Physical Activity Measured Using Global Positioning System Tracking in Non–Small Cell Lung Cancer

Granger, Catherine L; Denehy, Linda; McDonald, Christine F; Irving, Louis; Clark, Ross

doi:10.1177/1534735414542484

Cited by 35 publications

(26 citation statements)

References 41 publications

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“…5 In people with lung cancer, data on PA and SB are limited. Studies have reported low levels of PA in people with non-small cell lung cancer (NSCLC), 6,7 however, these studies have not explored SB or the way in which time is accumulated in SB or PA performed at any intensity. Obtaining data on patterns of SB and PA in this population and comparing these data with those collected in healthy controls will allow health professionals to provide novel targets for rehabilitation interventions.…”

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Patterns of sedentary behaviour and physical activity in people following curative intent treatment for non-small cell lung cancer

et al. 2015

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This study aimed to compare patterns of sedentary behaviour (SB) and physical activity (PA) in people following curative intent treatment for non-small cell lung cancer (NSCLC) with healthy controls. Participants 6-10 weeks following lobectomy for NSCLC and healthy controls wore two activity monitors for 7 days. Waking hours were divided into time spent in SB (<1.5 metabolic equivalent of tasks (METs)), light intensity PA (LIPA ! 1.5 to <3.0METs) and moderate-to-vigorous intensity PA (!3.0METs). Daily steps were also recorded. Data were available in 20 participants with NSCLC (13 females; 68 + 10 years) and 20 healthy controls (13 females; 69 + 5 years). The NSCLC group accumulated a greater percentage of time in SB in uninterrupted bouts !30 minutes (49% vs. 42%; p ¼ 0.048). Further, the NSCLC group spent a lower percentage of waking hours in LIPA (21 + 9% vs. 26 + 8%; p ¼ 0.04) and accumulated a lower percentage of time in this domain in uninterrupted bouts !10 minutes (13% vs. 19%; p ¼ 0.025). The NSCLC group also had a lower daily step count (8863 + 3737 vs. 11,856 + 3024 steps/day; p ¼ 0.009). Time spent in moderate-to-vigorous intensity PA was similar in both groups (p ¼ 0.92). People following curative intent treatment for NSCLC spend more time in prolonged bouts of SB at the expense of LIPA.

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Patterns of sedentary behaviour and physical activity in people following curative intent treatment for non-small cell lung cancer

et al. 2015

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“…The KinetaMap accelerometer demonstrated weaker evidence of construct validity. 26 Responsiveness of the ActivPaL, 24 Sensewear 27 and Lifecoder 28 devices was reported using step count changes over time. No other reporting of measurement properties for accelerometers was identified.…”

Section: Discussionmentioning

confidence: 99%

How is physical activity measured in lung cancer?A systematic review of outcome measures and their psychometric properties

et al. 2017

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Physical activity (PA) levels are low in patients with lung cancer. Emerging evidence supports the use of interventions to increase PA in this population. We aimed to (1) identify and synthesize outcome measures which assess PA levels in patients with lung cancer and (2) to evaluate, synthesize and compare the psychometric properties of these measures. A systematic review of articles from searches was conducted of five electronic databases and personal records. Eligible studies were those which assessed PA using either performance-based or patientreported measures. For aim 2, studies identified in aim 1 reporting on at least one psychometric property (validity, reliability, responsiveness or measurement error) were included. Two independent reviewers assessed eligibility and risk of bias with the COnsensus-based Standards for the selection of health status Measurement INstruments. Thirty-four studies using 21 different measures of PA were identified. Seventeen studies used performance-based measures. The Godin Leisure Time Exercise Questionnaire (GLTEQ) was the most frequently used patient-reported measure. Psychometric properties were reported for 13 of these measures and most frequently for movement sensors. Two studies reported on properties of the GLTEQ. Quality ratings for risk of bias were low. There is significant heterogeneity amongst studies regarding method of PA measurement along the lung cancer continuum. Greater consensus could be achieved by using a consensus approach such as a Delphi process. Future studies should include assessment of psychometric properties of the measurement tool being used. Currently, it is recommended where feasible, both performance-based and patient-reported measurements of PA should be undertaken.

