CANCER PATIENTS` AWARENESS OF THE IMPORTANCE OF PHYSICAL ACTIVITY IN TREATING THEIR DISORDERS

Zuzana KÜCHELOVÁ, Alena BUKOVÁ, Ján JUNGER, Ladislav KRUČANICA

Abstract


The further the more attention is paid to the importance of physical activity in cancer patients. In recent years, we have seen a rapid increase in the number of patients having been cured successfully thanks to improved cancer screening, detection and treatment methods. There have been various studies on the effect of exercise as an effective way to prevent and improve the effects of cancer treatment. Given the severity of the disease, physicians and physiotherapists are very thoroughful, and the recommendations are more patient-specific and focused on the particular diagnosis. Objective: To get acquainted with the fulfilment of recommendations for performing physical activities by cancer patients.

Methods: The study group consisted of 102 patients diagnosed with some of the oncological diseases. One of the important criteria for inclusion in the study was the fact that the diagnosis did not prevent performance of physical activity. To obtain the research data we used the questionnaire method. Results: Patients involved in our study, in the prevention and treatment of their health problems, put particular emphasis on regular medical check-ups and nutrition and eating habits. In terms of priorities, physical activity is only ranking fourth in this respect. The vast majority of patients involved in the study had been informed about the importance of purposeful physical activity by physicians; however, nearly half of the patients admitted that they had never talked to the attending physician about recommendations for physical activity. The most common activities that patients undertake are domestic chores and walks.

Conclusions: The data obtained suggest that some patients are not sufficiently physically active, a number of them are not even aware of the role and importance of physical activity in the treatment of their disease. There are even patients who do not consider such information relevant. This study was supported by Grant project 1/0825/17 "Recommendations for physical activities in prevention and control of non-communicable diseases and their implementation in the eastern part of Slovakia" implemented at P.J. Šafárik University in Košice.

Keywords: Oncological diseases. Patients. Physical activity. Prevention. Awareness.

Acknowledgement:
Funding. This study was supported by the scientific Grant Agency of the Ministry of Education, Science, Research and Sport of the Slovak Republic and the Slovak Academy of Sciences under the Grant No. 1/0825/17 „Recommendations for physical activities in prevention and control of non-communicable diseases and their implementation in the eastern part of Slovakia.“.

Ethics approval and consent to participate. The protocol was approved by the Human Research Ethics Committee of Pavol Jozef Šafárik University in Košice (approval No. PJSU-0825/17-1).

Competing interests. The authors declare that they have no competing interests. 


Full Text:

PDF

References


Adam Z., Klimeš J, Pour L, Král Z, Onderková A, Čermák A, Vorlíček J. (2019). Maligní onemocnení, psychika a stres: příběhy pacientủ s komentářem psychologa. Praha: Grada publishing, a.s.

Anderson AS, Macleod M, Mutrie N, Sugden J, Dobson H, Treweek S, O'Carroll RE, Thompson A, Kirk A, Brennan G, Wyke S. (2014). Breast cancer risk reduction--is it feasible to initiate a randomised controlled trial of a lifestyle intervention programme (ActWell) within a national breast screening programme? International Journal of Behavioral Nutrition and Physical Activity. 2014 Dec 17;11:156: 1-15. DOI 10.1186/s12966-014-0156-2.

Ballard-Barbash R, McTiernan A. (2007). Is the whole larger than the sum of the parts? The promise of combining physical activity and diet to improve cancer outcomes. J Clin Oncol. 2007;25:2335–2337.

Balneaves LG, Van Patten Ch, Truant TLO, Kelly MT, Neil SE, Campbell KL. (2014).Breast cancer survivors' perspectives on a weight loss and physical activity lifestyle intervention. Support Care Cancer. 2014;22(8):2057–2065. DOI 10.1007/s00520-014-2185-4.

Balogun OD, Formenti, SC. (2015). Locally advanced breast cancer - strategies for developing nations. Frontiers in Oncology. 2015; 5: 89.

