Tanrıverdi Müberra, Sahin Sedef, Yıldırım Kardelen, Yılmaz Guleser Guney, Davutoglu Ceren, Cakir Fatma Betul, Kaya Kara Özgün
Department of Physiotherapy and Rehabilitation, Bezmialem Vakif University, Istanbul, Turkey.
Department of Occupational Therapy, Hacettepe University, Ankara, Turkey.
BMJ Paediatr Open. 2025 Sep 25;9(1):e003639. doi: 10.1136/bmjpo-2025-003639.
This study compared participation limitations in daily life activities among childhood cancer survivors across different Body Mass Index (BMI) categories.
Prospective cross-sectional study.
The study data were collected from two separate oncology outpatient clinics.
116 children with cancer aged 10.07±3.83 were included in the study. The mean follow-up time after cancer treatment turnover was 36.28±6.43 months.
Participation levels were assessed using the Pediatric Outcomes Data Collection Instrument (PODCI) as the primary outcome of this study, and they were categorised by BMI.
The mean z score was 0.64 ± 1.12, and the average BMI was 17.76±3.56. The PODCI global functioning score averaged 80.25±15.23. There were no significant associations between the global functioning score and age, chemotherapy, or surgery (p>0.05). However, significant relationships were found between the global functioning score and gender, BMI, and radiotherapy (p<0.05). Significant functional differences were observed in the upper extremity, basic mobility transfer, happiness and overall functioning (p<0.05). No significant differences were noted in sports and physical functioning or pain/comfort across different BMI categories (underweight, normal/healthy, overweight) (p>0.05).
Survivors experience participation restrictions in daily living activities after completing treatment. Systematic evaluation of feedback received from patients/parents regarding physical function, sports, transfer and participation highlights the importance of BMI in childhood cancer survivors. Addressing these factors is key to achieving better health-related quality of life in functionality and participatory outcomes for survivors.
本研究比较了不同体重指数（BMI）类别的儿童癌症幸存者在日常生活活动中的参与限制情况。
前瞻性横断面研究。
研究数据收集自两个独立的肿瘤门诊。
116名年龄为10.07±3.83岁的癌症患儿纳入研究。癌症治疗结束后的平均随访时间为36.28±6.43个月。
使用儿童结局数据收集工具（PODCI）评估参与水平，将其作为本研究的主要结局指标，并按BMI进行分类。
平均z评分为0.64±1.12，平均BMI为17.76±3.56。PODCI整体功能评分平均为80.25±15.23。整体功能评分与年龄、化疗或手术之间无显著关联（p>0.05）。然而，发现整体功能评分与性别、BMI和放疗之间存在显著关系（p<0.05）。在上肢、基本移动转移、幸福感和整体功能方面观察到显著的功能差异（p<0.05）。在不同BMI类别（体重过轻、正常/健康、超重）的运动和身体功能或疼痛/舒适度方面未发现显著差异（p>0.05）。
幸存者在完成治疗后在日常生活活动中经历参与限制。系统评估从患者/家长那里收到的关于身体功能、运动、转移和参与的反馈，突出了BMI在儿童癌症幸存者中的重要性。解决这些因素是提高幸存者功能和参与结局方面与健康相关生活质量的关键。
