scholarly journals Disminución de la funcionalidad de miembro superior y bajo nivel de actividad física en supervivientes de cáncer de mama: Un estudio de caso-control (Decreased upper limb function and low level of physical activity following treatment for breast cancer -

Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 302-308
Author(s):  
Ivana Leao Ribeiro ◽  
Cecilia Rivera Mañán ◽  
Fabián García Sepúlveda ◽  
Miguel Fuentealba Naranjo ◽  
Nicolás Yáñez Benavides ◽  
...  

  El presente estudio tiene como objetivo evaluar la funcionalidad de miembro superior, síntomas de fatiga y nivel de actividad física en mujeres post operatorio de cáncer de mama, grupo PO, en comparación a un grupo control de mujeres sanas. La funcionalidad de la extremidad superior se evaluó mediante el rango de movimiento (ROM) de flexión, abducción y rotación externa del hombro utilizando un inclinómetro digital; fuerza de prensión con un dinamómetro y discapacidad del miembro superior con el cuestionario Disabilities of the arm, shoulder and hand. La fatiga se evaluó con el Inventario Breve de Fatiga y el nivel de actividad física con el Cuestionario Internacional de Actividad Física. Treinta y cuatro mujeres (n=17, grupo PO; n=17, grupo control, GC) fueron evaluadas. El grupo PO presentó menor ROM del hombro y fuerza de prensión (diferencia de rango: 22,9°-22,9°; 5,6kgF, respectivamente) en comparación con el GC; el lado afectado presentó menor ROM del hombro en comparación con el lado no afectado (15°-21°). También hubo una mayor discapacidad en el lado afectado y un menor nivel de actividad física en el grupo PO. No hubo diferencias en la fatiga entre los grupos. Concluimos que el grupo PO presentó menor funcionalidad y un bajo nivel de actividad física en comparación con un grupo control. Abstract. This study aim to compare upper limb functionality, fatigue and physical activity level in women after breast cancer surgery in relation to a control group. Upper limb functionality was evaluated by mean of shoulder range of motion (ROM) of flexion, abduction and external rotation using a digital inclinometer; handgrip strength using a dynamometer and upper limb disability with the Disabilities of the arm, shoulder and hand questionnaire. Fatigue was assessed with the Brief Fatigue Inventory and physical activity level with the International Physical Activity Questionnaire. A thirty-four women (n=17, post-operated breast surgery group, PO; n=17, control group, CG) were recruited. PO group presented a decrease in both shoulder ROM and handgrip strength (range difference: 22.9°-22,9°; 5.6kgF, respectively) compared to CG; the affected side of the PO group presented with less shoulder ROM in comparison to the non-affected side (15°-21°). There was also greater disability on the affected side and a lower physical activity level in the PO group. There were no differences in the fatigue between the groups. We concluded that PO group presented with compromised functionality and low physical activity level compared to a control group.

2020 ◽  
Author(s):  
Yuanyuan Lei ◽  
Suzanne C. Ho ◽  
Carol Kwok ◽  
Ashley Cheng ◽  
Ka Li Cheung ◽  
...  

Abstract Background: To compare change in level of physical activitybetween pre-and post- diagnosis of breast cancer in Chinese women.Methods:Based on an on-going prospective study consisting of 1462 Chinese women with early-stage breast cancer, a validated modified Chinese Baecke questionnaire was used to measure physical activity at baseline (12 months before cancer diagnosis), 18-, 36- and 60-months after diagnosis (over the previous 12 months before each interview). Results:The overall physical activity level at post-diagnosis was 5.8 MET-hours/week, which was significantly higher than that at pre-diagnosis at a median level of 0.6 MET-hours/week (P <0.001).The median levels of physical activity at 18-, 36- and 60-months follow-up were5.3, 4.4 and 3.9 MET-hours/week, respectively. There was no significant difference between any two of the three follow-ups at post-diagnosis. The proportions of participant who met WCRF/AICR recommendation before and after cancer diagnosis were both low, being 20.7% and 35.1%, respectively.Compared to pre-diagnosis, most of the patients improved or had no change on level of physical activity at post-diagnosis, with the respective proportion being 48.2% and 43.8%. Conclusions:Adherence to current lifestyle recommendation for cancer survivors, Chinese women with breast cancer significantly increasedlevel of physical activity level after cancer diagnosis, and such improvement was sustained to five years post-diagnosis. The proportion of patients who met the exercise recommendation for cancer survivors was still low. Encouraging patients on the importance of durable high level of physical activity in breast cancer survivorship is warranted.


