Abstract

Background: A lack of physical activity (PA) is a well-recognised risk factor in the development of breast cancer (BC) and evidence-base research on the impact of PA on BC survival is consolidating. However, evidence reveals that BC survivors have low levels of PA, suggesting the need of targeted interventions to enhance the PA behaviour of BC survivors. Unfortunately, there is lack of data from the UK about the PA behaviours of women at various stages of diagnosis and treatment of BC. Therefore, the aim of the present study was to assess PA levels in women at different stages of BC pathway. Patients and Methods: A convenient sample of patients was selected at various stages of presentation and treatment of BC. Patients attending for breast screening for NHSBSP (n = 188), post-operative patients attending for chemotherapy (n = 41) and BC patients within one year’s post-treatment (n = 80) were invited to take part in this cross-sectional study. Results: Based on the odds ratio, the likelihood of a chemotherapy participant not meeting PA guidelines (i.e., being in the low activity category) were three times higher than the odds of a NHSBPS attendee not meeting PA guidelines, and compared to post-treatment participants, the chemotherapy patient’s odds of not meeting PA guidelines was four times higher. The odds of NHSBPS attendees being in the high activity category compared to the moderate category were three times higher than that of a post-treatment participant. Conclusions: The current study suggests the need to establish robust PA interventions to enhance the PA behaviour of breast cancer survivors.

Highlights

  • Worldwide, breast cancer (BC) is the most frequently diagnosed cancer and the leading cause of cancer death among females [1]

  • Patients attending for breast screening for the National Health Service Breast Screening programme (NHSBSP) (n = 188), post-operative patients attending for chemotherapy (n = 41) and BC

  • Results revealed that women receiving chemotherapy for BC performed significantly lower physical activity (PA) in a number of International PA Questionnaire (IPAQ) domains compared to the women attending NHS breast screening, and BC patients who were within one year post-treatment

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Summary

Introduction

Breast cancer (BC) is the most frequently diagnosed cancer and the leading cause of cancer death among females [1]. In the UK, female BC had the highest incidence rate of all cancers, with an average European AS rate of 124.2 cases per 100,000 population each year between 2007 and 2009 [2]. A lack of physical activity (PA) is a well-recognised risk factor in the development of BC and evidence on the impact of PA on BC survival is consolidating [4]. A lack of physical activity (PA) is a well-recognised risk factor in the development of breast cancer (BC) and evidence-base research on the impact of PA on BC survival is consolidating. There is lack of data from the UK about the PA behaviours of women at various stages of diagnosis and treatment of BC. The aim of the present study was to assess PA levels in women at different stages of BC pathway

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