Physical activity among lung cancer survivors: changes across the cancer trajectory and associations with quality of life.
Physical activity among lung cancer survivors: changes across the cancer trajectory and associations with quality of life.
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DOI：
10.1158/1055-9965.epi-08-0589
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发表时间：
2009-02
期刊：
影响因子：
--
通讯作者：
Ostroff JS
中科院分区：
文献类型：
--
作者：
Coups EJ;Park BJ;Feinstein MB;Steingart RM;Egleston BL;Wilson DJ;Ostroff JS
有规律的体育活动可能对肺癌幸存者有益，他们中的许多人的生活质量受到损害。然而，人们对肺癌幸存者在癌症发展过程中参与体育活动的情况知之甚少。目前的研究填补了这一研究空白，并调查了肺癌幸存者的体育活动与他们的生活质量之间的关系。该研究的参与者是175名在一到六年前完成了早期非小细胞肺癌手术治疗的患者。参与者完成了一项一次性调查，内容涉及他们目前的生活质量和他们目前、治疗后6个月以及诊断前6个月的体育活动情况。与诊断前和目前相比，在治疗后期间，参与者报告的中度和高强度活动的参与度都较低。参与低强度活动的时间在三个时间点没有差异。近三分之二的参与者在三个时间点中的任何一个时间点都没有进行足够的活动，达到国家身体活动指南的要求。目前符合体育锻炼指南的肺癌幸存者在多个领域的生活质量都比不怎么运动的人好。在治疗后的早期阶段，肺癌幸存者参与体育活动的程度尤其低。目前参与体育活动与更好的生活质量有关。然而，大多数肺癌幸存者没有达到体育活动指南的要求，并可能从促进定期体育活动的干预措施中受益。
Regular physical activity may offer benefits to lung cancer survivors, many of whom experience quality of life impairments. However, little is know about lung cancer survivors’ engagement in physical activity across the cancer trajectory. The current study addressed this research gap and also examined the association between lung cancer survivors’ physical activity and their quality of life. The study participants were 175 individuals who completed surgical treatment for early-stage non-small cell lung cancer one to six years previously. Participants completed a one-time survey regarding their current quality of life and their engagement in physical activities currently, during the six months after treatment, and during the six months prior to diagnosis. Participants’ reported engagement in both moderate and strenuous intensity activities was lower during the post-treatment period compared to prior to diagnosis and at the current time. Engagement in light intensity activities did not differ for the three time points. Almost two-thirds of participants did not engage in sufficient activity to meet national physical activity guidelines for any of the three time points. Lung cancer survivors who currently met physical activity guidelines reported better quality of life in multiple domains than less active individuals. Engagement in physical activity among lung cancer survivors is particularly low during the early post-treatment period. Current engagement in physical activity is associated with better quality of life. However, most lung cancer survivors do not meet physical activity guidelines and may benefit from interventions to promote engagement in regular physical activities.