Adamczak Bartosz Bogusz, Kuźnik Zofia, Makles Szymon, Wasilewski Andrzej, Kosendiak Aureliusz Andrzej
Student Scientific Association, Department of Physical Education and Sport, Wroclaw Medical University, 51-601 Wroclaw, Poland.
Department of Physical Education and Sport, Wroclaw Medical University, 51-601 Wroclaw, Poland.
Healthcare (Basel). 2023 Dec 26;12(1):59. doi: 10.3390/healthcare12010059.
Urological cancers represent a substantial global public health concern, exerting far-reaching effects on both individuals and their families. There is an urgent need to comprehensively understand the transformations in patients' lifestyles and behaviors, given their critical role in the treatment process and overall well-being. This study, involving 128 urological cancer patients, aims to investigate changes in physical activity levels, problematic drinking behaviors assessed through the Alcohol Use Disorders Identification Test (AUDIT), and smoking habits assessed using the Fagerström Test for Nicotine Dependence (FTND) over four distinct time intervals over the subsequent three years from the time of diagnosis and among individuals diagnosed more than three years ago. The results reveal a significant decrease in physical activity levels between study intervals ( < 0.0001), declining from 69% to 45% between the first and second post-diagnosis assessments. Furthermore, the highest levels of problematic substance use, indicated by mean scores, were noted in the first year following diagnosis (AUDIT: 4.20, = 0.01; FTND: 4.83, = 0.08). Given the significant impact of physical activity on the prospects of recovery, it is imperative to delve more deeply into the factors contributing to this decline and devise targeted interventions for its improvement. In the context of substance use, it is essential to ascertain whether the initially high levels are a result of coping with the cancer diagnosis or represent a turning point at which patients modify their behaviors and cease their addiction. A more thorough understanding of this phenomenon would enhance the effectiveness of precisely focused interventions.
泌尿系统癌症是全球重大的公共卫生问题，对个人及其家庭都产生了深远影响。鉴于患者的生活方式和行为在治疗过程及整体健康状况中起着关键作用，迫切需要全面了解这些方面的变化。本研究纳入了128名泌尿系统癌症患者，旨在调查从诊断之时起的后续三年中，在四个不同时间间隔内，以及在诊断超过三年的个体中，通过酒精使用障碍识别测试（AUDIT）评估的问题饮酒行为、使用尼古丁依赖的法格斯特龙测试（FTND）评估的吸烟习惯，以及身体活动水平的变化。结果显示，各研究间隔之间身体活动水平显著下降（<0.0001），在诊断后的首次和第二次评估之间，从69%降至45%。此外，诊断后第一年的问题物质使用平均得分最高（AUDIT：4.20，=0.01；FTND：4.83，=0.08）。鉴于身体活动对康复前景有重大影响，必须更深入地探究导致这种下降的因素，并制定有针对性的干预措施来改善这一情况。在物质使用方面，必须确定最初的高水平是应对癌症诊断的结果，还是代表患者改变行为并戒除成瘾的转折点。对这一现象更全面的理解将提高精准干预措施的有效性。
