An Assessment of Sleep Duration and Determinants of Health in a Cross-Sectional Sample of Gynecologic Cancer Survivors in Los Angeles County

Cancer survivors have an increased risk of treatment-related deficits in physical health and low health-related quality of life. In this cross-sectional study, a health questionnaire was mailed to women from the Los Angeles County Cancer Surveillance Program aged 45-70 and diagnosed with cervical, endometrial, or ovarian cancer in 2005-2014. Of the 5,941 surveys with valid postal addresses, 586 (10%) were completed and returned. The average age of respondents was 66 years old, and 36% identified as non-white. Non-white respondents were less likely to have a college degree (p<0.001), more likely to sleep for less than seven hours each night (p<0.001), experience bodily pain (p<0.001), and have a diagnosis of cervical cancer (p=0.002), when compared to white respondents. Health behaviors and determinants were examined across cervical, endometrial, and ovarian cancer cases. Cervical cancer survivors reported sleeping less than 7 hours per night, on average (p=0.015). Race was associated with sleep duration among endometrial (p=0.002) and ovarian (p=0.003) cancer survivors. Menopausal status was associated with the relationship between race and sleep duration (p<0.001). Depression was inversely related to sleep duration (p = 0.022) but was not associated with race, menopausal status, time since treatment, physical activity, or cancer type. Postmenopausal cervical cancer survivors reported a moderate concern about fall risk compared to their premenopausal counterparts (p=0.048). Physical activity levels increased as time since treatment increased (p=0.003) regardless of cancer type. Race, menopausal status, depression, and cancer type impacted the sleep duration. KEYWORDS: Health Disparities; Sleep Duration; Depression; Gynecologic Cancers; Survivorship Care

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Climacteric Symptoms in Postoperative Patients Among Endometrial Cancer, Cervical Cancer, and Ovarian Cancer: A Cross-Sectional Study

10.21203/rs.3.rs-121103/v1 ◽

2020 ◽

Author(s):

YUKO HORIBA ◽

Tetsuhiro Yoshino ◽

Megumi Yokota ◽

Takashi Iwata ◽

Kenji Watanabe ◽

...

Keyword(s):

Ovarian Cancer ◽

Cervical Cancer ◽

Symptom Severity ◽

Menopausal Status ◽

Symptomatic Treatment ◽

Cross Sectional Study ◽

Cancer Type ◽

Climacteric Symptoms ◽

Cross Sectional ◽

Patient Reported

Abstract Background: No studies have assessed climacteric symptoms after hystero-adnexectomy for endometrial, cervical, or ovarian cancer. Thus, this study aimed to compare climacteric symptoms among patients who underwent surgery for these three cancer types.Methods: We included patients who were registered at a menopausal outpatient clinic between January 1999 and July 2016 after undergoing total hysterectomy, intrapelvic only or intrapelvic plus para-aortic lymph node dissection, and bilateral adnexectomy performed via laparotomy as cancer treatment. The numbers of patients with endometrial, ovarian, and cervical cancer were 328, 90, and 107, respectively. We collected the following data: age at surgery, time since surgery, body mass index, menopausal status at surgery, and postoperative adjuvant therapy. Climacteric symptoms were assessed using a patient-reported questionnaire covering 40 parameters. Each symptom was graded from 0 (no symptoms) to 3 (severe symptoms). The total for all 40 parameters was considered as the degree of symptom severity.Results: Multivariate analysis revealed that time since surgery and cancer type had statistically significant effects on climacteric symptom severity. Overall, climacteric symptoms were more severe in patients with cervical cancer than in those with endometrial or ovarian cancer; symptom severity decreased with increasing time since surgery. However, in patients with cervical cancer, symptom severity did not decrease significantly over time, even after >5 years had elapsed since surgery.Conclusions: The severity of climacteric symptoms decreased with time after surgery for patients with endometrial or ovarian cancer but not for those with cervical cancer. Patients with cervical cancer may require more prompt interventions, including symptomatic treatment, and longer follow-up than those with endometrial or ovarian cancer.

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A Population-Based Study of the Determinants of Physical Activity in Ovarian Cancer Survivors

Journal of Physical Activity and Health ◽

10.1123/jpah.6.3.339 ◽

2009 ◽

Vol 6 (3) ◽

pp. 339-346 ◽

Cited By ~ 32

Author(s):

Clare Stevinson ◽

Katia Tonkin ◽

Valerie Capstick ◽

Alexandra Schepansky ◽

Aliya B. Ladha ◽

...

