Physical Activity Levels in Women Attending Breast Screening, Receiving Chemotherapy and Post-Breast Cancer Treatment; A Cross-Sectional Study
Physical Activity Levels in Women Attending Breast Screening, Receiving Chemotherapy and Post-Breast Cancer Treatment; A Cross-Sectional Study
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DOI：
10.3390/ijerph110505487
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发表时间：
2014-05-01
影响因子：
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通讯作者：
Carmichael, Amtul R.
中科院分区：
文献类型：
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作者：
Lahart, Ian M.;Metsios, George S.;Carmichael, Amtul R.
背景资料：缺乏体力活动（PA）是乳腺癌（BC）发展中公认的风险因素，关于PA对BC生存率影响的循证研究正在巩固。然而，有证据表明，不列颠哥伦比亚省幸存者有低水平的PA，这表明需要有针对性的干预措施，以提高不列颠哥伦比亚省幸存者的PA行为。不幸的是，英国缺乏关于妇女在BC诊断和治疗的各个阶段的PA行为的数据。因此，本研究的目的是评估妇女在BC途径的不同阶段的PA水平。患者和方法：在BC的不同表现和治疗阶段选择一个方便的患者样本。参加NHSBSP乳腺筛查的患者（n = 188）、参加化疗的术后患者（n = 41）和治疗后一年内的BC患者（n = 80）被邀请参加这项横断面研究。结果：根据比值比，化疗参与者不符合PA指南的可能性（即，处于低活动类别）的概率比NHSBPS参与者不符合PA指南的概率高三倍，与治疗后参与者相比，化疗患者不符合PA指南的概率高四倍。NHSBPS参与者处于高活动类别与中等类别相比的几率是治疗后参与者的三倍。结论：目前的研究表明，需要建立强大的PA干预措施，以提高乳腺癌幸存者的PA行为。
Background: A lack of physical activity (PA) is a well-recognised risk factor in the development of breast cancer (BC) and evidence-base research on the impact of PA on BC survival is consolidating. However, evidence reveals that BC survivors have low levels of PA, suggesting the need of targeted interventions to enhance the PA behaviour of BC survivors. Unfortunately, there is lack of data from the UK about the PA behaviours of women at various stages of diagnosis and treatment of BC. Therefore, the aim of the present study was to assess PA levels in women at different stages of BC pathway. Patients and Methods: A convenient sample of patients was selected at various stages of presentation and treatment of BC. Patients attending for breast screening for NHSBSP (n = 188), post-operative patients attending for chemotherapy (n = 41) and BC patients within one year's post-treatment (n = 80) were invited to take part in this cross-sectional study. Results: Based on the odds ratio, the likelihood of a chemotherapy participant not meeting PA guidelines (i.e., being in the low activity category) were three times higher than the odds of a NHSBPS attendee not meeting PA guidelines, and compared to post-treatment participants, the chemotherapy patient's odds of not meeting PA guidelines was four times higher. The odds of NHSBPS attendees being in the high activity category compared to the moderate category were three times higher than that of a post-treatment participant. Conclusions: The current study suggests the need to establish robust PA interventions to enhance the PA behaviour of breast cancer survivors.