Physical activity and quality of life among breast cancer survivors
DOI:
https://doi.org/10.62438/tunismed.v102i3.4293Keywords:
Breast Cancer, Survivor, Physical activity, Quality of lifeAbstract
Background and purpose:
To assess physical activity (PA) and its determinants in breast cancer survivors (BCS),attending a Tunisian hospital, as well as to assess their quality of life (QOL) and examine the relationship between PA and BCS’QOL.
Methods: We conducted a cross-sectional study among BCS attending the outpatient oncology,
gynecology and radiotherapy clinics at a Tunisian hospital in April 2022 using a self-
administered questionnaire. The valid Arabic version of the International Physical Activity
Questionnaire short version was used to assess PA and sitting time. QOL was assessed using
the valid Arabic version of the 12-item Short-Form health survey .
Results: A total of 95 BCS were recruited. BCS reported overall moderate PA levels with a median
MET of 1440 (IQR 680- 2400) minutes/week and a mean total sitting time of 281.79±134.36
minutes/day. Overall, patients aged 50 years and above had significantly lower levels of
sitting time (231.43±129.32vs 332.14±121.63, p= 0.04). Similarly, subjects aged 50 years and
above, and of rural origin had higher levels of PA (1908.5 (IQR 939.7-3268.5) vs. 1266 (IQR
471-2946), p= 0.114 and 1788.5 (IQR 1072.5-3252) vs. 1440 (IQR 537-3057), p= 0.259
respectively). Regarding BCS’QOL, they showed moderate disability in the physical component (39.3 ±7.08) , and mild disability in the mental component (43.94 ±9.23). BCS’ QOL was significantly correlated to PA (r=0,258, p=0,012).
Conclusion:
Adherence to regular PA is effective in improving BC patients’ survival rate . Therefore to
enhance survivors’ QOL, a healthy lifestyle including regular PA is well recommended.
Downloads
References
Tfayli A, Temraz S, Abou Mrad R, Shamseddine A. Breast Cancer in Low- and
Middle-Income Countries: An Emerging and Challenging Epidemic. Journal of Oncology.
:e490631.
Cherif A, Dhaouadi S, Osman M, Hsairi M. Breast Cancer burden in Tunisia: situation
in 2017 and projections by 2030. European Journal of Public Health. 2019 :ckz186.232.
Observatoire Nationale de Cancer.Cancer today 2020[internet]. [Accessed at 10 june
. Available on: http://gco.iarc.fr/today/home.
Chetrit A, Ben-Avraham S, Mandelzweig L, Amitai T, Danieli NS, Silverman B, et al.
Breast cancer survivors: physical and mental quality of life 10 years following diagnosis, a
case-control study. Breast Cancer Res Treat. 2021;188(1):273-82.
BI Bodai, P Tuso.Breast cancer survivorship: a comprehensive review of long-term
medical issues and lifestyle recommendations.The permanente journal.2015
Farha N, Khatib M, Salameh H, Zyoud S. Cancer-related post-treatment pain and its
impact on health-related quality of life in breast cancer patients: A cross sectional study in
Palestine. Asia Pacific Family Medicine. 2017;16.
Rezende LFM, Ferrari G, Bahia LR, Rosa RDS, da Rosa MQM, de Souza RC, et al.
Economic burden of colorectal and breast cancers attributable to lack of physical activity in
Brazil. BMC Public Health. 2021;21(1):1190.
Quality of life in Arab women with breast cancer: a review of the literature. Health and quality of
life Outcomes.2016;14:64(2016)
Aydin M, Kose E, Odabas I, Bingul BM, Demirci D, Aydin Z. The Effect of Exercise
on Life Quality and Depression Levels of Breast Cancer Patients. Asian Pac J Cancer Prev.
;22(3):725-32.
Masson E. Activité physique et survie après cancer [Internet]. EM-Consulte. [Accessed
at 5 February 2023]. Available on: https://www.em-consulte.com/article/964794/activite-
physique-et-survie-apres-cancer
Carmichael, A. R. (2013). Physical activity as an adjuvant treatment for breast cancer;is it time
for guidelines? European Journal of Surgical Oncology. 2014 Feb;40(2):137-9.
Regaieg S, Charfi N, Yaich S, Damak J, Abid M. The Reliability and Concurrent
Validity of a Modified Version of the International Physical Activity Questionnaire for
Adolescents (IPAQ-A) in Tunisian Overweight and Obese Youths. MPP. 2016;25(3):227-32.
Zainordin NH, Karim NA, Shahril MR, Abd Talib R. Physical Activity, Sitting Time,
and Quality of Life among Breast and Gynaecology Cancer Survivors. Asian Pac J Cancer
Prev. August 2021;22(8):2399-408.
IPAQ group. Guidlines for data processing and analysis of the international physiqcal
activity questionnaire(IPAQ) [Internet]. nov 2005[Accessed at 11 june 2022]. Available on :
https://docs.google.com/viewer.
IPAQ group. International Physical Activity Questionnaire [Internet]. [Accessed at 11
june 2022]. Available on: https://sites.google.com/site/theipaq/questionnaire_links.
Soh SE, Morello R, Ayton D, Ahern S, Scarborough R, Zammit C, et al. Measurement
properties of the 12-item Short Form Health Survey version 2 in Australians with lung cancer:
a Rasch analysis. Health Qual Life Outcomes. 2021;19(1):157.
