Browse > Article
http://dx.doi.org/10.7586/jkbns.2015.17.2.104

Analysis of Physical Activity Measured by International Physical Activity Questionnaire and Actigraph Accelerometer, and Participation Intention for Physical Activity of Breast Cancer Survivors  

Park, Jee Yeon (Department of Nursing, Kyungsung University)
Kim, Nahyun (College of Nursing.Research Institute for Nursing Science, Keimyung University)
Kang, Sun Hee (Department of Surgery, College of Medicine, Keimyung University)
Publication Information
Journal of Korean Biological Nursing Science / v.17, no.2, 2015 , pp. 104-113 More about this Journal
Abstract
Purpose: This study aimed to analyze physical activity as measured by the International Physical Activity Questionnaire (IPAQ) and an actigraph in breast cancer survivors, as well as to identify their intention to participate in a physical activity program. Methods: Breast cancer patients who had been diagnosed for more than six months (N=135) at a university hospital participated from June 2012 to May 2013. Physical activity was measured using the Korean version of the IPAQ-Short Form and Actigraph GT3X plus an accelerator for seven consecutive days. Data analyses were conducted using the SPSS WIN 19.0 program. Results: Mean total physical activity was 2298.21 metabolic equivalent task (MET)-min/week as assessed by IPAQ and 150,140.57 counts/day as measured by an actigraph. There were statistically significant correlations between moderate physical activity from IPAQ and light intensity of physical activity from the actigraph (r=.735, p<.001), vigorous physical activity from IPAQ and vigorous intensity of physical activity from the actigraph (r=.871, p<.001), total physical activity from IPAQ and light intensity of physical activity from the actigraph (r=.825, p<.001), respectively. Most (80.7%) cancer survivors reported a positive attitude toward physical activity and 57.8% expressed a willingness to participate in a physical activity program. More than half (60%) of the subjects preferred walking, 80.6% preferred more than 30 minutes of exercise, and 57.1% wanted to engage in physical activity three times a week and preferred home-based activities. Perceived barriers included fatigue, lack of strength and pain. Conclusion: It is necessary to consider intensity, personal preferences, and patient-perceived barriers when developing physical activity programs for breast cancer survivors.
Keywords
Breast cancer; Survivor; Physical activity;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Herman DR, Ganz PA, Petersen L, Greendale GA. Obesity and cardiovascular risk factors in younger breast cancer survivors: The Cancer and Menopause Study (CAMS). Breast Cancer Research and Treatment. 2005;93(1):13-23. http://dx.doi.org/10.1007/s10549-005-2418-9   DOI
2 Colditz GA, Hankinson SE. The nurses' health study: lifestyle and health among women. Nature Reviews Cancer. 2005;5(5):388-396. http://dx.doi.org/10.1038/nrc1608   DOI   ScienceOn
3 Baumann FT, Bloch W, Weissen A, Brockhaus M, Beulertz J, Zimmer P, et al. Physical activity in breast cancer patients during medical treatment and in the aftercare-a review. Breast Care. 2013;8(5):330-334. http://dx.doi.org/10.1159/ 000356172   DOI   ScienceOn
4 Goodwin PJ, Ennis M, Pritchard KI, Trudeau ME, Koo J, Madarnas Y, et al. Fasting insulin and outcome in early-stage breast cancer: results of a prospective cohort study. Journal of Clinical Oncology : official journal of the American Society of Clinical Oncology. 2002;20(1):42-51. http://dx.doi.org/10.1200/JCO.20.1.42   DOI   ScienceOn
5 Hennessy EM, Stevinson C, Fox KR. Preliminary study of the lived experience of exercise for cancer survivors. European Journal of Oncology Nursing. 2005;9(2):155-166. http://dx.doi.org/10.1016/j.ejon.2004.08.003   DOI   ScienceOn
6 Im SJ. Associations between physical activity and quality of life among breast cancer survivors [master's thesis]. Seoul: Korea University; 2014. p. 1-81.
7 Elder JP, Ayala GX, Harris S. Theories and intervention approaches to health-behavior change in primary care. American Journal of Preventive Medicine. 1999;17(4):275-284. http://dx.doi.org/10.1016/S0749-3797(99)00094-X   DOI   ScienceOn
8 Touillaud M, Foucaut AM, Berthouze SE, Reynes E, Kempf-Lepine AS, Carretier J, et al. Design of a randomised controlled trial of adapted physical activity during adjuvant treatment for localised breast cancer: the PASAPAS feasibility study. BMJ open. 2013;3(10):e003855. http://dx.doi.org/ 10.1136/bmjopen-2013-003855   DOI   ScienceOn
9 Sung KW. Relationship of daily activity and biochemical variables in the elderly with diabetes mellitus. Journal of Korean Academy of Nursing. 2011;41(2): 182-190.   DOI   ScienceOn
10 Rogers LQ, Markwell S, Hopkins-Price P, Vicari S, Courneya KS, Hoelzer K, et al. Reduced barriers mediated physical activity maintenance among breast cancer survivors. Journal of Sport and Exercise Psychology. 2011;33(2):235-254.
