Kent Medical Center, Department of Physical Therapy, Izmir, Turkey.
School of Physical Therapy and Rehabilitation, Dokuz Eylul University, Izmir, Turkey.
Ir J Med Sci. 2021 May;190(2):539-546. doi: 10.1007/s11845-020-02338-9. Epub 2020 Aug 9.
Physical activity (PA) is a modifiable health behaviour in patients with colorectal cancer (CRC). Knowing the possible predictors of PA will contribute to producing physical and psychological benefits for CRC patients.
To investigate the factors that influence PA in patients with CRC.
This cross-sectional study was conducted with 47 participants with CRC. Demographic and clinical characteristics, neuropathic pain (Douleur Neuropathique 4 (DN4)), peripheral muscle strength (knee extensor and flexor, hip extensor and flexor, and ankle dorsiflexor muscle strength), balance (Balance Master System (BMS) and Berg Balance Scale (BBS)), fatigue (Brief Fatigue Inventory (BFI)), PA (International PA Questionnaire Short Form (IPAQ-SF)), and quality of life (36-item Short Form Health Survey (SF-36)) were evaluated. Multiple linear regression analysis was used to determine the variables that have the greatest influence on PA.
IPAQ-SF score had moderate correlations with knee extensor muscle strength (r = 0.310, p = 0.034), BBS (r = 0.361, p = 0.013), and limit of stability test (movement velocity) score (r = 0.385, p = 0.008), BFI- severity of fatigue (r = - 0.488, p = 0.001), impact of fatigue on daily functioning (r = - 0.421, p = 0.003), and the SF-36 sub-parameters (role limitations due to physical health problems, physical functioning, general health perceptions and vitality) (p < 0.05). Role limitations due to physical problems, knee extensor muscle strength, and severity of fatigue had the greatest influence on PA in patients with CRC with explaining 43% of the variance in PA.
This study suggests that quality of life, knee extensor muscle strength, and fatigue have the greatest influence on PA in patients with CRC.
身体活动（PA）是结直肠癌（CRC）患者可改变的健康行为。了解 PA 的可能预测因素将有助于为 CRC 患者带来身体和心理上的益处。
调查影响 CRC 患者 PA 的因素。
本横断面研究纳入了 47 名 CRC 患者。评估了人口统计学和临床特征、神经性疼痛（DN4）、外周肌肉力量（膝关节伸肌和屈肌、髋关节伸肌和屈肌、踝关节背屈肌力量）、平衡（平衡大师系统（BMS）和伯格平衡量表（BBS））、疲劳（简短疲劳量表（BFI））、PA（国际 PA 问卷短表（IPAQ-SF））和生活质量（36 项简短健康调查问卷（SF-36））。采用多元线性回归分析确定对 PA 影响最大的变量。
IPAQ-SF 评分与膝关节伸肌力量（r = 0.310，p = 0.034）、BBS（r = 0.361，p = 0.013）和稳定性极限测试（运动速度）评分（r = 0.385，p = 0.008）、BFI-疲劳严重程度（r = -0.488，p = 0.001）、疲劳对日常功能的影响（r = -0.421，p = 0.003）和 SF-36 子参数（身体健康问题所致角色限制、身体机能、一般健康感知和活力）（p < 0.05）呈中度相关。身体问题所致角色限制、膝关节伸肌力量和疲劳严重程度对 CRC 患者 PA 的影响最大，解释了 PA 变异的 43%。
本研究表明，生活质量、膝关节伸肌力量和疲劳对 CRC 患者 PA 的影响最大。