Haddad C, Sacre H, Obeid S, Salameh P, Hallit S. Validation of the Arabic version of
the “12-item short-form health survey” (SF-12) in a sample of Lebanese adults. Arch Public
Health. 2021;79:56.
Ware J, Kosinski M, Keller S. SF-12: How to Score the SF-12 Physical and Mental
Health Summary Scales. janv 1998
Gandek.B, Ware JE,Aaronson NK, ApoloneG et al. Cross-validation of item selection and
scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. International
Quality of Life Assessment. J Clin Epidemiol. 1998 Nov;51(11):1171-8.
Gavala-González J, Torres-Pérez A, Fernández-García JC. Impact of Rowing Training
on Quality of Life and Physical Activity Levels in Female Breast Cancer Survivors. Int J
Environ Res Public Health. 5 juill 2021;18(13):7188.
Park SW, Lee I, Kim JI, Park H, Lee JD, Uhm KE, et al. Factors associated with
physical activity of breast cancer patients participating in exercise intervention. Support Care
Cancer. 2019;27(5):1747-54.
Vardar-Yagli N, Sener G, Saglam M, Calik-Kutukcu E, Arikan H, Inal-Ince D, et al.
Associations among physical activity, comorbidity, functional capacity, peripheral muscle
strength and depression in breast cancer survivors. Asian Pac J Cancer Prev.
;16(2):585-9.
Thanacody S. Évaluer la pratique de l’activité physique et analyser les déterminants
chez les patientes atteintes d’un cancer du sein: étude quantitative.Pdf. [Internet]. [Accessed at
/11/2023].Available on : https://dumas.ccsd.cnrs.fr/dumas-01377626v1/document
Leeuw M, Goossens M, Linton S, Crombez G, Boersma K, Vlaeyen J. The Fear-
Avoidance Model of Musculoskeletal Pain: Current State of Scientific Evidence. Journal of
behavioral medicine. 2007;30:77-94.
Spei ME, Samoli E, Bravi F, La Vecchia C, Bamia C, Benetou V. Physical activity in
breast cancer survivors: A systematic review and meta-analysis on overall and breast cancer
survival. The Breast. 2019;44:144-52.
Kerry S, Courneya, Christine M. Friendenreich. Physical activity and cancer control.
Semin Oncol Nurs. 2007 Nov;23(4):242-52.
Rehana L. Ahmed, Wiliam Thomas, Douglas Yee, and Kathryn H. Schmitz
Randomized Controlled Trial of Weight Training and Lymphedema in Breast Cancer
Survivor. J Clin Oncol 2006; 24:2765-2772.
Bertram, L.A.C., Stefanick, M.L., Saquib, N. et al. Physical activity, additional breast
cancer events, and mortality among early-stage breast cancer survivors: findings from the
WHEL Study. Cancer Causes Control. 2011 Mar;22(3):427-35.
Paulo A, Oliveira AG de, Tillmann AC, Araujo C da CR de, Bertuol C, Pazin J, et al.
Factors associated to usual physical activity in women. Rev Bras Med Esporte. avr
;21:99-103.
Groome PA, Schulze KM, Keller S, Mackillop WJ. Demographic Differences
between Cancer Survivors and those who Die Quickly of their Disease. Clinical Oncology. 1
oct 2008;20(8):647‑56.
Palesh O, Kamen C, Sharp S, Golden A, Neri E, Spiegel D, et al. Physical Activity
and Survival in Women with Advanced Breast Cancer. Cancer Nurs. 2018;41(4):E31‑8
Shin W kyoung, Song S, Jung SY, Lee E, Kim Z, Moon HG, et al. The association
between physical activity and health-related quality of life among breast cancer survivors.
Health Qual Life Outcomes. 2017;15:132.
Michelle D. Holmes, Wendy Y. Chen, Diane Feskanich et al. Physical Activity and
Survival After Breast Cancer Diagnosis. Jama 2005 ; 293(20):2479-2486
Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, et
al. Physical activity levels before and after a diagnosis of breast carcinoma. Cancer.
;97(7):1746‑57.
Whitney A Welch, Gillian R Lloyd, Elizabeth A Awick, Juned Siddique, Edward McAuley et
al.Measurement of physical activity and sedentary behavior in breast cancer
survivors.JCSO.2018;16(1):e21-e29 | 10.12788/jcso.0387
Kendall AR, Mahue-Giangreco M, Carpenter CL, Ganz PA, Bernstein L. Influence
of exercise activity on quality of life in long-term breast cancer survivors. Qual Life Res.
;14(2):361-71.
Rey D, Touzani R, Bouhnik AD, Rousseau F, Monet A, Préau M, et al. Evolution of
physical activity and body weight changes in breast cancer survivors five years after diagnosis
– VICAN 2 & 5 French national surveys. Breast.2021;59:248-55.
Canário ACG, Cabral PUL, de Paiva LC, Florencio GLD, Spyrides MH et al.
. Physical activity, fatigue and quality of life in breast cancer patients. Rev Assoc Med
Bras. 62 (1) • Jan-Feb 2016
Additional Files
Published
Issue
Section
Categories
License
Copyright (c) 2024 La Tunisie Médicale
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
