Impact of exercise on physical health status in bladder cancer patients

Authors

  • Mara Koelker Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA; Department of Urology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany
  • Khalid Alkhatib Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Logan Briggs Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Muhieddine Labban Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Christian P. Meyer Department of Urology, Ruhr University Bochum, Klinikum Herford, Schwarzenmoorstraße 70, 32049 Herford, Germany
  • Christina M. Dieli-Conwright Division of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA
  • Dong-Woo Kang Division of Population Sciences, Department of Medical Oncology, Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston, MA, 02215, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA
  • Graeme Steele Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Mark A. Preston Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Timothy N. Clinton Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Steve L. Chang Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Adam S. Kibel Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Quoc-Dien Trinh Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA
  • Matthew Mossanen Brigham and Women’s Hospital, Division of Urological Surgery and Center of Surgery and Public Health, 45 Francis Street, Boston, MA, 02115, USA

DOI:

https://doi.org/10.5489/cuaj.8008

Keywords:

bladder cancer, exercise, patient-reported outcome measure, physical activity, sedentary behavior

Abstract

Introduction: There is a scarcity of data on the impact of behavioral habits, such as exercise, on physical health in patients with bladder cancer. We investigated the association of exercise on self-reported physical health status and examined the prevalence of bladder cancer patients with sedentary lifestyle.

Methods: We examined cross-sectional data of participants diagnosed with bladder cancer within the Behavioral Risk Factor Surveillance System (BRFSS) from 2016–2020. Patient health status was surveyed using self-reported measures, such as the total days per month when their “physical health is not good.” The primary outcome was patient-reported poor physical health for more than 14 days within a one-month period.

Results: Out of 2 193 981 survey participants, we identified 936 with a history of bladder cancer. Nearly one in three bladder cancer patients reported being sedentary within the last month, as a total of 307 (32.8%) patients reported no exercise within the last 30 days. The remaining 628 (67.2%) reported exercising for at least one day within the last month. In multivariable logistic regression model analysis, we found that exercise is protective for self-reported poor physical health status (odds ratio 0.37, 95% confidence interval 0.25–0.56, p<0.001). Patients that exercised were less likely to report bad physical health.

Conclusions: Approximately one in three bladder cancer patients report no exercise within 30 days, suggesting a sedentary lifestyle. Patients that are active are less likely to self-report poor physical health status. Implementation of exercise programs for bladder cancer patients could be promising in improving health status.

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Published

2022-08-30

How to Cite

Koelker, M., Alkhatib, K., Briggs, L., Labban, M., Meyer, C. P., Dieli-Conwright, C. M., Kang, D.-W., Steele, G., Preston, M. A., Clinton, T. N., Chang, S. L., Kibel, A. S., Trinh, Q.-D., & Mossanen, M. (2022). Impact of exercise on physical health status in bladder cancer patients. Canadian Urological Association Journal, 17(1), E8–14. https://doi.org/10.5489/cuaj.8008

Issue

Vol. 17 No. 1 (2023): CUAJ January

Section

Original Research

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