Physical activity in patients with cancer: self-report versus accelerometer assessments

Douma, Joeri A J; Beaufort, Maaike B. de; Kampshoff, Caroline S.; Persoon, Saskia; Vermaire, Jorine A.; Chinapaw, Mai J. M.; Mechelen, Willem van; Nollet, Frans; Kersten, Marie José; Smit, Jan; Leeuw, Irma M. Verdonck‐de; Altenburg, Teatske M.; Buffart, Laurien M.

doi:10.1007/s00520-019-05203-3

Cited by 27 publications

(32 citation statements)

References 44 publications

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“…No differences in PA were found for tumor stage, pain level or worry and depression (Table 4). Although, the Dutch study did observe an association between PA and tumor stage, 7 another study in HNC patients found an association between PA and fatigue but not with depression 12 . QoL has generally been associated with PA in HNC, but the different aspects of QoL are more or less associated 36 .…”

Section: Discussionmentioning

confidence: 93%

“…Although, the Dutch study did observe an association between PA and tumor stage, 7 another study in HNC patients found an association between PA and fatigue but not with depression. 12 QoL has generally been associated with PA in HNC, but the different aspects of QoL are more or less associated. 36 Differences in patient characteristics, sample size, study design, and methods would explain these variations in outcomes.…”

Section: Discussionmentioning

confidence: 98%

“… 7 Accelerometers have been shown to have less measurement error 10 and stronger association with measures of cardiovascular health 11 than self‐report methods. Further, large disagreement between these methods occurs in HNC patients 12 as well as in the general population, 13 , 14 across the PA intensity range. Therefore, self‐report and accelerometer methods may not be directly comparable and the use of accelerometers may improve identification of HNC patients with the greatest need of PA intervention.…”

Section: Introductionmentioning

confidence: 99%

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Low physical activity in patients diagnosed with head and neck cancer

Karczewska-Lindinger

Tuomi

Fridolfsson

et al. 2021

Laryngoscope Investig Oto

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Background This pilot study aimed to describe physical activity (PA) and self‐perceived function, health and quality of life (QoL) prior to oncological treatment in patients with head and neck cancer (HNC). Methods In a prospective study including 49 patients, self‐perceived PA (Saltin‐Grimby scale) and health‐related QoL (European Organization for Research and Treatment of Cancer Quality of Life questionnaire Core 30 and EQ‐5D) were assessed. Further, PA was also measured by an accelerometer attached to the thigh for eight consecutive days. The accelerometer PA was compared to the PA of a reference population assessed with the same method. Results presented are from data collected before start of oncological treatment. Results The patients (44‐79 years, 65% males) spent most of their time in sedentary behavior: a median of 555 minutes/day in bed (39% of total) and 606 minutes/day sitting (41%). Only 129 minutes/day were spent moving/walking. Patients with higher education, reduced physical function and higher fatigue were less physically active (P ≤ .01). Further, the different PA measures demonstrated a pattern of being less physically active compared to the reference population. Conclusions Patients diagnosed for HNC may have low PA level. Assessment of PA from accelerometer data may be an important component of oncological treatment to identify patients in need for PA intervention that may enhance treatment outcome.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Low physical activity in patients diagnosed with head and neck cancer

Karczewska-Lindinger

Tuomi

Fridolfsson

et al. 2021

Laryngoscope Investig Oto

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“…While a pedometer is an objective method of assessing daily steps, wearing it on the waist may have underestimated upper body movements and activities such as cycling, swimming, and resistance exercise. 41 Therefore, the simultaneous use of a pedometer and a questionnaire such as the Physical Activity Scale for the Elderly (PASE) 42 is recommended to assess daily physical activity in patients with cancer. 41 Finally, biases such as those involved in selection and measurement could not be avoided.…”

mentioning

confidence: 99%

“…41 Therefore, the simultaneous use of a pedometer and a questionnaire such as the Physical Activity Scale for the Elderly (PASE) 42 is recommended to assess daily physical activity in patients with cancer. 41 Finally, biases such as those involved in selection and measurement could not be avoided. However, there are few previous reports on changes in physical activity over time in older patients with advanced NSCLC, and the results of this study are valuable in demonstrating the importance of maintaining physical activity in these patients during treatment.…”

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confidence: 99%

Impact of Physical Inactivity on the Risk of Disability and Hospitalization in Older Patients with Advanced Lung Cancer

Yonenaga¹,

Naito²,

Okayama³

et al. 2021

JMDH

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This prospective observational study aimed to explore the influence of physical inactivity during initial chemotherapy on the risk of disability and hospitalization in later life among older patients with advanced non-small-cell lung cancer (NSCLC). Patients and Methods: Patients aged 70 or above who were scheduled to receive first-line chemotherapy for newly diagnosed advanced NSCLC were recruited for the study. An electronic pedometer was used to measure daily steps; based on the change rate (cutoff: −12.5%) from pretreatment to 12 ± 4 weeks after enrolment, patients were classified as active or inactive. The Barthel Index estimated activities of daily living. We compared disabilityfree survival time, mean cumulative functions of hospital stays, and medical costs, between the active and inactive groups. Results: Among the 29 patients enrolled, 21 were evaluable. Compared with active patients (n = 11), inactive patients (n = 10) showed shorter disability-free survival (6.4 vs 19.9 months, p < 0.05) and tended to have longer hospital stays (23.7 vs 6.3 days/person) and higher inpatient care cost (¥1.6 vs ¥0.3 million/person [US$16,000 vs US$3000/person]) during the first year. Conclusion: Physical inactivity during initial chemotherapy may be a risk factor for developing disability and requiring hospitalization in later life for older patients with advanced NSCLC. Our findings may indicate the need for lifestyle interventions with multidisciplinary teams, which include physicians, nurses, and physiotherapists, for older patients with advanced lung cancer during an active cancer treatment. A large-sample-sized study is needed to validate our findings.

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A pilot study using pre‐treatment physical activity level to predict long‐term health‐related quality of life in patients with head and neck cancer

et al. 2023

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Background Pre‐treatment levels of physical activity (PA) in head and neck cancer (HNC) are rarely evaluated using accelerometry. This study aimed to investigate whether pre‐treatment PA level in HNC predicts aspects of long‐term health‐related quality of life (HRQL) at 12 months after end of treatment. Methods This pilot study included 48 patients diagnosed with HNC, 41 participants remaining at 12 months post‐treatment. Pre‐treatment PA was objectively assessed by an accelerometer. Self‐perceived PA and HRQL were assessed pre‐treatment and at 6‐ and 12‐months post‐treatment. Results Patients with a higher pre‐treatment PA level scored higher on physical function and role function and less fatigue and pain at the 12 months follow‐up compared to patients with a lower pre‐treatment PA. At 6 months the groups differed only on physical functioning. When comparing changes over time, there were statistically significant differences comparing high and low pre‐treatment PA in the fatigue and pain domains between 6 and 12 months. Exploratory multiple regression analyses also indicated that higher pre‐treatment PA levels were associated with greater favorable change in the four HRQL measures. Conclusions Higher levels of PA assessed with accelerometer before oncologic treatment associated favorably with aspects of self‐perceived HRQL and PA over time in patients with HNC.

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Physical activity in patients with cancer: self-report versus accelerometer assessments

Cited by 27 publications

References 44 publications

Low physical activity in patients diagnosed with head and neck cancer

Low physical activity in patients diagnosed with head and neck cancer

Impact of Physical Inactivity on the Risk of Disability and Hospitalization in Older Patients with Advanced Lung Cancer

A pilot study using pre‐treatment physical activity level to predict long‐term health‐related quality of life in patients with head and neck cancer

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