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Longitudinal associations of light-intensity physical activity with quality of life, functioning and fatigue after colorectal cancer.


ABSTRACT: PURPOSE:Evidence from cross-sectional studies suggests that higher levels of light-intensity physical activity (LPA) are associated with better health-related quality of life (HRQoL) in colorectal cancer (CRC) survivors. However, these associations have not been investigated in longitudinal studies that provide the opportunity to analyse how within-individual changes in LPA affect HRQoL. We investigated longitudinal associations of LPA with HRQoL outcomes in CRC survivors, from 6 weeks to 2 years post-treatment. METHODS:Data were used of a prospective cohort study among 325 stage I-III CRC survivors (67% men, mean age: 67 years), recruited between 2012 and 2016. Validated questionnaires were used to assess hours/week of LPA (SQUASH) and HRQoL outcomes (EORTC QLQ-C30, Checklist Individual Strength) at 6 weeks, and 6, 12 and 24 months post-treatment. We applied linear mixed regression to analyse longitudinal confounder-adjusted associations of LPA with HRQoL. RESULTS:We observed statistically significant longitudinal associations between more LPA and better global quality of life and physical, role and social functioning, and less fatigue over time. Intra-individual analysis showed that within-person increases in LPA (per 8 h/week) were related to improved HRQoL, including better global quality of life (??=?1.67, 95% CI 0.71; 2.63; total range scale: 0-100) and less fatigue (??=?- 1.22, 95% CI - 2.37; - 0.07; scale: 20-140). Stratified analyses indicated stronger associations among participants below the median of moderate-to-vigorous physical activity (MVPA) at diagnosis. CONCLUSION:Higher levels of LPA were longitudinally associated with better HRQoL and less fatigue in CRC survivors up to two years post-treatment. Further prospective studies using accelerometer data are necessary to inform development of interventions targeting LPA.

SUBMITTER: van Roekel EH 

PROVIDER: S-EPMC7591443 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Longitudinal associations of light-intensity physical activity with quality of life, functioning and fatigue after colorectal cancer.

van Roekel E H EH   Duchâteau J J   Bours M J L MJL   van Delden L L   Breedveld-Peters J J L JJL   Koole J L JL   Kenkhuis M M   van den Brandt P A PA   Jansen R L RL   Kant I I   Lima Passos V V   Meijer K K   Breukink S O SO   Janssen-Heijnen M L G MLG   Keulen E E   Weijenberg M P MP  

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 20200702 11


<h4>Purpose</h4>Evidence from cross-sectional studies suggests that higher levels of light-intensity physical activity (LPA) are associated with better health-related quality of life (HRQoL) in colorectal cancer (CRC) survivors. However, these associations have not been investigated in longitudinal studies that provide the opportunity to analyse how within-individual changes in LPA affect HRQoL. We investigated longitudinal associations of LPA with HRQoL outcomes in CRC survivors, from 6 weeks t  ...[more]

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