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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 1/2018

Open Access 01-02-2018

Physical Behavior Profiles in Chronic Cancer-Related Fatigue

Authors: M. D. J. Wolvers, J. B. J. Bussmann, F. Z. Bruggeman-Everts, S. T. Boerema, R. van de Schoot, M. M. R. Vollenbroek-Hutten

Published in: International Journal of Behavioral Medicine | Issue 1/2018

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Abstract

Purpose

Increasing physical activity level is a generally effective intervention goal for patients who suffer from chronic cancer-related fatigue (CCRF). However, patients are unlikely to benefit equally from these interventions, as their behavioral starting points might vary substantially. Therefore, we explored patterns of physical behavior of participants who suffer from CCRF.

Methods

Baseline data of a randomized controlled trial were used for a latent profile analysis on nine accelerometer-derived physical behavior measures, describing levels and patterns of physical activity, moderate-to-vigorous intensity physical activity (MVPA), and sedentary behavior. The relation between participant characteristics and the latent profiles was analyzed.

Results

Accelerometer data of 172 participants from the Netherlands was analyzed. Three latent profiles were distinguished that differed most on physical activity level and total time spent in MVPA. Eighty-eight percent of all participants were assigned to a profile with a probability higher than 8. Age and perceiving limitations by comorbid conditions and pain were significant covariates of profile membership.

