Physical activity, return to work self-efficacy, and work status among employees undergoing chemotherapy for cancer - a prospective study with 12 months follow-up.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
17 Feb 2021
Historique:
received: 07 04 2020
accepted: 20 01 2021
entrez: 18 2 2021
pubmed: 19 2 2021
medline: 7 9 2021
Statut: epublish

Résumé

Numerous studies emphasize the positive effects of physical activity on health and well-being in cancer patients. The effects of physical activity on the working lives of cancer patients have received less attention. The aim of the present study was to examine the association between physical activity and work status in employees with cancer, and the mediating role of return to work self-efficacy (RTWSE) in this association. Data from questionnaires (physical activity, RTWSE, performance status, sociodemographic), patient records, and Danish national registries (work status, education) were collected for 217 employees initiating chemotherapy for cancer. The associations of physical activity at baseline with work status at baseline and at twelve months follow-up, respectively, were estimated with logistic regression. The mediating role of RTWSE was investigated using the Sobel Goodmann test. Employees with moderate (> 30 min/day) or high (> 150 min/day) levels of current daily activity at baseline had significantly increased odds for working at baseline (OR = 2.83, 95%CI = 0.73-10.96 and OR = 6.13, 95%CI = 1.68-22.40, respectively) and at twelve months (OR = 3.90, 95%CI = 1.19-12.77 and OR = 3.43, 95%CI = 1.12-10.51, respectively), compared to sedentary employees. Likewise, employees, physically active in their leisure time (light or vigorous psychical activity) for 2-4 h/week or > 4 h/week of light activity at baseline, had increased odds for working at twelve months (OR range = 1.20 (95%CI = 0.40-3.61)-5.39(95%CI = 0.78-37.32)), compared to sedentary employees. RTWSE was not found to mediate the observed associations. Physical activity appears positively associated with work status in employees undergoing treatment for cancer in the twelve months period after initiating chemotherapy.

Sections du résumé

BACKGROUND BACKGROUND
Numerous studies emphasize the positive effects of physical activity on health and well-being in cancer patients. The effects of physical activity on the working lives of cancer patients have received less attention. The aim of the present study was to examine the association between physical activity and work status in employees with cancer, and the mediating role of return to work self-efficacy (RTWSE) in this association.
METHODS METHODS
Data from questionnaires (physical activity, RTWSE, performance status, sociodemographic), patient records, and Danish national registries (work status, education) were collected for 217 employees initiating chemotherapy for cancer. The associations of physical activity at baseline with work status at baseline and at twelve months follow-up, respectively, were estimated with logistic regression. The mediating role of RTWSE was investigated using the Sobel Goodmann test.
RESULTS RESULTS
Employees with moderate (> 30 min/day) or high (> 150 min/day) levels of current daily activity at baseline had significantly increased odds for working at baseline (OR = 2.83, 95%CI = 0.73-10.96 and OR = 6.13, 95%CI = 1.68-22.40, respectively) and at twelve months (OR = 3.90, 95%CI = 1.19-12.77 and OR = 3.43, 95%CI = 1.12-10.51, respectively), compared to sedentary employees. Likewise, employees, physically active in their leisure time (light or vigorous psychical activity) for 2-4 h/week or > 4 h/week of light activity at baseline, had increased odds for working at twelve months (OR range = 1.20 (95%CI = 0.40-3.61)-5.39(95%CI = 0.78-37.32)), compared to sedentary employees. RTWSE was not found to mediate the observed associations.
CONCLUSIONS CONCLUSIONS
Physical activity appears positively associated with work status in employees undergoing treatment for cancer in the twelve months period after initiating chemotherapy.

Identifiants

pubmed: 33596859
doi: 10.1186/s12885-021-07824-6
pii: 10.1186/s12885-021-07824-6
pmc: PMC7890631
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

169

Subventions

Organisme : Kræftens Bekæmpelse
ID : R137-A8880-15-S3
Organisme : Oticon Fonden
ID : 16-1960

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Auteurs

Rikke Rosbjerg (R)

Department of Public Health, Aarhus University, Aarhus, Denmark. Rikke.Rosbjerg@stab.rm.dk.
DEFACTUM, Central Denmark Region, Denmark, P.P. Ørums Gade 11, 1.B, 8000, Aarhus, Denmark. Rikke.Rosbjerg@stab.rm.dk.

Robert Zachariae (R)

Unit for Psychooncology and Health Psychology, Department of Psychology, Aarhus University, Aarhus, Denmark.

Dorte Gilså Hansen (DG)

Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, Denmark.

Inger Hoejris (I)

Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.

Saskia Duijts (S)

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam, The Netherlands.

Nina Lykkegaard Gehr (NL)

Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.

Irene Dyhrberg Andersen (ID)

Department of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Department of Health and Care, Viby-Hoejbjerg, Aarhus Municipality, Aarhus, Denmark.

Merete Labriola (M)

NORCE Norwegian Research Centre AS, Bergen, Norway.
Centre for Social Medicine, Frederiksberg and Bispebjerg Hospital, Copenhagen, Denmark.

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