J Korean Med Sci.  2017 Aug;32(8):1345-1350. 10.3346/jkms.2017.32.8.1345.

The Relationship between Physical Activity Intensity and Mental Health Status in Patients with Breast Cancer

Affiliations
  • 1Department of Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • 2Department of Industry Academic Cooperation Foundation, Chung-Ang University, Seoul, Korea.
  • 3Department of Psychiatry, Chung-Ang University Hospital, Seoul, Korea. hduk@yahoo.com

Abstract

The aim of this study was to investigate the correlation between physical activity (PA) level and mental health status in a population-based sample of Korean female patients with breast cancer. Our analysis included 76 patients with breast cancer and 44 healthy controls. The Korean versions of the International Physical Activity Questionnaire (IPAQ), Beck Depressive Inventory (BDI), State-Trait Anxiety Inventory-KY (STAI-KY), and Somatosensory Amplification Scale (SSAS), and Quality of Life (QOL) scale were assessed. The frequency of moderate PA level in breast cancer patients was significantly lower than that of healthy control subjects (t = −2.6; P = 0.011). In turn, the incidence of low PA level in breast cancer patients was significantly higher than that observed in healthy controls (t = 2.85; P = 0.005). A moderate PA level was inversely correlated with BDI score (r = −0.35; P = 0.008) and was positively correlated with QOL score (r = 0.38; P = 0.011). A low level of PA was inversely correlated with SSAS score (r = −0.39; P < 0.001). In healthy controls, a high level of PA was positively correlated with QOL score (r = 0.50; P = 0.043). Moderate PA level was inversely correlated with SSAS score (r = −0.59; P < 0.001). A low level of PA was also positively correlated with BDI score (r = 0.35; P = 0.008). A moderate or low intensity of PA was inversely correlated with depression and somatosensory amplification and was positively correlated with QOL in breast cancer patients. Finally, we suggest that progressively low-to-moderate levels of PA can be well adapted to positively impact several measures of mental health.

Keyword

Physical Activity Intensity; Mental Health Status; Breast Cancer

MeSH Terms

Anxiety
Breast Neoplasms*
Breast*
Depression
Female
Humans
Incidence
Mental Health*
Motor Activity*
Quality of Life

