Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Breast Cancer | Research

Relationship of objectively measured physical activity and sedentary behaviour with health-related quality of life among breast cancer survivors

Authors: Ali Nurnazahiah, Mohd Razif Shahril, Zakarai Nor Syamimi, Aryati Ahmad, Suhaina Sulaiman, Pei Lin Lua

Published in: Health and Quality of Life Outcomes | Issue 1/2020

Login to get access

Abstract

Background

Lack of physical activity throughout one’s lifetime has been associated with obesity and it is also an important risk factor of breast cancer. This study aimed to determine the relationship between objectively measured physical activity and sedentary behaviour with health-related quality of life (HRQoL) among breast cancer survivors in the East Coast region of Peninsular Malaysia.

Methods

A cross-sectional study involving 83 breast cancer survivors was carried out in two main government referral hospitals in the region. Participants wore the ActivPAL3™ microdevice physical activity monitor for seven consecutive days. The validated European Organization for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ–C30) and Breast Cancer Supplementary Measure (EORTC QLQ-BR23) were used to measure their HRQoL. Multiple linear regression analysis was conducted to determine the relationship between objectively measured physical activity and sedentary behaviour with HRQoL.

Results

Longer time spent on moderate to vigorous physical activity (MVPA) was significantly associated with an improvement of HRQoL (p = 0.039) whereas longer time spent on sedentary behaviour significantly reduced the functioning score (p = 0.005). In addition, prolonged sedentary bouts were also significantly associated with better body image that led to improved HRQoL (p = 0.013).

