Advertisement

Physical activity levels and preferences of patients with breast cancer receiving chemotherapy in Chile

  • Karol Ramírez-Parada
  • Kerry S. Courneya
  • Sabrina Muñiz
  • César Sánchez
  • Rodrigo Fernández-VerdejoEmail author
Original Article
  • 55 Downloads

Abstract

Purpose

In Chilean patients with breast cancer (BC) receiving chemotherapy we aimed to (a) report the levels of physical activity (PA), (b) compare clinical/socio-demographic parameters among patients with different levels of PA, and (c) explore exercise preferences.

Methods

Patients (n = 112) completed a questionnaire regarding their PA habits, and another questionnaire regarding their preferences for an exercise program. Patients were then divided into three groups based on the exercise guidelines for patients with BC (150 min/week of moderate exercise, or 75 min/week of vigorous exercise). The groups were (i) not engaging in any moderate-to-vigorous PA (MVPA), (ii) engaging in some MVPA, but not meeting the guidelines, and (iii) meeting the guidelines. Clinical/socio-demographic parameters and preferences for exercise were compared between groups.

Results

Only 13% of patients with BC met the exercise guidelines. These patients were younger, had been diagnosed more recently, and had fewer children than patients not engaging in MVPA. There were no differences in the preferences for exercise between groups. Overall, patients preferred to exercise with other patients (76%), at moderate intensity (67%), performing different activities (94%), supervised (94%), with a fixed schedule (69%), and to do group activities (90%).

Conclusion

Most patients with BC receiving chemotherapy did not meet the exercise guidelines. Patients > 50 years old and with > 2 children were the most inactive. Efforts to increase PA levels should focus especially on these patients. The preferences for exercise reported here will help to increase adherence to exercise programs and improve outcomes for these patients in Chile.

