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Characterization of physical activity levels in female breast cancer survivors: relationship with lymphedema (AtiLinf)

2025-08-01Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorDuarte, Alice Ralheta
dc.contributor.authorNeto, Carla Martinho
dc.contributor.authorPrates, Leonor
dc.contributor.authorLobo, Pablo
dc.contributor.authorTomás, Maria Teresa
dc.date.accessioned2025-09-02T10:30:56Z
dc.date.available2025-09-02T10:30:56Z
dc.date.issued2025-08-01
dc.descriptionThis study is financed by IDI&CA (Research, Development, Innovation, and Artistic Creation of the Polytechnic Institute of Lisbon) under the reference IPL/2022/AtiLinf_ESTeSL, which provided funds for the acquisition of equipment and for the promotion of the project. Tomás is affiliated in Health & Technology Research Center, ESTeSL - Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, which is supported by FCT/MCTES (UIDB/05608/2020 and UIDP/05608/2020).
dc.description.abstractThe development of lymphedema (LE) is a major concern in breast cancer treatment, and it is crucial to understand the best ways to prevent and treat it. Physical activity is effective, safe, and feasible in controlling complications arising from treatments, as well as improving function and quality of life in breast cancer survivors. This study aimed to investigate the relationship between physical activity and grip strength, as well as LE development, in breast cancer survivors. A cross-sectional analytical study was conducted, and women who had survived breast cancer between 1 and 5 years after surgery were selected. Participants completed the International Physical Activity Questionnaire Short Form. The volume of the upper limb (UL) was measured using perimetry, handgrip strength was assessed with the JAMAR dynamometer, and the Actigraph accelerometer was placed on the waist. It was found that 50% of the sample was overweight, 28.3% were obese, and 52% of the participants had grip strength below the recommended level. They had an average energy expenditure of 1.2 (0.1) metabolic equivalents, 8.3 (1.8) hours/day of sedentary activity, and spent an average of 61% of their awake time in sedentary activity per day. Significant correlations were found between grip strength on the affected side and the difference in volume between the UL (rp = -.303, P = .041), as well as between body mass index (BMI) and the difference in volume between the UL (rp = .341; P = .020). Moreover, a significant correlation between BMI and the volume of the affected UL was found (rp = .848, P = .000). BMI and grip strength of the affected side were identified as significant predictors of LE, both with P values less than .05. Although physical activity cannot directly prevent LE, it may contribute by helping to control BMI and promote higher levels of grip strength, both of which are important factors in the prediction of LE.eng
dc.identifier.citationDuarte AR, Neto CM, Prates L, Lobo P, Tomás MT. Characterization of physical activity levels in female breast cancer survivors: relationship with lymphedema (AtiLinf). J Phys Act Health. 2025;22(9):1117-23.
dc.identifier.doi10.1123/jpah.2024-0509
dc.identifier.issn1543-3080
dc.identifier.issn1543-5474
dc.identifier.urihttp://hdl.handle.net/10400.21/22085
dc.language.isoeng
dc.peerreviewedyes
dc.publisherHuman Kinetics
dc.relation.hasversionhttps://journals.humankinetics.com/view/journals/jpah/22/9/article-p1117.xml
dc.relation.ispartofJournal of Physical Activity and Health
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPhysiotherapy
dc.subjectRehabilitation
dc.subjectAccelerometry
dc.subjectBody mass index
dc.subjectExercise
dc.subjectHandgrip strength
dc.subjectOncology
dc.subjectBreast cancer
dc.subjectAtiLinf
dc.subjectIPL/2022/AtiLinf _ESTeSL
dc.subjectFCT_UIDB/05608/2020
dc.subjectFCT_UIDP/05608/2020
dc.titleCharacterization of physical activity levels in female breast cancer survivors: relationship with lymphedema (AtiLinf)eng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1123
oaire.citation.issue9
oaire.citation.startPage1117
oaire.citation.titleJournal of Physical Activity and Health
oaire.citation.volume22
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTomás
person.givenNameMaria Teresa
person.identifier438585
person.identifier.ciencia-id3010-19D6-C7A5
person.identifier.orcid0000-0003-0491-8903
person.identifier.ridN-1940-2013
person.identifier.scopus-author-id36700434200
relation.isAuthorOfPublication64ad74a4-4cd4-426e-a1ee-2ec846fdc6dd
relation.isAuthorOfPublication.latestForDiscovery64ad74a4-4cd4-426e-a1ee-2ec846fdc6dd

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