Department of Rehabilitation Medicine, Research Institute and Hospital, National Cancer Center, Goyang, South Korea.
Department of Medicine, Yonsei University Graduate School, Seoul, Republic of Korea.
Support Care Cancer. 2020 Oct;28(10):4847-4856. doi: 10.1007/s00520-020-05302-6. Epub 2020 Jan 25.
Our study aimed to assess the association between physical function and quality of life (QOL) with physical activity among non-small cell lung cancer (NSCLC) survivors.
Participants were 92 NSCLC survivors. Physical activity was assessed by a self-report with physiatrist's interview and the Korean version of the short form of the International Physical Activity Questionnaire (IPAQ-SF). All participants were required to perform three standardized fitness tests. The Korean version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) was used to assess QOL. Factors associated with physical functioning and QOL were determined using multiple linear regression.
A significant correlation between metabolic equivalent task minutes per week (MET-min/wk) and aerobic fitness was found (r = 0.277, p = 0.008). Factors associated with aerobic fitness include gender, age, and MET-min/wk. The meeting physical activity guideline group was also a factor associated with aerobic fitness. In the QOL aspect, a significant correlation between MET-min/wk and some QOL score was found. The meeting physical activity guideline group was a factor associated with QOL (global health status, physical function, and role function), not total MET-min/wk.
Increased physical activity was associated with higher aerobic fitness and QOL. Engagement in physical activity that met physical activity guidelines was a factor related to aerobic fitness and better QOL in some domains. To improve aspects of aerobic fitness and QOL, we may consider the pattern of physical activity, including regular participation and intensity, rather than total physical activity including basal activity.
本研究旨在评估非小细胞肺癌（NSCLC）幸存者的身体机能和生活质量（QOL）与身体活动之间的关系。
参与者为 92 名 NSCLC 幸存者。通过物理治疗师的访谈和国际体力活动问卷（IPAQ-SF）的韩文短版对身体活动进行评估。所有参与者都需要进行三项标准化的体能测试。使用欧洲癌症研究与治疗组织生活质量问卷核心 30 版（EORTC QLQ-C30）评估 QOL。使用多元线性回归确定与身体机能和 QOL 相关的因素。
每周代谢当量任务分钟数（MET-min/wk）与有氧健身呈显著相关（r=0.277，p=0.008）。与有氧健身相关的因素包括性别、年龄和 MET-min/wk。达到身体活动指南组也是与有氧健身相关的因素。在 QOL 方面，MET-min/wk 与某些 QOL 评分呈显著相关。达到身体活动指南组是与有氧健身和某些领域的 QOL（总体健康状况、身体功能和角色功能）相关的因素，而不是总 MET-min/wk。
增加身体活动与更高的有氧健身和 QOL 相关。达到身体活动指南的身体活动是与有氧健身和某些领域更好的 QOL 相关的因素。为了提高有氧健身和 QOL 的各个方面，我们可以考虑身体活动的模式，包括定期参与和强度，而不是包括基础活动在内的总身体活动。
