KANSER CERRAHİSİ SONRASI ALT VE ÜST EKSTREMİTESİNDE LENFÖDEM GELİŞEN HASTALARIN FİZİKSEL AKTİVİTE DÜZEYİ VE YAŞAM KALİTESİNİN KARŞILAŞTIRILMASI

Year 2024, Volume: 22 Issue: 1, 113 - 122, 25.03.2024

Cansu Şahbaz Pirinççi Evrim Gökçe Ayşenur Gökşen

https://doi.org/10.33689/spormetre.1399970

Abstract

Bu çalışmanın amacı, meme kanseri ve jinekolojik kanser cerrahisi sonrası alt ve üst ekstremitesinde lenfödem gelişen hastaların fiziksel aktivite düzeyi ve yaşam kalitesini sağlıklı kontroller ile karşılaştırmalı araştırmaktır. Çalışmaya meme kanseri cerrahisi sonrası üst ekstremitesinde lenfödemi olan yaş ortalaması 54.92±8.43 yıl olan 25 kadın; jinekolojik kanser cerrahisi sonrası alt ekstremitesinde lenfödemi olan yaş ortalaması 55.12±8.88 yıl olan 25 kadın; sağlıklı kontrol grubuna yaş ortalaması 54.96±8.73 yıl olan 25 kadın olmak üzere, toplam 75 kadın dahil edildi. Katılımcıların demografik ve hastalık bilgileri alındı. Fiziksel aktivite düzeyi Uluslararası Fiziksel Aktivite Anketi kısa form ile, yaşam kalitesi ise Lenfödem Yaşam Kalitesi Anketi ile değerlendirildi. Katılımcıların demografik ve hastalık değerlendirmesi açısından gruplar arasında farklılık görülmedi (p>0.05). Fiziksel aktivite düzeyi, yaşam kalitesi alt parametreleri ve genel yaşam kalitesi açısından gruplar arasında farklılık bulundu (p<0.05). Hem üst ekstremite hem de alt ekstremitesinde lenfödem gelişen grupların fiziksel aktivite düzeyi ile yaşam kalitesi arasında ilişki saptanmadı (p>0.05). Jinekolojik kanser cerrahisi sonrası alt ekstremitesinde lenfödem gelişen grubun fiziksel aktivite düzeyi düşük bulunurken; üst ve alt ekstremitesinde lenfödem görülen grupların yaşam kalitesi, sağlıklı kadınlara göre düşüktü.

Keywords

Lenfödem, fiziksel aktivite, yaşam kalitesi

COMPARISON OF PHYSICAL ACTIVITY LEVEL AND QUALITY OF LIFE OF PATIENTS WHO DEVELOPED LYMPHEDEMA IN THE LOWER AND UPPER EXTREMITIES AFTER CANCER SURGERY

Abstract

The aim of this study is to investigate the physical activity level and quality of life of patients who developed lymphedema in their lower and upper extremities after breast cancer and gynecological cancer surgery in comparison with healthy controls. The study included 25 women with an average age of 54.92±8.43 years who had lymphedema in their upper extremities after breast cancer surgery, 25 women with an average age of 55.12±8.88 years who had lymphedema in their lower extremities after gynecological cancer surgery, and 25 women with an average age of 54.96±8.73 years in the healthy control group. A total of 75 women were included. Participants' demographic and disease information was collected. Physical activity level was evaluated with the International Physical Activity Survey short form, and quality of life was evaluated with the Lymphedema Quality of Life Questionnaire. There was no difference between the groups in terms of the demographic and disease evaluation of the participants (p > 0.05). There were differences between the groups in physical activity levels, quality of life sub-parameters, and overall quality of life (p<0.05). No relationship was found between physical activity level and quality of life in the groups that developed lymphedema in both the upper and lower extremities (p > 0.05). While the physical activity level of the group with lymphedema in the lower extremities after gynecological cancer surgery was found to be low, the quality of life of the groups with lymphedema in the upper and lower extremities was lower than that of healthy women.

