Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy

IntroductionPhysical activity is becoming more important in cancer patient care. However, there are limited studies investigating physical activity levels in cancer survivors after pancreaticoduodenectomy. This study aims to assess the present status of physical activity levels in cancer survivors a...

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Main Authors: Qiuju Tian, Meiqin Xue, Leying Chen, Min Zhang, Weiyi Zhu, Beiwen Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1428884/full
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author Qiuju Tian
Meiqin Xue
Leying Chen
Min Zhang
Weiyi Zhu
Beiwen Wu
author_facet Qiuju Tian
Meiqin Xue
Leying Chen
Min Zhang
Weiyi Zhu
Beiwen Wu
author_sort Qiuju Tian
collection DOAJ
description IntroductionPhysical activity is becoming more important in cancer patient care. However, there are limited studies investigating physical activity levels in cancer survivors after pancreaticoduodenectomy. This study aims to assess the present status of physical activity levels in cancer survivors after pancreaticoduodenectomy and whether perioperative metrics and length of follow-up have an impact on physical activity levels in survivorship.MethodsThis is a cross-sectional study. The study included cancer survivors who were treated at a tertiary general teaching hospital for pancreaticoduodenectomy from December 2019 to January 2022 following surgery. We quantified physical activity frequency, duration, and intensity using the International Physical Activity Questionnaire-Short Form. Patient demographic and clinical characteristics were obtained via an electronic medical record system. Postoperative complication data were obtained from our survival cohort. Variables univariately associated with the physical activity level at an alpha level of less than 0.1 were included in the logistic regression analysis of factors influencing physical activity in cancer survivors after pancreaticoduodenectomy.ResultsA total of 223 patients who met the eligibility criteria completed a telephone survey. The main form of physical exercise is walking, 69.5% of participants’ physical activity belongs to the active category, but only 16.6% of participants met the aerobic guideline. Logistic regression showed that cancer survivors without pancreatic fistula were 2.453 times more likely to perform active physical activity in survival than those with pancreatic leakage (p = 0.041). For a one-unit increase in operation duration, there is approximately a 0.5% reduction in the level of active physical activity participation among cancer survivors after pancreaticoduodenectomy (p = 0.015). For each unit increase in follow-up time, post-pancreaticoduodenectomy patients were 1.046 times more likely to participate in active physical activity (p = 0.030).ConclusionAlthough half of the cancer survivors after pancreaticoduodenectomy experienced active physical activity, only a small percentage of individuals met the guideline-recommended level of aerobic exercise. More physical activity support should be provided to cancer survivors after pancreaticoduodenectomy. Moreover, operation duration, postoperative pancreatic fistula, and follow-up time should be taken into consideration when giving exercise instructions to postoperative survivors of pancreaticoduodenectomy.
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spelling doaj-art-d737a8da8c7640cbad753bcee5f442a42025-01-16T05:10:15ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14288841428884Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomyQiuju Tian0Meiqin Xue1Leying Chen2Min Zhang3Weiyi Zhu4Beiwen Wu5Gastrointestinal Surgery Department, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaNursing Department, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaPancreatic Surgery Department, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaPancreatic Surgery Department, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaNursing Department, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaNursing Department, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaIntroductionPhysical activity is becoming more important in cancer patient care. However, there are limited studies investigating physical activity levels in cancer survivors after pancreaticoduodenectomy. This study aims to assess the present status of physical activity levels in cancer survivors after pancreaticoduodenectomy and whether perioperative metrics and length of follow-up have an impact on physical activity levels in survivorship.MethodsThis is a cross-sectional study. The study included cancer survivors who were treated at a tertiary general teaching hospital for pancreaticoduodenectomy from December 2019 to January 2022 following surgery. We quantified physical activity frequency, duration, and intensity using the International Physical Activity Questionnaire-Short Form. Patient demographic and clinical characteristics were obtained via an electronic medical record system. Postoperative complication data were obtained from our survival cohort. Variables univariately associated with the physical activity level at an alpha level of less than 0.1 were included in the logistic regression analysis of factors influencing physical activity in cancer survivors after pancreaticoduodenectomy.ResultsA total of 223 patients who met the eligibility criteria completed a telephone survey. The main form of physical exercise is walking, 69.5% of participants’ physical activity belongs to the active category, but only 16.6% of participants met the aerobic guideline. Logistic regression showed that cancer survivors without pancreatic fistula were 2.453 times more likely to perform active physical activity in survival than those with pancreatic leakage (p = 0.041). For a one-unit increase in operation duration, there is approximately a 0.5% reduction in the level of active physical activity participation among cancer survivors after pancreaticoduodenectomy (p = 0.015). For each unit increase in follow-up time, post-pancreaticoduodenectomy patients were 1.046 times more likely to participate in active physical activity (p = 0.030).ConclusionAlthough half of the cancer survivors after pancreaticoduodenectomy experienced active physical activity, only a small percentage of individuals met the guideline-recommended level of aerobic exercise. More physical activity support should be provided to cancer survivors after pancreaticoduodenectomy. Moreover, operation duration, postoperative pancreatic fistula, and follow-up time should be taken into consideration when giving exercise instructions to postoperative survivors of pancreaticoduodenectomy.https://www.frontiersin.org/articles/10.3389/fonc.2024.1428884/fullcancer survivorsphysical activitypancreatic cancerpancreaticoduodenectomypancreatic fistula
spellingShingle Qiuju Tian
Meiqin Xue
Leying Chen
Min Zhang
Weiyi Zhu
Beiwen Wu
Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
Frontiers in Oncology
cancer survivors
physical activity
pancreatic cancer
pancreaticoduodenectomy
pancreatic fistula
title Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
title_full Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
title_fullStr Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
title_full_unstemmed Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
title_short Analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
title_sort analysis of physical activity levels and influencing factors in cancer survivors after pancreaticoduodenectomy
topic cancer survivors
physical activity
pancreatic cancer
pancreaticoduodenectomy
pancreatic fistula
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1428884/full
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