Changes in physical activity and associations with quality of life among a global sample of cancer survivors during the COVID-19 pandemic.


Journal

Journal of cancer survivorship : research and practice
ISSN: 1932-2267
Titre abrégé: J Cancer Surviv
Pays: United States
ID NLM: 101307557

Informations de publication

Date de publication:
08 2023
Historique:
received: 19 03 2021
accepted: 16 12 2021
medline: 23 6 2023
pubmed: 27 1 2022
entrez: 26 1 2022
Statut: ppublish

Résumé

Meeting physical activity (PA) guidelines (i.e., ≥ 150 min/week of aerobic PA and/or 2 days/week of resistance training) is beneficial for maintaining cancer survivors' well-being. The impact of the COVID-19 pandemic on PA participation in cancer survivors and its association on quality of life (QoL) remains unknown. The purpose of this study was to compare PA levels prior to and during the COVID-19 pandemic, and examine the association between changes in PA and QoL in cancer survivors. A global sample of cancer survivors participated in a cross-sectional, online survey. Participants self-reported their PA participation before and during the pandemic using the Godin Leisure Time Exercise Questionnaire and QoL with the Functional Assessment of Cancer Therapy (FACT) scales. Paired t-tests compared PA before and during the pandemic. Analysis of covariance examined differences in QoL between PA categories: non-exercisers, inactive adopters, complete and partial relapsers, single and combined guideline maintainers. PA participation of cancer survivors (N = 488) significantly decreased during the pandemic (p's < .001). Cancer survivors were classified as non-exercisers (37.7%), inactive adopters (6.6%), complete (13.1%) and partial (6.1%) relapsers, and single (23.8%) or combined (12.7%) guideline maintainers. Partial relapsers had significantly lower QoL and fatigue than inactive adopters, and combined guideline maintainers (p's < .05) that were clinically meaningful. PA decreased during the pandemic which has negative implications for QoL and fatigue in cancer survivors. PA is critical for maintaining QoL during the pandemic; therefore, behavioral strategies are needed to help cancer survivors adopt and maintain PA.

Identifiants

pubmed: 35079964
doi: 10.1007/s11764-021-01156-x
pii: 10.1007/s11764-021-01156-x
pmc: PMC8789373
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1191-1201

