Special Attention to Physical Activity in Breast Cancer Patients during the First Wave of COVID-19 Pandemic in Italy: The DianaWeb Cohort

Abstract

Recent evidence highlights that physical activity (PA) is associated with decreased recurrence risk, improved survival and quality of life for breast cancer (BC) patients. Our study aimed to explore patterns of increased/decreased PA, and sedentary behaviors among BC women of the DianaWeb cohort during the first wave of COVID-19 pandemic, and examined the association with residential locations, work changes, different modality used to increase PA, and quality of life. The study analyzed the questionnaires completed by the 781 BC women (age 54.68 ± 8.75 years on both December 2019 and June 2020. Results showed a decrease of 22%, 57%, and 26% for walking activity, vigorous activity, and total PA, respectively. Sitting/lying time increased up to 54.2% of the subjects recruited. High quality of life was associated with lower odds of being sedentary (p = 0.003). Our findings suggest that innovative health management fostering compliance with current guidelines for PA and active behavior should be implemented, especially in unpredictable emergency conditions.

Effects of a Home-Based Lifestyle Intervention Program on Cardiometabolic Health in Breast Cancer Survivors during the COVID-19 Lockdown

“…In this regard, a recent study showed that 90% of physically active BCSs decreased PAL and increased sedentary time [ 33 ]. Moreover, a survey analysis with special attention to understanding the barriers that may influence an active lifestyle in the Italian BC women from the DianaWeb court (781 BC women) underlines the negative impact of the pandemic on MET-min/week of walking, vigorous intensity, and total PA [ 34 ]. On the contrary, our results suggest a relevant increase in the total PAL level, despite home-confinement.…”

“…However, in the age of COVID-19, exercising in gym facilities had the risks for virus transmission through aerosol and surface contact among the exercisers. A recent study showed that BCSs increased sedentary behaviors and decreased PA levels (PALs) during the pandemic lockdown [ 33 , 34 , 35 ]. In these circumstances, it could be useful to adapt the usual methods of exercise delivery to home-based exercise programs [ 27 ] to counteract detrimental effects of home-confinement [ 36 ].…”

The Impact of Lifestyle Interventions in High-Risk Early Breast Cancer Patients: A Modeling Approach from a Single Institution Experience

“…Our study demonstrates the importance and effectiveness of a specific exercise education provided in the hospital, prescribed and supervised by a qualified and specialized exercise trainer, who starts working with the patient at the end of her therapeutic regime and then continues to provide support to help the patient gradually move towards an active lifestyle. Numerous studies have highlighted the low PALs in BC patients at different stages of disease [ 39 ] in clinical and emergency contexts [ 40 , 41 , 42 ].…”

Tratando o câncer de mama em tempos de COVID-19: uma revisão integrativa

“…Após leitura na íntegra e crítica dos trabalhos selecionados para essa revisão integrativa foi possível identificar quatro categorias de estudos, são elas: 1) Recomendações: nove estudos (Soran, et al, 2020;Al-Shamsi, et al, 2020;ABRAFISM, 2020;Batra, et al, 2021;Rezende, et al, 2020;Macedo, et al, 2020;Curigliano, et al, 2020;Moreno, et al, 2020;Damani, et al, 2020); 2) Prática de atividade física: três estudos (Lyra, et al, 2021;Natalucci, et al, 2021;Pinto, et al, 2020); 3) Aspectos psicológicos: dois estudos (Vanni, et al, 2020e Rossetto, et al, 2021; 4) Impactos nos sistemas de saúde: cinco estudos (Papautsky, et al, 2020;Azar, 2021;Moura, et al, 2021;Araújo, et al, 2020;Busheri, et al, 2021).…”