Boleloucký Z. 1999. Psychiatrie a lékařská psychologie v paliatívní medicíně. 2. doplněné a přepracované vydání. Brno: Masarykova univerzita, 1999,92s. ISBN 80-210-2064-4.

Braith RW, Stewart KJ. (2006). Resistance exercise training: its role in the prevention of cardiovascular disease. Circulation. 2006;113(22):2642–50.

Bukova A, Horbacz A, Szerdiová L. et al. (2019). Awareness of patients with metabolic diseases of the importance of physical activity in treating their disorders. In: Physical education, sports and health culture in modern society. In press.

Caan B, Sternfeld B, Gunderson E, Coates A, Quesenberry C, Slattery ML. (2005). Life After Cancer Epidemiology (LACE) Study: a cohort of early stage breast cancer survivors (United States). Cancer Causes Control. 6:545–556.

Caspersen CJ, Powell KE, Christenson GM. (1985). Physical activity, exercise and physical fitness: definitions and distinctions for health related research. Pub Health Rep. 100(2): 126-131.

Cardoso F, Kyriakides S, Ohno S, Penault-Llorca F, Poortmans P, Senkus E, Rubio IT, Zackrisson S. (2019) Early breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of oncology. 30(8):1194-1220.

Denlinger CS, Ligibel JA, Are M, Baker KS, Broderick G, Demark-Wahnefried W, Friedman DL, Goldman M, Jones LW, King A, Ku GH, Kvale E, Langbaum TS, McCabe MS, Melisko M, Montoya JG, Mooney K, Morgan MA, Moslehi JJ, O'Connor T, Overholser L, Paskett ED, Peppercorn J, Rodriguez MA, Ruddy KJ, Sanft T, Silverman P, Smith S, Syrjala KL, Urba SG, Wakabayashi MT, Zee P, McMillian NR, Freedman-Cass DA. (2016). NCCN Guidelines Insights: Survivorship, Version 1.2016. Journal of the National Comprehensive Cancer Network: JNCCN 2016; 14(6):715-724.

DeNysschen CA, Burton H, Ademuyiwa F, Levine E, Tetewsky S, O’Connor T. (2014). Exercise intervention in breast cancer patients with aromatase inhibitor-associated arthralgia: a pilot study. Eur J Cancer Care (Engl). 2014;23(4):493–501. doi: 10.1111/ecc.12155. Epub 2013 Dec 2.

Eyre H, Kahn R, Robertson RM, Clark NG, Doyle C, Hong Y, Gansler T, Glynn T, Smith RA, Taubert K, Thun MJ. (2004). For the American cancer society; american diabetes association, and the american heart association. Preventing Cancer, Cardiovascular Disease, and Diabetes. A Common Agenda for the American Cancer Society, the American Diabetes Association, and the American Heart Association. Circulation. 109:3244–3255.

Forman D, Bray F, Brewstwr DH, Mbalawa CG, Kohler B, Piñero M, Steliarova-Foucher E, Swaminathan R, Ferlay J. (2014). Cancer Incidence in Five Continents. Volume X. IARC Scientific Publications No. 164. Lyon, France: International Agency for Research on Cancer. http://ci5.iarc.fr/CI5I-X/old/vol10/CI5vol10.pdf.

Galantino ML, Desai K, Greene L, Demichele A, Stricker CT, Mao JJ. (2012). Impact of yoga on functional outcomes in breast cancer survivors with aromatase inhibitor-associated arthralgias. Integr Cancer Ther. 2012;11(4):313–320. doi: 10.1177/1534735411413270. Epub 2011 Jul 6.

Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ. et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. (2013). Heart disease and stroke statistics—2013 update: a report from the American Heart Association. Circulation 2013;127(1):e6–245. DOI: 10.1161/CIR.0b013e31828124ad. Epub 2012 Dec 12.

Goh J., Kirk EA., Lee SX., Ladiges WC. (2012). Exercise, physical activity and breast cancer: the role of tumor-associated macrophages. Exerc Immunol Rev, 2012;18:158-176. PMID: 22876727.