11 Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise. 2003;35(8):1381-1395. http://dx.doi.org/10.1249/01.mss.0000078924.61453.fb   DOI   ScienceOn
12 Cho HS, Kim NH. Physical activity and fatigue in patients with cancer. Asian Oncology Nursing. 2010;10(1):30-37.
13 Johnson-Kozlow M, Sallis JF, Gilpin EA, Rock CL, Pierce JP. Comparative validation of the IPAQ and the 7-day PAR among women diagnosed with breast cancer. The International Journal of Behavioral Nutrition and Physical Activity. 2006;3:7-16. http://dx.doi.org/10.1249/01.mss.0000078924.61453.fb 10.1186/1479-5868-3-7   DOI   ScienceOn
14 Dyrstad SM, Hansen BH, Holme IM, Anderssen SA. Comparison of self-reported versus accelerometer- measured physical activity. Medicine and Science in Sports and Exercise. 2014;46(1):99-106. http://dx.doi.org/10.1249/01.mss.0000078924.61453.fb 10.1249/MSS.0b013e3182a0595f   DOI
15 Manrow RE, Beckwith M, Johnson LE. NCI's physician data query (PDQ$^{(R)}$)cancer information summaries: history, editorial processes, influence, and reach. Journal of Cancer Education. 2014;29(1):198-205. http://dx.doi.org/10.1007/s13187-013-0536-3   DOI   ScienceOn
16 Jeong SM, Kim TH, Park CH, Kim HG, Jekal YS. Review and introduction of physical activity assessment actigraph. Journal of Exercise and Sport Science. 2013;19:31-41.
17 Kim DY, Hwang IH, Jeon SH, Bae YH, Kim NH. Estimating algorithm of physical activity expenditure and physical activity intensity using a tri-axial. Journal of Rehabilitation Engineering and Assistive Technology. 2011;5(1):27-33.
18 Lee EJ, Kim MA. Review on wake-sleep studies using actigraphy. Keimyung Journal of Nursing Science. 2006;10(1):157-166.
19 Ministry of health & welfare. National cancer registration and statistics [internet]. Seoul: Korea; 2012 cited 2012 Dec27. Available from: http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403& page=1&CONT_SEQ=280286
20 Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, et al. American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. A Cancer Journal for Clinicians. 2012;62(1):30-67. http://dx.doi.org/10.3322/caac.20140   DOI
21 Ingram C, Visovsky C. Exercise intervention to modify physiologic risk factors in cancer survivors. Seminars in Oncology Nursing. 2007;23(4):275-284. http://dx.doi.org/10.1016/j.soncn.2007.08.005   DOI   ScienceOn
22 Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports. 1985;100(2):126-131.
23 Lee MH, Kim DY, Nam DH. Validation of the GT1M and GT3X accelerometers for assessment of physical activity. Journal of the Korean Society for Measurement and Evaluation in Physical Education and Sports Science. 2012;14(2): 61-71.
24 Hendelman D, Miller K, Baggett C, Debold E, Freedson P. Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Medicine and Science in Sports and Exercise. 2000;32(9 Suppl):S442-449. http://dx.doi.org/10.1097/00005768-200009001-00002   DOI
25 Lee MH. Development of estimated equation of exercise intensity for children using triaxial accelerometry [dissertation]. Yongin: Youngin University; 2012 p. 1-82.
26 Freedson PS, Melanson E, Sirard J. Calibration of the computer science and applications,inc. accelerometer. Medicine and Science in Sports and Exercise 1998;30(5): 777-781.   DOI   ScienceOn
27 Chung JY, Ann KY, Lee DH, Naruse M, Son YN, Lee JW, et al. Analysis of physical activity participation, intention and attitude of patients with colorectal cancer. The Korean Society of Living Environmental System. 2011;18(1):120-128.
28 Park JY. Kim NY. The relationship between physical activity and insulin resistance in the middle-aged adults. Journal of Korean Biological Nursing Science. 2011;13(3):245-252.
29 Park YH. Physical activity and sleep patterns in elderly who visited a community senior center. Journal of Korean Academic Nurses. 2007;37(5):5-13.
30 Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American college of sports medicine and the American heart association. Medicine and Science in Sports and Exercise. 2007;39(8):1423-34. http://dx.doi.org/10.1249/mss.0b013e3180616b27   DOI   ScienceOn