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

World Health Organization. Timeline: WHO’s COVID-19 response [Internet]. 2020 [cited 2021 Feb 16]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/interactive-timeline#.  Accessed 2021 Feb 16.
World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard [Internet]. 2021 [cited 2021 Feb 16]. Available from: https://covid19.who.int/ . Accessed 2021 Feb 16.
Gill S, Hao D, Hirte H, Campbell A, Colwell B. Impact of COVID-19 on Canadian medical oncologists and cancer care: Canadian Association of Medical Oncologists survey report. Curr Oncol. 2020;27:71–4.
pubmed: 32489248 pmcid: 7253737 doi: 10.3747/co.27.6643
Chan A, Ashbury F, Fitch MI, Koczwara B, Chan RJ. Cancer survivorship care during COVID-19—perspectives and recommendations from the MASCC survivorship study group. Support Care Cancer. 2020;28:3485–8.
pubmed: 32451702 pmcid: 7247777 doi: 10.1007/s00520-020-05544-4
Jones D, Neal RD, Duffy SRG, Scott SE, Whitaker KL, Brain K. Impact of the COVID-19 pandemic on the symptomatic diagnosis of cancer: the view from primary care. Lancet Oncol. 2020;21:748–50.
pubmed: 32359404 pmcid: 7251992 doi: 10.1016/S1470-2045(20)30242-4
Jazieh AR, Akbulut H, Curigliano G, Rogado A, Alsharm AA, Razis ED, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6:1428–38.
pubmed: 32986516 doi: 10.1200/GO.20.00351
Clark-Snow RA, Rittenberg C. Oncology nursing supportive care during the COVID-19 pandemic: reality and challenges. Support Care Cancer. 2021;29:2259–62.
pubmed: 33558962 pmcid: 7869911 doi: 10.1007/s00520-021-06005-2
Frey MK, Chapman-Davis E, Glynn SM, Lin J, Ellis AE, Tomita S, et al. Adapting and avoiding coping strategies for women with ovarian cancer during the COVID-19 pandemic. Gynecol Oncol. 2021;160:492–8.
pubmed: 33308865 doi: 10.1016/j.ygyno.2020.11.017
Younger E, Smrke A, Lidington E, Farag S, Ingley K, Chopra N, et al. Health-related quality of life and experiences of sarcoma patients during the COVID-19 pandemic. Cancers. 2020;12:2288.
pubmed: 32823999 pmcid: 7547383 doi: 10.3390/cancers12082288
Helm EE, Kempski KA, Galantino MLA. Effect of disrupted rehabilitation services on distress and quality of life in breast cancer survivors during the COVID-19 pandemic. Rehabil Oncol. 2020;38:153–8.
doi: 10.1097/01.REO.0000000000000233
Frey MK, Ellis AE, Zeligs K, Chapman-Davis E, Thomas C, Christos PJ, et al. Impact of the coronavirus disease 2019 pandemic on the quality of life for women with ovarian cancer. Am J Obstet Gynecol. 2020;223(725):e1-9.
Lou E, Teoh D, Brown K, Blaes A, Holtan SG, Jewett P, et al. Perspectives of cancer patients and their health during the COVID-19 pandemic. PLOS ONE. 2020;15:e0241741.
pubmed: 33125442 pmcid: 7598454 doi: 10.1371/journal.pone.0241741
Linden W, Vodermaier A, MacKenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141:343–51.
pubmed: 22727334 doi: 10.1016/j.jad.2012.03.025
Naughton MJ, Weaver KE. Physical and mental health among cancer survivors: considerations for long-term care and quality of life. N C Med J. 2014;75:283–6.
pubmed: 25046097 pmcid: 4503227
National Cancer Institute. NCI Dictionary of Cancer Terms [Internet]. NCI Dictionary of Cancer Terms. [cited 2021 Nov 1]. Available from: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/survivorship . Accessed 2021 Nov 1
Bargon CA, Batenburg MCT, van Stam LE, Mink van der Molen DR, van Dam IE, van der Leij F, et al. Impact of the COVID-19 pandemic on patient-reported outcomes of breast cancer patients and survivors. JNCI Cancer Spectr. 2021;5:1–11.
doi: 10.1093/jncics/pkaa104
Avancini A, Trestini I, Tregnago D, Wiskemann J, Lanza M, Milella M, et al. Physical activity for oncological patients in COVID-19 era: no time to relax. JNCI Cancer Spectr. 2020;4:pkaa071.