Conclusions

The study findings suggest that an increase in the time spent on MVPA was associated with improved HRQoL while sedentary behaviour was associated with poorer HRQoL among breast cancer survivors. Thus, it is essential to displace sedentary behaviour with MVPA to improve the quality of life of breast cancer survivors.
Appendix
Available only for authorised users
Literature
1.
go back to reference Ho PJ, Gernaat SAM, Hartman M, Verkooijen HM. Health-related quality of life in Asian patients with breast cancer: a systematic review. BMJ Open. 2018;8:e020512.PubMedPubMedCentral Ho PJ, Gernaat SAM, Hartman M, Verkooijen HM. Health-related quality of life in Asian patients with breast cancer: a systematic review. BMJ Open. 2018;8:e020512.PubMedPubMedCentral
2.
go back to reference Allemani C, Matsuda T, Di Carlo V, Harewood R, Matz M, Niksic M, et al. Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018;391:1023–75.PubMedPubMedCentral Allemani C, Matsuda T, Di Carlo V, Harewood R, Matz M, Niksic M, et al. Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018;391:1023–75.PubMedPubMedCentral
3.
go back to reference Alfano CM, Smith AW, Irwin ML, Bowen DJ, Sorensen B, Reeve BB, et al. Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: a prospective analysis. J Cancer Surviv. 2007;1:116–28.PubMedPubMedCentral Alfano CM, Smith AW, Irwin ML, Bowen DJ, Sorensen B, Reeve BB, et al. Physical activity, long-term symptoms, and physical health-related quality of life among breast cancer survivors: a prospective analysis. J Cancer Surviv. 2007;1:116–28.PubMedPubMedCentral
4.
go back to reference Mohammadi S, Sulaiman S, Koon PB, Amani R, Hosseini SM. Impact of healthy eating practices and physical activity on quality of life among breast cancer survivors. Asian Pac J Cancer Prev. 2013;14:481–7.PubMed Mohammadi S, Sulaiman S, Koon PB, Amani R, Hosseini SM. Impact of healthy eating practices and physical activity on quality of life among breast cancer survivors. Asian Pac J Cancer Prev. 2013;14:481–7.PubMed
5.
go back to reference Mason C, Alfano CM, Smith AW, Wang C, Neuhouser ML, Duggan C, et al. Long-term physical activity trends in breast cancer survivors. Cancer Epidemiol Biomark Prev. 2013;22:1153–62. Mason C, Alfano CM, Smith AW, Wang C, Neuhouser ML, Duggan C, et al. Long-term physical activity trends in breast cancer survivors. Cancer Epidemiol Biomark Prev. 2013;22:1153–62.
6.
go back to reference Sylvester BD, Ahmed R, Amireault S, Sabiston CM. Changes in light-, moderate-, and vigorous-intensity physical activity and changes in depressive symptoms in breast cancer survivors: a prospective observational study. Support Care Cancer. 2017;25:3305–12.PubMed Sylvester BD, Ahmed R, Amireault S, Sabiston CM. Changes in light-, moderate-, and vigorous-intensity physical activity and changes in depressive symptoms in breast cancer survivors: a prospective observational study. Support Care Cancer. 2017;25:3305–12.PubMed
7.
go back to reference Pennington KP, McTiernan A. The role of physical activity in breast and gynecologic cancer survivorship. Gynecol Oncol. 2018;149:198–204.PubMed Pennington KP, McTiernan A. The role of physical activity in breast and gynecologic cancer survivorship. Gynecol Oncol. 2018;149:198–204.PubMed
8.
go back to reference Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS. Nutrition and physical activity guidelines for cancer survivors nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62:242–74. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS. Nutrition and physical activity guidelines for cancer survivors nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62:242–74.
9.
go back to reference Shin W, Song S, Jung S-Y, Lee E, Kim Z, Moon H-G, et al. The association between physical activity and health-related quality of life among breast cancer survivors. Health Qual Life Outcomes. 2017;15:132.PubMedPubMedCentral Shin W, Song S, Jung S-Y, Lee E, Kim Z, Moon H-G, et al. The association between physical activity and health-related quality of life among breast cancer survivors. Health Qual Life Outcomes. 2017;15:132.PubMedPubMedCentral
10.
go back to reference Thraen-Borowski KM, Trentham-Dietz A, Edwards DF, Koltyn KF, Colbert LH. Dose-response relationships between physical activity, social participation, and health-related quality of life in colorectal cancer survivors. J Cancer Surviv. 2013;7:369–78.PubMedPubMedCentral Thraen-Borowski KM, Trentham-Dietz A, Edwards DF, Koltyn KF, Colbert LH. Dose-response relationships between physical activity, social participation, and health-related quality of life in colorectal cancer survivors. J Cancer Surviv. 2013;7:369–78.PubMedPubMedCentral
11.
