Susan Aguiñaga1, Diane K Ehlers2, Josh Cosman3,4, Joan Severson3, Arthur F Kramer1,5, Edward McAuley1. 1. University of Illinois at Urbana-Champaign, Urbana, IL, USA. 2. University of South Carolina, Columbia, SC, USA. 3. Digital Artefacts, Iowa City, IA, USA. 4. Pfizer Incorporated, Cambridge, MA, USA. 5. Northeastern University, Boston, MA, USA.
Abstract
OBJECTIVE: The purpose of this study was to examine the effects of physical activity from prediagnosis to posttreatment survivorship on the psychological well-being (PWB) outcomes of fatigue, depression, anxiety, and quality of life (QoL) in breast cancer survivors (BCS). METHODS: Participants (N = 387) completed a questionnaire battery by using an iPad-based platform. Measures included self-reported PA (before diagnosis and currently) and perceptions of fatigue, depression, anxiety, and QoL. Multivariate analysis of covariance was used to examine differences in PWB among BCS categorized into 1 of 4 physical activity levels: (a) low-active prediagnosis, low-active currently (low-active maintainers; n = 128); (b) low-active prediagnosis, active currently (increasers; n = 74); (c) active prediagnosis, low-active currently (decreasers; n = 52); and (d) active prediagnosis, active currently (high-active maintainers; n = 136). Participants were classified as active (≥24 units) or low-active (<24 units) by using Godin Leisure-Time Exercise Questionnaire cut-points for health benefits. RESULTS: Fatigue and depression were lowest, and QoL was highest among women in the high-active maintainers category, followed by the increasers, low-active maintainers, and decreasers. No differences in anxiety were observed across categories. Women in the high-active maintainers category differed significantly in fatigue, depression, and QoL from both low-active categories (low-active maintainers and decreasers), P ≤ .001. Women in the increasers category also differed significantly in fatigue, depression, and QoL from the decreasers, P ≤ .01. CONCLUSION: Low physical activity during survivorship was associated with greater fatigue and depression and lower QoL. IMPLICATIONS FOR CANCER SURVIVORS: Efforts to help increase or maintain high levels of physical activity may be critical to helping BCS maintain their PWB.
OBJECTIVE: The purpose of this study was to examine the effects of physical activity from prediagnosis to posttreatment survivorship on the psychological well-being (PWB) outcomes of fatigue, depression, anxiety, and quality of life (QoL) in breast cancer survivors (BCS). METHODS:Participants (N = 387) completed a questionnaire battery by using an iPad-based platform. Measures included self-reported PA (before diagnosis and currently) and perceptions of fatigue, depression, anxiety, and QoL. Multivariate analysis of covariance was used to examine differences in PWB among BCS categorized into 1 of 4 physical activity levels: (a) low-active prediagnosis, low-active currently (low-active maintainers; n = 128); (b) low-active prediagnosis, active currently (increasers; n = 74); (c) active prediagnosis, low-active currently (decreasers; n = 52); and (d) active prediagnosis, active currently (high-active maintainers; n = 136). Participants were classified as active (≥24 units) or low-active (<24 units) by using Godin Leisure-Time Exercise Questionnaire cut-points for health benefits. RESULTS:Fatigue and depression were lowest, and QoL was highest among women in the high-active maintainers category, followed by the increasers, low-active maintainers, and decreasers. No differences in anxiety were observed across categories. Women in the high-active maintainers category differed significantly in fatigue, depression, and QoL from both low-active categories (low-active maintainers and decreasers), P ≤ .001. Women in the increasers category also differed significantly in fatigue, depression, and QoL from the decreasers, P ≤ .01. CONCLUSION: Low physical activity during survivorship was associated with greater fatigue and depression and lower QoL. IMPLICATIONS FOR CANCER SURVIVORS: Efforts to help increase or maintain high levels of physical activity may be critical to helping BCS maintain their PWB.
Authors: Kate E Dibble; Richard N Baumgartner; Stephanie D Boone; Kathy B Baumgartner; Avonne E Connor Journal: Breast Cancer Res Treat Date: 2021-05-29 Impact factor: 4.624
Authors: Diane K Ehlers; Jason Fanning; Alexis Sunderlage; Joan Severson; Arthur F Kramer; Edward McAuley Journal: Cancer Med Date: 2020-03-23 Impact factor: 4.452