pubmed: 33385107 pmcid: 7499670 doi: 10.1093/jncics/pkaa071
Rezende LFM, Lee DH, Ferrari G, Eluf-Neto J, Giovannucci EL. Physical activity for cancer patients during COVID-19 pandemic: a call to action. Cancer Causes Control. 2021;32:1–3.
pubmed: 33196913 doi: 10.1007/s10552-020-01367-0
Buffart LM, Kalter J, Sweegers MG, Courneya KS, Newton RU, Aaronson NK, et al. Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev. 2017;52:91–104.
pubmed: 28006694 doi: 10.1016/j.ctrv.2016.11.010
Gerritsen JKW, Vincent AJPE. Exercise improves quality of life in patients with cancer: a systematic review and meta-analysis of randomised controlled trials. Br J Sports Med. 2016;50:796–803.
pubmed: 26719503 doi: 10.1136/bjsports-2015-094787
Scott JM, Zabor EC, Schwitzer E, Koelwyn GJ, Adams SC, Nilsen TS, et al. Efficacy of exercise therapy on cardiorespiratory fitness in patients with cancer: a systematic review and meta-Analysis. J Clin Oncol. 2018;36:2297–305.
pubmed: 29894274 pmcid: 6804903 doi: 10.1200/JCO.2017.77.5809
Woods JA, Hutchinson NT, Powers SK, Roberts WO, Gomez-Cabrera MC, Radak Z, et al. The COVID-19 pandemic and physical activity. Sports Med Health Sci. 2020;2:55–64.
pubmed: 34189484 pmcid: 7261095 doi: 10.1016/j.smhs.2020.05.006
Campbell KL, Winters-Stone KM, Wiskemann J, May AM, Schwartz AL, Courneya KS, et al. Exercise guidelines for cancer survivors: consensus statement from International Multidisciplinary Roundtable. Med Sci Sports Exerc. 2019;51:2375–90.
pubmed: 31626055 pmcid: 8576825 doi: 10.1249/MSS.0000000000002116
Tabaczynski A, Strom DA, Wong JN, McAuley E, Larsen K, Faulkner GE, et al. Demographic, medical, social-cognitive, and environmental correlates of meeting independent and combined physical activity guidelines in kidney cancer survivors. Support Care Cancer. 2020;28:43–54.
pubmed: 30980259 doi: 10.1007/s00520-019-04752-x
Crawford JJ, Holt NL, Vallance JK, Courneya KS. A new paradigm for examining the correlates of aerobic, strength, and combined exercise: an application to gynecologic cancer survivors. Support Care Cancer. 2016;24:3533–41.
pubmed: 27021390 doi: 10.1007/s00520-016-3173-7
Vallerand JR, Rhodes RE, Walker GJ, Courneya KS. Correlates of meeting the combined and independent aerobic and strength exercise guidelines in hematologic cancer survivors. Int J Behav Nutr Phys Act. 2017;14:1–10.
doi: 10.1186/s12966-017-0498-7
Faro JM, Mattocks KM, Nagawa CS, Lemon SC, Wang B, Cutrona SL, et al. Physical activity, mental health and technology preferences to support cancer survivors during the COVID-19 pandemic: cross-sectional study. JMIR Cancer. 2021;7:e25317.
pubmed: 33471776 pmcid: 7860926 doi: 10.2196/25317
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 International Online Survey. Nutrients. 2020;12:1583.
pubmed: 32481594 pmcid: 7352706 doi: 10.3390/nu12061583
Tison GH, Avram R, Kuhar P, Abreau S, Marcus GM, Pletcher MJ, et al. Worldwide effect of COVID-19 on physical activity: a descriptive study. Ann Intern Med. 2020;173:767–70.
pubmed: 32598162 doi: 10.7326/M20-2665
Rhodes RE, Liu S, Lithopoulos A, Garcia-Barrera MA, Zhang CQ. Correlates of perceived physical activity transitions during the COVID-19 pandemic among Canadian adults. Appl Psychol Health Well Being. 2020;12:1157–82.
pubmed: 33006279 pmcid: 7537295 doi: 10.1111/aphw.12236
Lesser IA, Nienhuis CP. The impact of COVID-19 on physical activity behavior and well-being of Canadians. Int J Environ Res Public Health. 2020;17:3899.
pubmed: 32486380 pmcid: 7312579 doi: 10.3390/ijerph17113899
Meyer J, McDowell C, Lansing J, Brower C, Smith L, Tully M, et al. Changes in physical activity and sedentary behavior in response to COVID-19 and their associations with mental health in 3052 UA adults. Int J Environ Res Public Health. 2020;17:6469.
