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Published in: Supportive Care in Cancer 12/2015

01-12-2015 | Original Article

Longitudinal study on the impact of physical activity on the symptoms of lung cancer survivors

Authors: Yi-Yun Lin, Kun-Ming Rau, Chia-Chin Lin

Published in: Supportive Care in Cancer | Issue 12/2015

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Abstract

Purpose

To examine the effect of physical activity on the physical and psychosocial symptoms of lung cancer survivors.

Methods

A longitudinal design was used in this study. Participants were recruited from the chest and surgical departments of medical centers in Taiwan. The instruments used were the Godin Leisure-Time Exercise Questionnaire and the Taiwanese version of the M.D. Anderson Symptom Inventory.

Results

In total, 185 survivors were followed up for 6 months (response rate 66 %). Disturbed sleep was the most prevalent symptom in the participants. A generalized estimating equation (GEE) method was employed to analyze the relationships among intensity of physical activity, symptom severity, and symptom interference in the daily life of the participants. Regarding symptom severity, significant differences were observed in fatigue, drowsiness, and disturbed sleep between the participants who engaged in moderate physical activity and those who did not engage in any physical activity. Regarding symptom interference, the participants who engaged in light physical activity experienced a significantly lower level of symptom interference than did those with a sedentary lifestyle.

Conclusion

This is the first study to explore the role of physical activity in alleviating symptoms in lung cancer survivors by using the GEE method. The results suggest that physical activity plays an essential role in alleviating the physical and psychological symptoms of lung cancer survivors.
Literature
1.
go back to reference Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90CrossRefPubMed Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90CrossRefPubMed
2.
go back to reference Chang JA, Lin CC (2009) A longitudinal study of the role of patient-reported outcomes on survival prediction of palliative cancer inpatients in Taiwan. Support Care Cancer 17:1285–1294CrossRefPubMed Chang JA, Lin CC (2009) A longitudinal study of the role of patient-reported outcomes on survival prediction of palliative cancer inpatients in Taiwan. Support Care Cancer 17:1285–1294CrossRefPubMed
3.
go back to reference Hwang CL, Yu CJ, Shih JY, Yang PC, Wu YT (2012) Effects of exercise training on exercise capacity in patients with non-small cell lung cancer receiving targeted therapy. Support Care Cancer 20:3169–3177CrossRefPubMed Hwang CL, Yu CJ, Shih JY, Yang PC, Wu YT (2012) Effects of exercise training on exercise capacity in patients with non-small cell lung cancer receiving targeted therapy. Support Care Cancer 20:3169–3177CrossRefPubMed
4.
go back to reference Stevinson C, Faught W, Steed H et al (2007) Associations between physical activity and quality of life in ovarian cancer survivors. Gynecol Oncol 106:244–250CrossRefPubMed Stevinson C, Faught W, Steed H et al (2007) Associations between physical activity and quality of life in ovarian cancer survivors. Gynecol Oncol 106:244–250CrossRefPubMed
5.
go back to reference Peddle CJ, Au HJ, Courneya KS (2008) Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Dis Colon Rectum 51:1242–1248CrossRefPubMed Peddle CJ, Au HJ, Courneya KS (2008) Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Dis Colon Rectum 51:1242–1248CrossRefPubMed
6.
go back to reference Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O (2012) Exercise interventions on health-related quality of life for people with cancer during active treatment. Clin Otolaryngol 37:390–392CrossRefPubMed Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O (2012) Exercise interventions on health-related quality of life for people with cancer during active treatment. Clin Otolaryngol 37:390–392CrossRefPubMed
7.
go back to reference Cheung WY, Barmala N, Zarinehbaf S, Rodin G, Le LW, Zimmermann C (2009) The association of physical and psychological symptom burden with time to death among palliative cancer outpatients. J Pain Symptom Manag 37:297–304CrossRef Cheung WY, Barmala N, Zarinehbaf S, Rodin G, Le LW, Zimmermann C (2009) The association of physical and psychological symptom burden with time to death among palliative cancer outpatients. J Pain Symptom Manag 37:297–304CrossRef
