Multiple Myeloma and Physical Activity

Abstract

Objective: With improved survival in multiple myeloma, survivors face the challenge of maintaining their premorbid levels of physical and psychosocial wellbeing. Physical activity (PA) has been shown to improve quality of life (QoL) in cancer patients with some evidence in MM. Due to the high incidence of bone destruction, PA may be perceived as introducing risk of injury. This service evaluation study aimed to determine MM patients’ exercise levels, their perception of PA, and to explore correlations with QoL. Results: MM outpatients were given a questionnaire to complete. Of the 65 respondents, 75% would like to increase PA level. Weakness, fatigue and pain were the most commonly perceived barriers to PA. 59% would like to receive PA advice. Only 25% were deemed active based on the Godin leisure-time exercise questionnaire score, with 39% deemed insufficiently active. Our respondents had lower mean FACT-G and FACIT-F scores compared to scores from general population, suggesting a lower QoL. Finally, there was a significant positive correlation between the GLTEQ score and the FACT-G score (p < 0.001). Results highlight an unmet exercise need in MM patients. Current practice should be reviewed to develop a more holistic care model that incorporates tailored exercise advice or programme.