Keyword(s):

Physical Activity ◽

Ovarian Cancer ◽

Cancer Survivors ◽

Social Cognitive ◽

Population Based ◽

Disease Stage ◽

Cross Sectional ◽

Physical Activity Guidelines ◽

Younger Age ◽

Health Related

Background:Regular physical activity is associated with quality of life and other health-related outcomes in ovarian cancer survivors, but participation rates are low. This study investigated the determinants of physical activity in ovarian cancer survivors.Methods:A population-based, cross-sectional, mailed survey of ovarian cancer survivors in Alberta, Canada, was conducted. Measures included self-reported physical activity, medical and demographic factors, and social-cognitive variables from the theory of planned behavior (TPB).Results:A total of 359 women participated (51.4% response rate), of whom 112 (31.1%) were meeting physical activity guidelines. Variables associated with meeting guidelines were younger age, higher education and income, being employed, lower body-mass index, absence of arthritis, longer time since diagnosis, earlier disease stage, and being disease free. Analysis of the TPB variables indicated that 36% of the variance in physical activity guidelines was explained, with intention being the sole independent correlate (β = .56; P < .001).Conclusion:Various demographic and medical factors can help identify ovarian cancer survivors at risk for physical inactivity. Interventions should attempt to increase physical activity intentions in this population by focusing on instrumental and affective attitudes, as well as perceptions of control.

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Associations between physical activity and quality of life in ovarian cancer survivors

Gynecologic Oncology ◽

10.1016/j.ygyno.2007.03.033 ◽

2007 ◽

Vol 106 (1) ◽

pp. 244-250 ◽

Cited By ~ 75

Author(s):

Clare Stevinson ◽

Wylam Faught ◽

Helen Steed ◽

Katia Tonkin ◽

Aliya B. Ladha ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Ovarian Cancer ◽

Cancer Survivors

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Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross-sectional analysis of PROFILES registry data

Supportive Care in Cancer ◽

10.1007/s00520-021-06433-0 ◽

2021 ◽

Author(s):

Karin A. J. Driessen ◽

Belle H. de Rooij ◽

M. Caroline Vos ◽

Dorry Boll ◽

Johanna M. A. Pijnenborg ◽

...

Keyword(s):

Physical Activity ◽

Cancer Survivors ◽

Psychosocial Factors ◽

Initial Treatment ◽

Gynecological Cancer ◽

Gastrointestinal Symptoms ◽

Cross Sectional ◽

Body Change ◽

Change Concerns ◽

Gynecological Cancer Survivors

Abstract Purpose Obesity is prevalent in gynecological cancer survivors and is associated with impaired health outcomes. Concerns due to cancer and its treatment may impact changes in lifestyle after cancer. This study aimed to assess the association between cancer-related psychosocial factors and changes in physical activity and diet, 18 months after initial treatment among gynecological cancer survivors. Methods Cross-sectional data from the ROGY Care study were used, including endometrial and ovarian cancer patients treated with curative intent. The Impact of Cancer Scale (IOCv2) was used to assess cancer-related psychosocial factors. Self-reported changes in nutrients/food groups and in physical activity post-diagnosis were classified into change groups (less/equal/more). Multivariable logistic regression models were used to assess associations. Results Data from 229 cancer survivors (59% endometrial, 41% ovarian, mean age 66 ± 9.5, 70% tumor stage I) were analyzed. In total, 20% reported to eat healthier from diagnosis up to 18 months after initial treatment, 17% reported less physical activity and 20% more physical activity. Health awareness (OR 2.79, 95% CI: 1.38; 5.65), body change concerns (OR 3.04 95% CI: 1.71; 5.39), life interferences (OR 4.88 95% 2.29; 10.38) and worry (OR 2.62, 95% CI: 1.42; 4.85) were significantly associated with less physical activity up to 18 months after initial treatment whereby gastrointestinal symptoms were an important confounder. Conclusion(s) This study underlines the need to raise awareness of the benefits of a healthy lifestyle and to provide tailored lifestyle advice, taking into account survivors’ health awareness, body change concerns, life interferences, worry and gastrointestinal symptoms, in order to improve health behavior among gynecological cancer survivors. Trial Registration http://clinicaltrials.gov Identifier: NCT01185626, August 20, 2010

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Prevalence and correlates of adherence to movement guidelines among urban and rural children in Mozambique: a cross-sectional study

International Journal of Behavioral Nutrition and Physical Activity ◽

10.1186/s12966-019-0861-y ◽

2019 ◽

Vol 16 (1) ◽

Cited By ~ 6

Author(s):

Taru Manyanga ◽

Joel D. Barnes ◽

Jean-Philippe Chaput ◽

Peter T. Katzmarzyk ◽

Antonio Prista ◽

...

