Identifying female pelvic cancer survivors with low levels of physical activity after radiotherapy: women with fecal and urinary leakage need additional support

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Identifying female pelvic cancer survivors with low levels of physical activity after radiotherapy: women with fecal and urinary leakage need additional support

Lindgren, Anna, 1981- (author): Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Kvinnokliniken US,Region Östergötland; Linköpings universitet

Dunberger, Gail (author): Ersta Sköndal Bräcke högskola,Institutionen för vårdvetenskap

Steineck, Gunnar, 1952 (author): Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology,Karolinska Inst, Sweden; Gothenburg Univ, Sweden,Karolinska institutet; Göteborgs universitet

Bergmark, Karin, 1962 (author): Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology,Gothenburg Univ, Sweden

Enblom, Anna (author): Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten,Region Östergötland, Rörelse och Hälsa,Region Östergötland, Enheten för samordnad cancerutredning,Region Östergötland; Linköpings universitet

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2019-10-22
2020
English.
In: Supportive Care in Cancer. - : Springer Science and Business Media LLC. - 0941-4355 .- 1433-7339. ; 28, s. 2669-81

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Journal article (peer-reviewed)

Abstract Subject headings

ObjectiveTo investigate the frequency of physical activity among female pelvic cancer survivors (i.e., gynecological, rectal, and anal cancer survivors) and to investigate if survivors who practiced physical activity less than once a week differed from survivors practicing physical activity at least once a week with respect to urinary and fecal leakage, clinical and sociodemographic characteristics, quality of life (QoL), and depressed and anxious mood.MethodsFemale pelvic cancer survivors (n=578, mean age 64 years) answered a questionnaire 6-48 months after radiotherapy. A multivariable regression model analyzed factors covarying with frequency of physical activity. We compared QoL and depressed and anxious mood between women practicing physical activity at least or less than once a week.ResultsOf 568 women delivering data, 186 (33%) practiced physical activity less than once a week while 382 (67%) practiced physical activity at least weekly. Women who leaked a large or all volume of stools (p=0.01), had just elementary school level of education (p<0.001), smokers (p=0.049), or had lymphedema without receiving lymphedema treatment (p=0.030) were more likely to practice physical activity less than weekly (50%, 45%, 45%, and 37%, respectively) compared with other women. Women practicing physical activity at least weekly reported better QoL (p<0.001) and lower frequency of depressed mood (p=0.044) compared with the others.ConclusionsFemale cancer survivors experiencing fecal leakage were less likely to practice weekly physical activity than survivors without leakage. The survivors practicing weekly physical activity experienced better QoL and experienced depressed mood less frequently than the others.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)

Keyword

Colorectal cancer
Fecal leakage
Gynecological cancer
Incontinence
Physical activity
Urinary leakage
quality-of-life
nutrition examination survey
radiation-therapy
national-health
incontinence
exercise
breast
association
depression
inactivity
Colorectal cancer; Fecal leakage; Gynecological cancer; Incontinence; Physical activity; Urinary leakage

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