Accelerometry-based assessment of physical activity and sedentary behavior in adult survivors of childhood acute lymphoblastic leukemia and their healthy peers
Language English Country England, Great Britain Media electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
37156849
PubMed Central
PMC10165287
DOI
10.1038/s41598-023-34689-5
PII: 10.1038/s41598-023-34689-5
Knihovny.cz E-resources
- MeSH
- Accelerometry MeSH
- Precursor Cell Lymphoblastic Leukemia-Lymphoma * therapy MeSH
- Exercise MeSH
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Sedentary Behavior * MeSH
- Health Status MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
Adult survivors of childhood acute lymphoblastic leukemia (ASALL) compose a specific group that faces an increased risk of experiencing late effects of their earlier treatment. Physical activity (PA) may be one of the appropriate means for preventing or minimizing the late effects of treatment. The main purpose of this study is to characterize device-measured PA and sedentary behavior (SB) among ASALL. The specific objective was to compare the movement behavior with a group recruited from the healthy population and to determine the degree of compliance with health recommendations for PA in the adult population. Twenty ASALL and 21 healthy control group (CG) members participated in the study. Participants were between 18 and 30 years old. Movement behavior was assessed for seven days using an Axivity AX3 accelerometer and a 24-h wearing protocol. Movement behavior was characterized by the amount of time spent in SB, light PA (LPA), moderate PA (MPA), and vigorous PA (VPA). There were no significant differences in movement behavior or compliance with PA recommendations between the ASALL and CG. During the week, the ASALL accumulated 711 min per day of SB vs. 636 min per day in the CG (p = 0.26); the ASALL had 186 min per day of LPA vs. 201 min per day in the CG (p = 0.47); the ASALL had 132 min per day of MPA vs. 147 min per day in the CG (p = 0.25); and the ASALL had 5 min per day of VPA vs. 4 min per day in the CG (p = 0.48). All research participants (ASALL and CG) met the PA recommendations of > 150 min per week for moderate PA. The results of our study suggest that ASALL, even after suffering from that disease in childhood, display comparable levels of PA and SB to their healthy peers. Both groups met the health recommendations for PA. The device-based monitoring of PA and SB should be an integral part of monitoring the late effects of treatment.
See more in PubMed
Lemay V, et al. Physical activity and sedentary behaviors in childhood acute lymphoblastic leukemia survivors. J. Pediatr. Hematol. Oncol. 2020;42:53–60. doi: 10.1097/MPH.0000000000001594. PubMed DOI
Mody R, et al. Twenty-five-year follow-up among survivors of childhood acute lymphoblastic leukemia: A report from the Childhood Cancer Survivor Study. Blood. 2008;111:5515–5523. doi: 10.1182/blood-2007-10-117150. PubMed DOI PMC
Phillips NS, et al. Physical fitness and neurocognitive outcomes in adult survivors of childhood acute lymphoblastic leukemia: A report from the St. Jude Lifetime Cohort. Cancer. 2020;126:640–648. doi: 10.1002/cncr.32510. PubMed DOI PMC
Kızılocak H, Okcu F. Late effects of therapy in childhood acute lymphoblastic leukemia survivors. Turkish J. Haematol. Off. J. Turkish Soc. Haematol. 2019;36:1–11. PubMed PMC
Gendron É, et al. The effect of cardiorespiratory fitness and physical activity levels on cognitive functions in survivors of childhood acute lymphoblastic leukemia. Pediatr. Hematol. Oncol. 2020;37:582–598. doi: 10.1080/08880018.2020.1767737. PubMed DOI
Bertorello N, Manicone R, Galletto C, Barisone E, Fagioli F. Physical activity and late effects in childhood acute lymphoblastic leukemia long-term survivors. Pediatr. Hematol. Oncol. 2011;28:354–363. doi: 10.3109/08880018.2010.550987. PubMed DOI
Florin TA, et al. Physical inactivity in adult survivors of childhood acute lymphoblastic leukemia: A report from the childhood cancer survivor study. Cancer Epidemiol. Biomarkers Prev. 2007;16:1356–1363. doi: 10.1158/1055-9965.EPI-07-0048. PubMed DOI
Tonorezos ES, et al. Reduced cardiorespiratory fitness in adult survivors of childhood acute lymphoblastic leukemia. Pediatr. Blood Cancer. 2013;60:1358–1364. doi: 10.1002/pbc.24492. PubMed DOI PMC
Robien K, Ness KK, Klesges LM, Baker KS, Gurney JG. Poor adherence to dietary guidelines among adult survivors of childhood acute lymphoblastic leukemia. J. Pediatr. Hematol. Oncol. 2008;30:815–822. doi: 10.1097/MPH.0b013e31817e4ad9. PubMed DOI PMC
