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Jinekolojik kanser cerrahisi sonrası lenfödemi olan ve olmayan kişilerin fiziksel aktivite düzeyi ve yaşam kaliteleri arasındaki ilişkinin incelenmesi

Yıl 2021, , 254 - 260, 31.12.2021
https://doi.org/10.15437/jetr.772460

Öz

Amaç: Bu çalışmanın amacı, jinekolojik kanser cerrahisi sonrası lenfödem gelişen ve gelişmeyen kişilerde fiziksel aktivite düzeyi ile yaşam kalitesi arasındaki ilişkiyi incelemektir.
Yöntem: Çalışmaya, jinekolojik kanser cerrahisi geçiren, alt ekstremitesinde lenfödemi olan, yaş ortalamaları 59,15±11,57 yıl arasında değişen 60 kişi lenfödem grubu olarak ve jinekolojik kanser cerrahisi geçiren, alt ekstremite lenfödemi olmayan, yaş ortalamaları 55,97±11,25 yıl arasında değişen 30 kişi ise lenfödem olmayan grup olarak katıldı. Lenfödem varlığının değerlendirilmesi lenfosintigrafi ve çevre ölçümü ile yapıldı. Lenfödemi olan ve olmayan gruplardaki kişilerin fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi (kısa form), yaşam kaliteleri Lymph-ICF-LL ile değerlendirildi.
Bulgular: Lenfödemi olan ve olmayan gruplardaki kişilerin fiziksel aktivite düzeyleri arasında istatistiksel olarak anlamlı farklılık görülmedi (p0,05). Lenfödemi olan gruptaki kişilerin yaşam kalitesini değerlendirdiğimiz Lymph-ICF-LL’nin alt gruplarındaki değerlerinin lenfödem olmayan gruba göre anlamlı şekilde yüksek olduğu görüldü (p<0,05). Lenfödemi olan gruptaki kişilerin fiziksel aktivite düzeyi ile Lymph-ICF-LL anketinin fiziksel fonksiyon skorları, hareketlilik skorları, yaşam alanları skorları ve toplam skorları arasında istatistiksel olarak anlamlı negatif yönde orta düzeyde ilişki bulundu (r: -0,336, p<0,05). Bu ilişki, lenfödem olmayan grupta bulunmadı (r: -0,114, p0,05).
Sonuç: Jinekolojik kanser sonrası lenfödemli bireylerin fiziksel aktivite düzeyi ile yaşam kalitesi arasında negatif yönde ilişki olduğu sonucuna varıldı.