Keywords

lymphedema, physical activity, quality of life

References

• Ahmed, R. L., Prizment, A., Lazovich, D., Schmitz, K. H., & Folsom, A. R. (2008). Lymphedema and quality of life in breast cancer survivors: the Iowa Women's Health Study. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 26(35), 5689–5696. https://doi.org/10.1200/JCO.2008.16.4731.
• Barbaric, M., Brooks, E., Moore, L., & Cheifetz, O. (2010). Effects of physical activity on cancer survival: a systematic review. Physiotherapy Canada. Physiotherapie Canada, 62(1), 25–34. https://doi.org/10.3138/physio.62.1.25.
• Beaulac, S. M., McNair, L. A., Scott, T. E., LaMorte, W. W., & Kavanah, M. T. (2002). Lymphedema and quality of life in survivors of early-stage breast cancer. Archives of surgery (Chicago, Ill.: 1960), 137(11), 1253–1257. https://doi.org/10.1001/archsurg.137.11.1253.
• Borman, P., Yaman, A., Denizli, M., Karahan, S., & Özdemir, O. (2018). The reliability and validity of Lymphedema Quality of Life Questionnaire-Arm in Turkish patients with upper limb lymphedema related with breast cancer. Turkish journal of physical medicine and rehabilitation, 64(3), 205–212. https://doi.org/10.5606/tftrd.2018.2843.
• Borman, P., Yaman, A., Denizli, M., & Karahan, S. (2020). The Reliability and Validity of Lymphedema Quality of Life Questionnaire-Leg in Turkish Patients with Lower Limb Lymphedema. Lymphatic research and biology, 18(1), 42–48. https://doi.org/10.1089/lrb.2018.0048.
• Brown, J. C., Lin, L. L., Segal, S., Chu, C. S., Haggerty, A. E., Ko, E. M., & Schmitz, K. H. (2014). Physical activity, daily walking, and lower limb lymphedema associate with physical function among uterine cancer survivors. Supportive Care in Cancer, 22(11), 3017–3025. https://doi.org/10.1007/s00520-014-2306-0.
• Brown, J. C., Winters-Stone, K., Lee, A., & Schmitz, K. H. (2012). Cancer, physical activity, and exercise. Comprehensive Physiology, 2(4), 2775–2809. https://doi.org/10.1002/cphy.c120005.
• Clague, J., & Bernstein, L. (2012). Physical activity and cancer. Current oncology reports, 14(6), 550–558. https://doi.org/10.1007/s11912-012-0265-5.
• Courneya, K. S., Karvinen, K. H., Campbell, K. L., Pearcey, R. G., Dundas, G., Capstick, V., & Tonkin, K. S. (2005). Associations among exercise, body weight, and quality of life in a population-based sample of endometrial cancer survivors. Gynecologic oncology, 97(2), 422–430. https://doi.org/10.1016/j.ygyno.2005.01.007.
• Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and science in sports and exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB.
• de Godoy, J. M., & de Godoy, M.deF. (2010). Godoy & Godoy technique in the treatment of lymphedema for under-privileged populations. International Journal of Medical Sciences, 7(2), 68–71. https://doi.org/10.7150/ijms.7.68.
• Dunberger, G., Lindquist, H., Waldenström, A. C., Nyberg, T., Steineck, G., & Åvall-Lundqvist, E. (2013). Lower limb lymphedema in gynecological cancer survivors--effect on daily life functioning. Supportive Care in Cancer, 21(11), 3063–3070. https://doi.org/10.1007/s00520-013-1879-3.
• Hair, B. Y., Hayes, S., Tse, C. K., Bell, M. B., & Olshan, A. F. (2014). Racial differences in physical activity among breast cancer survivors: implications for breast cancer care. Cancer, 120(14), 2174–2182. https://doi.org/10.1002/cncr.28630.
• Hormes, J. M., Bryan, C., Lytle, L. A., Gross, C. R., Ahmed, R. L., Troxel, A. B., & Schmitz, K. H. (2010). Impact of lymphedema and arm symptoms on quality of life in breast cancer survivors. Lymphology, 43(1), 1–13.
• Izquierdo, M., Ibañez, J., Gorostiaga, E., Garrues, M., Zúñiga, A., Antón, A., Larrión, J. L., & Häkkinen, K. (1999). Maximal strength and power characteristics in isometric and dynamic actions of the upper and lower extremities in middle-aged and older men. Acta physiologica Scandinavica, 167(1), 57–68. https://doi.org/10.1046/j.1365-201x.1999.00590.x.