Ha M, Mabuchi K, Sigurdson AJ, Freedman MD, Linet MS , Doody MM , Hauptmann M. (2007). Smoking cigarettes before first childbirth and risk of breast cancer. Am J Epidemiol. 166(1):55–61.

Hadrabová M, Janíková A. (2018). Význam fyzické aktivity pro prežití a kvalitu života u pacientủ s lymfoproliferatívnim onemocněním. Transfuze a Hematologie dnes, 3(24): 182-193.

Chen X, Lu W, Zheng W, Gu K, Matthews CE, Chen Z, Zheng Y, Shu XO. (2011). Exercise after diagnosis of breast cancer in association with survival. Cancer Prev Res (Phila). Sept;4(9):1409–1418. DOI: 10.1158/1940-6207.CAPR-10-0355. Epub2011 Jul 27.

Irwin ML, Cartmel B, Gross CP, Ercolano E, Li F, Yao X, Fiellin M, Capozza S, Rothbard M, Zhou Y, Harrigan M, Sanft T, Schmitz K, Neogi T, Hershman D, Ligibel J. (2015). Randomized exercise trial of aromatase inhibitor-induced arthralgia in breast cancer survivors. J Clin Oncol. 33(10):1104–11. DOI: 10.1200/JCO.2014.57.1547. Epub 2014 Dec 1.

Janíková A, Radvanský J, Vysoký , Baťalík L, Šupitová J, Žáčková D, Ráčil Z, Mayer J. (2012). Význam fyzické aktivity u pacientủ s hematoonkologickými malignitami. Transfuze a hematologie dnes. 18(1):31-38.

Katzmarzyk PT, Reeder BA, Elliott S, Joffres MR, Pahwa P, Raine KD, Kirkland SA, Paradis G. (2012). Body mass index and risk of cardiovascular disease, cancer and all-cause mortality. Canadian Journal of Public Health. March-Apr,103(2):147–151. https://link.springer.com/article/10.1007/BF03404221.

Kellen E, Vansant G, Christiaens MR, Neven P, Limbergen E. (2008). Lifestyle changes and breast cancer prognosis: a review. Breast Cancer Research and Treatment, Springer Verlag. 114(1):13-22. DOI: 10.1007/s10549-008-9990-8ff. ffhal-00478334f.

Knips L, Bergenthal N, Streckmann F, Monsef I, Elter T, Skoetz N. (2019). Aerobic physical exercise for adult patients with a hematological malignancies. Cochrane Database of Systematic Reviews. Jan 31;1:CD009075. DOI: 10.1002/14651858.CD009075.pub3. https://doi.org/10.1002/14651858.CD009075.pub3.

Lippman SM, Klein EA, Goodman PJ, Lucia MA, Thompson IM, Ford LG, et al. (2009). Effect of selenium and vitamin E on risk of prostate cancer and other cancers: The Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA, 301(1):39–51. DOI: 10.1001/jama.2008.864. Epub 2008 Dec 9.

Lorinzi PD, Cardinal BJ, Winters-Stone K, Smit E, Loprinzi CL. (2012). Physical activity and the risk of breast cancer recurrence: a literature review. Oncol Nurs Forum. May 1;39(3):269–274. DOI: 10.1188/12.ONF.269-274.

Marker RJ, Cox-Martin E, Jankowski CM, Purcell WT, Peters JC. (2018). Evaluation of the effects of a clinically implemented exerciseprogram on physical fitnes, fatigue, and depression in cancer survivors. Support Care Cancer, 26(6):1861-1869. DOI: 10.1007/s00520-017-4019-7. Epub 2017 Dec 21.

Mathew A, George PS, Ildaphonse G. (2009). Obesity and kidney cancer risk in women: a meta-analysis (1992–2008). Asian Pac J Cancer Prev. 10:471–478. PMID:19640194.

McKenna J. (1998) Barriers to physical activity promotion by general practitioners and practice nurses. British J. of Sports Med. 32/3: 242-247. doi:10.1136 / bjsm.32.3.242.

