Abstract
BackgroundTo investigate the association between physical activity (PA) and quality of life (QoL) among breast and colorectal cancer survivors in Korea.MethodsA total of 224 cancer survivors (151 breast and 73 colorectal cancers) who completed treatments were recruited. We measured PA level with Godin Leisure-Time Exercise Questionnaire and QoL with European Organization for Research and Treatment of Cancer (EORTC) QLQ C-30.ResultsModerate to vigorous PA was significantly correlated with global QoL (r = .311, p < 0.01), physical functioning (r = .231, p < 0.01), fatigue (r = −.176, p < 0.05), pain (r = −.154, p < 0.05), and dyspnea (r = −.221, p < 0.01) while no correlation was found between light PA and QoL after controlling for potential confounders. When we further divided our participants into four groups by total PA level, we found a strong linear dose-response relationship between higher total PA and better QoL outcomes (p < .001). Compared with participants in the lowest quartile, those in the highest quartile had significantly better score in global QoL (65.8 ± 2.7 vs. 77.6 ± 2.8, p = 0.003), physical functioning (67.2 ± 2.3 vs. 85.3 ± 2.4, p = 0.007), fatigue (35.9 ± 3.2 vs. 23.6 ± 3.2, p = 0.008), pain (22.7 ± 3.3 vs. 13.0 ± 3.4, p = 0.046), and dyspnea (13.7 ± 2.5 vs. 5.9 ± 2.6, p = 0.034).ConclusionsHigher PA level was associated with better QoL among breast and colorectal cancer survivors in Korea. Increasing PA levels should be included as one of important strategies to improve QoL in cancer survivors.
Highlights
To investigate the association between physical activity (PA) and quality of life (QoL) among breast and colorectal cancer survivors in Korea
Moderate to vigorous PA was significantly correlated with global QoL (r = .311, p < 0.01), physical functioning (r = .231, p < 0.01), fatigue (r = −.176, p < 0.05), pain (r = −.154, p < 0.05), and dyspnea (r = −.221, p < 0.01) while no correlation was found between light PA and QoL after controlling for potential confounders
When we further divided our participants into four groups by total PA level, we found a strong linear dose-response relationship between higher total PA and better QoL outcomes (p < .001)
Summary
To investigate the association between physical activity (PA) and quality of life (QoL) among breast and colorectal cancer survivors in Korea. PA participation has been associated with reduced cancer-specific and all-cause mortality in breast and colorectal cancer survivors [16, 17]. Studies reported that 30– 47% of cancer survivors in the United States met the American College of Sports Medicine (ACSM)‘s exercise recommendation [20, 21], while only 25.2% of Korean colorectal cancer survivors met the ACSM’s exercise recommendations that is significantly lower than the percentage among the non-cancer population [22].
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