scholarly journals Physical activity levels among ovarian cancer survivors: a prospective longitudinal cohort study

2021 ◽  
pp. ijgc-2020-002107
Author(s):  
Tamara Jones ◽  
Carolina Sandler ◽  
Dimitrios Vagenas ◽  
Monika Janda ◽  
Andreas Obermair ◽  
...  
Keyword(s):  
Physical Activity ◽  
Ovarian Cancer ◽  
Stage Iv ◽  
Multiple Time ◽  
Activity Levels ◽  
Prospective Longitudinal Study ◽  
Physical Activity Advice ◽  
Physical Activity Levels ◽  
Multiple Time Points ◽  
Prospective Longitudinal

ObjectivePhysical activity following cancer diagnosis is associated with improved outcomes, including potential survival benefits, yet physical activity levels among common cancer types tend to decrease following diagnosis and remain low. Physical activity levels following diagnosis of less common cancers, such as ovarian cancer, are less known. The objectives of this study were to describe physical activity levels and to explore characteristics associated with physical activity levels in women with ovarian cancer from pre-diagnosis to 2 years post-diagnosis.MethodsAs part of a prospective longitudinal study, physical activity levels of women with ovarian cancer were assessed at multiple time points between pre-diagnosis and 2 years post-diagnosis. Physical activity levels and change in physical activity were described using metabolic equivalent task hours and minutes per week, and categorically (sedentary, insufficiently, or sufficiently active). Generalized Estimating Equations were used to explore whether participant characteristics were related to physical activity levels.ResultsA total of 110 women with ovarian cancer with a median age of 62 years (range 33–88) at diagnosis were included. 53–57% of the women were sufficiently active post-diagnosis, although average physical activity levels for the cohort were below recommended levels throughout the 2-year follow-up period (120–142.5min/week). A decrease or no change in post-diagnosis physical activity was reported by 44–60% of women compared with pre-diagnosis physical activity levels. Women diagnosed with stage IV disease, those earning a lower income, those receiving chemotherapy, and those currently smoking or working were more likely to report lower physical activity levels and had increased odds of being insufficiently active or sedentary.ConclusionsInterventions providing patients with appropriate physical activity advice and support for behavior change could potentially improve physical activity levels and health outcomes.

scholarly journals Protocol for a 1-year prospective, longitudinal cohort study of patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy: the BARI-LIFESTYLE observational study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020659 ◽  
Author(s):  
Friedrich C Jassil ◽  
Alisia Carnemolla ◽  
Helen Kingett ◽  
Bruce Paton ◽  
Aidan G O’Keeffe ◽  
...  
Keyword(s):  
Physical Activity ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Dietary Intake ◽  
Sedentary Behaviour ◽  
Activity Levels ◽  
Physical Activity Levels ◽  
Related Quality ◽  
Health Related ◽  
Prospective Longitudinal

IntroductionRoux-en-Y gastric bypass and sleeve gastrectomy are the two most common bariatric surgery performed in the UK that result in comparable weight loss and remission of obesity-associated comorbidities. However, there is a paucity of studies examining the impact of these procedures on body composition, physical activity levels, sedentary behaviour, physical function and strength, dietary intake, health-related quality of life and costs.Methods and analysisThe BARI-LIFESTYLE observational study is a 1-year prospective, longitudinal cohort study within a real-world routine clinical care setting aiming to recruit 100 patients with severe obesity undergoing either primary Roux-en-Y gastric bypass or sleeve gastrectomy from two bariatric centres in London, UK. Participants will be followed up four times during the study period; presurgery baseline (T0) and at 3 (T1), 6 (T2) and 12 months (T3) postsurgery. In addition to the standard follow-up investigations, assessments including dual-energy X-ray absorptiometry scan, bioelectric impedance analysis, 6 min walk test, sit-to-stand test and handgrip test will be undertaken together with completion of questionnaires. Physical activity levels and sedentary behaviour will be assessed using accelerometer, and dietary intake will be recorded using a 3-day food diary. Outcome measures will include body weight, body fat mass, lean muscle mass, bone mineral density, physical activity levels, sedentary behaviour, physical function and strength, dietary intake, health-related quality of life, remission of comorbidities, healthcare resource utilisation and costs.Ethics and disseminationThis study has been reviewed and given a favourable ethical opinion by London-Dulwich Research Ethics Committee (17/LO/0950). The results will be presented to stakeholder groups locally, nationally and internationally and published in peer-reviewed medical journals. The lay-person summary of the findings will be published on the Centre for Obesity Research, University College London website (http://www.ucl.ac.uk/obesity).