Keywords

Exercise Breast neoplasm Cancer treatment Adherence 

Notes

Compliance with ethical standards

Control of data

The authors declare they have full control of all primary data and agree to allow the journal to review the data if requested.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136:E359–E386.  https://doi.org/10.1002/ijc.29210 CrossRefGoogle Scholar
  2. 2.
    Ramírez K, Acevedo F, Herrera ME, Ibáñez C, Sánchez C (2017) Actividad física y cáncer de mama: un tratamiento dirigido. Rev Med Chil 145:75–84.  https://doi.org/10.4067/S0034-98872017000100011 CrossRefPubMedGoogle Scholar
  3. 3.
    Smoot B, Wampler M, Topp KS (2009) Breast cancer treatments and complications: implications for rehabilitation. Rehabil Oncol 27:16–26.  https://doi.org/10.1097/01893697-200927030-00004 CrossRefGoogle Scholar
  4. 4.
    Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, Ladha AB, Proulx C, Vallance JKH, Lane K, Yasui Y, McKenzie DC (2007) Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol 25:4396–4404.  https://doi.org/10.1200/JCO.2006.08.2024 CrossRefPubMedGoogle Scholar
  5. 5.
    Tao JJ, Visvanathan K, Wolff AC (2015) Long term side effects of adjuvant chemotherapy in patients with early breast cancer. Breast 24:S149–S153.  https://doi.org/10.1016/j.breast.2015.07.035 CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP, American College of Sports Medicine (2011) Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 43:1334–1359.  https://doi.org/10.1249/MSS.0b013e318213fefb CrossRefPubMedGoogle Scholar
  7. 7.
    Courneya KS, Segal RJ, McKenzie DC et al (2014) Effects of exercise during adjuvant chemotherapy on breast cancer outcomes. Med Sci Sports Exerc 46:1744–1751.  https://doi.org/10.1249/MSS.0000000000000297 CrossRefPubMedGoogle Scholar
  8. 8.
    Fairman C, Focht B, Lucas A, Lustberg M (2016) Effects of exercise interventions during different treatments in breast cancer. J Community Support Oncol 14:200–209.  https://doi.org/10.12788/jcso.0225 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Dieli-Conwright CM, Courneya KS, Demark-Wahnefried W, Sami N, Lee K, Buchanan TA, Spicer DV, Tripathy D, Bernstein L, Mortimer JE (2018) Effects of aerobic and resistance exercise on metabolic syndrome, sarcopenic obesity, and circulating biomarkers in overweight or obese survivors of breast cancer: a randomized controlled trial. J Clin Oncol 36:875–883.  https://doi.org/10.1200/JCO.2017.75.7526 CrossRefPubMedGoogle Scholar
  10. 10.
    Holmes MD, Chen WY, Feskanich D et al (2005) After breast cancer diagnosis. Methods 293:2479–2486.  https://doi.org/10.1001/jama.293.20.2479 CrossRefGoogle Scholar
  11. 11.
    Lahart IM, Metsios GS, Nevill AM, Carmichael AR (2015) Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncol (Madr) 54:635–654.  https://doi.org/10.3109/0284186X.2014.998275 CrossRefGoogle Scholar
  12. 12.
    Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, Von Gruenigen VE, Schwartz AL (2010) American college of sports medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 42:1409–1426.  https://doi.org/10.1249/MSS.0b013e3181e0c112 CrossRefPubMedGoogle Scholar
  13. 13.
    Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, Kriska A, Ballard-Barbash R (2003) Physical activity levels before and after a diagnosis of breast carcinoma: the health, eating, activity, and lifestyle (HEAL) study. Cancer 97:1746–1757.  https://doi.org/10.1002/cncr.11227 CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Courneya KS, Katzmarzyk PT, Bacon E (2008) Physical activity and obesity in Canadian cancer survivors: population-based estimates from the 2005 Canadian community health survey. Cancer 112:2475–2482.  https://doi.org/10.1002/cncr.23455 CrossRefPubMedGoogle Scholar
  15. 15.
    Huy C, Schmidt ME, Vrieling A, Chang-Claude J, Steindorf K (2012) Physical activity in a German breast cancer patient cohort: one-year trends and characteristics associated with change in activity level. Eur J Cancer 48:297–304.  https://doi.org/10.1016/j.ejca.2011.08.005 CrossRefPubMedGoogle Scholar
  16. 16.
    Forbes CC, Blanchard CM, Mummery WK, Courneya KS (2015) A comparison of physical activity preferences among breast, prostate, and colorectal cancer survivors in Nova Scotia, Canada. J Phys Act Health 12:823–833.  https://doi.org/10.1123/jpah.2014-0119 CrossRefPubMedGoogle Scholar
  17. 17.
    Karvinen KH, Courneya KS, Venner P, North S (2007) Exercise programming and counseling preferences in bladder cancer survivors: a population-based study. J Cancer Surviv 1:27–34.  https://doi.org/10.1007/s11764-007-0010-5 CrossRefPubMedGoogle Scholar
