The association of physical function and quality of life on physical activity for non-small cell lung cancer survivors
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ORIGINAL ARTICLE
The association of physical function and quality of life on physical activity for non-small cell lung cancer survivors Ji Sung Yoo 1,2 & Hee Chul Yang 3 & Jong Mog Lee 3 & Moon Soo Kim 3 & Eun-Cheol Park 4 & Seung Hyun Chung 1 Received: 25 July 2019 / Accepted: 9 January 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Our study aimed to assess the association between physical function and quality of life (QOL) with physical activity among non-small cell lung cancer (NSCLC) survivors. Methods Participants were 92 NSCLC survivors. Physical activity was assessed by a self-report with physiatrist’s interview and the Korean version of the short form of the International Physical Activity Questionnaire (IPAQ-SF). All participants were required to perform three standardized fitness tests. The Korean version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) was used to assess QOL. Factors associated with physical functioning and QOL were determined using multiple linear regression. Results A significant correlation between metabolic equivalent task minutes per week (MET-min/wk) and aerobic fitness was found (r = 0.277, p = 0.008). Factors associated with aerobic fitness include gender, age, and MET-min/wk. The meeting physical activity guideline group was also a factor associated with aerobic fitness. In the QOL aspect, a significant correlation between MET-min/wk and some QOL score was found. The meeting physical activity guideline group was a factor associated with QOL (global health status, physical function, and role function), not total MET-min/wk. Conclusions Increased physical activity was associated with higher aerobic fitness and QOL. Engagement in physical activity that met physical activity guidelines was a factor related to aerobic fitness and better QOL in some domains. To improve aspects of aerobic fitness and QOL, we may consider the pattern of physical activity, including regular participation and intensity, rather than total physical activity including basal activity. Keywords Non-small cell lung cancer . Cancer survivors . Physical activity . Physical function . Quality of life
Introduction Lung cancer was the fourth most common cancer and the leading cause of death in men and women in South Korea in 2015 [1]. However, mortality rates of lung cancer started to decrease in the
* Seung Hyun Chung [email protected] 1
Department of Rehabilitation Medicine, Research Institute and Hospital, National Cancer Center, Goyang, South Korea
2
Department of Medicine, Yonsei University Graduate School, Seoul, Republic of Korea
3
Center for Lung Cancer, Research Institute and Hospital, National Cancer Center, Goyang, South Korea
4
Department of Preventive Medicine & Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea
early 2000s, and the 5-year relative survival rates for lung cancer improved from 11.3% in 1993–1995 to 26.7% in 2011–2015 [
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