The Impact of Cancer and Its Treatment on Physical Activity Levels and Behavior in Hong Kong Chinese Childhood Cancer Survivors

2014 ◽  
Vol 37 (3) ◽  
pp. E43-E51 ◽  
Author(s):  
O.K. Joyce Chung ◽  
Ho Cheung William Li ◽  
Sau Ying Chiu ◽  
Ka Yan Eva Ho ◽  
Violeta Lopez
Keyword(s):  
Physical Activity ◽  
Hong Kong ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Childhood Cancer Survivors ◽  
Hong Kong Chinese ◽  
Activity Levels ◽  
Physical Activity Levels ◽  
And Behavior ◽  
The Impact

scholarly journals Deficits in Physical Function Among Young Childhood Cancer Survivors

2013 ◽  
Vol 31 (22) ◽  
pp. 2799-2805 ◽  
Author(s):  
Megan C. Hoffman ◽  
Daniel A. Mulrooney ◽  
Julia Steinberger ◽  
Jill Lee ◽  
K. Scott Baker ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Physical Performance ◽  
Childhood Cancer Survivors ◽  
Cns Tumors ◽  
Strength Testing ◽  
Activity Levels ◽  
Exercise Interventions ◽  
Physical Activity Levels

Purpose Childhood cancer survivors (CCSs) are at risk for physical disability. The aim of this investigation was to characterize and compare physical performance among CCSs and a group of siblings age < 18 years and determine if diagnosis, treatment, and physical activity levels were associated with lower performance scores. Methods CCSs ≥ 5 years from diagnosis and a sibling comparison group were recruited and evaluated for strength, mobility, and fitness. Physical performance measures were compared in regression models between survivors and siblings by diagnosis and among survivors by treatment exposures and physical activity levels. Results CCSs (n = 183; mean age ± standard deviation [SD], 13.5 ± 2.5 years; 53% male) scored lower than siblings (n = 147; mean age ± SD, 13.4 ± 2.4 years; 50% male) on lower-extremity strength testing, the timed up-and-go (TUG) test, and the 6-minute walk (6MW) test, despite reporting similar levels and types of habitual physical activity. The lowest scores were prevalent among survivors of CNS tumors and bone and soft tissue sarcomas on strength testing (score ± SD: CNS tumors, 76.5 ± 4.7; sarcoma 67.1 ± 7.2 v siblings, 87.3 ± 2.4 Newton-meters quadricep strength at 90° per second; P = .04 and .01, respectively) and among CNS tumor survivors on the TUG (score ± SD: 5.1 ± 0.1 v siblings, 4.4 ± 0.1 seconds; P < .001) and 6MW tests (score ± SD: 533.3 ± 15.6 v siblings, 594.1 ± 8.3 m; P < .001). Conclusion CCSs may have underlying physiologic deficits that interfere with function that cannot be completely overcome by participation in regular physical activity. These survivors may need referral for specialized exercise interventions in addition to usual counseling to remain physically active.

Predictors of declining levels of physical activity among adult survivors of childhood cancer.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 10062-10062
Author(s):  
Carmen L Wilson ◽  
Wendy M. Leisenring ◽  
Kevin C. Oeffinger ◽  
Paul C. Nathan ◽  
Karen Wasilewski-Masker ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Adult Survivors ◽  
Childhood Cancer Survivors ◽  
Activity Levels ◽  
Increased Risk ◽  
Study Interval ◽  
Grade 3

10062 Background: Childhood cancer survivors are at increased risk of developing obesity-related diseases, yet many survivors do not meet established guidelines for physical activity. We aimed to identify demographic and health-related predictors of declining physical activity among participants in the Childhood Cancer Survivor Study (CCSS). Methods: Analyses included 6617 >5 year childhood cancer survivors diagnosed between 1970-86 who completed the CCSS 2003 and 2007 follow-up questionnaires, and1992 siblings. Participants were classified as active if they reported engaging in any physical activity other than their regular job duties in the prior month. Generalized linear models using a log-link and Poisson distribution were used to compare participants whose physical activity levels fell from active to inactive over the study interval to those who remained active or whose activity levels improved. In addition to analyses comparing survivors to siblings, selected demographic factors and chronic conditions (CTCAE v4.0 Grade 3 and 4) were evaluated as risk factors in an analysis among survivors alone. Risk ratios (RR) with 95% confidence intervals (CI) are reported. Results: The median age at last follow-up among survivors and siblings was 36 (range: 21-58) and 38 (range: 21-62) years, respectively. Approximately 14% of survivors and 9% of siblings reported declines in physical activity across the study interval (p<0.01). Factors that predicted declining levels of physical activity included BMI≥30kg/m2 (RR=1.4, 95% CI=1.3-1.7, p<0.01), BMI<18.5kg/m2 (RR=1.4, 95% CI=1.0-1.8, p=0.03), not completing high school (RR=1.7, 95% CI=1.2-2.2, p<0.01), and black race (RR=1.6, 95% CI=1.2-2.1, p<0.01). In a model limited to survivors, declining levels of physical activity were more likely among survivors who reported the presence of Grade 3 or 4 neurological (RR=1.5, 95% CI=1.2-1.8, p<0.01) or cardiac conditions (RR=1.5, 95% CI=1.3-1.9, p<0.01). Conclusions: Childhood cancer survivors are at increased risk of becoming inactive over time compared to siblings. Interventions targeting survivors at highest risk of decline are required to reduce the risk of chronic diseases associated with an inactive lifestyle.

