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Fatigue, Exercise Tendency and Physical Activity Behaviour of Female Patients with Breast Cancer

Yıl 2020, Cilt 1, Sayı 3, 89 - 99, 29.12.2020

Öz

Objective: The aim of this study was to compare the level of fatigue, participation in physical activity and physical activity behavior between individuals diagnosed with breast cancer and healthy individuals. Methods: The study included female patients diagnosed with breast cancer (GroupCa) and healthy women who were not diagnosed with breast cancer (GroupControl). In the questionnaire form prepared by the researchers; sociodemographic characteristics of the participants, information such as smoking and comorbid diseases were questioned. In patients diagnosed with breast cancer, information on the diagnosis of breast cancer had been detailed. "International Physical Activity Questionnaire-short form", "Exercise Stages of Change Questionnaire " and "Brief Fatigue Inventory” were applied to all participants. Results: The study included 57 women (age: 51.7 ±9.1 years) diagnosed with breast cancer and 58 healthy (age: 52.7±10.4 years) women not diagnosed with cancer (p=0.58). No difference was found between the participants' sociodemographic characteristics excluding education (p˃0.05). The difference between the education levels of the groups was determined at the level of primary education (GroupCa: 73.7% (n=42) versus GroupControl: 51.7% (n=30), p=0.04). There was no difference between the groups in terms of physical activity levels (GroupCa: 696.2±846.2 MET/week versus GroupControl: 482.5 ±655.4 MET/week, p=0.13). In the exercise stages of change questionnaire, it was determined that women diagnosed with breast cancer were found to be more in the 'precontemplation' and 'preparation' stages than women in the control group (p=0.004). Women in the breast cancer group stated that they felt fatigue/weakness that made a significant difference with the control group (p=0.001). However, according to the Brief Fatigue Inventory, it was observed that the effects of fatigue, severity and fatigue on daily life did not make any difference between the groups (p˃0.05). Conclusion: In this study, no difference was found between the activity level and fatigue level in breast cancer patients compared to healthy individuals. When the physical activity behaviors were evaluated, it was determined that the breast cancer group had more precontemplation and preparation in exercise stages.

