometrial and ovarian cancer patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795433/ https://www.ncbi.nlm.nih.gov/pubmed/31618279 http://dx.doi.org/10.1371/journal.pone.0223791 |
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