Kaynakça

  • 1.Maclellan RA, Couto RA, Sullivan JE, et al. Management of primary and secondary lymphedema: analysis of 225 referrals to a center. Ann Plast Surg. 2014;75:197-200.
  • 2.International Agency for Research on Cancer. IARC handbooks of cancer prevention. Vol. 15. Breast cancer screening. 2015; France: IARC Press.
  • 3.Kuroda K, Yamamoto Y, Yanagisawa M, et al. Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study. BMC Womens Health. 2017;17:50.
  • 4.Bergmark K, Avall-Lundqvist E, Dickman PW, et al. Lymphedema and bladder-emptying difficulties after radical hysterectomy for early cervical cancer and among population controls. Int J Gynecol Cancer. 2006;16:1130-1139.
  • 5.Beesley V, Janda M, Eakin E, et al. Lymphedema after gynecological cancer treatment: Prevalence, correlates, and supportive care needs. Cancer. 2007;109:2607-2614.
  • 6.Cormier JN, Askew RL, Mungovan KS, et al. Lymphedema beyond breast cancer: A systematic review and metaanalysis of cancer-related secondary lymphedema. Cancer. 2010;116:5138–5149.
  • 7.Soyuer F, Soyuer A. Yaşlılık ve fiziksel aktivite, İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15:219-224.
  • 8.Segal R, Zwaal C, Green E, et al. Exercise for people with cancer: a systematic review. Curr Oncol. 2017;24:290-315.
  • 9.GDB Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1659-1724.
  • 10.Cannioto RA, LaMonte MJ, et al. Recreational physical inactivity and mortality in women with invasive epithelial ovarian cancer: evidence from the Ovarian Cancer Association Consortium. Br J Cancer. 2016;115:95-101.
  • 11.Schmitz KH, Ahmed RL, Troxel A, et al. Weight lifting in women with breast-cancer–related lymphedema. N Engl J Med. 2009;361:664-673.
  • 12.Ahmed RL, Thomas W, Yee D, et al Randomized controlled trial of weight training and lymphedema in breast cancer survivors. J Clin Oncol. 2006;24:2765-2772.
  • 13.Hammer SM, Brown JC, Segal S, et al. Cancer-related impairments influence physical activity in uterine cancer survivors. Med Sci Sports Exerc.2014; 46: 2195.
  • 14.Iyer NS, Cartmel B, Friedman LLF, et al. Lymphedema in ovarian cancer survivors: Assessing diagnostic methods and the effects of physical activity. Cancer. 2018;124:1929-1937.
  • 15.Franks PJ, Moffatt CJ, Doherty DC, et al. Assessment of health-related quality of life in patients with lymphedema of the lower limb. Wound Repair Regen. 2006;14:110-118.
  • 16.Cemal Y, Jewell S, Albornoz CR, et al. Systematic review of quality of life and patient related outcomes in patients with oncologic related lower extremity lymphedema. Lymphatic Res Biol. 2013;11:14-19.
  • 17.Greene A, Meskell P. The impact of lower limb chronic oedema on patients’ quality of life. Int Wound J. 2017;14:561-568.
  • 18.Huggenberger K, Wagner S, Lehmann S, et al. Health and quality of life in patients with primary and secondary lymphedema of the lower extremity. Vasa. 2015;44:129-137.
  • 19.Andersen L, Hojris I, Erlandsen M, et al. Treatment of breast-cancer-related lymphedema with or without manual lymphatic drainage -a randomized study. Acta Oncol. 2000;39:399-405.
  • 20.Johansson K, Ingvar C, Albertsson M, et al. Arm Lymphoedema, shoulder mobility and muscle strength after breast cancer treatment? A prospective 2-year study. Adv Physiother. 2001;3:55-66.
  • 21.Kim SI, Lim MC, Lee JS, et al. Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection. Eur J Obstet Gynecol Reprod Biol. 2015;192:31-36.
  • 22.Ryan M, Stainton MC, Slaytor EK, et al. Aetiology and prevalence of lower limb lymphoedema following treatment for gynaecological cancer. Aust N Z J Obstet Gynaecol. 2003; 43:148-151.
  • 23.Dunberger G, Lindquist H, Waldenstrom AC et al. Lower limb lymphedema in gynecological cancer survivors-effect on daily life functioning. Support Care Cancer 2013; 21:3063-3070.
  • 24.Kim SJ, Park YD. Effects of complex decongestive physiotherapy on the oedema and the quality of life of lower unilateral lymphoedema following treatment for gynecological cancer. Eur J Cancer Care. 2008;17:463-468.
  • 25.Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemol. 1993;46:1417-1432.
  • 26.Bowling A. Health-related quality of life: Conceptual meaning, use and measurement. Measuring disease: A review of disease-specific quality of life measurement scales. 2nd Edition, Open University Press, Buckingham. 2001:1-22.
  • 27.Holmes M D, Chen W Y, Feskanich D, et al. Physical activity and survival after breast cancer diagnosis. JAMA. 2005;293:2479-2486.
  • 28.Schmitz KH, Holtzman J, Courneya KS, et al. Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev. 2005;14:1588-1595.
  • 29.Speck RM, Courneya KS, Masse LC, et al. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010;4:87-100.
  • 30.Hair BY, Hayes S. Tse CK, et al. Racial differences in physical activity among breast cancer survivors: implications for breast cancer care. Cancer. 2014;120:2174-2182.
  • 31.Brown JC, Lin LL, Segal S, et al. Physical activity, daily walking, and lower limb lymphedema associate with physical function among uterine cancer survivors. Support Care Cancer. 2014;22:3017-3025.
  • 32.Brown JC, John MG, Segal S, et al. Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors. Med Sci Sports Exerc. 2013;45:2091-2097.
  • 33.Gerber LH. A review of measures of lymphedema. Cancer. 1998;83:2803-2804.
  • 34.Saglam M, Arikan H, Savci S, et al. International Physical Activity Questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278-284.
  • 35.Kostanoğlu A, Hosbay Z, Tarakçı E. Lymphedema functioning, disability and health questionnaire Turkish version: translation, cross-cultural adaptation and validation. J Phys Ther Sci. 2016;28:1728-1732.
  • 36.Keeley V. Quality of life assessment tools in chronic oedema. Br J Community Nurs. 2008;13:S22-27.
  • 37.Yost KJ, Cheville AL, Al-Hilli MM, et al. Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life. Obstet Gynecol. 2014;124:307-315.
  • 38.Paskett ED, Naughton MJ, McCoy TP, et al. The epidemiology of arm and hand swelling in premenopausal breast cancer survivors. Cancer Epidemiol Biomarkers Prev. 2007;16:775-782.
  • 39.Zhou Y, Cartmel B, Gottlieb L, et al. Randomized trial of exercise on quality of life in women with ovarian cancer: women’s activity and lifestyle study in Connecticut (WALC). J Natl Cancer Inst. 2017;109(12):djx072.
  • 40.Tidhar D, Drouin J, Shimony A. Aqua lymphatic therapy in managing lower extremity lymphedema. J Support Oncol. 2007; 5: 179-183.

