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

    Access Status
    Open access via publisher
    Authors
    Van Roekel, E.
    Winkler, E.
    Bours, M.
    Lynch, B.
    Willems, P.
    Meijer, K.
    Kant, I.
    Beets, G.
    Sanduleanu, S.
    Healy, Genevieve
    Weijenberg, M.
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Van Roekel, E. and Winkler, E. and Bours, M. and Lynch, B. and Willems, P. and Meijer, K. and Kant, I. et al. 2016. Associations of sedentary time and patterns of sedentary time accumulation with health-related quality of life in colorectal cancer survivors. Preventive Medicine Reports. 4: pp. 262-269.
    Source Title
    Preventive Medicine Reports
    DOI
    10.1016/j.pmedr.2016.06.022
    School
    School of Physiotherapy and Exercise Science
    URI
    http://hdl.handle.net/20.500.11937/14563
    Collection
    • Curtin Research Publications
    Abstract

    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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