8.
go back to reference Chow E, Fung K, Panzarella T, Bezjak A, Danjoux C, Tannock I (2002) A predictive model for survival in metastatic cancer patients attending an outpatient palliative radiotherapy clinic. Int J Radiat Oncol Biol Phys 53:1291–1302CrossRefPubMed Chow E, Fung K, Panzarella T, Bezjak A, Danjoux C, Tannock I (2002) A predictive model for survival in metastatic cancer patients attending an outpatient palliative radiotherapy clinic. Int J Radiat Oncol Biol Phys 53:1291–1302CrossRefPubMed
9.
go back to reference Luoma ML, Hakamies-Blomqvist L, Sjöström J et al (2003) Prognostic value of quality of life scores for time to progression (TTP) and overall survival time (OS) in advanced breast cancer. Eur J Cancer 39:1370–1376CrossRefPubMed Luoma ML, Hakamies-Blomqvist L, Sjöström J et al (2003) Prognostic value of quality of life scores for time to progression (TTP) and overall survival time (OS) in advanced breast cancer. Eur J Cancer 39:1370–1376CrossRefPubMed
10.
go back to reference Knobf MT, Thompson AS, Fennie K, Erdos D (2014) The effect of a community-based exercise intervention on symptoms and quality of life. Cancer Nurs 37:E43–E50PubMedCentralCrossRefPubMed Knobf MT, Thompson AS, Fennie K, Erdos D (2014) The effect of a community-based exercise intervention on symptoms and quality of life. Cancer Nurs 37:E43–E50PubMedCentralCrossRefPubMed
11.
go back to reference Alfano CM, Smith AW, Irwin ML et al (2007) Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: a prospective analysis. J Cancer Surviv 1:116–128PubMedCentralCrossRefPubMed Alfano CM, Smith AW, Irwin ML et al (2007) Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: a prospective analysis. J Cancer Surviv 1:116–128PubMedCentralCrossRefPubMed
12.
go back to reference Yang CY, Tsai JC, Huang YC, Lin CC (2011) Effects of a home-based walking program on perceived symptom and mood status in postoperative breast cancer women receiving adjuvant chemotherapy. J Adv Nurs 67:158–168CrossRefPubMed Yang CY, Tsai JC, Huang YC, Lin CC (2011) Effects of a home-based walking program on perceived symptom and mood status in postoperative breast cancer women receiving adjuvant chemotherapy. J Adv Nurs 67:158–168CrossRefPubMed
13.
go back to reference Stevinson C, Steed H, Faught W et al (2009) Physical activity in ovarian cancer survivors: associations with fatigue, sleep, and psychosocial functioning. Int J Gynecol Cancer 19:73–78CrossRefPubMed Stevinson C, Steed H, Faught W et al (2009) Physical activity in ovarian cancer survivors: associations with fatigue, sleep, and psychosocial functioning. Int J Gynecol Cancer 19:73–78CrossRefPubMed
14.
go back to reference Cheville AL, Kollasch J, Vandenberg J et al (2013) A home-based exercise program to improve function, fatigue, and sleep quality in patients with stage IV lung and colorectal cancer: a randomized controlled trial. J Pain Symptom Manag 45:811–821CrossRef Cheville AL, Kollasch J, Vandenberg J et al (2013) A home-based exercise program to improve function, fatigue, and sleep quality in patients with stage IV lung and colorectal cancer: a randomized controlled trial. J Pain Symptom Manag 45:811–821CrossRef
15.
go back to reference Tang MF, Liou TH, Lin CC (2010) Improving sleep quality for cancer patients: benefits of a home-based exercise intervention. Support Care Cancer 18:1329–1339CrossRefPubMed Tang MF, Liou TH, Lin CC (2010) Improving sleep quality for cancer patients: benefits of a home-based exercise intervention. Support Care Cancer 18:1329–1339CrossRefPubMed
16.
go back to reference Payne JK, Held J, Thorpe J, Shaw H (2008) Effect of exercise on biomarkers, fatigue, sleep disturbances, and depressive symptoms in older women with breast cancer receiving hormonal therapy. Oncol Nurs Forum 35:635–642CrossRefPubMed Payne JK, Held J, Thorpe J, Shaw H (2008) Effect of exercise on biomarkers, fatigue, sleep disturbances, and depressive symptoms in older women with breast cancer receiving hormonal therapy. Oncol Nurs Forum 35:635–642CrossRefPubMed
17.
