Marianne Krogsgaard1,2,3, Rune Martens Andersen4,5, Anne K Danielsen6,7, Thordis Thomsen7,8, Tobias Wirenfeldt Klausen9, Bo Marcel Christensen10, Ismail Gögenur11,7, Anders Vinther12. 1. Department of Surgery and Transplantation, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark. Markro@regionsjaelland.dk. 2. Department of Gastroenterology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark. Markro@regionsjaelland.dk. 3. Centre for Surgical Sciences, Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600, Koege, Denmark. Markro@regionsjaelland.dk. 4. The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Region Zealand, 4200, Slagelse, Denmark. 5. Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. 6. Department of Gastroenterology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark. 7. Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. 8. Herlev Acute, Critical and Emergency Care Science Group, Department of Anaesthesiology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark. 9. Department of Hematology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark. 10. Department of Surgery and Transplantation, Clinic C, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark. 11. Centre for Surgical Sciences, Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600, Koege, Denmark. 12. Department of Physiotherapy and Occupational Therapy and Hospital Secretariat and Communications, Research, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark.
Abstract
PURPOSE: Physical activity is recommended to cancer survivors by the World Health Organisation (WHO) and is associated with improved survival after colorectal cancer. It remains unclear whether having a stoma is a barrier for an active lifestyle. We examined the level of physical activity and explored factors impacting physical activity in survivors with a stoma. METHODS: A total of 1265 (65%) patients in the Danish Stoma Database completed a multidimensional survey. Physical activity of moderate- and vigorous-intensity was assessed using two validated questions. Based on WHO guidelines, physical activity was categorised into 'Meeting' or 'Not Meeting' recommendations. Multivariate regression analysis, adjusting for potential confounders, provided odds ratio (OR) and 95% confidence intervals (CI) for factors' association with'Not Meeting' guideline recommendations. RESULTS: In total, 571 patients with colorectal cancer reported on physical activity at a median of 4.3 years (interquartile range 3.1-5.8) after stoma surgery. Two hundred ninety-three patients (51%) were 'Meeting recommendations' and 63% of them were 'Highly active'. Two hundred seventy-eight were 'Not meeting' recommendations (49%). Of the factors analysed, patients without support garment were more likely (OR 1.72 [95% CI 1.16; 2.54] not to meet guideline recommendations. We found no association between stoma type, surgical procedure, parastomal bulging and 'problematic stoma' and level of physical activity, respectively. CONCLUSION: In this large sample of survivors with a stoma half of patients met or exceeded guideline recommendations. Of patients not meeting recommendations some could potentially meet the recommendations by modest increases in either moderate or vigorous activity.
PURPOSE: Physical activity is recommended to cancer survivors by the World Health Organisation (WHO) and is associated with improved survival after colorectal cancer. It remains unclear whether having a stoma is a barrier for an active lifestyle. We examined the level of physical activity and explored factors impacting physical activity in survivors with a stoma. METHODS: A total of 1265 (65%) patients in the Danish Stoma Database completed a multidimensional survey. Physical activity of moderate- and vigorous-intensity was assessed using two validated questions. Based on WHO guidelines, physical activity was categorised into 'Meeting' or 'Not Meeting' recommendations. Multivariate regression analysis, adjusting for potential confounders, provided odds ratio (OR) and 95% confidence intervals (CI) for factors' association with'Not Meeting' guideline recommendations. RESULTS: In total, 571 patients with colorectal cancer reported on physical activity at a median of 4.3 years (interquartile range 3.1-5.8) after stoma surgery. Two hundred ninety-three patients (51%) were 'Meeting recommendations' and 63% of them were 'Highly active'. Two hundred seventy-eight were 'Not meeting' recommendations (49%). Of the factors analysed, patients without support garment were more likely (OR 1.72 [95% CI 1.16; 2.54] not to meet guideline recommendations. We found no association between stoma type, surgical procedure, parastomal bulging and 'problematic stoma' and level of physical activity, respectively. CONCLUSION: In this large sample of survivors with a stoma half of patients met or exceeded guideline recommendations. Of patients not meeting recommendations some could potentially meet the recommendations by modest increases in either moderate or vigorous activity.
Authors: Meghan H McDonough; L Jayne Beselt; Julia T Daun; Jena Shank; S Nicole Culos-Reed; Liam J Kronlund; William Bridel Journal: Psychooncology Date: 2019-08-16 Impact factor: 3.894
Authors: Tijmen Koëter; Cynthia S Bonhof; Dounya Schoormans; Ingrid S Martijnse; Barbara S Langenhoff; David D E Zimmerman; Floortje Mols; Daria K Wasowicz Journal: J Gastrointest Surg Date: 2018-10-29 Impact factor: 3.452
Authors: Robert S Krouse; Christopher S Wendel; David O Garcia; Marcia Grant; Larissa K F Temple; Scott B Going; Mark C Hornbrook; Joanna E Bulkley; Carmit K McMullen; Lisa J Herrinton Journal: Qual Life Res Date: 2017-07-04 Impact factor: 4.147
Authors: Margreet van Putten; Olga Husson; Floortje Mols; Misha D P Luyer; Lonneke V van de Poll-Franse; Nicole P M Ezendam Journal: Support Care Cancer Date: 2015-07-16 Impact factor: 3.603