go back to reference George SM, Alfano CM, Groves J, Karabulut Z, Haman KL, Murphy BA, et al. Objectively measured sedentary time is related to quality of life among cancer survivors. PLoS One. 2014;9:1–5. George SM, Alfano CM, Groves J, Karabulut Z, Haman KL, Murphy BA, et al. Objectively measured sedentary time is related to quality of life among cancer survivors. PLoS One. 2014;9:1–5.
12.
go back to reference Irwin ML, Cartmel B, Harrigan M, Li F, Sanft T. Effect of the LIVESTRONG at the YMCA exercise program on physical activity, fitness, quality of life, and fatigue in Cancer survivors. Cancer. 2017;123:1249–58.PubMed Irwin ML, Cartmel B, Harrigan M, Li F, Sanft T. Effect of the LIVESTRONG at the YMCA exercise program on physical activity, fitness, quality of life, and fatigue in Cancer survivors. Cancer. 2017;123:1249–58.PubMed
13.
go back to reference Wolin KY, Schwartz AL, Matthews CE, Kerry S, Schmitz KH. Implementing the exercise guidelines for cancer survivors. J Support Oncol. 2012;10:171–7.PubMedPubMedCentral Wolin KY, Schwartz AL, Matthews CE, Kerry S, Schmitz KH. Implementing the exercise guidelines for cancer survivors. J Support Oncol. 2012;10:171–7.PubMedPubMedCentral
14.
go back to reference Phillips SM, Awick EA, Conroy DE, Pellegrini CA, Mailey EL, McAuley E. Objectively measured physical activity and sedentary behaviour and quality of life indicators in survivors of breast cancer. Cancer. 2015;121:4044–52.PubMedPubMedCentral Phillips SM, Awick EA, Conroy DE, Pellegrini CA, Mailey EL, McAuley E. Objectively measured physical activity and sedentary behaviour and quality of life indicators in survivors of breast cancer. Cancer. 2015;121:4044–52.PubMedPubMedCentral
15.
go back to reference Bassett DR, John D, Conger SA, Rider BC, Passmore RM, Clark JM. Detection of lying down, sitting, standing, and stepping using two ActivPAL monitors. J Am Coll Sport Med. 2014;46:2025–9. Bassett DR, John D, Conger SA, Rider BC, Passmore RM, Clark JM. Detection of lying down, sitting, standing, and stepping using two ActivPAL monitors. J Am Coll Sport Med. 2014;46:2025–9.
16.
go back to reference Edwardson CL, Winkler EAH, Bodicoat DH, Yates T, Davies MJ, Dunstan DW, et al. Considerations when using the activPAL monitor in field-based research with adult populations. J Sport Health Sci. 2017;6:162–78. Edwardson CL, Winkler EAH, Bodicoat DH, Yates T, Davies MJ, Dunstan DW, et al. Considerations when using the activPAL monitor in field-based research with adult populations. J Sport Health Sci. 2017;6:162–78.
17.
go back to reference Ostendorf DM, Lyden K, Pan Z, Wyatt HR, Hill JO, Melanson EL, et al. Objectively measured physical activity and sedentary behaviour in successful weight loss maintainers. Obesity. 2018;26:53–60.PubMed Ostendorf DM, Lyden K, Pan Z, Wyatt HR, Hill JO, Melanson EL, et al. Objectively measured physical activity and sedentary behaviour in successful weight loss maintainers. Obesity. 2018;26:53–60.PubMed
18.
go back to reference Gibson A-M, Muggeridge DJ, Hughes AR, Kelly L, Kirk A. An examination of objectively-measured sedentary behaviour and mental well-being in adults across week days and weekends. PLoS One. 2017;12:e0185143.PubMedPubMedCentral Gibson A-M, Muggeridge DJ, Hughes AR, Kelly L, Kirk A. An examination of objectively-measured sedentary behaviour and mental well-being in adults across week days and weekends. PLoS One. 2017;12:e0185143.PubMedPubMedCentral
19.
go back to reference van der Berg JD, Willems PJB, van der Velde JHPM, Savelberg HHCM, Schaper NC, Schram MT, et al. Identifying waking time in 24-h accelerometry data in adults using an automated algorithm. J Sports Sci Routledge. 2016;34:1867–73. van der Berg JD, Willems PJB, van der Velde JHPM, Savelberg HHCM, Schaper NC, Schram MT, et al. Identifying waking time in 24-h accelerometry data in adults using an automated algorithm. J Sports Sci Routledge. 2016;34:1867–73.
20.
go back to reference Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-cheung AE, et al. Sedentary behaviour research network (SBRN) – terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14:1–17. Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-cheung AE, et al. Sedentary behaviour research network (SBRN) – terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14:1–17.
21.
go back to reference van der Berg JD, Stehouwer CDA, Bosma H, van der Velde JHP, Willems PJB, Savelberg HHCM, et al. Associations of total amount and patterns of sedentary behaviour with type 2 diabetes and the metabolic syndrome: the Maastricht study. Diabetologia. 2016;59:709–18.PubMedPubMedCentral van der Berg JD, Stehouwer CDA, Bosma H, van der Velde JHP, Willems PJB, Savelberg HHCM, et al. Associations of total amount and patterns of sedentary behaviour with type 2 diabetes and the metabolic syndrome: the Maastricht study. Diabetologia. 2016;59:709–18.PubMedPubMedCentral
22.
