Physical Activity in Patients with Advanced Cancer: Sociodemographic, Clinical, and Psychological Correlates
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants and Procedures
2.2. Measures
2.3. Data Analysis
3. Results
3.1. Sociodemographic and Clinical Characteristics
3.2. Physical Activity Profiles and Clinical-Demographic Characteristics
3.3. Physical Activity Profiles and Psychosocial Characteristics
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variables | Total Sample n (%) 863 (100%) | Insufficiently Active/Sedentary n = 190 (20%) | Light Physical Activity n = 412 (43%) | Moderate Physical Activity n = 351 (37%) | X2 | p Value |
---|---|---|---|---|---|---|
Tumor site | 11.810 | 0.298 | ||||
Bronco-pulmonary | 280 (29) | 65 (34) | 123 (30) | 92 (26) | ||
Colorectal | 154 (16) | 23 (12) | 65 (16) | 66 (19) | ||
Pancreas | 88 (9) | 17 (9) | 45 (11) | 26 (7) | ||
Breast | 78 (8) | 12 (6) | 34 (8) | 32 (9) | ||
Stomach | 48 (5) | 8 (4) | 23 (6) | 17 (5) | ||
Others | 305 (32) | 65 (34) | 122 (30) | 118 (34) | ||
Histology | 10.456 | 0.005 | ||||
Adenocarcinoma | 616 (65) | 104 (55) | 273 (66) | 239 (68) | ||
Others | 337 (35) | 86 (45) | 139 (34) | 112 (32) | ||
Stage | 6.562 | 0.038 | ||||
Locally Advanced | 189 (20) | 50 (26) | 78 (19) | 61 (17) | ||
Metastatic Dis. (IV) | 764 (80) | 140 (74) | 334 (81) | 290 (83) | ||
Type of treatment | 8.838 | 0.183 | ||||
Chemotherapy | 521 (55) | 118 (62) | 227 (55) | 176 (50) | ||
Chemo+ Immuno | 220 (23) | 39 (21) | 94 (23) | 87 (25) | ||
Chemo+ Antidian | 195 (20) | 32 (17) | 82 (20) | 81 (23) | ||
Others | 17 (2) | 1 (1) | 9 (2) | 7 (2) | ||
ECOG | 40.954 | 0.001 | ||||
0 | 360 (38) | 48 (25) | 135 (33) | 177 (50) | ||
1 or more | 593 (62) | 142 (75) | 277 (67) | 174 (50) | ||
Survival | 19.903 | 0.001 | ||||
<18 months | 425 (45) | 104 (55) | 195 (47) | 126 (36) | ||
≥18 months | 524 (55) | 86 (45) | 217 (53) | 225 (64) |
Insufficiently Activity/Sedentary n = 190 | Light Phys. Activity n = 412 | Moderate Phys. Activity n = 351 | |||||||
---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | F | p | η2 | |
EORTC-QLQ-C30 | |||||||||
Physical function | 55.6 | 28.9 | 68.0 | 25.0 | 85.4 | 19.0 | 101.32 | 0.001 | 0.177 |
Role function | 58.5 | 38.1 | 63.3 | 33.9 | 80.4 | 27.0 | 40.915 | 0.001 | 0.080 |
Cognitive function | 71.5 | 29.4 | 78.2 | 25.3 | 81.3 | 23.8 | 10.157 | 0.001 | 0.021 |
Emotional function | 56.6 | 31.6 | 62.0 | 29.1 | 65.9 | 29.3 | 8.151 | 0.001 | 0.017 |
Social function | 34.5 | 37.1 | 64.3 | 34.3 | 72.6 | 31.9 | 10.136 | 0.001 | 0.021 |
Fatigue symptoms | 58.5 | 32.1 | 50.2 | 29.8 | 35.2 | 30.2 | 45.956 | 0.001 | 0.089 |
Nausea/vomit | 22.5 | 32.5 | 16.1 | 27.0 | 13.1 | 33.4 | 7.637 | 0.001 | 0.016 |
Pain symptoms | 44.5 | 37.6 | 37.8 | 33.5 | 29.9 | 33.4 | 16.041 | 0.001 | 0.033 |