Investigation of the relationship between physical activity level and quality of life of individuals with and without lymphedema after gynecological cancer surgery

Yıl 2021, , 254 - 260, 31.12.2021
https://doi.org/10.15437/jetr.772460

Öz

Purpose: This study aimed to investigate the relationship between physical activity level and quality of life of individuals with and without lymphedema after gynecological cancer surgery.
Methods: In the study, 60 individuals aged 59.15±11.57 years who underwent gynecological cancer surgery and had lymphedema in their lower extremities were set as the lymphedema group, while 30 individuals aged 55.97±11.25 years who had gynecological cancer surgery and had no lymphedema in their lower extremities were set as the none-lymphedema group. The presence of lymphedema was evaluated by lymphoscintigraphy and measuring the extremity circumferences. Physical activity levels of individuals with or without lymphedema were evaluated by the International Physical Activity Questionnaire (short form), the quality of life was assessed using the Lymphedema Functioning, Disability, and Health Questionnaire for Lower Limb Lymphedema (Lymph-ICF-LL).
Results: There were no statistically significant differences between the physical activity levels of individuals with and without lymphedema (p0.05). Evaluating the quality of life of the individuals in the group with lymphedema, the Lymph-ICF-LL values in the subgroups were significantly higher than those of the non-lymphedema group (p<0.05). There was a statistically significant negative moderate correlation between the physical activity level of the lymphedema group and the physical function scores, mobility scores, living area scores and total scores of the lymphedema group (r: -0.336, p<0.05). This relationship was not found in the none-lymphedema group (r: -0.114, p0.05).
Conclusion: It was concluded that there was a negative relationship between physical activity level and quality of life of individuals with lymphedema after gynecological cancer.