Moore SC, Lee IM, Weiderpass E., et al. (2016). Association of Leisure-Time Physical Activity With Risk of 26 Types of Cancers in 1,44 Million Adults. JAMA Intern Med. 176(6): 816-825. DOI: 10.1001/jamainternmed.2016.1548.

Moyad MA. (2001). Obesity, interrelated mechanisms, and exposures and kidney cancer. Semin Urol Oncol. 19:270–279.

Moyad MA. (2014). The supplement handbook. New York, NY: Rodale Publishing.

Moyad MA. (2016). Integrative medicine for breast cancer: an evidence-based assessment. springer. International Publishing Switzerland. 395p. DOI 10.1007/978-3-319-23422-9.

Mustian KM Alfano CM Heckler C, Kleckner AS, Kleckner IR, Leach CR, Mohr D, Palesh OG, Peppone LJ, Piper BF, Scarpato J, Smith T, Sprod LK, Miller SM. (2017).Comparison of pharmaceutical, psychological, and exercise treatments for cancer-related fatigue: a meta-analysis. JAMA Oncol. 3(7):961 –968.

Nyrop KA, Muss HB, Hackney B, Cleveland R, Altpeter M, Callahan LF. (2014). Feasibility and promise of a 6-week program to encourage physical activity and reduce joint symptoms among elderly breast cancer survivors on aromatase inhibitor therapy. J Geriatr Oncol. 5(2):148–155. DOI: 10.1016/j.jgo.2013.12.002. Epub 2013 Dec 28.

Pan SY, Morrison H. (2011). Physical activity and hematologic cancer prevention. Recent Results Cancer Res. 186:135-158. DOI: 10.1007/978-3-642-04231-7-6.

Persoon S, Chin A, Paw MJM, Buffart LM, Liu RDK, Wijermans P, Koene HR, Minnema MC, Lugtenburg PJ, Marijt EWA, Brug J, Nollet F, Kersten MJ. (2017). Randomized controlled trial on the effects of a supervised high intensity exercise program in patients with a hematologic malignancy treated with autologous stem cell transplantation: Results from the EXIST study. PLoS One, 12(7):e0181313. DOI: 10.1371/journal.pone.0181313. eCollection 2017.

Persoon S, Kersten M, Van Der Weiden K, Buffart L, Nollet F, Brug J, Chinapaw M. (2013). Effects of exercise in patients treated with stem cell transplantation for a hematologic malignancy: A systematic review and met-analysis. Cancer Treat Rey. 2013,Oct;39(6):682-690. DOI: 10.1016/j.ctrv.2013.01.001. Epub 2013 Feb 26.

Pierce JP, Faerber S, Wright FS, Rock CL, Newman V, Flatt SW, Kealey S, Jones VE, Caan BJ, Gold EB, Haan M, Hollenbach KA, Jones L, Marshall JR, Ritenbaugh C, Stefanick ML, Thomson C, Wasserman L, Natarajan L, Thomas RG, Gilpin EA. Women's Healthy Eating and Living (WHEL) study group. (2002). A randomized trial of the effect of a plant-based dietary pattern on additional breast cancer events and survival: the Women’s Healthy Eating and Living (WHEL) Study. Control Clin Trials. 2002;23:728–756.

Pierce JP, Natarajan L, Caan BJ,, Parker BA, Greenberg ER, Flatt SW, Rock CL, Kealey S, Al-Delaimy WK, Bardwell WA, Carlson RW, Emond JA, Faerber S, Gold EB, Hajek RA, Hollenbach K, Jones LA, Karanja N, Madlensky L, Marshall J, Newman VA, Ritenbaugh C, Thomson CA, Wasserman L, Stefanick ML. (2007a). Influence of a diet very high in vegetables, fruit, and fiber and low in fat on prognosis following treatment for breast cancer: the Women’s Healthy Eating and Living (WHEL) randomized trial. JAMA. 2007;298:289–298.

Pierce JP, Stefanick ML, Flatt SW , Natarajan L, Sternfeld B , Madlensky L. (2007). Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol. 2007;25:2345–2351.