Conclusions

We distinguished three physical behavior profiles. The differences between the patterns indicate that the heterogeneity of this sample requires patients to have substantially different treatment goals. Further research should test the applicability of these profiles in clinical practice.
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Literature
1.
Goedendorp MM, Gielissen MFM, Verhagen CAHHVM, Bleijenberg G. Development of fatigue in cancer survivors: a prospective follow-up study from diagnosis into the year after treatment. J Pain Symptom Manag. 2013;45:213–22.CrossRef
2.
Cella D, Davis K, Breitbart W, Curt G, Fatigue Coalition. Cancer-related fatigue: prevalence of proposed diagnostic criteria in a United States sample of cancer survivors. J Clin Oncol. 2001;19:3385–91.CrossRefPubMed
3.
Curt GA, Breitbart W, Cella D, Groopman JE, Horning SJ, Itri LM, et al. Impact of cancer-related fatigue on the lives of patients: new findings from the fatigue coalition. Oncologist. 2000;5:353–60.CrossRefPubMed
4.
Bower JE, Ganz PA, Desmond KA, Rowland JH, Meyerowitz BE, Belin TR. Fatigue in breast cancer survivors: occurrence, correlates, and impact on quality of life. J Clin Oncol. 2000;18:743–53.CrossRefPubMed
5.
Goedendorp MM, Gielissen MFM, Verhagen CAHHVM, Peters MEJW, Bleijenberg G. Severe fatigue and related factors in cancer patients before the initiation of treatment. Br J Cancer. 2008;99:1408–14.
6.
Neil SE, Gotay CC, Campbell KL. Physical activity levels of cancer survivors in Canada: findings from the Canadian Community Health Survey. J Cancer Surviv. 2014;8:143–9.
7.
Pertl MM, Hevey D, Collier S, Lambe K, O’Dwyer A-M. Predictors of fatigue in cancer patients before and after chemotherapy. J Health Psychol. 2013;19:699–710.
8.
Brown JC, Huedo-Medina TB, Pescatello LS, Pescatello SM, Ferrer RA, Johnson BT. Efficacy of exercise interventions in modulating cancer-related fatigue among adult cancer survivors: a meta-analysis. Cancer Epidemiol Biomark Prev. 2011;20:123–33.CrossRef
9.
Short CE, James EL, Stacey F, Plotnikoff RC. A qualitative synthesis of trials promoting physical activity behaviour change among post-treatment breast cancer survivors. J Cancer Surviv. 2013;7:570–81.CrossRefPubMedPubMedCentral
10.
Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012;11:CD006145.PubMed
11.
Jacobsen PB, Donovan KA, Vadaparampil ST, Small BJ. Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue. Health Psychol. 2007;26:660–7.CrossRefPubMedPubMedCentral
12.
Schmitz KH, Holtzman J, Courneya KS, Ma LC, Duval S, Kane R. Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomark Prev. 2005;14:1588–95.CrossRef
13.
Buffart LM, Galvão DA, Brug J, Chinapaw MJM, Newton RU. Evidence-based physical activity guidelines for cancer survivors: current guidelines, knowledge gaps and future research directions. Cancer Treat Rev. 2014;40:327–40.CrossRefPubMed
14.
van der Werf SP, Prins JB, Vercoulen JHMM, van der Meer JWM, Bleijenberg G. Identifying physical activity patterns in chronic fatigue syndrome using actigraphic assessment. J Psychosom Res. 2000;49:373–9.CrossRefPubMed
15.
Lynch BM, Dunstan DW, Healy GN, Winkler E, Eakin E, Owen N. Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003-2006). Cancer Causes Control. 2010;21:283–8.CrossRefPubMed
16.
Trinh L, Amireault S, Lacombe J, Sabiston CM. Physical and psychological health among breast cancer survivors: interactions with sedentary behavior and physical activity. Psycho-Oncol 2015;1285:1279–85.
17.
Healy GN, Matthews CE, Dunstan DW, Winkler EAH, Owen N. Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003-06. Eur Heart J. 2011;32:590–7.CrossRefPubMedPubMedCentral
18.
Timmerman JG, Weering MGHD, Tönis TM, Hermens HJ, Vollenbroek-Hutten MMR. Relationship between patterns of daily physical activity and fatigue in cancer survivors. Eur J Oncol Nurs. 2015;19:162–8.CrossRefPubMed
19.
Bussmann JBJ, van den Berg-Emons RJG. To total amount of activity.....and beyond: Perspectives on measuring physical behavior. Front Psychol. 2013;4
20.
Thompson D, Peacock O, Western M, Batterham AM. Multidimensional physical activity: an opportunity, not a problem. Exerc Sport Sci Rev. 2015;43:67–74.CrossRefPubMedPubMedCentral
21.
Wolvers MD, Bruggeman-Everts FZ, Van der Lee ML, Van de Schoot R, Vollenbroek-Hutten MM. Effectiveness, mediators, and effect predictors of Internet interventions for chronic cancer-related fatigue: the design and an analysis plan of a 3-armed randomized controlled trial. JMIR Res Protoc. 2015;4:e77.CrossRefPubMedPubMedCentral
22.
Basset DR, Troiano RP, Mcclain JJ, Wolff DL. Accelerometer-based physical activity. Med Sci Sport Exerc. 2015;47:833–8.CrossRef
23.
Boerema ST, Essink GB, Tönis TM, van Velsen L, Hermens HJ. Sedentary behaviour profiling of office Workers: a sensitivity analysis of sedentary cut-points. Sensors. 2016;16
24.
Boerema ST, van Velsen L, Schaake L, Tönis TM, Hermens HJ. Optimal sensor placement for measuring physical activity with a 3D accelerometer. Sensors. 2014;14:3188–206.CrossRefPubMedPubMedCentral
25.
Vallance JK, Boyle T, Courneya KS, Lynch BM. Accelerometer-assessed physical activity and sedentary time among colon cancer survivors: associations with psychological health outcomes. J Cancer Surviv. 2015;9:404–11.CrossRefPubMed
26.
Vercoulen JHMM, Bleijenberg G. De checklist individual strength (CIS). Gedragstherapie. 1999;32:131–6.
27.
Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G. Dimensional assessment of chronic fatigue syndrome. J Psychosom Res. 1994;38:383–92.CrossRefPubMed
28.
van der Lee ML, Garssen B. Mindfulness-based cognitive therapy reduces chronic cancer-related fatigue: a treatment study. Psycho-Oncol. 2012;21:264–72.CrossRef
29.
Beurskens AJHM, Bültmann U, Kant I, Vercoulen JHMM, Bleijenberg G, Swaen G. Fatigue among working people: validity of a questionnaire measure. Occup Environ Med. 2000;57:353–7.CrossRefPubMedPubMedCentral
30.
Spinhoven P, Ormel J, Sloekers P, Kempen G, Speckens A, Van Hemert A. A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychol Med. 1997;27:363–70.CrossRefPubMed
31.
Yun YH, Lee KS, Kim Y-W, Park SY, Lee ES, Noh D-Y, et al. Web-based tailored education program for disease-free cancer survivors with cancer-related fatigue: a randomized controlled trial. J Clin Oncol. 2012;30:1296–303.CrossRefPubMed
32.
Smith AB, Armes J, Richardson A, Stark DP. Psychological distress in cancer survivors: the further development of an item bank. Psycho-Oncol. 2013;22:308–14.
33.
Buffart LM, Ros WJG, Chinapaw MJM, Brug J, Knol DL, Korstjens I, et al. Mediators of physical exercise for improvement in cancer survivors’ quality of life. Psycho-Oncol. 2014;23:330–8.CrossRef
34.
Young KE, White CA. The prevalence and moderators of fatigue in people who have been successfully treated for cancer. J Psychosom Res. 2006;60:29–38.CrossRefPubMed
35.
Ilmarinen J. The Work Ability Index (WAI). Occup Med (Chic Ill). 2006;57:160.CrossRef
36.
Nylund KL, Asparouhov T, Muthén BO. Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Struct Equ Model. 2007;14:535–69.CrossRef
37.
Vermunt JK. Latent class modeling with covariates: two improved three-step approaches. Polit Anal. 2010;18:450–69.CrossRef
38.
Barsevick AM, Dudley W, Beck S, Sweeney C, Whitmer K, Nail L. A randomized clinical trial of energy conservation for patients with cancer-related fatigue. Cancer. 2004;100:1302–10.CrossRefPubMed
39.
Basen-Engquist K, Hughes D, Perkins H, Shinn E, Taylor CC. Dimensions of physical activity and their relationship to physical and emotional symptoms in breast cancer survivors. J Cancer Surviv. 2008;2:253–61. 
40.
Kampshoff CS, Stacey F, Short CE, van Mechelen W, Chinapaw MJ, Brug J, et al. Demographic, clinical, psychosocial, and environmental correlates of objectively assessed physical activity among breast cancer survivors. Support Care Cancer. 2016;24:3333–42.CrossRefPubMedPubMedCentral
41.
Marinac CR, Godbole S, Kerr J, Natarajan L, Patterson RE, Hartman SJ. Objectively measured physical activity and cognitive functioning in breast cancer survivors. J Cancer Surviv. 2015;9:230–8.CrossRefPubMed
42.
Broderick JM, Ryan J, O’Donnell DM, Hussey J. A guide to assessing physical activity using accelerometry in cancer patients. Support Care Cancer. 2014;22:1121–30.CrossRefPubMed
Metadata
Title
Physical Behavior Profiles in Chronic Cancer-Related Fatigue
Authors
M. D. J. Wolvers
J. B. J. Bussmann
F. Z. Bruggeman-Everts
S. T. Boerema
R. van de Schoot
M. M. R. Vollenbroek-Hutten
Publication date
01-02-2018
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 1/2018
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-017-9670-3

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