Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors

Sedentary behavior (sitting/lying at low energy expenditure while awake) is emerging as an important risk factor that may compromise the health-related quality of life (HRQoL) of colorectal cancer (CRC) survivors. We examined associations of sedentary time with HRQoL in CRC survivors, 2-10 years pos...

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Main Authors: Van Roekel, E., Winkler, E., Bours, M., Lynch, B., Willems, P., Meijer, K., Kant, I., Beets, G., Sanduleanu, S., Healy, Genevieve, Weijenberg, M.
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/14563
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author Van Roekel, E.
Winkler, E.
Bours, M.
Lynch, B.
Willems, P.
Meijer, K.
Kant, I.
Beets, G.
Sanduleanu, S.
Healy, Genevieve
Weijenberg, M.
author_facet Van Roekel, E.
Winkler, E.
Bours, M.
Lynch, B.
Willems, P.
Meijer, K.
Kant, I.
Beets, G.
Sanduleanu, S.
Healy, Genevieve
Weijenberg, M.
author_sort Van Roekel, E.
building Curtin Institutional Repository
collection Online Access
description Sedentary behavior (sitting/lying at low energy expenditure while awake) is emerging as an important risk factor that may compromise the health-related quality of life (HRQoL) of colorectal cancer (CRC) survivors. We examined associations of sedentary time with HRQoL in CRC survivors, 2-10 years post-diagnosis. In a cross-sectional study, stage I-III CRC survivors (n = 145) diagnosed (2002-2010) at Maastricht University Medical Center+, the Netherlands, wore the thigh-mounted MOX activity monitor 24 h/day for seven consecutive days. HRQoL outcomes were assessed by validated questionnaires (EORTC QLQ-C30, WHODAS II, Checklist Individual Strength, and Hospital Anxiety and Depression Scale). Confounder-adjusted linear regression models were used to estimate associations with HRQoL outcomes of MOX-derived total and prolonged sedentary time (in prolonged sedentary bouts ≥ 30 min), and usual sedentary bout duration, corrected for waking wear time. On average, participants spent 10.2 h/day sedentary (SD, 1.6), and 4.5 h/day in prolonged sedentary time (2.3). Mean usual sedentary bout duration was 27.3 min (SD, 16.8). Greater total and prolonged sedentary time, and longer usual sedentary bout duration were associated with significantly (P < 0.05) lower physical functioning, and higher disability and fatigue scores. Greater prolonged sedentary time and longer usual sedentary bout duration also showed significant associations with lower global quality of life and role functioning. Associations with distress and social functioning were non-significant. Sedentary time was cross-sectionally associated with poorer HRQoL outcomes in CRC survivors. Prospective studies are needed to investigate whether sedentary time reduction is a potential target for lifestyle interventions aiming to improve the HRQoL of CRC survivors.
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spelling curtin-20.500.11937-145632017-09-13T15:02:45Z Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors Van Roekel, E. Winkler, E. Bours, M. Lynch, B. Willems, P. Meijer, K. Kant, I. Beets, G. Sanduleanu, S. Healy, Genevieve Weijenberg, M. Sedentary behavior (sitting/lying at low energy expenditure while awake) is emerging as an important risk factor that may compromise the health-related quality of life (HRQoL) of colorectal cancer (CRC) survivors. We examined associations of sedentary time with HRQoL in CRC survivors, 2-10 years post-diagnosis. In a cross-sectional study, stage I-III CRC survivors (n = 145) diagnosed (2002-2010) at Maastricht University Medical Center+, the Netherlands, wore the thigh-mounted MOX activity monitor 24 h/day for seven consecutive days. HRQoL outcomes were assessed by validated questionnaires (EORTC QLQ-C30, WHODAS II, Checklist Individual Strength, and Hospital Anxiety and Depression Scale). Confounder-adjusted linear regression models were used to estimate associations with HRQoL outcomes of MOX-derived total and prolonged sedentary time (in prolonged sedentary bouts ≥ 30 min), and usual sedentary bout duration, corrected for waking wear time. On average, participants spent 10.2 h/day sedentary (SD, 1.6), and 4.5 h/day in prolonged sedentary time (2.3). Mean usual sedentary bout duration was 27.3 min (SD, 16.8). Greater total and prolonged sedentary time, and longer usual sedentary bout duration were associated with significantly (P < 0.05) lower physical functioning, and higher disability and fatigue scores. Greater prolonged sedentary time and longer usual sedentary bout duration also showed significant associations with lower global quality of life and role functioning. Associations with distress and social functioning were non-significant. Sedentary time was cross-sectionally associated with poorer HRQoL outcomes in CRC survivors. Prospective studies are needed to investigate whether sedentary time reduction is a potential target for lifestyle interventions aiming to improve the HRQoL of CRC survivors. 2016 Journal Article http://hdl.handle.net/20.500.11937/14563 10.1016/j.pmedr.2016.06.022 unknown
spellingShingle Van Roekel, E.
Winkler, E.
Bours, M.
Lynch, B.
Willems, P.
Meijer, K.
Kant, I.
Beets, G.
Sanduleanu, S.
Healy, Genevieve
Weijenberg, M.
Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
title Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
title_full Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
title_fullStr Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
title_full_unstemmed Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
title_short Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
title_sort associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors
url http://hdl.handle.net/20.500.11937/14563