Sleep quality and sedentary behavior among cancer survivors: is there a possible link?

Öz

Purpose: Disrupted sleep patterns can be frequent in cancer survivors not only during treatment but also during survival. This study aimed to analyze the possible link between sleep quality and sedentary behavior among cancer patients. Methods: Demographic and clinical information was obtained through an assessment form. Sleep quality and physical inactivity level were assessed by the Pittsburgh Sleep Quality Index (PSQI) and Sedentary Behavior Questionnaire (SBQ), respectively. This cross-sectional study was conducted between April and June 2023 in the Medical Oncology unit of Izmir Bakırçay University Faculty of Medicine. Results: This study was completed with a total of 80 patients with most of the types of cancer being breast (n=55). The mean PSQI score was 7.68±4.02. SBQ scores were 8.16±3.90, and 6.85±3.86 hours on weekdays and weekends, respectively. No significant association was observed between PSQI and SBQ total scores (p>.05). Age was correlated with sleep disturbances (r=-.24, p=0.03), daytime dysfunction (r=-.34, p=0.002), and first item of SBQ (watching TV) both on weekdays (r=.35, p=0.001) and weekends (r=.38, p=0.001), respectively. Conclusion: This study showed that there was no significant relationship between sedentary behavior and sleep quality among cancer patients, however, the remarkable rate of poor sleep quality was evident in this sample. However, it might be reasonable to suggest that the increased screen time especially for older cancer patients due to significant associations between screen time and age, should be well managed while sleep hygiene and daytime dysfunction should be considered further among younger cancer survivors.

Anahtar Kelimeler

• Cancer survivors
• Sleep quality
• Physical inactivity.

Kanserden sağ kalanlarda uyku kalitesi ve sedanter davranış: olası bir bağlantı var mı?

Öz

Amaç: Kanserden kurtulanlarda yalnızca tedavi sırasında değil, hayatta kalma sırasında da uyku düzeninin bozulması sıklıkla görülebilmektedir. Bu çalışma, kanser hastalarında uyku kalitesi ile sedanter davranış arasındaki olası bağlantıyı analiz etmeyi amaçladı. Yöntem: Demografik ve klinik bilgiler değerlendirme formu aracılığıyla elde edildi. Uyku kalitesi ve fiziksel inaktivite düzeyi sırasıyla Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve Sedanter Davranış Anketi (SBA) ile değerlendirildi. Bu kesitsel çalışma İzmir Bakırçay Üniversitesi Tıp Fakültesi Tıbbi Onkoloji ünitesinde Nisan-Haziran 2023 tarihleri arasında gerçekleştirildi. Bulgular: Bu çalışma, çoğunluğu meme kanseri (n=55) olmak üzere toplam 80 hasta ile tamamlanmıştır. Ortalama PUKİ skoru 7,68±4,02 idi. SDA skorları hafta içi ve hafta sonu sırasıyla 8,16±3,90 ve 6,85±3,86 saat idi. PUKİ ve SDA toplam puanları arasında anlamlı bir ilişki gözlenmedi. (p>0,05). Yaş uyku bozuklukları (r=-,24, p=0,03), gündüz işlev bozukluğu (r=-,34, p=0,002), ve SDA’nın “TV izleme” maddesi ile sırasıyla hem haftaiçinde (r=,35, p=0,001) hem de haftasonunda (r=,38, p=0,001) ilişkili bulundu. Sonuç: Bu çalışma, kanser hastaları arasında sedanter davranış ile uyku kalitesi arasında anlamlı bir ilişki olmadığını göstermiştir, ancak bu örneklemde önemli derecede kötü uyku kalitesi oranı dikkat çekicidir. Bununla birlikte, ekran süresi ve yaş arasındaki önemli ilişkiler nedeniyle özellikle yaşlı kanser hastaları için artan ekran süresinin iyi yönetilmesi gerektiğini ve daha genç kanserden kurtulanlar arasında ise uyku hijyeni ve gündüz işlev bozukluğunun daha fazla dikkate alınması gerektiğini önermek mantıklı olabilir.

Anahtar Kelimeler

• Kanserden sağ kalanlar
• Uyku kalitesi
• Fiziksel inaktivite

Kaynakça

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