Biskup Malgorzata, Macek Pawel, Zak Marek, Krol Halina, Terek-Derszniak Malgorzata, Gozdz Stanislaw
Collegium Medicum, Jan Kochanowski University, IX Centuries Kielc Avenue 19A, 25-516 Kielce, Poland.
Department of Rehabilitation, Holycross Cancer Center, Artwinskiego 3 Street, 25-734 Kielce, Poland.
Geriatrics (Basel). 2024 Oct 1;9(5):125. doi: 10.3390/geriatrics9050125.
Obesity is a chronic, relapsing, and progressive disease. The issue of obesity affects 50 to 80% of patients who have been diagnosed with breast cancer. The aim of this study is to assess the scale of the problem of obesity among breast cancer survivors (BCS) older than 60 years, evaluate their physical fitness, and study the relationship between the occurrence of obesity and levels of fitness among breast cancer survivors. The relationship between fitness and sociodemographic factors has also been analyzed.
This original epidemiological clinical study included a cohort of 88 female breast cancer survivors treated in 2022 in Holycross Cancer Center, Kielce, Poland. A questionnaire involving demographic information and medical data was utilized. The Senior Fitness Test (SFT) battery has been used to assess the physical fitness of the patients. Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were also analyzed.
More than 70% of the studied breast cancer survivors were classified as overweight or obese, according to BMI and WC indices. Depending on the SFT trial, the regression coefficients indicated worse results in participants who were older, lived in urban areas, were professionally active, less educated, and had higher obesity indices. The analysis of the relationship between obesity indices and fitness components revealed that all obesity indices were significantly associated with lower body flexibility (BMI = 0.0118, WC = 0.0092, WHR = 0.0364, WHtR = 0.0095). Upper body flexibility was significantly correlated with BMI indices ( = 0.0091, = 0.0193) and WHtR ( = 0.0095). Agility and balance were significantly associated with WC ( = 0.0193), WHR ( = 0.098), and WHtR ( = 0.0095). Lower body strength was significantly correlated with the WHR index ( = 0.0487). Significant differences were found in upper body strength depending on the WHtR category.
In the studied group of breast cancer survivors, there is a high prevalence of overweight and obesity. With increasing obesity rates, older age, and lower education levels, physical activity measured by the SFT decreases. Living in urban areas and being professionally active also predispose to lower physical activity levels. As obesity indices increase, physical fitness decreases in trials assessing upper and lower body strength, upper and lower body flexibility, as well as agility and dynamic balance.
肥胖是一种慢性、复发性和进行性疾病。肥胖问题影响着50%至80%已被诊断患有乳腺癌的患者。本研究的目的是评估60岁以上乳腺癌幸存者（BCS）中的肥胖问题规模，评估他们的身体素质，并研究肥胖的发生与乳腺癌幸存者身体素质水平之间的关系。还分析了身体素质与社会人口学因素之间的关系。
这项原创性的流行病学临床研究纳入了2022年在波兰凯尔采的Holycross癌症中心接受治疗的88名女性乳腺癌幸存者队列。使用了一份涉及人口信息和医疗数据的问卷。采用老年健身测试（SFT）组合来评估患者的身体素质。还分析了体重指数（BMI）、腰围（WC）、腰臀比（WHR）和腰高比（WHtR）。
根据BMI和WC指数，超过70%的研究乳腺癌幸存者被归类为超重或肥胖。根据SFT试验，回归系数表明，年龄较大、居住在城市地区、职业活跃、受教育程度较低且肥胖指数较高的参与者结果较差。肥胖指数与身体素质成分之间的关系分析显示，所有肥胖指数均与较低的身体柔韧性显著相关（BMI = 0.0118，WC = 0.0092，WHR = 0.0364，WHtR = 0.0095）。上身柔韧性与BMI指数（ = 0.0091， = 0.0193）和WHtR（ = 0.0095）显著相关。敏捷性和平衡与WC（ = 0.0193）、WHR（ = 0.098）和WHtR（ = 0.0095）显著相关。下肢力量与WHR指数（ = 0.0487）显著相关。根据WHtR类别，上身力量存在显著差异。
在研究的乳腺癌幸存者组中，超重和肥胖的患病率很高。随着肥胖率、年龄的增加以及教育水平的降低，通过SFT测量的身体活动减少。居住在城市地区和职业活跃也易导致较低的身体活动水平。随着肥胖指数的增加，在评估上身和下肢力量、上身和下肢柔韧性以及敏捷性和动态平衡的试验中，身体素质会下降。