Kaynakça

  • 1. Siegel R, Naishadham D, Jemal A. Cancer statistics. CA Cancer J Clin. 2012;62(1):10–29.
  • 2. Kozan R, Tokgöz Y. Türkiye’de Meme Kanseri Farkındalığı ve Tarama Programı. ACU Sağlık Bil Derg 2016(4):185-188.
  • 3. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/Trkiye_Kanser_statistikleri_2016.pdf (Erişim tarihi: 21.09.2020)
  • 4. Sun YS, Zhao Z, Yang ZN, et al. Risk factors and preventions of breast cancer. Int J Biol Sci. 2017;13(11):1387-1397.
  • 5. Ligibel JA, Basen-Engquist K, Bea JW. Weight Management and Physical Activity for Breast Cancer Prevention and Control. Am Soc Clin Oncol Educ Book. 2019;(39):22–33.
  • 6. Lipsett A, Barrett S, Haruna F, et al. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: A systematic review and meta-analysis. Breast. 2017;32: 144–155.
  • 7. Backman M, Wengström Y, Johansson B, et al. A randomized pilot study with daily walking during adjuvant chemotherapy for patients with breast and colorectal cancer The OptiTrain project View project Optitrain View project. Acta Oncol. 2014;53(4):510–520.
  • 8. Canário ACG, Cabral PUL, Paiva LCD, et al. Physical activity, fatigue and quality of life in breast cancer patients. Rev Assoc Med Bras. 2016;62(1): 38-44.
  • 9. Bilgin AU. Kanser ilişkili halsizlik ve fiziksel egzersiz. Genel Tıp Derg. 2014;24(1):38-44.
  • 10. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010; 111 (1): 278-84.
  • 11. Laporte RE, Montoye HJ, Caspersen CJ. Assessment of physical activity in epidemiologic research: Problems and prospects. Public Health Rep. 1985;100: 131-46.
  • 12. Cengiz C, Aşçı F. Egzersiz Davranışı Değişim Basamakları Anketi. Türkiye Klinikleri Spor Bilimleri Dergisi. 2010;2(1):32.
  • 13. Usta Yeşilbalkan O, Karadakovan A. Kemoterapi uygulanan Hastalarda Eğitimin Yorgunluk Düzeyine ve Yaşam Kalitesine Olan Etkisinin İncelenmesi. (PhD thesis). Ege Üniversitesi, 2015.
  • 14. Gok ZM, Karadas C, Izgu N, et al. Effects of progressive muscle relaxation and mindfulness meditation on fatigue, coping styles, and quality of life in early breast cancer patients: An assessor blinded, three-arm, randomized controlled trial. Eur J Oncol Nurs. 2019; 42 :116-125.
  • 15. Chang YJ, Lee JS, Lee CG, et al. Assessment of clinical relevant fatigue level in cancer. Support Care Cancer. 2007;15(7):891–896.
  • 16. Erturk M, Yildirim Y, Kilic SP, et al. Pain and fatigue in elderly cancer patients: Turkey example. Holist Nurs Pract. 2015; 29(3): 167-173.
  • 17. Çakır S, Kafadar MT, Arslan ŞN, et al. Meme kanseri tanısı konmuş kadınlarda risk faktörlerinin güncel veriler ışığında gözden geçirilmesi. FNG & Bilim Tıp Dergisi. 2016; 2(3): 186-194.
  • 18. Özmen V, Özmen T, Doğru V. Breast Cancer in Turkey; An Analysis of 20.000 Patients with Breast Cancer. Eur J Breast Health. 2019; 15(3): 141-146.
  • 19. Hussain SK, Altieri A, Sundquist J, et al. Influence of education level on breast cancer risk and survival in Sweden between 1990 and 2004. Int J Cancer. 2008;122(1):165–169.
  • 20. Trewin CB, Strand BH, Weedon-Fekjær H, et al. Changing patterns of breast cancer incidence and mortality by education level over four decades in Norway, 1971–2009. Eur J Public Health. 2017;27(1): 160–166.
  • 21. Dong J-Y, Qin L-Q. Education level and breast cancer incidence: a meta-analysis of cohort studies. Menopause. 2020;27(1):113-118.
  • 22. Gal R, Monninkhof EM, Peeters PHM, et al. Physical activity levels of women with breast cancer during and after treatment, a comparison with the Dutch female population. Acta Oncol, 2019;58(5): 673-681.
  • 23. Phillips SM, Dodd KW, Steeves J, et al. Physical activity and sedentary behavior in breast cancer survivors: new insight into activity patterns and potential intervention targets. Gynecol Oncol. 2015; 138(2):398–404.
  • 24. Shi JW, MacInnis RJ, Boyle T, et al. Physical activity and sedentary behavior in breast and colon cancer survivors relative to adults without cancer. Mayo Clinic Proceedings. 2017; 92(3):391-398.
  • 25. Kwon S, Hou N, Wang M. Comparison of physical activity levels between cancer survivors and non-cancer participants in the 2009 BRFSS. J Cancer Surviv. 2012;6(1):54–62.
  • 26. Salmon M, Blanchin M, Rotonda C, et al. Identifying patterns of adaptation in breast cancer patients with cancer-related fatigue using response shift analyses at subgroup level. Cancer Med. 2017;6(11):2562–2575.
  • 27. Baumann FT, Bieck O, Oberste M, et al. Sustainable impact of an individualized exercise program on physical activity level and fatigue syndrome on breast cancer patients in two German rehabilitation centers. Support Care Cancer. 2017;25(4):1047–1054.
  • 28. Phillips SM, Welch WA, Fanning J, et al. Daily Physical Activity and Symptom Reporting in Breast Cancer Patients Undergoing Chemotherapy: An Intensive Longitudinal Examination. Cancer Epidemiology and Prevention Biomarkers.2020. Doi: 10.1158/1055-9965.EPI-20-0659.
  • 29. Clifford BK, Mizrahi D, Sandler CX, et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer. 2018;26(3):685–700.
  • 30. Stagl JM, Antoni MH, Lechner SC, et al. Postsurgical physical activity and fatigue-related daily interference in women with non-metastatic breast cancer. Psychol Health. 2014;29(2):177–198.
  • 31. Rogers LQ, Courneya KS, Anton PM, et al. Effects of a multicomponent physical activity behavior change intervention on fatigue, anxiety, and depressive symptomatology in breast cancer survivors: randomized trial. Psychooncology. 2017; 26(11): 1901-1906.
  • 32. Felser S, Behrens M, Lampe H, et al. Motivation and preferences of cancer patients to perform physical training. Eur J Cancer Care (Engl). 2020;29(4):e13246.
  • 33. Mowls DS, Brame LS, Martinez SA, et al. Lifestyle behaviors among US cancer survivors. J Cancer Surviv. 2016;10(4):692–698.
  • 34. Büntzel J, Kusterer I, Rudolph Y, et al. Cancer Patients' Knowledge and Acceptance of Physical Activities for Rehabilitation. In Vivo. 2017;31(6):1187-1192.
  • 35. Rogers LQ, Markwell SJ, Verhulst S, et al. Rural breast cancer survivors: Exercise preferences and their determinants. Psychooncology. 2009;18(4):412–421.
  • 36. Liu L, Shi Y, Li T, et al. Leisure time physical activity and cancer risk: evaluation of the WHO's recommendation based on 126 high-quality epidemiological studies Br J Sports Med. 2016;50(6):372-378.
  • 37. Jones LM, Reinhoudt LL, Hilverda F, et al. Using the Integrative Model of Behavioral Prediction to Understand Female Breast Cancer Survivors’ Barriers and Facilitators for Adherence to a Community-Based Group-Exercise Program. Semin Oncol Nurs. 2020;36(5):151071.