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“…Distance‐based PA interventions in breast, colon and rectal cancer survivors ranging from 12 to 16 weeks long report increases in PA ranging from 12 to 71 min/week (Ligibel et al., ; Pinto et al., ; Vallance et al, ). Research has indicated that lung cancer survivors report very low levels of MVPA (Coups et al., ; Granger, Denehy, et al., ). The current results suggest that participants were accumulating over two additional sessions of MVPA per week following our PA intervention.…”

Section: Discussionmentioning

confidence: 99%

“…The goal was to progress towards achieving 150 min of moderate PA per week, which is the current aerobic exercise recommendations for cancer survivors (Schmitz et al., ). The intervention focused on increasing walking, which constitutes the majority of daily PA and is the most common, and preferred, form of PA among lung cancer survivors (Granger, Denehy, et al., ).…”

Section: Methodsmentioning

confidence: 99%

“…Following treatment, survivors of lung cancer (i.e., patients from the point of diagnosis for the remainder of life; Denlinger et al., ) face many ongoing symptoms such as fatigue, loss of physical functioning, shortness of breath and decreased quality of life (QoL; Balduyck, Hendriks, Lauwers, & van Schil, ; Brunelli et al., ; Handyjr et al., ; Zieren, Muller, Hamberger, & Pichlmaier, ). Research indicates that only 30%–40% of lung cancer survivors meet physical activity (PA) guidelines (Coups et al., ; Granger, Denehy, McDonald, Irving, & Clark, ). Survivors of lung cancer are significantly less active, exhibit lower neuromuscular strength, are in worse nutritional status, have more depressive symptoms, and report lower QoL than non‐cancer controls (Granger, McDonald, et al., ).…”

Section: Introductionmentioning

confidence: 99%

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The feasibility of a pragmatic distance-based intervention to increase physical activity in lung cancer survivors

Peddle-McIntyre¹,

Baker

Lee

et al. 2017

Eur J Cancer Care

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The purpose of this study was to investigate the feasibility and preliminary efficacy of a pragmatic distance-based intervention designed to increase physical activity (PA) participation in lung cancer survivors. Fourteen lung cancer survivors were recruited via invitation from the State Cancer Registry to join a 12-week PA intervention of print materials paired with brief telephone follow-up. Outcome measures of feasibility, PA participation and quality of life (QoL) were assessed at baseline, post-intervention and follow-up via telephone interview. Eligibility, recruitment and attrition rates were 16%, 58% and 29% respectively. No adverse events were reported; however, pain scores worsened following the intervention (median change −3.6, IQR −8.0, 0.0).Average intervention adherence was 91% with low median ratings of participation burden (i.e., all items 1/7) and high trial evaluation (i.e., all items 7/7). Post-intervention, median change in self-reported moderate and vigorous PA was 84 min (IQR −22, 188), and several domains of QoL improved. However, for both of these outcomes, improvements were not maintained at follow-up. Our findings suggest that this pragmatic distance-based intervention was safe, had good adherence rates, and indicate potential for improving short-term PA and QoL in lung cancer survivors. Additional strategies are needed to improve other indicators of feasibility, particularly recruitment, retention and long-term maintenance of improvements. Australian New Zealand Clinical Trials Registration: ACTRN12612000085875. K E Y W O R D Sdistance-based, lung cancer, physical activity, quality of life

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Physical Activity Measured Using Global Positioning System Tracking in Non–Small Cell Lung Cancer

Abstract: Global positioning system tracking appears to be a feasible methodology for adult cancer patients and holds promise for use in future studies investigating PA and or lifestyle behaviors.

Cited by 35 publications

References 41 publications

Patterns of sedentary behaviour and physical activity in people following curative intent treatment for non-small cell lung cancer

Patterns of sedentary behaviour and physical activity in people following curative intent treatment for non-small cell lung cancer

How is physical activity measured in lung cancer?A systematic review of outcome measures and their psychometric properties

The feasibility of a pragmatic distance-based intervention to increase physical activity in lung cancer survivors

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