Document Detail


Physical activity and quality of life in head and neck cancer survivors.
MedLine Citation:
PMID:  16538497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To examine the prevalence of exercise in head and neck cancer survivors and determine preliminary associations with quality of life (QoL), fatigue, and depression. MATERIALS AND METHODS: Fifty-nine of 65 (91%) eligible head and neck cancer survivors recruited from an academic oncology clinic completed a self-administered survey including the modified Godin Leisure-Time Exercise Questionnaire and Functional Assessment of Cancer Therapy-Head & Neck (FACT-H&N), which includes physical, social, emotional and functional well-being (FWB) as well as additional concerns, and the FACT-General (FACT-G). Medical variables were obtained by medical record review. RESULTS: The majority of participants were men (83%) and were Caucasian (92%), with mean age of 58+/-12.8. Cancer sites were primarily the oral cavity (24%), oropharynx (37%), or larynx (25%), with 20% being stage I, 7% stage II, 19% stage III, and 54% stage IV disease. Chemotherapy and/or radiation were ongoing in 14% of the participants. Half of the participants (51%) were diagnosed <6 months ago. Only three (5%) participants reported any vigorous exercise minutes (M=7.3+/-35.4), and only seven (12%) participants reported any moderate exercise minutes (M=19.5+/-70.6). Light exercise was reported by 26 (44%) (M=83.4+/-147.1). Only five (8.5%) participants were meeting current public health exercise guidelines. Partial correlations adjusting for age, medical comorbidity, and alcohol use showed that the total exercise minutes (i.e., light + moderate + vigorous) was positively associated with FWB (r=0.30, p=0.027), FACT-G (r=0.25, p=0.071), and FACT-H&N (r=0.26, p=0.064), was negatively associated with fatigue (r=-0.27, p=0.051), and had no association with depression (r=0.10, p=0.500). CONCLUSIONS: Few head and neck cancer survivors are participating in any moderate or vigorous exercise, and over half are completely sedentary. Meaningful and potentially beneficial associations between total exercise minutes, QoL, and fatigue were demonstrated. An exercise intervention may have utility in this understudied cancer survivor group. Further research is warranted.
Authors:
Laura Q Rogers; Kerry S Courneya; K Thomas Robbins; James Malone; Alison Seiz; Lori Koch; Krishna Rao; Meenakshi Nagarkar
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Publication Detail:
Type:  Journal Article     Date:  2006-03-15
Journal Detail:
Title:  Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer     Volume:  14     ISSN:  0941-4355     ISO Abbreviation:  Support Care Cancer     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-21     Completed Date:  2007-06-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9302957     Medline TA:  Support Care Cancer     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1012-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, SIU School of Medicine, P.O. Box 19636, Springfield, IL 62794-9636, USA. lrogers@siumed.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Squamous Cell* / pathology,  physiopathology
Cross-Sectional Studies
Depression / physiopathology
Exercise Tolerance
Fatigue / physiopathology
Female
Follow-Up Studies
Head and Neck Neoplasms* / pathology,  physiopathology
Humans
Male
Middle Aged
Motor Activity*
Neoplasm Staging
Physical Endurance
Psychiatric Status Rating Scales
Quality of Life*
Questionnaires
Research Design
Sickness Impact Profile
Survivors*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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