Keyword(s):

Physical Activity ◽

Sleep Duration ◽

Screen Time ◽

Cross Sectional Study ◽

Rural Children ◽

Sectional Study ◽

Cross Sectional ◽

Middle Income ◽

Middle Income Countries ◽

Low Middle Income Countries

Abstract Background Insufficient physical activity, short sleep duration, and excessive recreational screen time are increasing globally. Currently, there are little to no data describing prevalences and correlates of movement behaviours among children in low-middle-income countries. The few available reports do not include both urban and rural respondents, despite the large proportion of rural populations in low-middle-income countries. We compared the prevalence of meeting 24-h movement guidelines and examined correlates of meeting the guidelines in a sample of urban and rural Mozambican schoolchildren. Methods This is cross-sectional study of 9–11 year-old children (n = 683) recruited from 10 urban and 7 rural schools in Mozambique. Moderate- to vigorous-intensity physical activity (MVPA) and sleep duration were measured by waist-worn Actigraph GT3X+ accelerometers. Accelerometers were worn 24 h/day for up to 8 days. Recreational screen time was self-reported. Potential correlates of meeting 24-h movement guidelines were directly measured or obtained from validated items of context-adapted questionnaires. Multilevel multivariable logit models were used to determine the correlates of movement behaviours. Meeting 24-h movement guidelines was defined as ≥60 min/day of MVPA, ≤2 h/day of recreational screen time, and between 9 and 11 h/night of sleep. Results More rural (17.7%) than urban (3.6%) children met all three 24-h movement guidelines. Mean MVPA was lower (82.9 ± 29.5 min/day) among urban than rural children (96.7 ± 31.8 min/day). Rural children had longer sleep duration (8.9 ± 0.7 h/night) and shorter recreational screen time (2.7 ± 1.9 h/day) than their urban counterparts (8.7 ± 0.9 h/night and 5.0 ± 2.3 h/day respectively). Parental education (OR: 0.37; CI: 0.16–0.87), school location (OR: 0.21; CI: 0.09–0.52), and outdoor time (OR: 0.67; CI: 0.53–0.85) were significant correlates of meeting all three 24-h movement guidelines. Conclusions Prevalence and correlates of meeting movement guidelines differed between urban and rural schoolchildren in Mozambique. On average, both groups had higher daily MVPA minutes, shorter sleep duration, and higher recreational screen time than the 24-h movement guidelines recommend. These findings (e.g., higher than recommended mean daily MVPA minutes) differ from those from high-income countries and highlight the need to sample from both urban and rural areas.

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Increasing Physical Activity in Under-Resourced Communities Through School-Based, Joint-Use Agreements, Los Angeles County, 2010–2012

Preventing Chronic Disease ◽

10.5888/pcd10.120270 ◽

2013 ◽

Vol 10 ◽

Cited By ~ 23

Author(s):

Mariah Lafleur ◽

Eloisa Gonzalez ◽

Liz Schwarte ◽

Rajni Banthia ◽

Tony Kuo ◽

...

Keyword(s):

Physical Activity ◽

Los Angeles ◽

Los Angeles County ◽

School Based

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Sleep Duration and Sleep Quality Are Associated with Physical Activity in Elderly People Living in Nursing Homes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15112512 ◽

2018 ◽

Vol 15 (11) ◽

pp. 2512 ◽

Cited By ~ 6

Author(s):

Lovro Štefan ◽

Goran Vrgoč ◽

Tomislav Rupčić ◽

Goran Sporiš ◽

Damir Sekulić

Keyword(s):

