PURPOSE: Lung cancer is associated with a multitude of challenges, and lung cancer survivors report significantly lower quality of life (QOL) than other cancer survivors. METHODS: This study aimed to examine the relationship between physical activity level and QOL in a large sample of long term lung cancer survivors (N=1937). Average age at diagnosis was 65 years, 92% were Caucasian, and 51% male. Surveys were completed at lung cancer diagnosis and then average 4.2 years post-diagnosis. RESULTS: Most survivors reported having a sedentary lifestyle at both timepoints. However, 256 survivors reported a change in physical activity level from diagnosis to follow-up. Decreased physical activity (n=140) was associated with decreased overall, mental, physical, emotional, social, and spiritual QOL (all ps<.001) and decreased symptom control as seen in reported pain, dry coughing, coughing with phlegm, shortness of breath, and level of fatigue (all ps<.05). In contrast, increased physical activity (n=116) was associated with improved QOL (all ps<.05), and improved symptom control as seen in frequency and severity of pain (p<.01). For all participants, those engaging in regular physical activity (30 min or more per day, at least five days per week) reported significantly higher QOL scores (all ps<.001), and better symptom control than more sedentary survivors. CONCLUSIONS: Results indicate a significant association between change in physical activity and QOL and symptom control for long term lung cancer survivors, and research exploring interventions designed to improve activity level for lung cancer survivors is further warranted.
PURPOSE:Lung cancer is associated with a multitude of challenges, and lung cancer survivors report significantly lower quality of life (QOL) than other cancer survivors. METHODS: This study aimed to examine the relationship between physical activity level and QOL in a large sample of long term lung cancer survivors (N=1937). Average age at diagnosis was 65 years, 92% were Caucasian, and 51% male. Surveys were completed at lung cancer diagnosis and then average 4.2 years post-diagnosis. RESULTS: Most survivors reported having a sedentary lifestyle at both timepoints. However, 256 survivors reported a change in physical activity level from diagnosis to follow-up. Decreased physical activity (n=140) was associated with decreased overall, mental, physical, emotional, social, and spiritual QOL (all ps<.001) and decreased symptom control as seen in reported pain, dry coughing, coughing with phlegm, shortness of breath, and level of fatigue (all ps<.05). In contrast, increased physical activity (n=116) was associated with improved QOL (all ps<.05), and improved symptom control as seen in frequency and severity of pain (p<.01). For all participants, those engaging in regular physical activity (30 min or more per day, at least five days per week) reported significantly higher QOL scores (all ps<.001), and better symptom control than more sedentary survivors. CONCLUSIONS: Results indicate a significant association between change in physical activity and QOL and symptom control for long term lung cancer survivors, and research exploring interventions designed to improve activity level for lung cancer survivors is further warranted.
Authors: Ping Yang; Mark S Allen; Marie C Aubry; Jason A Wampfler; Randolph S Marks; Eric S Edell; Stephen Thibodeau; Alex A Adjei; James Jett; Claude Deschamps Journal: Chest Date: 2005-07 Impact factor: 9.410
Authors: V Mock; M B Burke; P Sheehan; E M Creaton; M L Winningham; S McKenney-Tedder; L P Schwager; M Liebman Journal: Oncol Nurs Forum Date: 1994-06 Impact factor: 2.172
Authors: Gregory M Loewen; Dorothy Watson; Leslie Kohman; James E Herndon; Hani Shennib; Kemp Kernstine; Jemi Olak; M Jeffery Mador; David Harpole; David Sugarbaker; Mark Green Journal: J Thorac Oncol Date: 2007-07 Impact factor: 15.609
Authors: Raquel Peña; Oscar E Suman; Marta Rosenberg; Clark R Andersen; David N Herndon; Walter J Meyer Journal: Arch Phys Med Rehabil Date: 2017-11-26 Impact factor: 3.966
Authors: Katherine M Piderman; Terin T Sytsma; Marlene H Frost; Paul J Novotny; Sarah M Rausch Osian; Lise Solberg Nes; Christi A Patten; Jeff A Sloan; Teresa A Rummans; Carrie A Bronars; Ping Yang; Matthew M Clark Journal: J Pastoral Care Counsel Date: 2015-09
Authors: Daniela L Stan; Susanne M Cutshall; Tammy F Adams; Karthik Ghosh; Matthew M Clark; Kaisa C Wieneke; Esayas B Kebede; Bonnie J Donelan Dunlap; Kathryn J Ruddy; Jennifer K Hazelton; Alissa M Butts; Sarah M Jenkins; Ivana T Croghan; Brent A Bauer Journal: Clin J Oncol Nurs Date: 2020-06-01 Impact factor: 1.027
Authors: Emily Jeffery; Yc Gary Lee; Joanne McVeigh; Leon Straker; Troy Wooding; Robert U Newton; Carolyn Peddle-McIntyre Journal: Support Care Cancer Date: 2017-04-28 Impact factor: 3.603
Authors: Lisa M Gudenkauf; Matthew M Clark; Paul J Novotny; Katherine M Piderman; Shawna L Ehlers; Christi A Patten; Lise Solberg Nes; Kathryn J Ruddy; Jeff A Sloan; Ping Yang Journal: Clin Lung Cancer Date: 2019-06-19 Impact factor: 4.785
Authors: Errol J Philip; Elliot J Coups; Marc B Feinstein; Bernard J Park; Donna J Wilson; Jamie S Ostroff Journal: Support Care Cancer Date: 2013-10-05 Impact factor: 3.603
Authors: Laura P Forsythe; Catherine M Alfano; Stephanie M George; Anne McTiernan; Kathy B Baumgartner; Leslie Bernstein; Rachel Ballard-Barbash Journal: Breast Cancer Res Treat Date: 2012-12-15 Impact factor: 4.872