Kaynakça

  • 1.Maclellan RA, Couto RA, Sullivan JE, et al. Management of primary and secondary lymphedema: analysis of 225 referrals to a center. Ann Plast Surg. 2014;75:197-200.
  • 2.International Agency for Research on Cancer. IARC handbooks of cancer prevention. Vol. 15. Breast cancer screening. 2015; France: IARC Press.
  • 3.Kuroda K, Yamamoto Y, Yanagisawa M, et al. Risk factors and a prediction model for lower limb lymphedema following lymphadenectomy in gynecologic cancer: a hospital-based retrospective cohort study. BMC Womens Health. 2017;17:50.
  • 4.Bergmark K, Avall-Lundqvist E, Dickman PW, et al. Lymphedema and bladder-emptying difficulties after radical hysterectomy for early cervical cancer and among population controls. Int J Gynecol Cancer. 2006;16:1130-1139.
  • 5.Beesley V, Janda M, Eakin E, et al. Lymphedema after gynecological cancer treatment: Prevalence, correlates, and supportive care needs. Cancer. 2007;109:2607-2614.
  • 6.Cormier JN, Askew RL, Mungovan KS, et al. Lymphedema beyond breast cancer: A systematic review and metaanalysis of cancer-related secondary lymphedema. Cancer. 2010;116:5138–5149.
  • 7.Soyuer F, Soyuer A. Yaşlılık ve fiziksel aktivite, İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15:219-224.
  • 8.Segal R, Zwaal C, Green E, et al. Exercise for people with cancer: a systematic review. Curr Oncol. 2017;24:290-315.
  • 9.GDB Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1659-1724.
  • 10.Cannioto RA, LaMonte MJ, et al. Recreational physical inactivity and mortality in women with invasive epithelial ovarian cancer: evidence from the Ovarian Cancer Association Consortium. Br J Cancer. 2016;115:95-101.
  • 11.Schmitz KH, Ahmed RL, Troxel A, et al. Weight lifting in women with breast-cancer–related lymphedema. N Engl J Med. 2009;361:664-673.
  • 12.Ahmed RL, Thomas W, Yee D, et al Randomized controlled trial of weight training and lymphedema in breast cancer survivors. J Clin Oncol. 2006;24:2765-2772.
  • 13.Hammer SM, Brown JC, Segal S, et al. Cancer-related impairments influence physical activity in uterine cancer survivors. Med Sci Sports Exerc.2014; 46: 2195.
  • 14.Iyer NS, Cartmel B, Friedman LLF, et al. Lymphedema in ovarian cancer survivors: Assessing diagnostic methods and the effects of physical activity. Cancer. 2018;124:1929-1937.
  • 15.Franks PJ, Moffatt CJ, Doherty DC, et al. Assessment of health-related quality of life in patients with lymphedema of the lower limb. Wound Repair Regen. 2006;14:110-118.
  • 16.Cemal Y, Jewell S, Albornoz CR, et al. Systematic review of quality of life and patient related outcomes in patients with oncologic related lower extremity lymphedema. Lymphatic Res Biol. 2013;11:14-19.
  • 17.Greene A, Meskell P. The impact of lower limb chronic oedema on patients’ quality of life. Int Wound J. 2017;14:561-568.
  • 18.Huggenberger K, Wagner S, Lehmann S, et al. Health and quality of life in patients with primary and secondary lymphedema of the lower extremity. Vasa. 2015;44:129-137.
  • 19.Andersen L, Hojris I, Erlandsen M, et al. Treatment of breast-cancer-related lymphedema with or without manual lymphatic drainage -a randomized study. Acta Oncol. 2000;39:399-405.
  • 20.Johansson K, Ingvar C, Albertsson M, et al. Arm Lymphoedema, shoulder mobility and muscle strength after breast cancer treatment? A prospective 2-year study. Adv Physiother. 2001;3:55-66.
  • 21.Kim SI, Lim MC, Lee JS, et al. Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection. Eur J Obstet Gynecol Reprod Biol. 2015;192:31-36.
