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Factors associated with physical activity of breast cancer patients participating in exercise intervention

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Abstract

Purpose

Physical activity has been known to improve survival and quality of life of patients with breast cancer. To find factors associated with physical activity, we analyzed the dataset of the multicenter controlled trial of exercise intervention.

Methods

Three hundred fifty-six participants were assigned to two groups: “Smart After-Care” (smartphone application and pedometer were provided) or exercise education only. Physical activity was measured by International Physical Activity Questionnaire–Short Form (IPAQ-SF) at baseline and after 12 weeks. The association between physical activity and other clinical characteristics was analyzed.

Results

At baseline, physical activity amount was 2315.5 ± 3513.2 MET min/week: 33.0% inactive, 49.6% minimally active, and 17.4% health-enhancing physical activity (HEPA) active. Factors associated with HEPA include cancer stage and grip strength. A significantly lower proportion was HEPA active among those with advanced stage than among those with stage 0. After intervention, physical activity was increased to 3466.2 ± 4712.5 MET min/week: 15.3% inactive, 50.4% minimally active, and 34.2% HEPA active. Physical activity was increased in 63.4% of the participants. Factors associated with physical activity increase include cancer stage, diarrhea, and type of exercise intervention. Participants with advanced stage have a 3.3 times higher chance of increasing physical activity. Participants who received “Smart After-Care” have a 64% higher chance of increasing physical activity.

Conclusion

Before the intervention, participants with advanced stage are less likely to be HEPA active. Exercise intervention was more beneficial for those with advanced stage or physical symptoms. “Smart After-Care” was more effective than education only in increasing physical activity.

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Funding

This research was supported by the National Information Society Agency (NIA) funded by the Ministry of Science, ICT and Future Planning (Smart After-Care Service for Cancer and Cardiac Disease).

Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, Catholic Kwandong University International St. Mary’s Hospital, Incheon, South Korea

    Si-Woon Park

  2. Institute for Translational and Clinical Research, Catholic Kwandong University International St. Mary’s Hospital, Incheon, South Korea

    Si-Woon Park

  3. Department of Surgery, Catholic Kwandong University International St. Mary’s Hospital, Incheon, South Korea

    Ilkyun Lee

  4. Department of Surgery, International St. Mary’s Hospital, College of Medicine, Catholic Kwandong University, Gangneung-si, Gangwon-do, 270-701, Republic of Korea

    Ilkyun Lee

  5. Institute for Integrative Medicine, Catholic Kwandong University International St. Mary’s Hospital, Incheon, South Korea

    Joong Il Kim & Jong Doo Lee

  6. Cancer Healing Education Center, Catholic Kwandong University International St. Mary’s Hospital, Incheon, South Korea

    Hyuna Park

  7. Department of Sport and Leisure Studies, Yonsei University, Seoul, South Korea

    Hyuna Park

  8. Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, South Korea

    Kyeong Eun Uhm

  9. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

    Kyeong Eun Uhm & Ji Hye Hwang

  10. Center for Breast Cancer, Research Institute and Hospital, National Cancer Center, Goyang, South Korea

    Eun Sook Lee & So-Youn Jung

  11. Department of Urology, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul, South Korea

    Yong Hyun Park & Ji Youl Lee

Authors
  1. Si-Woon Park
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  2. Ilkyun Lee
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  3. Joong Il Kim
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  4. Hyuna Park
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Corresponding author

Correspondence to Ilkyun Lee.

Ethics declarations

This study was approved by the Institutional Review Board, and written informed consent was obtained from each participant.

Conflict of interest

The authors declare that they have no conflict of interest.

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Cite this article

Park, SW., Lee, I., Kim, J.I. et al. Factors associated with physical activity of breast cancer patients participating in exercise intervention. Support Care Cancer 27, 1747–1754 (2019). https://doi.org/10.1007/s00520-018-4427-3

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  • DOI: https://doi.org/10.1007/s00520-018-4427-3

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