Prophylactic exercises among head and neck cancer patients during and after swallowing sparing intensity modulated radiation: adherence and exercise performance levels of a 12-week guided home-based program

Ingrid C Cnossen, Cornelia F van Uden-Kraan, Birgit I Witte, Yke J Aalders, Cees J T de Goede, Remco de Bree, Patricia Doornaert, Derek H F Rietveld, Jan Buter, Johannes A Langendijk, C René Leemans, Irma M Verdonck-de Leeuw

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1-2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.

Original languageEnglish
Pages (from-to)1129-1138
JournalEuropean Archives of Oto-Rhino-Laryngology
DOIs
Publication statusPublished - Feb 2017

Cite this

@article{3d25b5bd78ee4456bb3b446e4e954ac8,
title = "Prophylactic exercises among head and neck cancer patients during and after swallowing sparing intensity modulated radiation: adherence and exercise performance levels of a 12-week guided home-based program",
abstract = "The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1-2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70{\%} and decreased to 38{\%} at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34{\%} moderate and 26{\%} high; during 12 weeks: 28{\%} moderate and 18{\%} high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.",
author = "Cnossen, {Ingrid C} and {van Uden-Kraan}, {Cornelia F} and Witte, {Birgit I} and Aalders, {Yke J} and {de Goede}, {Cees J T} and {de Bree}, Remco and Patricia Doornaert and Rietveld, {Derek H F} and Jan Buter and Langendijk, {Johannes A} and Leemans, {C Ren{\'e}} and {Verdonck-de Leeuw}, {Irma M}",
year = "2017",
month = "2",
doi = "10.1007/s00405-016-4367-9",
language = "English",
pages = "1129--1138",
journal = "European Archives of Oto-Rhino-Laryngology",
issn = "0937-4477",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - Prophylactic exercises among head and neck cancer patients during and after swallowing sparing intensity modulated radiation

T2 - adherence and exercise performance levels of a 12-week guided home-based program

AU - Cnossen, Ingrid C

AU - van Uden-Kraan, Cornelia F

AU - Witte, Birgit I

AU - Aalders, Yke J

AU - de Goede, Cees J T

AU - de Bree, Remco

AU - Doornaert, Patricia

AU - Rietveld, Derek H F

AU - Buter, Jan

AU - Langendijk, Johannes A

AU - Leemans, C René

AU - Verdonck-de Leeuw, Irma M

PY - 2017/2

Y1 - 2017/2

N2 - The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1-2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.

AB - The background and purpose of this paper is to investigate adherence, exercise performance levels and associated factors in head and neck cancer (HNC) patients participating in a guided home-based prophylactic exercise program during and after treatment [swallowing sparing intensity modulated radiation therapy (SW-IMRT)]. Fifty patients were included in the study. Adherence was defined as the percentage of patients who kept up exercising; exercise performance level was categorized as low: ≤1, moderate: 1-2, and high: ≥2 time(s) per day, on average. Associations between 6- and 12-week exercise performance levels and age, gender, tumour site and stage, treatment, intervention format (online or booklet), number of coaching sessions, and baseline HNC symptoms (EORTC-QLQ-H&N35) were investigated. Adherence rate at 6 weeks was 70% and decreased to 38% at 12 weeks. In addition, exercise performance levels decreased over time (during 6 weeks: 34% moderate and 26% high; during 12 weeks: 28% moderate and 18% high). The addition of chemotherapy to SW-IMRT [(C)SW-IMRT] significantly deteriorated exercise performance level. Adherence to a guided home-based prophylactic exercise program was high during (C)SW-IMRT, but dropped afterwards. Exercise performance level was negatively affected by chemotherapy in combination with SW-IMRT.

U2 - 10.1007/s00405-016-4367-9

DO - 10.1007/s00405-016-4367-9

M3 - Article

SP - 1129

EP - 1138

JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

SN - 0937-4477

ER -