• Karasar, N. (2016). Bilimsel araştırma yöntemi: Kavramlar ilkeler teknikler. Ankara: Nobel Akademik Yayıncılık.
• Keeley, V., Crooks, S., Locke, J., Veigas, D., Riches, K., & Hilliam, R. (2010). A quality of life measure for limb lymphoedema (LYMQOL). Journal of Lymphoedema, 5(1), 26-37.
• Kim, S. I., Lim, M. C., Lee, J. S., Lee, Y., Park, K., Joo, J., Seo, S. S., Kang, S., Chung, S. H., & Park, S. Y. (2015). Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection. European journal of obstetrics, gynecology, and reproductive biology, 192, 31–36. https://doi.org/10.1016/j.ejogrb.2015.06.011.
• Luan, X., Tian, X., Zhang, H., Huang, R., Li, N., Chen, P., & Wang, R. (2019). Exercise as a prescription for patients with various diseases. Journal of sport and health science, 8(5), 422–441. https://doi.org/10.1016/j.jshs.2019.04.002.
• McKenzie, D. C., & Kalda, A. L. (2003). Effect of upper extremity exercise on secondary lymphedema in breast cancer patients: a pilot study. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 21(3), 463–466. https://doi.org/10.1200/JCO.2003.04.069.
• Moore, S. C., Lee, I. M., Weiderpass, E., Campbell, P. T., Sampson, J. N., Kitahara, C. M., Keadle, S. K., Arem, H., Berrington de Gonzalez, A., Hartge, P., Adami, H. O., Blair, C. K., Borch, K. B., Boyd, E., Check, D. P., Fournier, A., Freedman, N. D., Gunter, M., Johannson, M., Khaw, K. T., … Patel, A. V. (2016). Association of Leisure-Time Physical Activity With Risk of 26 Types of Cancer in 1.44 Million Adults. JAMA internal medicine, 176(6), 816–825. https://doi.org/10.1001/jamainternmed.2016.1548.
• Moroni, R. M., Alves da Silva Lara, L., Ferreira, C. H. J., de Mello Constantino, M., & Oliveira Brito, L. G. (2019). Assessment of Body Image, Sexual Function, and Attractiveness in Women With Genital Prolapse: A Cross-Sectional Study With Validation of the Body Image in the Pelvic Organ Prolapse (BIPOP) Questionnaire. The journal of sexual medicine, 16(1), 126–136. https://doi.org/10.1016/j.jsxm.2018.11.005.
• Paraskevi T. (2012). Quality of life outcomes in patients with breast cancer. Oncology reviews, 6(1), e2. https://doi.org/10.4081/oncol.2012.e2.
• Paskett, E. D., & Stark, N. (2000). Lymphedema: Knowledge, Treatment, and Impact Among Breast Cancer Survivors. The breast journal, 6(6), 373–378. https://doi.org/10.1046/j.1524-4741.2000.99072.x.
• Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and motor skills, 111(1), 278–284. https://doi.org/10.2466/06.08.PMS.111.4.278-284.
• Siegel, R., Ma, J., Zou, Z., & Jemal, A. (2014). Cancer statistics, 2014. CA: a cancer journal for clinicians, 64(1), 9-29.
• Smoot, B., Johnson, M., Duda J, J., Krasnoff, J., & Dodd, M. (2012). Cardiorespiratory Fitness in Women with and without Lymphedema following Breast Cancer Treatment. Cancer and clinical oncology, 1(1), 21–31. https://doi.org/10.5539/cco.v1n1p21.
• Torre, L. A., Siegel, R. L., & Jemal, A. (2016). Lung Cancer Statistics. Advances in experimental medicine and biology, 893, 1–19. https://doi.org/10.1007/978-3-319-24223-1_1.
• Waters, R. L., Campbell, J., Thomas, L., Hugos, L., & Davis, P. (1982). Energy costs of walking in lower-extremity plaster casts. The Journal of bone and joint surgery. American volume, 64(6), 896–899.
• Yildiz Kabak, V., Gursen, C., Aytar, A., Akbayrak, T., & Duger, T. (2021). Physical activity level, exercise behavior, barriers, and preferences of patients with breast cancer-related lymphedema. Supportive Care in Cancer, 29(7), 3593–3602. https://doi.org/10.1007/s00520-020-05858-3.
• Yost, K. J., Cheville, A. L., Al-Hilli, M. M., Mariani, A., Barrette, B. A., McGree, M. E., Weaver, A. L., & Dowdy, S. C. (2014). Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life. Obstetrics and gynecology, 124(2 Pt 1), 307–315. https://doi.org/10.1097/AOG.0000000000000372.