scholarly journals Exercise Trajectories of Women from Entry to a 6-Month Cardiac Rehabilitation Program to One Year after Discharge

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Heather M. Arthur ◽  
Chris Blanchard ◽  
Elizabeth Gunn ◽  
Jennifer Kodis ◽  
Steven Walker ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Latent Class ◽  
Rehabilitation Program ◽  
Activity Levels ◽  
Activity Data ◽  
Prospective Longitudinal Study ◽  
Strenuous Activity ◽  
One Year ◽  
Prospective Longitudinal

Background. Physical activity is associated with reduced mortality and morbidity. Cardiac rehabilitation (CR) is an effective intervention for patients with cardiovascular disease (CVD). Unfortunately, women are less likely to engage in, or sustain, regular physical activity. Objectives were to (1) describe women’s guidelines-based levels of physical activity during and after CR and (2) determine the physical activity trajectories of women from entry to CR to one year after CR.Methods and Results. A prospective, longitudinal study of 203 women with CVD enrolled in a 6-month CR program. Physical activity was measured using the Godin Leisure Time Exercise Questionnaire (LSI), focusing on moderate-strenuous activity. Data were analyzed using latent class growth analysis (LCGA) and logistic regression. Mean scores on the LSI showed women to be “active” at all follow-up points. LCGA revealed a two-class model, respectively, called “inactive relapsers” and “moderately active relapsers.” Predictors of the “moderately active relapsers” class were employment status and diagnosis of myocardial infarction.Conclusions. Women achieved the recommended physical activity levels by the end of CR and sustained them until one year after CR. LCGA allowed us to determine the class trajectories associated with moderate-strenuous activity and, from these, to identify implications for targeted intervention.

Physical Activity Levels Among Ovarian Cancer Survivors

2015 ◽  
Vol 47 ◽  
pp. 626
Author(s):  
David O. Garcia ◽  
Tracy Crane ◽  
Karen Basen-Engquist ◽  
David Alberts ◽  
Vern Hartz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Ovarian Cancer ◽  
Cancer Survivors ◽  
Activity Levels ◽  
Physical Activity Levels

scholarly journals The physician's role in prescribing physical activity for the prevention and treatment of essential hypertension

2012 ◽  
Vol 1 (4) ◽  
pp. 1-9 ◽  
Author(s):  
John H M Brooks ◽  
Albert Ferro
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Peripheral Resistance ◽  
Pressure Control ◽  
Activity Levels ◽  
Lower Blood Pressure ◽  
Physical Activity Guidelines ◽  
Physical Activity Advice ◽  
Lower Blood ◽  
Physical Activity Levels

Blood pressure control and prevention of hypertension can be achieved by both pharmacological and lifestyle interventions; one important lifestyle intervention is physical activity. Participation in regular physical activity can modestly lower blood pressure by reducing total peripheral resistance; it can also reduce the risk of developing hypertension and improve morbidity and mortality outcomes. Therefore, physical activity is a recommended intervention for the majority of hypertensive or prehypertensive patients. The precise level of physical activity required to lower blood pressure is unknown; however, in the UK, national minimum physical activity guidelines would seem appropriate for most hypertensives. Current patient physical activity levels can be assessed easily using retrospective recall questionnaires; preparticipation screening and exercise modifications for high-risk patients may reduce the risk of adverse events during subsequent exercise; and identification of a patient's willingness to increase physical activity levels may help to tailor physical activity advice. Health professional counselling or advice on physical activity is currently the most effective researched intervention. Its success can be maximized by delivering physical activity advice and counselling multiple times using different health professionals in person or over the telephone and by offering additional written materials. While the most effective methods for increasing physical activity levels in patients are probably still unclear, physical activity is an advisable intervention for the majority of hypertensive patients.

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