Reference

1. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015; 136:E359–E386.
2. Jung KW, Park S, Kong HJ, Won YJ, Boo YK, Shin HR, Park EC, Lee JS. Cancer statistics in Korea: incidence, mortality and survival in 2006–2007. J Korean Med Sci. 2010; 25:1113–1121.
3. Ganz PA, Greendale GA, Petersen L, Zibecchi L, Kahn B, Belin TR. Managing menopausal symptoms in breast cancer survivors: results of a randomized controlled trial. J Natl Cancer Inst. 2000; 92:1054–1064.
4. Tatrow K, Montgomery GH. Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: a meta-analysis. J Behav Med. 2006; 29:17–27.
5. Millar K, Purushotham AD, McLatchie E, George WD, Murray GD. A 1-year prospective study of individual variation in distress, and illness perceptions, after treatment for breast cancer. J Psychosom Res. 2005; 58:335–342.
6. Lee MS, Love SB, Mitchell JB, Parker EM, Rubens RD, Watson JP, Fentiman IS, Hayward JL. Mastectomy or conservation for early breast cancer: psychological morbidity. Eur J Cancer. 1992; 28A:1340–1344.
7. Fann JR, Thomas-Rich AM, Katon WJ, Cowley D, Pepping M, McGregor BA, Gralow J. Major depression after breast cancer: a review of epidemiology and treatment. Gen Hosp Psychiatry. 2008; 30:112–126.
8. Van Esch L, Roukema JA, Van der Steeg AF, De Vries J. Trait anxiety predicts disease-specific health status in early-stage breast cancer patients. Qual Life Res. 2011; 20:865–873.
9. Goldberg JA, Scott RN, Davidson PM, Murray GD, Stallard S, George WD, Maguire GP. Psychological morbidity in the first year after breast surgery. Eur J Surg Oncol. 1992; 18:327–331.
10. Ha EH, Seo JE, Jeong J, Yang JH, Nam SJ, Baik HJ, Lee JE. Biopsychological predictors of depression disorder in breast cancer patients. Korean J Clin Psychol. 2008; 27:961–976.
11. Carayol M, Bernard P, Boiché J, Riou F, Mercier B, Cousson-Gélie F, Romain AJ, Delpierre C, Ninot G. Psychological effect of exercise in women with breast cancer receiving adjuvant therapy: what is the optimal dose needed? Ann Oncol. 2013; 24:291–300.
12. Rogers LQ, Markwell SJ, Courneya KS, McAuley E, Verhulst S. Physical activity type and intensity among rural breast cancer survivors: patterns and associations with fatigue and depressive symptoms. J Cancer Surviv. 2011; 5:54–61.
13. Antoni MH, Lehman JM, Kilbourn KM, Boyers AE, Culver JL, Alferi SM, Yount SE, McGregor BA, Arena PL, Harris SD, et al. Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychol. 2001; 20:20–32.
14. Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: sleep and psychological effects. J Clin Oncol. 2005; 23:6083–6096.
15. McNeely ML, Campbell KL, Rowe BH, Klassen TP, Mackey JR, Courneya KS. Effects of exercise on breast cancer patients and survivors: a systematic review and meta-analysis. CMAJ. 2006; 175:34–41.
16. McAuley E, White SM, Rogers LQ, Motl RW, Courneya KS. Physical activity and fatigue in breast cancer and multiple sclerosis: psychosocial mechanisms. Psychosom Med. 2010; 72:88–96.
17. Je Y, Jeon JY, Giovannucci EL, Meyerhardt JA. Association between physical activity and mortality in colorectal cancer: a meta-analysis of prospective cohort studies. Int J Cancer. 2013; 133:1905–1913.
18. Zhong S, Jiang T, Ma T, Zhang X, Tang J, Chen W, Lv M, Zhao J. Association between physical activity and mortality in breast cancer: a meta-analysis of cohort studies. Eur J Epidemiol. 2014; 29:391–404.
19. Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA. Physical activity and survival after breast cancer diagnosis. JAMA. 2005; 293:2479–2486.
20. Rao MR, Raghuram N, Nagendra HR, Gopinath KS, Srinath BS, Diwakar RB, Patil S, Bilimagga SR, Rao N, Varambally S. Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment: a randomized controlled trial. Complement Ther Med. 2009; 17:1–8.
21. Chun MY. Validity and reliability of Korean version of International Physical Activity Questionnaire short form in the elderly. Korean J Fam Med. 2012; 33:144–151.
22. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. J Korean Acad Fam Med. 2007; 28:532–541.
23. Bassett DR Jr. International Physical Activity Questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35:1396.
24. Booth M. Assessment of physical activity: an international perspective. Res Q Exerc Sport. 2000; 71:Suppl 2. 114–120.
25. Han HM, Yum TH, Shin YW, Kim KH, Yoon DJ, Chung KJ. A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc. 1986; 25:487–500.
26. Yu B, Lee HK, Lee K. Validation and factor structure of Korean version of the Beck Depression Inventory Second Edition (BDI-II): in a university student sample. Korean J Biol Psychiatry. 2011; 18:126–133.
27. Cho SC. Assessment of test anxiety. J Korean Neuropsychiatr Assoc. 1989; 28:668–677.
28. Won HT, Shin HJ. A study on the cognitive characteristics of somatization (I): the perception, attribution and memory biases of bodily sensations in somatization patients. Korean J Clin Psychol. 1998; 17:33–39.
29. Barsky AJ, Wyshak G, Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res. 1990; 24:323–334.
30. Min SK, Kim KI, Lee CI, Jung YC, Suh SY, Kim DK. Development of the Korean versions of WHO Quality of Life scale and WHOQOL-BREF. Qual Life Res. 2002; 11:593–600.
31. Gomez SL, Gonzales FA, Shariff-Marco S, Dwyer LA, Nuru-Jeter A. Discrimination and quality of life among breast cancer survivors. J Clin Oncol. 2016; 34:abstr 250.
32. Howard-Anderson J, Ganz PA, Bower JE, Stanton AL. Quality of life, fertility concerns, and behavioral health outcomes in younger breast cancer survivors: a systematic review. J Natl Cancer Inst. 2012; 104:386–405.
33. Dow KH, Ferrell BR, Leigh S, Ly J, Gulasekaram P. An evaluation of the quality of life among long-term survivors of breast cancer. Breast Cancer Res Treat. 1996; 39:261–273.
34. Shim JH, Park KS. A study on quality of life of those who have breast cancer patients taking chemotherapy. J Korean Acad Adult Nurs. 2004; 16:49–59.
35. Broocks A, Pirke KM, Schweiger U, Tuschl RJ, Laessle RG, Strowitzki T, Hörl E, Hörl T, Haas W, Jeschke D. Cyclic ovarian function in recreational athletes. J Appl Physiol. 1985; 1990:2083–2086.
36. Lønning PE, Helle SI, Johannessen DC, Ekse D, Adlercreutz H. Influence of plasma estrogen levels on the length of the disease-free interval in postmenopausal women with breast cancer. Breast Cancer Res Treat. 1996; 39:335–341.
37. Holmberg L, Nordén T, Lindgren A, Wide L, Degerman M, Adami HO. Pre-operative oestradiol levels - relation to survival in breast cancer. Eur J Surg Oncol. 2001; 27:152–156.
38. Center for Disease Control and Prevention (US). How active do adults need to be to gain some benefit? Atlanta, GA: Center for Disease Control and Prevention;2005.
39. Nieman DC. Exercise, upper respiratory tract infection, and the immune system. Med Sci Sports Exerc. 1994; 26:128–139.
40. Kushi LH, Byers T, Doyle C, Bandera EV, McCullough M, McTiernan A, Gansler T, Andrews KS, Thun MJ; American Cancer Society 2006 Nutrition and Physical Activity Guidelines Advisory Committee. American Cancer Society Guidelines on Nutrition and Physical Activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin. 2006; 56:254–281.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr