Relationship between patterns of daily physical activity and fatigue in cancer survivors

Timmerman, J.G.; Weering, Marit Dekker-van; Tönis, Thijs; Hermens, Hermie; Vollenbroek-Hutten, Miriam Marie Rosé

doi:10.1016/j.ejon.2014.09.005

Cited by 29 publications

(30 citation statements)

References 36 publications

(45 reference statements)

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“…Additionally, inconsistent with previous findings in cancer populations (Donnelly et al, ; Tian, Lu, Lin, & Hu, ; Timmerman, Dekker‐van Weering, Tonis, Hermens, & Vollenbroek‐Hutten, ). Timmerman et al, . ), our results showed that there was no significant difference between the fatigue levels of survivors with or without the recommended amount of physical activities.…”

Section: Discussioncontrasting

confidence: 72%

Healthy life styles, sleep and fatigue in endometrial cancer survivors: A cross‐sectional study

Wang

Chang

et al. 2020

Journal of Clinical Nursing

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Aims and objectives The primary aim of this study is to explore the influence of obesity, healthy lifestyle and sleep quality of endometrial cancer survivors on their fatigue level. Background As many as 30% of endometrial cancer survivors still suffer from fatigue 5 years after completing therapy. Fatigue may hinder cancer survivors from participating in daily activities or returning to their original roles and functions, thus affecting their health‐related quality of life. Design This study adopted a cross‐sectional correlational research design. The STROBE checklist for cross‐sectional studies was used as a reference for reporting the study. Methods A consecutive sample of 134 endometrial cancer survivors was recruited from the outpatient clinics of a medical centre in Taipei, Taiwan. Data were collected using structured questionnaires. Results Study subjects scored 44 points (SD = 7.09) on average for the fatigue levels. Results of linear regression showed that sleep quality (ß = −0.38), comorbidity index (ß = −0.024) and age (ß = 0.20) were important predictors of fatigue. However, differences in obesity, vegetable and fruit intake, physical activity did not lead to significant differences in fatigue level. Conclusions Survivors who had poorer sleep quality, higher comorbidity index and younger age reported higher fatigue. Relevance to clinical practice The study findings are relevant for assessing and preventing fatigue in endometrial cancer survivors. Those with poorer sleep quality, higher comorbidity index and younger age are at a greater risk for fatigue and deserve further attention. Although the study results failed to support the link between obesity, vegetable and fruit intake, physical activity and fatigue, the ratio of survivors who comply with recommended healthy lifestyles was low. Hence, it is of urgent necessity that this population receives the help to maintain a healthy lifestyle.

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Section: Discussioncontrasting

confidence: 72%

Healthy life styles, sleep and fatigue in endometrial cancer survivors: A cross‐sectional study

Wang

Chang

et al. 2020

Journal of Clinical Nursing

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“…A related limitation is that the mean values of catastrophizing were rather low in our sample. The fatigue scores of our sample were comparable to another diary study among post‐treatment cancer patients, but patients with the most severe fatigue complaints were underrepresented. Future studies might need to invest extra effort to include patients with the most severe symptoms.…”

Section: Discussionmentioning

confidence: 87%

“…In line with earlier diary research among post‐treatment cancer patients, we found evidence that fatigue negatively predicts physical activity in daily life. High catastrophizing was also predictive of low physical activity.…”

Section: Discussionmentioning

confidence: 96%

The reciprocal relationship between daily fatigue and catastrophizing following cancer treatment: Affect and physical activity as potential mediators

et al. 2017

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This study provides evidence for a mutually reinforcing relationship between catastrophizing and fatigue in daily life, which might explain the perpetuation of fatigue after completion of cancer treatment. Fatigue-specific cognitive behavior therapy could be improved by educating patients about this daily reciprocal relationship, train them to quickly replace catastrophizing thoughts in daily life, and help them to cope with affective changes induced by fatigue.

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“…In addition, sleep disturbance has been shown in both healthy women and breast cancer survivors with menopausal symptoms (Carpenter et al., ), and sleep disturbance often accompanies fatigue (Wu et al., ). Cancer patients and survivors with fatigue tend to decrease their daily activity and lengthen their rest by staying in bed, which actually increases fatigue and decreases night‐time sleep quality (Timmerman, Dekker‐van Weering, Tonis, Hermens, & Vollenbroek‐Hutten, ; Winningham et al., ). Furthermore, cancer patients who decrease their activity during the day also decrease their exposure to bright sunlight, which might alter their rest‐activity circadian patterns, leading to increased fatigue, decreased sleep quality and worse quality of life (Berger, Farr, Kuhn, Fischer, & Agrawal, ; Mormont & Waterhouse, ).…”

Section: Discussionmentioning

confidence: 99%

Associations among menopausal symptoms, sleep and fatigue in Taiwanese women with endometrial cancer

Tsai

Chang

et al. 2016

Eur J Cancer Care

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The purpose of this study was to explore the relationships among menopausal symptoms, sleep quality and fatigue in women with endometrial cancer. Participants were 95 women (mean age = 57.44 ± 10.15 years) diagnosed with endometrial cancer and who had completed their treatment before data collection. Each woman completed three structured questionnaires: the Functional Assessment of Cancer Therapy-Endocrine Symptoms (endocrine symptom subscale), the Pittsburgh Sleep Quality Index and the Functional Assessment of Chronic Illness Therapy-Fatigue. Participants' worst menopausal symptom was sexual pain. In addition, menopausal symptoms were worse in women with surgical menopause than with natural menopause. The majority of women had poor sleep quality (55%), and women with fatigue reported worse sleep quality and menopausal symptoms than those without fatigue. However, higher fatigue was significantly related to shorter time since diagnosis. Together, three variables (time since diagnosis, menopausal symptoms and sleep quality) explained 39% of the variance in fatigue, with menopausal symptoms being the strongest predictor. Healthcare providers can assess menopausal symptoms and sleep quality during and after treatment of women with endometrial cancer. Such assessments would allow timely interventions to alleviate fatigue and menopausal symptoms in this population, thus improving their quality of life.

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Relationship between patterns of daily physical activity and fatigue in cancer survivors

Cited by 29 publications

References 36 publications

Healthy life styles, sleep and fatigue in endometrial cancer survivors: A cross‐sectional study

Healthy life styles, sleep and fatigue in endometrial cancer survivors: A cross‐sectional study

The reciprocal relationship between daily fatigue and catastrophizing following cancer treatment: Affect and physical activity as potential mediators

Associations among menopausal symptoms, sleep and fatigue in Taiwanese women with endometrial cancer

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