Yıl 2020, Cilt 1, Sayı 3, 89 - 99, 29.12.2020

Öz

Amaç: Bu çalışmanın amacı, meme kanseri tanısı almış bireyler ile sağlıklı bireylerin yorgunluk seviyesinin, fiziksel aktiviteye katılım düzeyinin ve fiziksel aktivite davranışının karşılaştırılmasıdır. Yöntem: Araştırmaya; meme kanseri tanısı almış kadın hastalar (GrupCa) ve kanser tanısı almamış sağlıklı kadınlar (GrupKontrol) dahil edilmiştir. Araştırmacılarca hazırlanan anket formunda; katılımcıların sosyodemografik özellikleri, sigara kullanımı ve komorbid hastalık gibi bilgiler sorgulanmıştır. Meme kanseri tanılı hastalarda ise meme kanseri tanısına ait bilgiler ayrıntılandırılmıştır. Tüm katılımcılara ‘Uluslararası Fiziksel Aktivite Anketi’, ‘Egzersiz Davranışı Değişim Basamakları Ölçeği’ ve ‘Kısa Yorgunluk Sorgulama Ölçeği’ uygulanmıştır. Bulgular: Araştırmaya meme kanseri tanılı 57 kadın (yaş: 51.7±9.1 yıl), meme kanseri tanısı almamış 58 sağlıklı kadın (yaş: 52.7±10.4 yıl) dahil olmuştur (p=0.58). Katılımcıların; eğitim hariç sosyodemografik durumları arasında fark saptanmamıştır (p˃0.05). Grupların eğitim düzeyleri arasındaki fark ilköğretim eğitimini düzeyinde tespit edilmiştir (GrupCa: %73.7 (n=42)’ye karşı GrupKontrol: %51.7 (n=30), p=0.04). Gruplar arasında fiziksel aktivite düzeyleri açısından fark belirlenmemiştir (GrupCa: 696.2±846.2 MET/hafta versus GrupKontrol: 482.5±655.4 MET/hafta, p=0.13). Egzersiz değişim basamağı değerlendirmesinde, meme kanseri tanılı kadınların, kontrol grubundaki kadınlara göre ‘Eğilim öncesi’ ve ‘Hazırlık’ basamağında daha fazla bulundukları belirlenmiştir (p=0.004). Meme kanseri grubundaki kadınlar, kontrol grubu ile anlamlı fark oluşturacak düzeyde yorgunluk/halsizlik hissettiklerini söylemişlerdir (p=0.001). Ancak, Kısa Yorgunluk Sorgulama Ölçeği’ne göre yorgunluk durumunun, ciddiyetinin ve yorgunluğun günlük yaşama etkisinin gruplar arasında fark oluşturmadığı görülmüştür (p˃0.05). Sonuç: Bu çalışmada, meme kanseri tanılı hastalarda sağlıklı bireylere göre aktivite düzeyi ve yorgunluk seviyesi arasında fark saptanmamıştır. Fiziksel aktivite davranışları değerlendirildiğinde ise meme kanseri grubunun eğilim öncesi ve egzersize hazırlık aşamasında daha fazla bulundukları tespit edilmiştir.