go back to reference Yusoff N, Low W, Yip CH. The Malay version of the European Organization for Research and Treatment of Cancer quality of life questionnaire (EORTC-QLQ C30): reliability and validity study. Int Med J Malaysia. 2010;9:45–50. Yusoff N, Low W, Yip CH. The Malay version of the European Organization for Research and Treatment of Cancer quality of life questionnaire (EORTC-QLQ C30): reliability and validity study. Int Med J Malaysia. 2010;9:45–50.
23.
go back to reference Aaronson N, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez N, et al. The European Organisation for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–76.PubMed Aaronson N, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez N, et al. The European Organisation for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993;85:365–76.PubMed
24.
go back to reference Paxton RJ, Phillips KL, Jones LA, Chang S, Taylor WC, Courneya KS, et al. Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer. 2012;118:4024–31.PubMedPubMedCentral Paxton RJ, Phillips KL, Jones LA, Chang S, Taylor WC, Courneya KS, et al. Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer. 2012;118:4024–31.PubMedPubMedCentral
25.
go back to reference Rogers LQ, Courneya KS, Anton PM, McAuley E. Effects of the BEAT Cancer physical activity behaviour change intervention on physical activity, aerobic fitness , and quality of life in breast cancer survivors : a multicenter randomized controlled trial. Breast Cancer Res Treat. 2015;149:109–19.PubMed Rogers LQ, Courneya KS, Anton PM, McAuley E. Effects of the BEAT Cancer physical activity behaviour change intervention on physical activity, aerobic fitness , and quality of life in breast cancer survivors : a multicenter randomized controlled trial. Breast Cancer Res Treat. 2015;149:109–19.PubMed
26.
go back to reference Demark-Wahnefried W, Colditz GA, Rock CL, Sedjo RL, Liu J, Wolin KY, et al. Quality of life outcomes from the exercise and nutrition enhance recovery and good health for you (ENERGY)-randomized weight loss trial among breast cancer survivors. Breast Cancer Res Treat. 2015;154:329–37.PubMedPubMedCentral Demark-Wahnefried W, Colditz GA, Rock CL, Sedjo RL, Liu J, Wolin KY, et al. Quality of life outcomes from the exercise and nutrition enhance recovery and good health for you (ENERGY)-randomized weight loss trial among breast cancer survivors. Breast Cancer Res Treat. 2015;154:329–37.PubMedPubMedCentral
27.
go back to reference Rossi A, Garber CE, Kaur G, Xue X, Goldberg GL, Nevadunsky NS. Physical activity-related differences in body mass index and patient-reported quality of life in socioculturally diverse endometrial cancer survivors. Support Care Cancer. 2017;25:2169–77.PubMed Rossi A, Garber CE, Kaur G, Xue X, Goldberg GL, Nevadunsky NS. Physical activity-related differences in body mass index and patient-reported quality of life in socioculturally diverse endometrial cancer survivors. Support Care Cancer. 2017;25:2169–77.PubMed
28.
go back to reference Toohey K, Pumpa K, McKune A, Cooke J, Semple S. High-intensity exercise interventions in cancer survivors: a systematic review exploring the impact on health outcomes. J Cancer Res Clin Oncol. 2018;144:1–12.PubMed Toohey K, Pumpa K, McKune A, Cooke J, Semple S. High-intensity exercise interventions in cancer survivors: a systematic review exploring the impact on health outcomes. J Cancer Res Clin Oncol. 2018;144:1–12.PubMed
29.
go back to reference Kim J, Im J-S, Choi Y-H. Objectively measured sedentary behaviour and moderate-to-vigorous physical activity on the health-related quality of life in US adults: the National Health and nutrition examination survey 2003–2006. Qual Life Res. 2017;26:1315–26.PubMed Kim J, Im J-S, Choi Y-H. Objectively measured sedentary behaviour and moderate-to-vigorous physical activity on the health-related quality of life in US adults: the National Health and nutrition examination survey 2003–2006. Qual Life Res. 2017;26:1315–26.PubMed
30.
go back to reference Bourke L, Homer KE, Thaha MA, Steed L, Rosario DJ, Robb KA, et al. Interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review. Br J Cancer. 2014;110:831–41.PubMed Bourke L, Homer KE, Thaha MA, Steed L, Rosario DJ, Robb KA, et al. Interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review. Br J Cancer. 2014;110:831–41.PubMed
31.
go back to reference Knols RH, de Bruin ED, Shirato K, Uebelhart D, Aaronson NK. Physical activity interventions to improve daily walking activity in cancer survivors. BMC Cancer. 2010;10:406.PubMedPubMedCentral Knols RH, de Bruin ED, Shirato K, Uebelhart D, Aaronson NK. Physical activity interventions to improve daily walking activity in cancer survivors. BMC Cancer. 2010;10:406.PubMedPubMedCentral
32.
go back to reference Lynch BM, Dunstan DW, Vallance JK, Owen N. Don’t take cancer sitting down: a new survivorship research agenda. Cancer. 2013;119:1928–35.PubMed Lynch BM, Dunstan DW, Vallance JK, Owen N. Don’t take cancer sitting down: a new survivorship research agenda. Cancer. 2013;119:1928–35.PubMed