  • 22.Ryan M, Stainton MC, Slaytor EK, et al. Aetiology and prevalence of lower limb lymphoedema following treatment for gynaecological cancer. Aust N Z J Obstet Gynaecol. 2003; 43:148-151.
  • 23.Dunberger G, Lindquist H, Waldenstrom AC et al. Lower limb lymphedema in gynecological cancer survivors-effect on daily life functioning. Support Care Cancer 2013; 21:3063-3070.
  • 24.Kim SJ, Park YD. Effects of complex decongestive physiotherapy on the oedema and the quality of life of lower unilateral lymphoedema following treatment for gynecological cancer. Eur J Cancer Care. 2008;17:463-468.
  • 25.Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemol. 1993;46:1417-1432.
  • 26.Bowling A. Health-related quality of life: Conceptual meaning, use and measurement. Measuring disease: A review of disease-specific quality of life measurement scales. 2nd Edition, Open University Press, Buckingham. 2001:1-22.
  • 27.Holmes M D, Chen W Y, Feskanich D, et al. Physical activity and survival after breast cancer diagnosis. JAMA. 2005;293:2479-2486.
  • 28.Schmitz KH, Holtzman J, Courneya KS, et al. Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev. 2005;14:1588-1595.
  • 29.Speck RM, Courneya KS, Masse LC, et al. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010;4:87-100.
  • 30.Hair BY, Hayes S. Tse CK, et al. Racial differences in physical activity among breast cancer survivors: implications for breast cancer care. Cancer. 2014;120:2174-2182.
  • 31.Brown JC, Lin LL, Segal S, et al. Physical activity, daily walking, and lower limb lymphedema associate with physical function among uterine cancer survivors. Support Care Cancer. 2014;22:3017-3025.
  • 32.Brown JC, John MG, Segal S, et al. Physical Activity and Lower Limb Lymphedema among Uterine Cancer Survivors. Med Sci Sports Exerc. 2013;45:2091-2097.
  • 33.Gerber LH. A review of measures of lymphedema. Cancer. 1998;83:2803-2804.
  • 34.Saglam M, Arikan H, Savci S, et al. International Physical Activity Questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278-284.
  • 35.Kostanoğlu A, Hosbay Z, Tarakçı E. Lymphedema functioning, disability and health questionnaire Turkish version: translation, cross-cultural adaptation and validation. J Phys Ther Sci. 2016;28:1728-1732.
  • 36.Keeley V. Quality of life assessment tools in chronic oedema. Br J Community Nurs. 2008;13:S22-27.
  • 37.Yost KJ, Cheville AL, Al-Hilli MM, et al. Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life. Obstet Gynecol. 2014;124:307-315.
  • 38.Paskett ED, Naughton MJ, McCoy TP, et al. The epidemiology of arm and hand swelling in premenopausal breast cancer survivors. Cancer Epidemiol Biomarkers Prev. 2007;16:775-782.
  • 39.Zhou Y, Cartmel B, Gottlieb L, et al. Randomized trial of exercise on quality of life in women with ovarian cancer: women’s activity and lifestyle study in Connecticut (WALC). J Natl Cancer Inst. 2017;109(12):djx072.
  • 40.Tidhar D, Drouin J, Shimony A. Aqua lymphatic therapy in managing lower extremity lymphedema. J Support Oncol. 2007; 5: 179-183.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hanife Abakay 0000-0003-4047-7965

Ümmühan Abdülrezzak 0000-0002-7100-1866

Türkan Akbayrak 0000-0001-5840-5252

Yayımlanma Tarihi 31 Aralık 2021
Gönderilme Tarihi 21 Temmuz 2020
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

Vancouver Abakay H, Abdülrezzak Ü, Akbayrak T. Jinekolojik kanser cerrahisi sonrası lenfödemi olan ve olmayan kişilerin fiziksel aktivite düzeyi ve yaşam kaliteleri arasındaki ilişkinin incelenmesi. JETR. 2021;8(3):254-60.