Impact of exercise on physical health status in bladder cancer patients

Abstract

Introduction: There is a scarcity of data on the impact of behavioral habits, such as exercise, on physical health in patients with bladder cancer. We investigated the association of exercise on self-reported physical health status and examined the prevalence of bladder cancer patients with sedentary lifestyle. Methods: We examined cross-sectional data of participants diagnosed with bladder cancer within the Behavioral Risk Factor Surveillance System (BRFSS) from 2016–2020. Patient health status was surveyed using self-reported measures such as the total days per month when their “physical health is not good.” The primary outcome was patient-reported poor physical health for more than 14 days within a one-month period. Results: Out of 2 193 981 survey participants, we identified 936 with a history of bladder cancer. Nearly one in three bladder cancer patients reported being sedentary within the last month, as a total of 307 (32.8%) patients reported no exercise within the last 30 days. The remaining 628 (67.2%) reported exercising for at least one day within the last month. In multivariable logistic regression model analysis, we found that exercise is protective for self-reported poor physical health status (odds ratio 0.37, 95% confidence interval 0.25–0.56, p<0.001). Patients that exercised were less likely to report bad physical health. Conclusions: Approximately one in three bladder cancer patients report no exercise within 30 days, suggesting a sedentary lifestyle. Patients that are active are less likely to self-report poor physical health status. Implementation of exercise programs for bladder cancer patients could be promising in improving health status.

Patients´ experiences of an exercise intervention in primary care following robot-assisted radical cystectomy due to bladder cancer: A qualitative study

“…Patients with bladder cancer are no exception and a recent study of 936 patients shows that one third self-reported a sedentary lifestyle and poor physical health (12). The study also concludes that implementation of exercise interventions could improve the health status of patients with bladder cancer and that clinicians should try to get patients engaged (12).…”

“…However, there is evidence suggesting that patients with cancer are less likely to be physically active, or change their physical activity behaviour following diagnosis, calling for strategies to support physical activity in cancer survivors (11). Patients with bladder cancer are no exception and a recent study of 936 patients shows that one third self-reported a sedentary lifestyle and poor physical health (12). The study also concludes that implementation of exercise interventions could improve the health status of patients with bladder cancer and that clinicians should try to get patients engaged (12).…”

Impact of Physical Exercise on Melanoma Hallmarks: Current Status of Preclinical and Clinical Research

“…In the last years, physical activity/exercise was reported to significantly affect cancer prevention and progression, as it lowers both the incidence and recurrence of different tumor types [1][2][3][4][5][6]. Epidemiological studies show evidence of decreased risk of esophagus, stomach, colon, breast, endometrium, bladder, and kidney cancers in association with an active lifestyle, and a possible protective function against ovary, prostate, and pancreatic cancer (World Cancer Research Fund International, available at https://www.wcrf.org) [7].…”

Effects of a Physical Exercise Programme through Service-Learning Methodology on Physical Activity, Physical Fitness and Perception of Physical Fitness and Health in University Students from Spain: A Preliminary Study

“…Another variable to be taken into account in terms of health promotion is not only the absence of disease but also to promote adequate levels of self-perception of health and physical condition, as recommended by the WHO [ 24 ], which promotes studies that take into account not only objective measures of health but also subjective measures such as the self-perceptions mentioned above. These have been shown to be improved thanks to the regular practice of physical activity, favouring that these self-perceptions take on a positive meaning [ 25 ].…”