pubmed: 32899495 pmcid: 7559240 doi: 10.3390/ijerph17186469
Schuch FB, Bulzing RA, Meyer J, Vancampfort D, Firth J, Stubbs B, et al. Associations of moderate to vigorous physical activity and sedentary behavior with depressive and anxiety symptoms in self-isolating people during the COVID-19 pandemic: a cross-sectional survey in Brazil. Psychiatry Res. 2020;292:113339.
pubmed: 32745795 pmcid: 7384423 doi: 10.1016/j.psychres.2020.113339
Jacob L, Tully MA, Barnett Y, Lopez-Sanchez GF, Butler L, Schuch F, et al. The relationship between physical activity and mental health in a sample of the UK public: a cross-sectional study during the implementation of COVID-19 social distancing measures. Ment Health Phys Act. 2020;19:100345.
pubmed: 32834833 pmcid: 7378001 doi: 10.1016/j.mhpa.2020.100345
Mishra SI, Scherer RW, Snyder C, Geigle P, Gotay C. Are Exercise programs effective for improving health-related quality of life among cancer survivors? A systematic review and meta-analysis. Oncol Nurs Forum. 2015;41:e326–42.
doi: 10.1188/14.ONF.E326-E342
Trinh L, Strom DA, Wong JN, Courneya KS. Modality-specific exercise guidelines and quality of life in kidney cancer survivors: a cross-sectional study. Psychooncology. 2018;27:2419–26.
pubmed: 30048023 doi: 10.1002/pon.4844
Buffart LM, Newton RU, Chinapaw MJ, Taaffe DR, Spry NA, Denham JW, et al. The effect, moderators, and mediators of resistance and aerobic exercise on health-related quality of life in older long-term survivors of prostate cancer. Cancer. 2015;121:2821–30.
pubmed: 25891302 doi: 10.1002/cncr.29406
Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;20:1–14.
Strollo SE, Fallon EA, Gapstur SM, Smith TG. Cancer-related problems, sleep quality, and sleep disturbance among long-term cancer survivors at 9-years post diagnosis. Sleep Med. 2020;65:177–85.
pubmed: 32029206 doi: 10.1016/j.sleep.2019.10.008
Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS. Associations between physical activity and quality of life in a population-based sample of kidney cancer survivors. Cancer Epidemiol Biomark Prev. 2011;20:859–68.
doi: 10.1158/1055-9965.EPI-10-1319
Forbes CC, Blanchard CM, Mummery WK, Courneya KS. A comparison of physical activity correlates across breast, prostate and colorectal cancer survivors in Nova Scotia, Canada. Support Care Cancer. 2014;22:891–903.
pubmed: 24240648 doi: 10.1007/s00520-013-2045-7
Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10:141–6.
pubmed: 4053261
Eng L, Pringle D, Su J, Shen X, Mahler M, Niu C, et al. Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors. Support Care Cancer. 2018;26:3755–63.
pubmed: 29808379 doi: 10.1007/s00520-018-4239-5
Phillips SM, McAuley E. Associations between self-reported post-diagnosis physical activity changes, body weight changes, and psychosocial well-being in breast cancer survivors. Support Care Cancer. 2015;23:159–67.
pubmed: 25022760 doi: 10.1007/s00520-014-2346-5
Segal R, Zwaal C, Green E, Tomasone JR, Loblaw A, Petrella T. Exercise for people with cancer: a clinical practice guideline. Curr Oncol. 2017;24:40–6.
pubmed: 28270724 pmcid: 5330628 doi: 10.3747/co.24.3376
Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol. 1993;11:570–9.
pubmed: 8445433 doi: 10.1200/JCO.1993.11.3.570
Yellen SB, Cella DF, Webster K, Blendowski C, Kaplan E. Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) Measurement System. J Pain Symptom Manage. 1997;13:63–74.
pubmed: 9095563 doi: 10.1016/S0885-3924(96)00274-6
Yentes R, Wilhelm F. Careless: Procedures for Computing Indices of Careless Responding. R packages version 1.2.1. 2021. https://CRAN.R-project.org/package=careless . Accessed 9 Aug 2021.
