Si-Woon Park1,2, Ilkyun Lee3,4, Joong Il Kim5, Hyuna Park6,7, Jong Doo Lee5, Kyeong Eun Uhm8,9, Ji Hye Hwang9, Eun Sook Lee10, So-Youn Jung10, Yong Hyun Park11, Ji Youl Lee11. 1. Department of Rehabilitation Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea. 2. Institute for Translational and Clinical Research, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea. 3. Department of Surgery, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea. iklee68@gmail.com. 4. Department of Surgery, International St. Mary's Hospital, College of Medicine, Catholic Kwandong University, Gangneung-si, Gangwon-do, 270-701, Republic of Korea. iklee68@gmail.com. 5. Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea. 6. Cancer Healing Education Center, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea. 7. Department of Sport and Leisure Studies, Yonsei University, Seoul, South Korea. 8. Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, South Korea. 9. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. 10. Center for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, South Korea. 11. Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Abstract
PURPOSE:Physical activity has been known to improve survival and quality of life of patients with breast cancer. To find factors associated with physical activity, we analyzed the dataset of the multicenter controlled trial of exercise intervention. METHODS:Three hundred fifty-six participants were assigned to two groups: "Smart After-Care" (smartphone application and pedometer were provided) or exercise education only. Physical activity was measured by International Physical Activity Questionnaire-Short Form (IPAQ-SF) at baseline and after 12 weeks. The association between physical activity and other clinical characteristics was analyzed. RESULTS: At baseline, physical activity amount was 2315.5 ± 3513.2 MET min/week: 33.0% inactive, 49.6% minimally active, and 17.4% health-enhancing physical activity (HEPA) active. Factors associated with HEPA include cancer stage and grip strength. A significantly lower proportion was HEPA active among those with advanced stage than among those with stage 0. After intervention, physical activity was increased to 3466.2 ± 4712.5 MET min/week: 15.3% inactive, 50.4% minimally active, and 34.2% HEPA active. Physical activity was increased in 63.4% of the participants. Factors associated with physical activity increase include cancer stage, diarrhea, and type of exercise intervention. Participants with advanced stage have a 3.3 times higher chance of increasing physical activity. Participants who received "Smart After-Care" have a 64% higher chance of increasing physical activity. CONCLUSION: Before the intervention, participants with advanced stage are less likely to be HEPA active. Exercise intervention was more beneficial for those with advanced stage or physical symptoms. "Smart After-Care" was more effective than education only in increasing physical activity.
RCT Entities:
PURPOSE: Physical activity has been known to improve survival and quality of life of patients with breast cancer. To find factors associated with physical activity, we analyzed the dataset of the multicenter controlled trial of exercise intervention. METHODS: Three hundred fifty-six participants were assigned to two groups: "Smart After-Care" (smartphone application and pedometer were provided) or exercise education only. Physical activity was measured by International Physical Activity Questionnaire-Short Form (IPAQ-SF) at baseline and after 12 weeks. The association between physical activity and other clinical characteristics was analyzed. RESULTS: At baseline, physical activity amount was 2315.5 ± 3513.2 MET min/week: 33.0% inactive, 49.6% minimally active, and 17.4% health-enhancing physical activity (HEPA) active. Factors associated with HEPA include cancer stage and grip strength. A significantly lower proportion was HEPA active among those with advanced stage than among those with stage 0. After intervention, physical activity was increased to 3466.2 ± 4712.5 MET min/week: 15.3% inactive, 50.4% minimally active, and 34.2% HEPA active. Physical activity was increased in 63.4% of the participants. Factors associated with physical activity increase include cancer stage, diarrhea, and type of exercise intervention. Participants with advanced stage have a 3.3 times higher chance of increasing physical activity. Participants who received "Smart After-Care" have a 64% higher chance of increasing physical activity. CONCLUSION: Before the intervention, participants with advanced stage are less likely to be HEPA active. Exercise intervention was more beneficial for those with advanced stage or physical symptoms. "Smart After-Care" was more effective than education only in increasing physical activity.
Entities:
Keywords:
Aftercare; Breast neoplasms; Exercise; Health behavior; Mobile applications; Smartphone
Authors: Paul D Loprinzi; Bradley J Cardinal; Kerri Winters-Stone; Ellen Smit; Charles L Loprinzi Journal: Oncol Nurs Forum Date: 2012-05-01 Impact factor: 2.172
Authors: Lawrence H Kushi; Colleen Doyle; Marji McCullough; Cheryl L Rock; Wendy Demark-Wahnefried; Elisa V Bandera; Susan Gapstur; Alpa V Patel; Kimberly Andrews; Ted Gansler Journal: CA Cancer J Clin Date: 2012 Jan-Feb Impact factor: 508.702
Authors: Kerry S Courneya; Donald C McKenzie; John R Mackey; Karen Gelmon; Robert D Reid; Christine M Friedenreich; Aliya B Ladha; Caroline Proulx; Jeffrey K Vallance; Kirstin Lane; Yutaka Yasui; Roanne J Segal Journal: Cancer Date: 2008-04-15 Impact factor: 6.860
Authors: Ana Carla Gomes Canário; Patricia Uchoa Leitão Cabral; Lucila Corsino de Paiva; Gilzandra Lira Dantas Florencio; Maria Helena Spyrides; Ana Katherine da Silveira Gonçalves Journal: Rev Assoc Med Bras (1992) Date: 2016 Jan-Feb Impact factor: 1.209
Authors: Juan Gavala-González; Amanda Torres-Pérez; José Carlos Fernández-García Journal: Int J Environ Res Public Health Date: 2021-07-05 Impact factor: 3.390