33.
go back to reference van Roekel EH, Winkler EAH, Bours MJL, Lynch BM, Willems PJB, Meijer K, et al. Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors. Prev Med Rep. 2016;4:262–9.PubMedPubMedCentral van Roekel EH, Winkler EAH, Bours MJL, Lynch BM, Willems PJB, Meijer K, et al. Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors. Prev Med Rep. 2016;4:262–9.PubMedPubMedCentral
34.
go back to reference Rogers LQ, Markwell S, Hopkins-Price P, Vicari S, Courneya KS, Hoelzer K, et al. Reduced barriers mediated physical activity maintenance among breast cancer survivors. J Sport Exerc Psychol. 2011;33:235–54.PubMedPubMedCentral Rogers LQ, Markwell S, Hopkins-Price P, Vicari S, Courneya KS, Hoelzer K, et al. Reduced barriers mediated physical activity maintenance among breast cancer survivors. J Sport Exerc Psychol. 2011;33:235–54.PubMedPubMedCentral
35.
go back to reference George SM, Alfano CM, Smith AW, Irwin ML, McTiernan A, Bernstein L, et al. Sedentary behaviour, health-related quality of life, and fatigue among breast cancer survivors. J Phys Act Health. 2013;10:350–8.PubMed George SM, Alfano CM, Smith AW, Irwin ML, McTiernan A, Bernstein L, et al. Sedentary behaviour, health-related quality of life, and fatigue among breast cancer survivors. J Phys Act Health. 2013;10:350–8.PubMed
36.
go back to reference Vallance JK, Boyle T, Courneya KS, Lynch BM. Associations of objectively assessed physical activity and sedentary time with health-related quality of life among colon cancer survivors. Cancer. 2014;120:2919–26.PubMed Vallance JK, Boyle T, Courneya KS, Lynch BM. Associations of objectively assessed physical activity and sedentary time with health-related quality of life among colon cancer survivors. Cancer. 2014;120:2919–26.PubMed
37.
go back to reference Forsythe LP, Alfano CM, George SM, McTiernan A, Baumgartner KB, Bernstein L, et al. Pain in long-term breast cancer survivors: the role of body mass index, physical activity, and sedentary behaviour. Breast Cancer Res Treat. 2013;137:617–30.PubMed Forsythe LP, Alfano CM, George SM, McTiernan A, Baumgartner KB, Bernstein L, et al. Pain in long-term breast cancer survivors: the role of body mass index, physical activity, and sedentary behaviour. Breast Cancer Res Treat. 2013;137:617–30.PubMed
38.
go back to reference Falk Dahl CA, Reinertsen KV, Nesvold I-L, Fossa SD, Dahl AA. A study of body image in long-term breast cancer survivors. Cancer. 2010;116:3549–57.PubMed Falk Dahl CA, Reinertsen KV, Nesvold I-L, Fossa SD, Dahl AA. A study of body image in long-term breast cancer survivors. Cancer. 2010;116:3549–57.PubMed
39.
go back to reference Mosher CE, Sloane R, Morey MC, Snyder DC, Cohen HJ, Miller PE, et al. Associations between lifestyle factors and quality of life among older long-term breast, prostate, and colorectal cancer survivors. Cancer. 2009;115:4001–9.PubMedPubMedCentral Mosher CE, Sloane R, Morey MC, Snyder DC, Cohen HJ, Miller PE, et al. Associations between lifestyle factors and quality of life among older long-term breast, prostate, and colorectal cancer survivors. Cancer. 2009;115:4001–9.PubMedPubMedCentral
40.
go back to reference Tan ML, Idris D, Teo LW, Loh SY, Seow GC. Validation of EORTC QLQ-C30 and QLQ-BR23 questionnaires in the measurement of quality of life of breast cancer patients in Singapore. Asia-Pacific J Oncol Nurs. 2014;1:22–32. Tan ML, Idris D, Teo LW, Loh SY, Seow GC. Validation of EORTC QLQ-C30 and QLQ-BR23 questionnaires in the measurement of quality of life of breast cancer patients in Singapore. Asia-Pacific J Oncol Nurs. 2014;1:22–32.
41.
go back to reference Phillips SM, Lloyd GR, Awick EA, McAuley E. Correlates of objectively-measured sedentary behaviour in breast cancer survivors. Cancer Causes Control. 2016;27:787–95.PubMedPubMedCentral Phillips SM, Lloyd GR, Awick EA, McAuley E. Correlates of objectively-measured sedentary behaviour in breast cancer survivors. Cancer Causes Control. 2016;27:787–95.PubMedPubMedCentral
42.
go back to reference Dowd KP, Harrington DM, Donnelly AE. Criterion and concurrent validity of the activPALTM professional physical activity monitor in adolescent females. PLoS One. 2012;7:2–9. Dowd KP, Harrington DM, Donnelly AE. Criterion and concurrent validity of the activPALTM professional physical activity monitor in adolescent females. PLoS One. 2012;7:2–9.
Metadata
Title
Relationship of objectively measured physical activity and sedentary behaviour with health-related quality of life among breast cancer survivors
Authors
Ali Nurnazahiah
Mohd Razif Shahril
Zakarai Nor Syamimi
Aryati Ahmad
Suhaina Sulaiman
Pei Lin Lua
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01478-x

Other articles of this Issue 1/2020

Health and Quality of Life Outcomes 1/2020 Go to the issue