Curran PG. Methods for the detection of carelessly invalid responses in survey data. J Exp Soc Psychol. 2016;66:4–19.
doi: 10.1016/j.jesp.2015.07.006
Meade AW, Craig SB. Identifying careless responses in survey data. Psychol Methods. 2012;17:437–55.
pubmed: 22506584 doi: 10.1037/a0028085
Yost KJ, Eton DT. Combining distribution- and anchor-based approaches to determine minimally important differences: the FACIT experience. Eval Health Prof. 2005;28:172–91.
pubmed: 15851772 doi: 10.1177/0163278705275340
Newton RU, Hart NH, Clay T. Keeping patients with cancer exercising in the age of COVID-19. JCO Oncol Pract. 2020;16:656–65.
pubmed: 32603253 pmcid: 7564134 doi: 10.1200/OP.20.00210
Nekhlyudov L, Duijts S, Hudson SV, Jones JM, Keogh J, Love B, et al. Addressing the needs of cancer survivors during the COVID-19 pandemic. J Cancer Surviv. 2020;14:601–6.
pubmed: 32335850 pmcid: 7183255 doi: 10.1007/s11764-020-00884-w
Kwasnicka D, Dombrowski SU, White M, Sniehotta F. Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories. Health Psychol Rev. 2016;10:277–96.
pubmed: 26854092 pmcid: 4975085 doi: 10.1080/17437199.2016.1151372
Vallance JK, Boyle T, Courneya KS, Lynch BM. Associations of objectively assessed physical activity and sedentary time with health-related quality of life among colon cancer survivors. Cancer. 2014;120:2919–26.
pubmed: 24898175 doi: 10.1002/cncr.28779
Courneya KS, McKenzie DC, Mackey JR, Gelmon K, Friedenreich CM, Yasui Y, et al. Effects of exercise dose and type during breast cancer chemotherapy: multicenter randomized trial. J Natl Cancer Inst. 2013;105:1821–32.
pubmed: 24151326 doi: 10.1093/jnci/djt297
Taaffe DR, Newton RU, Spry N, Joseph D, Chambers SK, Gardiner RA, et al. Effects of different exercise modalities on fatigue in prostate cancer patients undergoing androgen deprivation therapy: a year-long randomised controlled trial. Eur Urol. 2017;72:293–9.
pubmed: 28249801 doi: 10.1016/j.eururo.2017.02.019
de Oliveira NL, Elsangedy HM, Tavares VDDO, Teixeira CVLS, Behm DG, da Silva-Grigoletto ME. #TrainingInHome - training at home during the COVID-19 (SAR-COV2) pandemic: physical exercise and behavior-based approach. Revista Brasileira de Fisiologia do Exercício. 2020;19:9–19.
doi: 10.33233/rbfe.v19i2.4006
Welch WA, Lloyd GR, Awick EA, Siddique J, McAuley E, Phillips SM. Measurement of physical activity and sedentary behavior in breast cancer survivors. J Community Support Oncol. 2018;15:e21-29.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2018;68:394–424.
World Cancer Reserach Fund/ American Insitute of Cancer Research. Worldwide Cancer Data [Internet]. 2018. Accessed From: https://www.wcrf.org/dietandcancer/worldwide-cancer-data/ . Accessed 3 Mar 2021.
Patel AV, Friedenreich CM, Moore SC, Hayes SC, Silver JK, Campbell KL, et al. American College of Sports Medicine roundtable report on physical activity, sedentary behavior, and cancer prevention and control. Med Sci Sports Exerc Sci. 2019;51:2391–402.
doi: 10.1249/MSS.0000000000002117
Hammami A, Harrabi B, Mohr M, Krustrup P. Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training. Manag Sport Leisure. 2020. https://doi.org/10.1080/23750472.2020.1757494

Auteurs

Allyson Tabaczynski (A)

Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON, M5S 2W6, Canada.

Denise Bastas (D)

Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON, M5S 2W6, Canada.

Alexis Whitehorn (A)

Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON, M5S 2W6, Canada.

Linda Trinh (L)

Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON, M5S 2W6, Canada. linda.trinh@utoronto.ca.

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