scholarly journals Psychometric properties of the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) among Hong Kong Chinese childhood cancer survivors

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
K. Y. Ho ◽  
Katherine K. W. Lam ◽  
W. Xia ◽  
J. O. K. Chung ◽  
Ankie T. Cheung ◽  
...  
Keyword(s):  
Hong Kong ◽  
Sleep Quality ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Pittsburgh Sleep Quality Index ◽  
Childhood Cancer Survivors ◽  
Chinese Version ◽  
Hong Kong Chinese ◽  
Sleep Disruption ◽  
Cutoff Score

Abstract Background Sleep disruption is a prevalent symptom reported by survivors of childhood cancer. However, there is no validated instrument for assessing this symptom in this population group. To bridge the literature gap, this study translated and adapted the Pittsburgh Sleep Quality Index (PSQI) for Hong Kong Chinese cancer survivors and examined its psychometric properties and factor structure. Methods A convenience sample of 402 Hong Kong Chinese childhood cancer survivors aged 6–18 years were asked to complete the Chinese version of the PSQI, Center for Epidemiologic Studies Depression Scale for Children (CES-DC), Fatigue Scale-Child (FS-C)/Fatigue Scale-Adolescent (FS-A), and Pediatric Quality of Life Inventory (PedsQL). To assess known-group validity, 50 pediatric cancer patients and 50 healthy counterparts were recruited. A sample of 40 children were invited to respond by phone to the PSQI 2 weeks later to assess test–retest reliability. A cutoff score for the translated PSQI used with the survivors was determined using receiver operating characteristic analysis. Results The Chinese version of the PSQI had a Cronbach alpha of 0.71, with an intraclass correlation coefficient of 0.90. Childhood cancer survivors showed significantly lower mean PSQI scores than children with cancer, and significantly higher mean scores than healthy counterparts. This reflected that childhood cancer survivors had a better sleep quality than children with cancer, but a poorer sleep quality than healthy counterparts. We observed positive correlations between PSQI and CES-DC scores and between PSQI and FS-A/FS-C scores, but a negative correlation between PSQI and PedsQL scores. The results supported that the Chinese version of the PSQI showed convergent validity. Confirmatory factor analysis showed that the translated PSQI data best fit a three-factor model. The best cutoff score to detect insomnia was 5, with a sensitivity of 0.81 and specificity of 0.70. Conclusion The Chinese version of the PSQI is a reliable and valid instrument to assess subjective sleep quality among Hong Kong Chinese childhood cancer survivors. The validated PSQI could be used in clinical settings to provide early assessments for sleep disruption. Appropriate interventions can therefore be provided to minimize its associated long-term healthcare cost. Trial registration This study was registered in ClinicalTrials.gov with the reference number NCT03858218.

scholarly journals Psychometric Properties of the Chinese Version of the Pittsburgh Sleep Quality Index (PSQI) Among Hong Kong Chinese Childhood Cancer Survivors

2021 ◽  
Author(s):  
Ka Yan HO ◽  
Katherine K.W. Lam ◽  
Xia W ◽  
J.O.K. Chung ◽  
Ankie T. Cheung ◽  
...  
Keyword(s):  
Hong Kong ◽  
Sleep Quality ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Pittsburgh Sleep Quality Index ◽  
Childhood Cancer Survivors ◽  
Chinese Version ◽  
Hong Kong Chinese ◽  
Sleep Disruption ◽  
Cutoff Score

