학술논문
Physical Activity Is Associated with Improved Overall Survival among Patients with Metastatic Colorectal Cancer
Document Type
article
Author
Karel C. Smit; Jeroen W. G. Derksen; Geerard L. O. Beets; Eric J. Th. Belt; Maaike Berbée; Peter Paul L. O. Coene; Hester van Cruijsen; Marjan A. Davidis; Jan Willem T. Dekker; Joyce M. van Dodewaard-de Jong; Annebeth W. Haringhuizen; Helgi H. Helgason; Mathijs P. Hendriks; Ronald Hoekstra; Ignace H. J. T. de Hingh; Jan N. M. IJzermans; Johan J. B. Janssen; Joop L. M. Konsten; Maartje Los; Leonie J. M. Mekenkamp; Peter Nieboer; Koen C. M. J. Peeters; Natascha A. J. B. Peters; Hans J. F. M. Pruijt; Patricia Quarles van Ufford-Mannesse; Ron C. Rietbroek; Anandi H. W. Schiphorst; Arjan Schouten van der Velden; Ruud W. M. Schrauwen; Mark P. S. Sie; Dirkje W. Sommeijer; Dirk J. A. Sonneveld; Hein B. A. C. Stockmann; Marleen Tent; Frederiek Terheggen; Manuel L. R. Tjin-A-Ton; Liselot Valkenburg-van Iersel; Ankie M. T. van der Velden; Wouter J. Vles; Theo van Voorthuizen; Johannes A. Wegdam; Johannes H. W. de Wilt; Miriam Koopman; Anne M. May; on behalf of the PLCRC Study Group
Source
Cancers, Vol 14, Iss 4, p 1001 (2022)
Subject
Language
English
ISSN
2072-6694
Abstract
Regular physical activity (PA) is associated with improved overall survival (OS) in stage I–III colorectal cancer (CRC) patients. This association is less defined in patients with metastatic CRC (mCRC). We therefore conducted a study in mCRC patients participating in the Prospective Dutch Colorectal Cancer cohort. PA was assessed with the validated SQUASH questionnaire, filled-in within a maximum of 60 days after diagnosis of mCRC. PA was quantified by calculating Metabolic Equivalent Task (MET) hours per week. American College of Sports and Medicine (ACSM) PA guideline adherence, tertiles of moderate to vigorous PA (MVPA), and sport and leisure time MVPA (MVPA-SL) were assessed as well. Vital status was obtained from the municipal population registry. Cox proportional-hazards models were used to study the association between PA determinants and all-cause mortality adjusted for prognostic patient and treatment-related factors. In total, 293 mCRC patients (mean age 62.9 ± 10.6 years, 67% male) were included in the analysis. Compared to low levels, moderate and high levels of MET-hours were significantly associated with longer OS (fully adjusted hazard ratios: 0.491, (95% CI 0.299–0.807, p value = 0.005) and 0.485 (95% CI 0.303–0.778, p value = 0.003), respectively), as were high levels of MVPA (0.476 (95% CI 0.278–0.816, p value = 0.007)) and MVPA-SL (0.389 (95% CI 0.224–0.677, p value < 0.001)), and adherence to ACSM PA guidelines compared to non-adherence (0.629 (95% CI 0.412–0.961, p value = 0.032)). The present study provides evidence that higher PA levels at diagnosis of mCRC are associated with longer OS.