2017 ◽  
Vol 11 (6) ◽  
pp. 701-710 ◽  
Author(s):  
Nobuaki Moriyama ◽  
Yukio Urabe ◽  
Shuichi Onoda ◽  
Noriaki Maeda ◽  
Tomoyoshi Oikawa

AbstractObjectiveThis study aimed to compare the physical activity level and health-related quality of life (HRQOL) between older survivors residing in temporary housing after the Great East Japan Earthquake (GEJE; temporary housing group) and older individuals residing in their own homes (control group) and to clarify whether mobility function and muscle strength were correlated with physical activity among older temporary housing residents.MethodsSubjects were recruited to the temporary housing group (n=64, 19 men and 45 women) or control group (n=64, 33 men and 31 women) according to their residence. Physical activity was assessed by the number of walking steps determined by using a triaxial accelerometer, mobility function by the Timed Up and Go test, muscle strength by the grasping power test, and HRQOL by the Medical Outcome Study 36-Item Short Form Survey v2.ResultsIn the temporary housing group, reduced physical activity and correlation between physical activity and mobility function in men, and muscle strength in both men and women, were observed. There was no significant difference in HRQOL between groups except for bodily pain in women.ConclusionSupport for older evacuees should focus on maintaining their physical activity level as well as on HRQOL to avoid deterioration of health in these survivors. (Disaster Med Public Health Preparedness. 2017;11:701–710)


Author(s):  
Jacek Wilczyński ◽  
Piotr Sobolewski ◽  
Rafał Zieliński ◽  
Magdalena Kabała

The aim of the study was to analyse the body composition among women after radical mastectomy. The body compositions of 30 women after radical mastectomy (study group) were compared with those of 30 healthy females (control group). The method of electrical bioimpedance was used to analyse body composition. The significant differences between the groups, unfavourable for women, following mastectomy concerned body mass (p = 0.021), BMI (p = 0.049), fat mass (%) (p = 0.007), fat mass (kg) (p = 0.005), total body water (%) (p = 0.002), left upper limb fat mass (p = 0.013) as well as right upper limb fat mass (p = 0.022). The body composition of women after radical mastectomy was significantly worse compared to the control group. The majority of subjects were overweight and had high levels of body fat. Abnormal body composition is a modifiable risk factor of breast cancer; therefore, improving lifestyle is important in the prevention and treatment of this disease. There is a need for education, dietary supervision and physical activity in women following radical mastectomy. The innovation of our study was the use of the modern bioelectrical impedance analysis (BIA) method, which does not cause ionisation and is a gold standard in the field of body composition analysis. In future research, we plan to broaden the assessment of lifestyle and the significance of diet and physical activity in the prevention and treatment of breast cancer.


2018 ◽  
Vol 61 ◽  
pp. e53
Author(s):  
B. Joelle ◽  
S. Lavau-Denes ◽  
L. Pervieux ◽  
A. Labrunie ◽  
B. Marin ◽  
...  