Abstract BackgroundSleep disruption is a prevalent symptoms reported by survivors of childhood cancer. However, there is no validated instrument for assessing this symptom in this population group. To bridge the literature gap, this study translated and adapted the Pittsburgh Sleep Quality Index (PSQI) for Hong Kong Chinese cancer survivors and examined its psychometric properties and factor structure. Methods A convenience sample of 402 Hong Kong Chinese childhood cancer survivors aged 6–18 years were asked to complete the Chinese version of the PSQI, Center for Epidemiologic Studies Depression Scale for Children (CES-DC), Fatigue Scale-Child (FS-C)/Fatigue Scale-Adolescent (FS-A), and Pediatric Quality of Life Inventory (PedsQL). To assess known-group validity, 50 pediatric cancer patients and 50 healthy counterparts were recruited. A sample of 40 children were invited to respond by phone to the PSQI 2 weeks later to assess test–retest reliability. A cutoff score for the translated PSQI used with the survivors was determined using receiver operating characteristic analysis. Results The Chinese version of the PSQI had a Cronbach alpha of 0.71, with an intraclass correlation coefficient of 0.90. Childhood cancer survivors showed significantly lower mean PSQI scores than children with cancer, and significantly higher mean scores than healthy counterparts. We observed positive correlations between PSQI and CES-DC scores and between PSQI and FS-A/FS-C scores, but a negative correlation between PSQI and PedsQL scores. Confirmatory factor analysis showed that the translated PSQI data best fit a three-factor model. The best cutoff score to detect insomnia was 5, with a sensitivity of 0.81 and specificity of 0.70.Conclusion The Chinese version of the PSQI is a reliable and valid instrument to assess subjective sleep quality among Hong Kong Chinese childhood cancer survivors. The validated PSQI could be used in clinical settings to provide early assessments for sleep disruption. Appropriate interventions can therefore be provided to minimize its associated long-term healthcare cost. Trial registrationThis study was registered in ClinicalTrials.gov with the reference number NCT03858218.

Physical Activity Levels of Hong Kong Chinese Children: Relationship with Body Fat

2002 ◽  
Vol 14 (3) ◽  
pp. 286-296 ◽  
Author(s):  
Ann V. Rowlands ◽  
Roger G. Eston ◽  
Lobo Louie ◽  
David K. Ingledew ◽  
Kwok K. Tong ◽  
...  
Keyword(s):  
Physical Activity ◽  
Hong Kong ◽  
Negative Relationship ◽  
Chinese Children ◽  
Hong Kong Chinese ◽  
Activity Levels ◽  
Body Fatness ◽  
Hong Kong Chinese Children ◽  
Physical Activity Levels ◽  
The Relationship

The aim of this study was to investigate the relationship between habitual physical activity and body fatness in Hong Kong Chinese children. Fifty children aged 8–11 yrs wore a uniaxial accelerometer for 7 days to determine physical activity levels. The sum of seven skinfolds was used to estimate body fatness. Activity counts summed over 1 day (299384 – 140427, mean – SD) were similar to activity counts recorded in previous studies. Activity correlated significantly negatively with sum of skinfolds in boys (r = –.50, N = 24, P < .05) but not girls. In conclusion this study supports a negative relationship between physical activity and body fatness in Hong Kong Chinese boys.

scholarly journals Physical Activity Levels, Exercise Preferences, and Exercise Barriers in Children and Adolescents after Cancer Treatment

2021 ◽  
Author(s):  
Ji Young Kim ◽  
Samuel Yoo ◽  
Su Jin Yeon ◽  
Ji Hee Min ◽  
Dong-il Kim ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Childhood Cancer ◽  
Childhood Cancer Survivors ◽  
Childhood And Adolescence ◽  
Life Questionnaire ◽  
Activity Levels ◽  
Exercise Participation ◽  
Positive Attitudes ◽  
Exercise Barriers

Abstract Purpose: The purpose of the current study was to explore physical activity (PA) and exercise participation, exercise preferences, and barriers to PA in childhood cancer survivors.Methods: We surveyed 120 childhood cancer survivors in childhood and adolescence from the pediatric oncology center in South Korea between March and August 2017. The modified Exercise & Quality of Life questionnaire, Korea Youth Risk Behavior Web-based Survey, and Godin Leisure-Time Questionnaire were used to assess PA levels, preferences, and exercise barriers.Results: Among 120 participants (72 boys, 48 girls) whose average age at the time of the survey was 14.57 ± 3 years and average age at diagnosis was 8.22 years, only 6.9% of male participants and 2.1% of female participants met the PA recommendations for children (at least 60 min of moderate PA per day). The most preferred sporting activities included soccer, basketball, strengthening exercises, badminton, dance, and taekwondo. They generally had positive attitudes toward exercise, and more than 63% of participants intended to exercise the following month. The four most prevalent perceived barriers to exercise were lack of time, poor health, reluctance to sweat, and lack of exercise skills. Conclusions: While most childhood cancer survivors did not meet the PA recommendation, most of them agreed that exercise was beneficial, and they intended to participate in exercise. Exercise and PA programs should be tailored to the personal health and preferences of childhood cancer survivors to increase PA and exercise participation in this group.

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