Physical Activity ◽

Nursing Homes ◽

Sleep Quality ◽

Sleep Duration ◽

Short Sleep Duration ◽

Cross Sectional ◽

Elderly Individuals ◽

Short Sleep ◽

Long Sleep ◽

Good Sleep

The main purpose of the study was to explore the associations of sleep duration and sleep quality with physical activity (PA). In this cross-sectional study, participants were 894 elderly individuals (mean age 80 ± 3 years; 56.0% women) living in nursing homes. PA, sleep duration, and sleep quality (based on the Pittsburgh Sleep Quality Index (PSQI)) were self-reported. The associations of sleep duration and sleep quality with PA at the nursing home level were analyzed using generalized estimating equations with clustering. Participants reporting short sleep duration (<6 h; OR = 0.45; 95% CI 0.25–0.80) were less likely to report sufficient PA, yet those reporting long sleep duration (>9 h; OR = 2.61; 95% CI 1.35–5.02) and good sleep quality (<5 points; OR = 1.59; 95% CI 1.19–2.12) were more likely to report sufficient PA. When sleep duration and sleep quality were entered into the same model, the same associations remained. This study shows that elderly individuals who report short sleep duration are less likely to meet PA guidelines, while those who report long sleep duration and good sleep quality are more likely to meet PA guidelines. Strategies aiming to improve sleep duration and sleep quality are warranted.

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Quality of life among ovarian cancer survivors in Haji Adam Malik General Hospital Medan, Indonesia

Health Science Journal of Indonesia ◽

10.22435/hsji.v11i2.3080 ◽

2020 ◽

Vol 11 (2) ◽

pp. 133-139

Author(s):

Kristivani Br Ginting ◽

Muhammad Rizki Yaznil ◽

M. Oky Prabudi ◽

Lili Rahmawati

Keyword(s):

Quality Of Life ◽

Ovarian Cancer ◽

Cancer Survivors ◽

General Hospital ◽

Detection Methods ◽

Cross Sectional ◽

Eortc Qlq C30 ◽

C 30 ◽

Eortc Qlq

Latar belakang: Kanker ovarium memiliki angka mortalitas yang cukup tinggi dikarenakan gejalanya yang tidak spesifik, sering ditemukan pada stadium lanjut, dan belum adanya metode deteksi dini yang sudah terbukti. Untuk menilai keberhasilan terapi penyintas kanker ovarium, tidak hanya dinilai dari aspek klinis tetapi juga dinilai dari kualitas hidup penyintas kanker ovarium yang penilaiannya berdasarkan skala fungsional dan skala gejala dalam kuesioner EORTC QLQ C30 dan EORTC QLQ OV28. Metode: Penelitian ini menggunakan desain penelitian cross sectional, menggunakan data primer dari hasil wawancara dengan kuesioner EORTC QLQ C30 dan EORTC QLQ OV28 serta data sekunder yang berasal dari rekam medik di RSUP Haji Adam Malik Medan tahun 2017 - 2018. Sampel penelitian dipilih dengan metode total sampling dari seluruh data rekam medik yang memenuhi kriteria penelitian. Hasil: Hasil penelitian ini didapatkan kualitas hidup global penyintas kanker ovarium 89.36% adalah baik, dan 10.64% adalah sedang serta tidak ada yang memiliki kualitas hidup buruk. Namun, didapatkan adanya gangguan pada skala fungsional berupa: fungsi emosional, fungsi kognitif, fungsi seksual, dan sikap terhadap penyakit, serta adanya permasalahan pada skala gejala berupa: kelelahan, nyeri, neuropati perifer, dan gejala menopause. Didapatkan juga tidak ada hubungan karakteristik usia, jenis histopatologis, stadium, lama terapi dengan kualitas hidup penyintas kanker ovarium, namun terdapat hubungan antara jenis terapi dengan kualitas hidup penyintas kanker ovarium. Kesimpulan: Kualitas hidup penyintas kanker ovarium secara global adalah baik. Kata Kunci: Kualitas Hidup, Penyintas Kanker Ovarium, EORTC QLQ C-30, EORTC QLQ OV-28 Abstract Background: Ovarian cancer has a high mortality rate due to nonspecific symptoms, often found at an advanced stage, and also the absence of proven early detection methods. To assess the success of ovarian cancer survivors therapy, it is not only assessed from the clinical aspect but also from the quality of life of ovarian cancer survivors which is based on the functional and symptom scale in the EORTC QLQ C30 and EORTC QLQ OV28 questionnaires. Methods: This study used a cross-sectional study design, using primary data from interviews with the survivors based on the questionnaire EORTC QLQ C30 and EORTC QLQ OV28 as well as secondary data derived from medical records at Haji Adam Malik General Hospital Medan in 2017 - 2018. The research sample was used with a total sampling method from all medical record data that fulfill the research criteria. Result: The quality of life of ovarian cancer survivors is generally good (89.36%), meanwhile the rest is moderate (10.64%) without the poor quality of life. However, there are disorders on the functional scale in the form of emotional function, cognitive function, sexual function, and attitude toward disease. Likewise on the scale of symptoms, there are problems including: fatigue, pain, peripheral neuropathy, and menopausal symptoms. Conclusion: The quality of life of ovarian cancer survivors globally is good. Keywords: Quality of Life, Ovarian Cancer Survivors, EORTC QLQ C-30, EORTC QLQ OV-28

