Biskup Malgorzata, Macek Pawel, Terek-Derszniak Malgorzata, Zak Marek, Krol Halina, Falana Krzysztof, Gozdz Stanislaw
Collegium Medicum, Jan Kochanowski University, Avenue IX Centuries Kielc 19A, 25-516 Kielce, Poland.
Department of Rehabilitation, Holycross Cancer Center, Artwinskiego 3 Street, 25-734 Kielce, Poland.
Diagnostics (Basel). 2023 Nov 15;13(22):3447. doi: 10.3390/diagnostics13223447.
An accurate quantitative assessment of physical activity and sedentary lifestyles enables a better understanding of their relationship with the health records of cancer survivors. The objective of this study was to compare the subjective and objective methods of physical activity measurement in female breast cancer survivors. Materials and methods: In total, 135 female breast cancer survivors at the Holycross Cancer Center, Kielce, Poland, were included in this study. A shortened version of the International Physical Activity Questionnaire (IPAQ) was used to subjectively assess the participants' physical activity (PA), and an ActiGraph GT3X-BT accelerometer was used for an objective assessment. In total, 75% of the studied women did not report any vigorous PA, irrespective of the measurement method. The average values of moderate PA and moderate-to-vigorous PA (MVPA) measured with IPAQ compared with the accelerometer were sevenfold and tenfold higher, respectively. Conversely, the sedentary behavior values measured with the accelerometer were almost three times higher than those measured with IPAQ. The PA and sedentary behavior measurements were significantly different. Irrespective of PA intensity, the accelerometer-based measurements produced significantly lower results than IPAQ, while higher results were observed for sedentary behavior. The measurement differences between these two methods increased as the average differences grew. Regardless of the measurement method, a negative association was observed between moderate PA with general adiposity and adipose tissue distribution, whereas sedentary behavior demonstrated an opposite trend. This indicates the detrimental role of obesity in limiting PA.
对身体活动和久坐生活方式进行准确的定量评估，有助于更好地理解它们与癌症幸存者健康记录之间的关系。本研究的目的是比较女性乳腺癌幸存者身体活动测量的主观方法和客观方法。材料与方法：本研究纳入了波兰凯尔采圣十字癌症中心的135名女性乳腺癌幸存者。采用国际身体活动问卷（IPAQ）的简化版主观评估参与者的身体活动（PA），并使用ActiGraph GT3X - BT加速度计进行客观评估。无论采用何种测量方法，总计75%的受试女性未报告任何剧烈身体活动。与加速度计相比，用IPAQ测量的中等强度身体活动和中等至剧烈强度身体活动（MVPA）的平均值分别高出7倍和10倍。相反，用加速度计测量的久坐行为值几乎比用IPAQ测量的值高出三倍。身体活动和久坐行为的测量结果存在显著差异。无论身体活动强度如何，基于加速度计的测量结果均显著低于IPAQ，而久坐行为的测量结果则更高。随着平均差异的增大，这两种方法之间的测量差异也增大。无论采用何种测量方法，中等强度身体活动与总体肥胖和脂肪组织分布之间均呈负相关，而久坐行为则呈现相反趋势。这表明肥胖在限制身体活动方面具有有害作用。