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20602-e20602
Author(s):  
Å. Sagen ◽  
R. Kåresen ◽  
L. Sandvik ◽  
M. Risberg

e20602 Background: Many breast cancer survivors (BCS) suffer from longterm upper limb morbidities after axillary node dissection. The purpose of this five-year follow-up study was to describe changes in long-term upper limb morbidities, physical activity level, and Health-Related Quality of Life (HRQoL) and to find factors that predict HRQoL five years after surgery. Methods: This study included 204 women aged 55 ± 9 years who had primary breast cancer surgery with axillary node dissection. The subjects were examined for arm volumes and arm lymphedema, arm pain, sensation of heaviness, shoulder function, physical activity level, and HRQoL, prior to surgery, and six months and five years after surgery. The statistical analyses used included ANOVA for repeated measures and multivariate linear regression. Results: ALE (12%), pain (36%), and sensation of heaviness (32%) in the upper limbs were still present five years after surgery. ALE was the only morbidity that continued to increase over time. The HRQoL temporarily declined after surgery, but improved in the period from six months to five years after surgery. The significant predictive factors of HRQoL five years after surgery included HRQoL prior to surgery, physical activity level at leisure time (both prior to and at six months after surgery), and duration of sick leave after surgery (in weeks). Conclusions: The HRQoL improved from six months to five years, despite the chronic arm pain and increase in ALE. Three independent predictive factors of HRQoL were identified. No significant financial relationships to disclose.


2020 ◽  
Vol 33 (3) ◽  
Author(s):  
Grant M. Hill ◽  
Bernard D. Goldfine ◽  
Kandice J. Porter ◽  
Zenong Yin

e purposes of this research were to determine whether participation in a university elective instruction-al physical activity program course (IPAP) would increase the weekly physical activity level of students and resultin a signi cantly higher score on the Physical Activity Enjoyment Scale (PACES). Treatment-group participantswere enrolled in an elective IPAP course that was either sport-based (e.g., volleyball, tennis) or physical condi-tioning-based (e.g., aerobic/strength training). Control-group participants (N=180) were students from the sameuniversities who were not enrolled during that term in an IPAP course. Student responses to the Godin-ShephardLeisure-Time Physical Activity Questionnaire indicated within-group changes in pre vs. post physical activity thatwere signi cant for the treatment group, but not the control group. Results indicate participation in an IPAPcourse signi cantly increases the physical activity levels of students and also signi cantly increases the physical activ-ity enjoyment of students with the most sedentary lifestyles.


2015 ◽  
Vol 18 (18) ◽  
pp. 3337-3348 ◽  
Author(s):  
Anouar Fanidi ◽  
Pietro Ferrari ◽  
Carine Biessy ◽  
Carolina Ortega ◽  
Angélica Angeles-Llerenas ◽  
...  

AbstractObjectiveWe investigated the association between adherence to the recommendations of the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) and breast cancer (BC) risk in the Cancer de Màma (CAMA) study in a Mexican population.DesignPopulation-based case–control study.SubjectsIncident BC cases (n 1000) and controls (n 1074) matched on age, region and health-care system were recruited.SettingIn-person interviews were conducted to assess BC risk factors and habitual diet was assessed with an FFQ. Conformity to the WCRF/AICR recommendations was evaluated through a score incorporating seven WCRF/AICR components (body fatness, physical activity, foods and drinks that promote weight gain, plant foods, animal foods, alcoholic drinks and breast-feeding), with high scores indicating adherence to the WCRF/AICR recommendations.ResultsNo statistically significant associations between WCRF/AICR score and risk of BC were observed. After excluding BMI from the WCRF/AICR score, the top quartile was associated with a decreased BC risk overall, with ORQ4–Q1=0·68 (95 % CI 0·49, 0·92, Ptrend=0·03), and among postmenopausal women, with ORQ4–Q1=0·60 (95 % CI 0·39, 0·94, Ptrend=0·03). Inverse associations were observed between BMI and risk of BC overall and among premenopausal women, with OR=0·57 (95 % CI 0·42, 0·76, Ptrend<0·01) and 0·48 (95 % CI 0·31, 0·73, Ptrend<0·01), respectively. Physical activity level was inversely associated with BC risk.ConclusionsThe WCRF/AICR index was not related with BC risk in the CAMA study. A combination of six components excluding BMI showed strong protective associations, particularly in postmenopausal women. Further prospective studies are required to clarify the role of adherence to WCRF/AICR recommendations, particularly with respect to BMI, in the Mexican population.


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