Kaynakça

  • 1. Siegel R, Naishadham D, Jemal A. Cancer statistics. CA Cancer J Clin. 2012;62(1):10–29.
  • 2. Kozan R, Tokgöz Y. Türkiye’de Meme Kanseri Farkındalığı ve Tarama Programı. ACU Sağlık Bil Derg 2016(4):185-188.
  • 3. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/Trkiye_Kanser_statistikleri_2016.pdf (Erişim tarihi: 21.09.2020)
  • 4. Sun YS, Zhao Z, Yang ZN, et al. Risk factors and preventions of breast cancer. Int J Biol Sci. 2017;13(11):1387-1397.
  • 5. Ligibel JA, Basen-Engquist K, Bea JW. Weight Management and Physical Activity for Breast Cancer Prevention and Control. Am Soc Clin Oncol Educ Book. 2019;(39):22–33.
  • 6. Lipsett A, Barrett S, Haruna F, et al. The impact of exercise during adjuvant radiotherapy for breast cancer on fatigue and quality of life: A systematic review and meta-analysis. Breast. 2017;32: 144–155.
  • 7. Backman M, Wengström Y, Johansson B, et al. A randomized pilot study with daily walking during adjuvant chemotherapy for patients with breast and colorectal cancer The OptiTrain project View project Optitrain View project. Acta Oncol. 2014;53(4):510–520.
  • 8. Canário ACG, Cabral PUL, Paiva LCD, et al. Physical activity, fatigue and quality of life in breast cancer patients. Rev Assoc Med Bras. 2016;62(1): 38-44.
  • 9. Bilgin AU. Kanser ilişkili halsizlik ve fiziksel egzersiz. Genel Tıp Derg. 2014;24(1):38-44.
  • 10. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010; 111 (1): 278-84.
  • 11. Laporte RE, Montoye HJ, Caspersen CJ. Assessment of physical activity in epidemiologic research: Problems and prospects. Public Health Rep. 1985;100: 131-46.
  • 12. Cengiz C, Aşçı F. Egzersiz Davranışı Değişim Basamakları Anketi. Türkiye Klinikleri Spor Bilimleri Dergisi. 2010;2(1):32.
  • 13. Usta Yeşilbalkan O, Karadakovan A. Kemoterapi uygulanan Hastalarda Eğitimin Yorgunluk Düzeyine ve Yaşam Kalitesine Olan Etkisinin İncelenmesi. (PhD thesis). Ege Üniversitesi, 2015.
  • 14. Gok ZM, Karadas C, Izgu N, et al. Effects of progressive muscle relaxation and mindfulness meditation on fatigue, coping styles, and quality of life in early breast cancer patients: An assessor blinded, three-arm, randomized controlled trial. Eur J Oncol Nurs. 2019; 42 :116-125.
  • 15. Chang YJ, Lee JS, Lee CG, et al. Assessment of clinical relevant fatigue level in cancer. Support Care Cancer. 2007;15(7):891–896.
  • 16. Erturk M, Yildirim Y, Kilic SP, et al. Pain and fatigue in elderly cancer patients: Turkey example. Holist Nurs Pract. 2015; 29(3): 167-173.
  • 17. Çakır S, Kafadar MT, Arslan ŞN, et al. Meme kanseri tanısı konmuş kadınlarda risk faktörlerinin güncel veriler ışığında gözden geçirilmesi. FNG & Bilim Tıp Dergisi. 2016; 2(3): 186-194.
  • 18. Özmen V, Özmen T, Doğru V. Breast Cancer in Turkey; An Analysis of 20.000 Patients with Breast Cancer. Eur J Breast Health. 2019; 15(3): 141-146.
  • 19. Hussain SK, Altieri A, Sundquist J, et al. Influence of education level on breast cancer risk and survival in Sweden between 1990 and 2004. Int J Cancer. 2008;122(1):165–169.
  • 20. Trewin CB, Strand BH, Weedon-Fekjær H, et al. Changing patterns of breast cancer incidence and mortality by education level over four decades in Norway, 1971–2009. Eur J Public Health. 2017;27(1): 160–166.
  • 21. Dong J-Y, Qin L-Q. Education level and breast cancer incidence: a meta-analysis of cohort studies. Menopause. 2020;27(1):113-118.
  • 22. Gal R, Monninkhof EM, Peeters PHM, et al. Physical activity levels of women with breast cancer during and after treatment, a comparison with the Dutch female population. Acta Oncol, 2019;58(5): 673-681.
  • 23. Phillips SM, Dodd KW, Steeves J, et al. Physical activity and sedentary behavior in breast cancer survivors: new insight into activity patterns and potential intervention targets. Gynecol Oncol. 2015; 138(2):398–404.
  • 24. Shi JW, MacInnis RJ, Boyle T, et al. Physical activity and sedentary behavior in breast and colon cancer survivors relative to adults without cancer. Mayo Clinic Proceedings. 2017; 92(3):391-398.
  • 25. Kwon S, Hou N, Wang M. Comparison of physical activity levels between cancer survivors and non-cancer participants in the 2009 BRFSS. J Cancer Surviv. 2012;6(1):54–62.
  • 26. Salmon M, Blanchin M, Rotonda C, et al. Identifying patterns of adaptation in breast cancer patients with cancer-related fatigue using response shift analyses at subgroup level. Cancer Med. 2017;6(11):2562–2575.
  • 27. Baumann FT, Bieck O, Oberste M, et al. Sustainable impact of an individualized exercise program on physical activity level and fatigue syndrome on breast cancer patients in two German rehabilitation centers. Support Care Cancer. 2017;25(4):1047–1054.
  • 28. Phillips SM, Welch WA, Fanning J, et al. Daily Physical Activity and Symptom Reporting in Breast Cancer Patients Undergoing Chemotherapy: An Intensive Longitudinal Examination. Cancer Epidemiology and Prevention Biomarkers.2020. Doi: 10.1158/1055-9965.EPI-20-0659.
  • 29. Clifford BK, Mizrahi D, Sandler CX, et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer. 2018;26(3):685–700.
  • 30. Stagl JM, Antoni MH, Lechner SC, et al. Postsurgical physical activity and fatigue-related daily interference in women with non-metastatic breast cancer. Psychol Health. 2014;29(2):177–198.
  • 31. Rogers LQ, Courneya KS, Anton PM, et al. Effects of a multicomponent physical activity behavior change intervention on fatigue, anxiety, and depressive symptomatology in breast cancer survivors: randomized trial. Psychooncology. 2017; 26(11): 1901-1906.
  • 32. Felser S, Behrens M, Lampe H, et al. Motivation and preferences of cancer patients to perform physical training. Eur J Cancer Care (Engl). 2020;29(4):e13246.
  • 33. Mowls DS, Brame LS, Martinez SA, et al. Lifestyle behaviors among US cancer survivors. J Cancer Surviv. 2016;10(4):692–698.
  • 34. Büntzel J, Kusterer I, Rudolph Y, et al. Cancer Patients' Knowledge and Acceptance of Physical Activities for Rehabilitation. In Vivo. 2017;31(6):1187-1192.
  • 35. Rogers LQ, Markwell SJ, Verhulst S, et al. Rural breast cancer survivors: Exercise preferences and their determinants. Psychooncology. 2009;18(4):412–421.
  • 36. Liu L, Shi Y, Li T, et al. Leisure time physical activity and cancer risk: evaluation of the WHO's recommendation based on 126 high-quality epidemiological studies Br J Sports Med. 2016;50(6):372-378.
  • 37. Jones LM, Reinhoudt LL, Hilverda F, et al. Using the Integrative Model of Behavioral Prediction to Understand Female Breast Cancer Survivors’ Barriers and Facilitators for Adherence to a Community-Based Group-Exercise Program. Semin Oncol Nurs. 2020;36(5):151071.