Järvelä LS, et al. Physical activity and fitness in adolescent and young adult long-term survivors of childhood acute lymphoblastic leukaemia. J. Cancer Surviv. 2010;4:339–345. doi: 10.1007/s11764-010-0131-0. PubMed DOI
Saunders TJ, McIsaac T, Douillette K, Gaulton N, Hunter S, Rhodes RE, et al. Sedentary behaviour and health in adults: an overview of systematic reviews. Appl. Physiol. Nutr. Metab. 2020;45:197–217. doi: 10.1139/apnm-2020-0272. PubMed DOI
Ness KK, et al. Energy balance and fitness in adult survivors of childhood acute lymphoblastic leukemia. Blood. 2015;125:3411–3419. doi: 10.1182/blood-2015-01-621680. PubMed DOI PMC
Link K, et al. Growth hormone deficiency predicts cardiovascular risk in young adults treated for acute lymphoblastic leukemia in childhood. J. Clin. Endocrinol. Metab. 2004;89:5003–5012. doi: 10.1210/jc.2004-0126. PubMed DOI
Götte M, Seidel CC, Kesting SV, Rosenbaum D, Boos J. Objectively measured versus self-reported physical activity in children and adolescents with cancer. PLoS One. 2017;12:e0172216. doi: 10.1371/journal.pone.0172216. PubMed DOI PMC
Prince SA, et al. A comparison of self-reported and device measured sedentary behaviour in adults: A systematic review and meta-analysis. Int. J. Behav. Nutr. Phys. Act. 2020;17:1–17. doi: 10.1186/s12966-020-00938-3. PubMed DOI PMC
Bull FC, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br. J. Sports Med. 2020;54:1451–1462. doi: 10.1136/bjsports-2020-102955. PubMed DOI PMC
Noether GE. Sample size determination for some common nonparametric tests. J. Am. Stat. Assoc. 1987;82:645–647. doi: 10.1080/01621459.1987.10478478. DOI
Rowlands AV, et al. Accelerometer-assessed physical activity in epidemiology: Are monitors equivalent? Med. Sci. Sports Exerc. 2018;50:257–265. doi: 10.1249/MSS.0000000000001435. PubMed DOI
Doherty A, et al. Large scale population assessment of physical activity using wrist worn accelerometers: The UK biobank study. PLoS ONE. 2017;12:1–14. doi: 10.1371/journal.pone.0169649. PubMed DOI PMC
Migueles JH, Rowlands AV, Huber F, Sabia S, van Hees VT. GGIR: A research community-driven open source R package for generating physical activity and sleep outcomes from multi-day raw accelerometer data. J. Meas. Phys. Behav. 2019;2:188–196. doi: 10.1123/jmpb.2018-0063. DOI
Hildebrand M, Hansen BH, van Hees VT, Ekelund U. Evaluation of raw acceleration sedentary thresholds in children and adults. Scand. J. Med. Sci. Sport. 2017;27:1814–1823. doi: 10.1111/sms.12795. PubMed DOI
Hildebrand M, Van Hees VT, Hansen BH, Ekelund U. Age group comparability of raw accelerometer output from wrist-and hip-worn monitors. Med. Sci. Sports Exerc. 2014;46:1816–1824. doi: 10.1249/MSS.0000000000000289. PubMed DOI
Stolley MR, Restrepo J, Sharp LK. Diet and physical activity in childhood cancer survivors: A review of the literature. Ann. Behav. Med. 2010;39:232–249. doi: 10.1007/s12160-010-9192-6. PubMed DOI PMC
Andrés-Jensen L, et al. Everyday life challenges among adolescent and young adult survivors of childhood acute lymphoblastic leukemia: An in-depth qualitative study. Psychooncology. 2020;29:1630–1637. doi: 10.1002/pon.5480. PubMed DOI
Caru M, et al. Childhood acute lymphoblastic leukemia survivors have a substantially lower cardiorespiratory fitness level than healthy Canadians despite a clinically equivalent level of physical activity. J. Adolesc. Young Adult Oncol. 2019;8:674–683. doi: 10.1089/jayao.2019.0024. PubMed DOI
Faber J, et al. Burden of cardiovascular risk factors and cardiovascular disease in childhood cancer survivors: Data from the German CVSS-study. Eur. Heart J. 2018;39:1555–1562. doi: 10.1093/eurheartj/ehy026. PubMed DOI
Prince SA, Melvin A, Roberts KC, Butler GP, Thompson W. Sedentary behaviour surveillance in Canada: Trends, challenges and lessons learned. Int. J. Behav. Nutr. Phys. Act. 2020;17:34. doi: 10.1186/s12966-020-00925-8. PubMed DOI PMC
Bauman, A. E., Petersen, C. B., Blond, K., Rangul, V. & Hardy, L. L. The descriptive epidemiology of sedentary behaviour. (2018). 10.1007/978-3-319-61552-3_4
Ekelund U, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388:1302–1310. doi: 10.1016/S0140-6736(16)30370-1. PubMed DOI
Ramakrishnan R, Doherty A, Smith-Byrne K, Rahimi K, Bennett D, et al. Correction: Accelerometer measured physical activity and the incidence of cardiovascular disease: Evidence from the UK Biobank cohort study. PLOS Med. 2021;18:e1003809. doi: 10.1371/journal.pmed.1003809. PubMed DOI PMC