  18. 18.
    Stevinson C, Capstick V, Schepansky A et al (2009) Physical activity preferences of ovarian cancer survivors. Psychooncology 18:422–428.  https://doi.org/10.1002/pon.1396 CrossRefPubMedGoogle Scholar
  19. 19.
    Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS (2012) Physical activity preferences in a population-based sample of kidney cancer survivors. Support Care Cancer 20:1709–1717.  https://doi.org/10.1007/s00520-011-1264-z CrossRefPubMedGoogle Scholar
  20. 20.
    McGowan EL, Speed-Andrews AE, Blanchard CM et al (2013) Physical activity preferences among a population-based sample of colorectal cancer survivors. Oncol Nurs Forum 40:44–52.  https://doi.org/10.1188/13.ONF.44-52 CrossRefPubMedGoogle Scholar
  21. 21.
    Ministerio de Salud (MINSAL) (2015) Guías Clínicas AUGE: Cáncer de Mama. https://www.minsal.cl/wp-content/uploads/2015/09/GPC-CaMama.pdf. Accessed 04 Sept 2018.
  22. 22.
    Ministerio de Salud (MINSAL) (2016) Estrategia Nacional de Cáncer, Chile. Doc para Consult pública. http://www.minsal.cl/wp-content/uploads/2016/10/Estrategia-Nacional-de-Cancer-version-consulta-publica.pdf. Accessed 04 Sept 2018
  23. 23.
    Godin G (2011) The Godin-Shephard leisure-time physical activity questionnaire. Health Fit J Can 4:18–22Google Scholar
  24. 24.
    Forbes CC, Blanchard CM, Mummery WK, Courneya KS (2014) A comparison of physical activity correlates across breast, prostate and colorectal cancer survivors in Nova Scotia, Canada. Support Care Cancer 22:891–903.  https://doi.org/10.1007/s00520-013-2045-7 CrossRefPubMedGoogle Scholar
  25. 25.
    Amireault S, Godin G, Lacombe J, Sabiston CM (2015) The use of the Godin-Shephard leisure-time physical activity questionnaire in oncology research: a systematic review. BMC Med Res Methodol 15:1–11.  https://doi.org/10.1186/s12874-015-0045-7 CrossRefGoogle Scholar
  26. 26.
    Blanchard CM, Courneya KS, Stein K (2008) Cancer survivors’ adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society’s SCS-II. J Clin Oncol 26:2198–2204.  https://doi.org/10.1200/JCO.2007.14.6217 CrossRefPubMedGoogle Scholar
  27. 27.
    Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893.  https://doi.org/10.1200/JCO.2005.02.2343 CrossRefPubMedGoogle Scholar
  28. 28.
    Courneya KS, Segal RJ, Gelmon K, Mackey JR, Friedenreich CM, Yasui Y, Reid RD, Proulx C, Trinh L, Dolan LB, Wooding E, Vallerand JR, McKenzie DC (2014) Predictors of adherence to different types and doses of supervised exercise during breast cancer chemotherapy. Int J Behav Nutr Phys Act 11:1–9.  https://doi.org/10.1186/s12966-014-0085-0 CrossRefGoogle Scholar
  29. 29.
    Browall M, Mijwel S, Rundqvist H, Wengström Y (2018) Physical activity during and after adjuvant treatment for breast cancer: an integrative review of women’s experiences. Integr Cancer Ther 17:16–30.  https://doi.org/10.1177/1534735416683807 CrossRefPubMedGoogle Scholar
  30. 30.
    Husebø AML, Karlsen B, Allan H, Søreide JA, Bru E (2015) Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study. J Clin Nurs 24:500–510.  https://doi.org/10.1111/jocn.12633 CrossRefPubMedGoogle Scholar
  31. 31.
    Ministerio de Salud (MINSAL) (2018) Encuesta Nacional de Salud 2016–2017 Primeros resultados. http://web.minsal.cl/wp-content/uploads/2017/11/ENS-2016-17_PRIMEROS-RESULTADOS.pdf. Accessed 16 October 2018
  32. 32.
    Kotz CM, Perez-Leighton CE, Teske JA, Billington CJ (2017) Spontaneous physical activity defends against obesity. Curr Obes Rep 6:362–370CrossRefGoogle Scholar
  33. 33.
    Wong JN, McAuley E, Trinh L (2018) Physical activity programming and counseling preferences among cancer survivors: a systematic review. Int J Behav Nutr Phys Act 15:48.  https://doi.org/10.1186/s12966-018-0680-6 CrossRefPubMedPubMedCentralGoogle Scholar
  34. 34.
    Walsh MC, Hunter GR, Sirikul B, Gower BA (2004) Comparison of self-reported with objectively assessed energy expenditure in black and white women before and after weight loss. Am J Clin Nutr 79:1013–1019.  https://doi.org/10.1093/ajcn/79.6.1013 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Carrera de Kinesiología. Departamento de Ciencias de la Salud. Facultad de MedicinaPontificia Universidad Católica de ChileSantiagoChile
  2. 2.Faculty of Kinesiology, Sport, and RecreationUniversity of AlbertaEdmontonCanada
  3. 3.Departamento de Hemato-Oncología, Facultad de MedicinaPontificia Universidad Católica de ChileSantiagoChile
  4. 4.Carrera de Nutrición y Dietética. Departamento de Ciencias de la Salud, Facultad de MedicinaPontificia Universidad Católica de ChileSantiagoChile

Personalised recommendations