Ayrıntılar

Birincil Dil İngilizce
Konular Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Sabriye ERCAN (Sorumlu Yazar)
Suleyman Demirel University, Faculty of Medicine
0000-0001-9500-698X
Türkiye


Ahsen OĞUL
DİYARBAKIR GAZİ YAŞARGİL SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0001-7379-0750
Türkiye


Murat KOÇER
SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANTALYA SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
0000-0002-1541-640X
Türkiye


Esma ARSLAN
Süleyman Demirel University
0000-0001-7097-8619
Türkiye


Ferdi BAŞKURT
SÜLEYMAN DEMİREL ÜNİVERSİTESİ
0000-0002-8997-4172
Türkiye


Cem ÇETİN
SÜLEYMAN DEMİREL ÜNİVERSİTESİ
0000-0002-8151-9554
Türkiye

Destekleyen Kurum Yok
Proje Numarası Yok
Teşekkür We would like to thank Isparta Kansev Association employees, especially Cemaliye Bardakçı, Nurcan Anakurt and Halil Tanrıverdi; Sakarya Cancer Association employees, especially Nihal Akar and Sibel Akar, who contributed to the preparation process of this study with their devoted work.
Yayımlanma Tarihi 29 Aralık 2020
Yayınlandığı Sayı Yıl 2020, Cilt 1, Sayı 3

Kaynak Göster

Vancouver Ercan S. , Oğul A. , Koçer M. , Arslan E. , Başkurt F. , Çetin C. Fatigue, Exercise Tendency and Physical Activity Behaviour of Female Patients with Breast Cancer. Experimental and Applied Medical Science. 2020; 1(3): 89-99.

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