go back to reference Sprod LK, Mohile SG, Demark-Wahnefried W et al (2012) Exercise and cancer treatment symptoms in 408 newly diagnosed older cancer patients. J Geriatr Oncol 3:90–97PubMedCentralCrossRefPubMed Sprod LK, Mohile SG, Demark-Wahnefried W et al (2012) Exercise and cancer treatment symptoms in 408 newly diagnosed older cancer patients. J Geriatr Oncol 3:90–97PubMedCentralCrossRefPubMed
18.
go back to reference Rogers LQ, Markwell SJ, Courneya KS, McAuley E, Verhulst S (2011) Physical activity type and intensity among rural breast cancer survivors: patterns and associations with fatigue and depressive symptoms. J Cancer Surviv 5:54–61PubMedCentralCrossRefPubMed Rogers LQ, Markwell SJ, Courneya KS, McAuley E, Verhulst S (2011) Physical activity type and intensity among rural breast cancer survivors: patterns and associations with fatigue and depressive symptoms. J Cancer Surviv 5:54–61PubMedCentralCrossRefPubMed
19.
go back to reference Humpel N, Iverson DC (2010) Sleep quality, fatigue and physical activity following a cancer diagnosis. Eur J Cancer Care 19:761–768CrossRef Humpel N, Iverson DC (2010) Sleep quality, fatigue and physical activity following a cancer diagnosis. Eur J Cancer Care 19:761–768CrossRef
20.
go back to reference Godin G, Shephard RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10:141–146PubMed Godin G, Shephard RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10:141–146PubMed
21.
go back to reference Jacobs DR Jr, Ainsworth BE, Hartman TJ, Leon AS (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc 25:81–91CrossRefPubMed Jacobs DR Jr, Ainsworth BE, Hartman TJ, Leon AS (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc 25:81–91CrossRefPubMed
22.
go back to reference Miller DJ, Freedson PS, Kline GM (1994) Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc 26:376–382PubMed Miller DJ, Freedson PS, Kline GM (1994) Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc 26:376–382PubMed
23.
go back to reference Rock C, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya K, Schwartz A, Bandera E, Hamilton K, Grant B, McCullough M, Byers T, Gansler T (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62:243–274CrossRefPubMed Rock C, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya K, Schwartz A, Bandera E, Hamilton K, Grant B, McCullough M, Byers T, Gansler T (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62:243–274CrossRefPubMed
24.
go back to reference Pate RR, Pratt M, Blair SN et al (1995) Physical activity and public health: a recommendation from the centers for disease control and prevention and the American college of sports medicine. J Am Med Assoc 273:402–407CrossRef Pate RR, Pratt M, Blair SN et al (1995) Physical activity and public health: a recommendation from the centers for disease control and prevention and the American college of sports medicine. J Am Med Assoc 273:402–407CrossRef
25.
go back to reference Lin CC, Chang AP, Cleeland CS, Mendoza TR, Wang XS (2007) Taiwanese version of the M. D. anderson symptom inventory: symptom assessment in cancer patients. J Pain Symptom Manag 33:180–188CrossRef Lin CC, Chang AP, Cleeland CS, Mendoza TR, Wang XS (2007) Taiwanese version of the M. D. anderson symptom inventory: symptom assessment in cancer patients. J Pain Symptom Manag 33:180–188CrossRef
26.
go back to reference Cleeland CS, Mendoza TR, Wang XS et al (2000) Assessing symptom distress in cancer patients: the M. D. Anderson Symptom Inventory. Cancer 89:1634–1646CrossRefPubMed Cleeland CS, Mendoza TR, Wang XS et al (2000) Assessing symptom distress in cancer patients: the M. D. Anderson Symptom Inventory. Cancer 89:1634–1646CrossRefPubMed
27.
go back to reference Cohen J (1992) Statistical power analysis in the behavioral sciences. Lawrence Erlbaum, Hillsdale Cohen J (1992) Statistical power analysis in the behavioral sciences. Lawrence Erlbaum, Hillsdale
28.
go back to reference Lin YY, Wu YC, Rau KM, Lin CC (2013) Effects of physical activity on the quality of life in taiwanese lung cancer patients receiving active treatment or off treatment. Cancer Nurs 36:E35–E41CrossRefPubMed Lin YY, Wu YC, Rau KM, Lin CC (2013) Effects of physical activity on the quality of life in taiwanese lung cancer patients receiving active treatment or off treatment. Cancer Nurs 36:E35–E41CrossRefPubMed
29.
