Supportive Care in Cancer

, Volume 27, Issue 5, pp 1747–1754 | Cite as

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

  • Si-Woon Park
  • Ilkyun LeeEmail author
  • Joong Il Kim
  • Hyuna Park
  • Jong Doo Lee
  • Kyeong Eun Uhm
  • Ji Hye Hwang
  • Eun Sook Lee
  • So-Youn Jung
  • Yong Hyun Park
  • Ji Youl Lee
Original Article



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.


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.


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.


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.


Breast neoplasms Exercise Aftercare Health behavior Smartphone Mobile applications 



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).

Compliance with ethical standards

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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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Si-Woon Park
    • 1
    • 2
  • Ilkyun Lee
    • 3
    • 4
    Email author
  • Joong Il Kim
    • 5
  • Hyuna Park
    • 6
    • 7
  • Jong Doo Lee
    • 5
  • Kyeong Eun Uhm
    • 8
    • 9
  • Ji Hye Hwang
    • 9
  • Eun Sook Lee
    • 10
  • So-Youn Jung
    • 10
  • Yong Hyun Park
    • 11
  • Ji Youl Lee
    • 11
  1. 1.Department of Rehabilitation MedicineCatholic Kwandong University International St. Mary’s HospitalIncheonSouth Korea
  2. 2.Institute for Translational and Clinical ResearchCatholic Kwandong University International St. Mary’s HospitalIncheonSouth Korea
  3. 3.Department of SurgeryCatholic Kwandong University International St. Mary’s HospitalIncheonSouth Korea
  4. 4.Department of Surgery, International St. Mary’s Hospital, College of MedicineCatholic Kwandong UniversityGangneung-siRepublic of Korea
  5. 5.Institute for Integrative MedicineCatholic Kwandong University International St. Mary’s HospitalIncheonSouth Korea
  6. 6.Cancer Healing Education CenterCatholic Kwandong University International St. Mary’s HospitalIncheonSouth Korea
  7. 7.Department of Sport and Leisure StudiesYonsei UniversitySeoulSouth Korea
  8. 8.Department of Rehabilitation MedicineKonkuk University School of MedicineSeoulSouth Korea
  9. 9.Department of Physical and Rehabilitation Medicine, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea
  10. 10.Center for Breast Cancer, Research Institute and HospitalNational Cancer CenterGoyangSouth Korea
  11. 11.Department of Urology, Seoul St. Mary’s HospitalThe Catholic University of Korea College of MedicineSeoulSouth Korea

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