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Association between objectively measured body composition, sleep parameters and physical activity in preschool children: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-042669 ◽

2021 ◽

Vol 11 (1) ◽

pp. e042669

Author(s):

Justyna Wyszyńska ◽

Piotr Matłosz ◽

Muhammad Asif ◽

Agnieszka Szybisty ◽

Paweł Lenik ◽

...

Keyword(s):

Physical Activity ◽

Body Composition ◽

Preschool Children ◽

Muscle Mass ◽

Sleep Duration ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sleep Parameters ◽

Objectively Measured

ObjectiveAssociations between self-reported sleep duration and obesity indices in children are well recognised; however, there are no studies on associations between objectively measured other sleep parameters and physical activity with body composition in preschoolers. Therefore, the aim of this study was to determine the associations between sleep parameters and moderate-to-vigorous physical activity (MVPA) with body composition indices in preschoolers using objective measures.DesignA cross-sectional study.ParticipantsThe study group consisted of 676 children aged 5–6 years, who were enrolled in kindergartens in the 2017/2018 school year.Outcome measuresSleep parameters and MVPA were measured using accelerometers for 7 days. Bioelectrical impedance analysis was used to estimate body composition.ResultsSleep duration and sleep efficiency were inversely associated with body fat percentage (BFP) (β=−0.013 and β from –0.311 to −0.359, respectively) and body mass index (BMI) (β from −0.005 to −0.006 and from −0.105 to –0.121, respectively), and directly associated with fat-free mass (FFM) (β from 0.010 to 0.011 and from 0.245 to 0.271, respectively) and muscle mass (β from 0.012 to 0.012 and from 0.277 to 0.307, respectively) in unadjusted and adjusted models. BFP was inversely associated with MVPA and positively associated with number of awakenings and sleep periods. Number of sleep periods was inversely associated with FFM, and positively with BMI and muscle mass. Correlation matrix indicated significant correlation between BFP, FFM and muscle mass with sleep duration, sleep efficiency, number of sleep periods and MVPA.ConclusionsPeriodic assessment of sleep parameters and MVPA in relation to body composition in preschool children may be considered, especially in those who are at risk for obesity.

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Association of physical activity with sleep health: A systematic review

Revista Brasileira de Atividade Física & Saúde ◽

10.12820/rbafs.23e0057 ◽

2019 ◽

Vol 23 ◽

pp. 1-26

Author(s):

Andrea Wendt ◽

Thaynã Ramos Flores ◽

Inácio Crochemore Mohnsam Silva ◽

Fernando César Wehrmeister

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Sleep Duration ◽

Undergraduate Students ◽

Data Extraction ◽

Activity Measurement ◽

Poor Sleep ◽

Long Term Effects ◽

Sleep Health ◽

Cross Sectional

The aim of this study was to systematically examine the literature on physical activity and sleep in non-clinical and population-based settings. The inclusion criteria were original studies testing the association between physical activity (as exposure) and sleep (as outcome) in representative samples of the general population, workers, or undergraduate students. Sleep health included sleep duration, sleep quality and insomnia. Studies evaluating samples including only individuals with some disease or a health condition were excluded. A search was performed in the PubMed, Scopus, Lilacs, CINAHL, and SPORTdiscus databases in March 2018. Data extraction was performed using the following items: year, author, country, population, age group, sample size, study design, sleep measurement/definition, physical activity measurement/definition, adjustment and main results. A total of 57 studies were selected, which markedly used heterogeneous instruments to measure physical activity and sleep. The majority were conducted in high-income countries and with cross-sectional design. Physical activity was associated with lower odds of insomnia (observed in 10 of 17 studies), poor sleep quality (observed in 12 of 19 studies) and long sleep duration (observed in 7 of 11 studies). The results about short sleep or continuous sleep duration remain unclear. Physical activity seems to be associated with sleep quality and insomnia, especially among adult and elderly populations in which these outcomes are more usually measured. The short- and long-term effects of physical activity intensities and dose-response on sleep should be better evaluated.

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