go back to reference Gooneratne NS, Dean GE, Rogers AE, Nkwuo JE, Coyne JC, Kaiser LR (2007) Sleep and quality of life in long-term lung cancer survivors. Lung Cancer 58:403–410PubMedCentralCrossRefPubMed Gooneratne NS, Dean GE, Rogers AE, Nkwuo JE, Coyne JC, Kaiser LR (2007) Sleep and quality of life in long-term lung cancer survivors. Lung Cancer 58:403–410PubMedCentralCrossRefPubMed
30.
go back to reference Ginsburg ML, Quirt C, Ginsburg AD, MacKillop WJ (1995) Psychiatric illness and psychosocial concerns of patients with newly diagnosed lung cancer. CMAJ 152:701–708PubMedCentralPubMed Ginsburg ML, Quirt C, Ginsburg AD, MacKillop WJ (1995) Psychiatric illness and psychosocial concerns of patients with newly diagnosed lung cancer. CMAJ 152:701–708PubMedCentralPubMed
31.
go back to reference Baker F, Denniston M, Smith T, West MM (2005) Adult cancer survivors: how are they faring? Cancer 104:2565–2576CrossRefPubMed Baker F, Denniston M, Smith T, West MM (2005) Adult cancer survivors: how are they faring? Cancer 104:2565–2576CrossRefPubMed
32.
go back to reference Wang SY, Tsai CM, Chen BC, Lin HC, Lin CC (2008) Symptom clusters and relationships to symptom interference with daily life in Taiwanese lung cancer patients. J Pain Symptom Manag 35:258–266CrossRef Wang SY, Tsai CM, Chen BC, Lin HC, Lin CC (2008) Symptom clusters and relationships to symptom interference with daily life in Taiwanese lung cancer patients. J Pain Symptom Manag 35:258–266CrossRef
33.
go back to reference Jones LW, Eves ND, Peterson BL et al (2008) Safety and feasibility of aerobic training on cardiopulmonary function and quality of life in postsurgical nonsmall cell lung cancer patients: a pilot study. Cancer 113:3430–3439CrossRefPubMed Jones LW, Eves ND, Peterson BL et al (2008) Safety and feasibility of aerobic training on cardiopulmonary function and quality of life in postsurgical nonsmall cell lung cancer patients: a pilot study. Cancer 113:3430–3439CrossRefPubMed
34.
go back to reference Riesenberg H, Lübbe AS (2010) In-patient rehabilitation of lung cancer patients—a prospective study. Support Care Cancer 18:877–882CrossRefPubMed Riesenberg H, Lübbe AS (2010) In-patient rehabilitation of lung cancer patients—a prospective study. Support Care Cancer 18:877–882CrossRefPubMed
35.
go back to reference Karvinen KH, Courneya KS, North S, Venner P (2007) Associations between exercise and quality of life in bladder cancer survivors: a population-based study. Cancer Epidemiol Biomarkers Prev 16:984–990CrossRefPubMed Karvinen KH, Courneya KS, North S, Venner P (2007) Associations between exercise and quality of life in bladder cancer survivors: a population-based study. Cancer Epidemiol Biomarkers Prev 16:984–990CrossRefPubMed
36.
go back to reference Peddle-McIntyre C, Bell G, Fenton D, McCargar L, Courneya K (2012) Feasibility and preliminary efficacy of progressive resistance exercise training in lung cancer survivors. Lung Cancer 75:126–132CrossRefPubMed Peddle-McIntyre C, Bell G, Fenton D, McCargar L, Courneya K (2012) Feasibility and preliminary efficacy of progressive resistance exercise training in lung cancer survivors. Lung Cancer 75:126–132CrossRefPubMed
37.
go back to reference Jones LW, Eves ND, Spasojevic I, Wang F, Il'yasova D (2011) Effects of aerobic training on oxidative status in postsurgical non-small cell lung cancer patients: a pilot study. Lung Cancer 72:46–51CrossRef Jones LW, Eves ND, Spasojevic I, Wang F, Il'yasova D (2011) Effects of aerobic training on oxidative status in postsurgical non-small cell lung cancer patients: a pilot study. Lung Cancer 72:46–51CrossRef
38.
go back to reference Buffart LM, Galvao DA, Brug J, Chinapaw MJM, Newton RU (2014) Evidence-based physical activity guidelines for cancer survivors: current guidelines, knowledge gaps and future research directions. Cancer Treat Rev 40:327–340CrossRefPubMed Buffart LM, Galvao DA, Brug J, Chinapaw MJM, Newton RU (2014) Evidence-based physical activity guidelines for cancer survivors: current guidelines, knowledge gaps and future research directions. Cancer Treat Rev 40:327–340CrossRefPubMed
Metadata
Title
Longitudinal study on the impact of physical activity on the symptoms of lung cancer survivors
Authors
Yi-Yun Lin
Kun-Ming Rau
Chia-Chin Lin
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 12/2015
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-015-2724-7

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