Dyspnea | 17.7 | 32.4 | 14.3 | 27.2 | 9.1 | 22.4 | 7.257 | 0.001 | 0.015 |
Insomnia | 50.0 | 37.8 | 44.5 | 37.3 | 41.2 | 38.4 | 4.667 | 0.010 | 0.010 |
Appetite loss | 44.7 | 42.1 | 37.0 | 38.6 | 24.1 | 34.7 | 19.171 | 0.001 | 0.039 |
Constipation | 44.9 | 42.3 | 33.7 | 38.0 | 31.9 | 38.0 | 7.691 | 0.001 | 0.016 |
Diarrhea | 27.7 | 37.8 | 20.7 | 33.5 | 17.6 | 31.6 | 6.887 | 0.001 | 0.014 |
Financial difficulties | 20.7 | 33.3 | 18.7 | 32.2 | 19.1 | 33.0 | 1.653 | 0.192 | -- |
Functional status | 61.4 | 25.3 | 67.2 | 22.3 | 77.1 | 19.6 | 41.528 | 0.001 | 0.081 |
Symptom status | 36.8 | 21.5 | 30.3 | 18.9 | 24.6 | 19.8 | 29.243 | 0.001 | 0.058 |
Global health status | 58.9 | 25.1 | 58.0 | 23.6 | 64.4 | 25.4 | 6.780 | 0.001 | 0.014 |
Brief Symptom Inventory | |||||||||
Depression | 64.0 | 7.6 | 63.8 | 7.3 | 62.1 | 6.5 | 9.072 | 0.001 | 0.019 |
Anxiety | 65.4 | 8.5 | 65.0 | 8.2 | 63.9 | 7.8 | 4.322 | 0.014 | 0.009 |
Somatization | 67.4 | 8.8 | 65.9 | 7.9 | 63.2 | 7.4 | 23.649 | 0.001 | 0.048 |
Psychological distress | 68.4 | 8.1 | 68.0 | 7.5 | 66.0 | 7.1 | 12.308 | 0.001 | 0.026 |
Well-being (WHO) | 16.7 | 5.4 | 16.2 | 4.8 | 18.5 | 4.7 | 22.188 | 0.007 | 0.045 |
Relationship with physician | 38.6 | 7.2 | 38.6 | 7.5 | 39.7 | 6.7 | 2.673 | 0.070 | -- |
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Mihic-Góngora, L.; Jimenez-Fonseca, P.; Coca-Membribes, S.; Cruz-Castellanos, P.; Galán-Moral, R.; Asensio-Martínez, E.; Palacín-Lois, M.; Carmona-Bayonas, A.; Caramés-Sánchez, C.; Calderon, C. Physical Activity in Patients with Advanced Cancer: Sociodemographic, Clinical, and Psychological Correlates. Brain Sci. 2024, 14, 573. https://doi.org/10.3390/brainsci14060573
Mihic-Góngora L, Jimenez-Fonseca P, Coca-Membribes S, Cruz-Castellanos P, Galán-Moral R, Asensio-Martínez E, Palacín-Lois M, Carmona-Bayonas A, Caramés-Sánchez C, Calderon C. Physical Activity in Patients with Advanced Cancer: Sociodemographic, Clinical, and Psychological Correlates. Brain Sciences. 2024; 14(6):573. https://doi.org/10.3390/brainsci14060573
Chicago/Turabian StyleMihic-Góngora, Luka, Paula Jimenez-Fonseca, Sara Coca-Membribes, Patricia Cruz-Castellanos, Rocío Galán-Moral, Elena Asensio-Martínez, María Palacín-Lois, Alberto Carmona-Bayonas, Cristina Caramés-Sánchez, and Caterina Calderon. 2024. "Physical Activity in Patients with Advanced Cancer: Sociodemographic, Clinical, and Psychological Correlates" Brain Sciences 14, no. 6: 573. https://doi.org/10.3390/brainsci14060573
APA StyleMihic-Góngora, L., Jimenez-Fonseca, P., Coca-Membribes, S., Cruz-Castellanos, P., Galán-Moral, R., Asensio-Martínez, E., Palacín-Lois, M., Carmona-Bayonas, A., Caramés-Sánchez, C., & Calderon, C. (2024). Physical Activity in Patients with Advanced Cancer: Sociodemographic, Clinical, and Psychological Correlates. Brain Sciences, 14(6), 573. https://doi.org/10.3390/brainsci14060573