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结直肠癌幸存者身体活动与生活质量的前瞻性关系。

Prospective relationships of physical activity with quality of life among colorectal cancer survivors.

作者信息

Lynch Brigid M, Cerin Ester, Owen Neville, Hawkes Anna L, Aitken Joanne F

机构信息

Viertel Centre for Research in Cancer Control, The Cancer Council Queensland, University of Queensland, Brisbane, Australia.

出版信息

J Clin Oncol. 2008 Sep 20;26(27):4480-7. doi: 10.1200/JCO.2007.15.7917.

Abstract

PURPOSE

Physical activity can enhance quality of life for cancer survivors. However, few longitudinal studies have examined whether physical activity has a sustained effect on improvements in quality of life. The present study aims to examine the relationships between physical activity and quality of life over 2 years after a colorectal cancer diagnosis.

PATIENTS AND METHODS

Data were collected within the Colorectal Cancer and Quality of Life Study, in which 1,966 people diagnosed with colorectal cancer were recruited through the Queensland Cancer Registry. Participants completed telephone interviews at approximately 6, 12, and 24 months after diagnosis. Generalized linear mixed models were used to estimate the overall, interindividual, and intraindividual level independent effects of participation in physical activity on quality of life.

RESULTS

There was an overall independent association between physical activity and quality of life. At a given time point, participants achieving at least 150 minutes of physical activity per week had an 18% higher quality of life score than those who reported no physical activity. Significant associations were also present at the interindividual level (differences between participants) and intraindividual level (within participant changes).

CONCLUSION

These findings suggest that the positive association between physical activity and quality of life is consistent over time. Encouraging colorectal cancer survivors to be physically active may be a helpful strategy for enhancing quality of life.

摘要

目的

体育活动可以提高癌症幸存者的生活质量。然而,很少有纵向研究探讨体育活动对生活质量改善是否具有持续影响。本研究旨在探讨结直肠癌诊断后2年内体育活动与生活质量之间的关系。

患者与方法

数据收集于结直肠癌与生活质量研究,该研究通过昆士兰癌症登记处招募了1966名被诊断为结直肠癌的患者。参与者在诊断后约6个月、12个月和24个月完成电话访谈。使用广义线性混合模型来估计参与体育活动对生活质量的总体、个体间和个体内水平的独立影响。

结果

体育活动与生活质量之间存在总体独立关联。在给定的时间点,每周进行至少150分钟体育活动的参与者的生活质量得分比那些报告没有进行体育活动的参与者高18%。在个体间水平(参与者之间的差异)和个体内水平(参与者内部的变化)也存在显著关联。

结论

这些发现表明体育活动与生活质量之间的正相关关系随时间推移是一致的。鼓励结直肠癌幸存者进行体育活动可能是提高生活质量的有益策略。

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