Plevová J, Boleloucký Z. (2000). Psychofarmakoterapie vyššího věku. 2. přepracované a aktualizované vydání. Praha: Grada Publishing. 2000,162s. ISBN 80-7169-959-4.

Platz EA, Willet WC, Colditz GA, Rimm EB, Spiegelman D, Giovannucci E. (2000). Proportion of colon cancer risk that might be preventable in a cohort of middle-aged us men. Cancer Causes Control. 2000;11(7):579–588. PMID:10977102. DOI:10.1023/a:1008999232442.

Poehlman ET, Melby C. (1998). Resistance training and energy balance. Int J Sport Nutr. 8(2):143–159. PMID:9637193. DOI:10.1123/ijsn.8.2.143.

Pojednic RM, Polak R, Arnstein F. et al. Practice patterns, counseling and promotion of physical activity by sports medicine physicians. J. of Science and Medicine in Sport, 2017.20/2:123-127. doi:10.1016/j.jsams.2016.06.012.

Rossouw JE, Anderson GL, Prentice RL, LaCroix AZ, Kooperberg C, Stefanick ML, Jackson RD, Beresford SA, Howard BV, Johnson KC, Kotchen JM, Ockene J. Writing group for the women’s health initiative investigators. (2002). Risks and benefits of estrogen plus progestin in healthy postmenopausal women: Principal results from the women’s health initiative randomized controlled trial. JAMA. 2002;288:321–33.

Schmidt KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galväo DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, Von Gruenigen VE, Schwartz AL. (2010). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010 Jul;42(7):1409-1426. DOI:10.1249/MSS.0b013e3181e0c112.

Schmidt KH. (2011). Exercise for secondary prevention of breast cancer: moving from evidence to changing clinical practice. Cancer Prev Res (Phila). 2011 Apr;4(4):476-480, 2011. DOI: 10.1158/1940-6207.CAPR-11-0097.

Sports Medicine Roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409-1426.

Tarasenko YN, Miller EA, Chen Ch, Schoenberg NE. Physical activity levels and counseling by health care providers in cancer survivors. Preventive Med. 2017;99:211-217. https://doi.org/10.1016/j.ypmed.2017.01.010.

Taylor EN, Stampfer MJ, Curhan GC. (2005). Obesity, weight gain, and the risk of kidney stones. JAMA. 2005;293:455–462. DOI:10.1001/jama.293.4.455.

Torre LA, Siegel RL, Ward EM, Jemal A. (2016). Global Cancer Incidence and Mortality Rates and Trends-An Update. Cancer epidemiology, biomarkers & prevention: a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2016; 25(1): 16-27.

Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. (2003). Adherence to a mediterranean diet and survival in a greek population. N Engl J Med. 2003;348:2599–608. DOI:10.1056/NEJMoa025039.

Yang Q, Cogswell ME, Flanders WD, Hong Y, Zhang Z, Loustalot F. et al. 2012. Trends in cardiovascular health metrics and associations with all-cause and cvd mortality among us adults. JAMA. 2012;307:1273–83.

Wagenlehner FM, Weidner W. 2009. Prostatitis: No benefit of alpha-blockers for chronic prostatitis. Nat Rev Urol. 2009;6:183–184.

World Health Organization (WHO). 2010. Global recommendations on physical activity activity for health. http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/ [cit.2018-07-22].

Wiskemann J, Kleindienst N, Kuehl R, Dreger P, Schwerdtfeger R, Bohus M. (2015). Effects of physical exercise on survival after allogeneic stem cell transplantation. Int J Cancer. 2015 Dec 1;137(11):2749-2756. DOI: 10.1002/ijc.29633. Epub 2015 Jun 19.

Woods JA, Lu Q, Ceddia MA, Lowder T. (2000). Exercise-induced modulation of macrophage function. Immunol Cell Biol. 2000;78:543-553.

WHO. World Health Organization. 2016. Global recomendations on physical activity for health. http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/ [cit.2018-07-22].


Refbacks

  • There are currently no refbacks.


The College of Physical Education and Sport PALESTRA, L.t.d.