儿童癌症幸存者在日常生活活动中与身体质量指数相关的参与限制:一项横断面研究

IF 2.3 4区 医学 Q2 PEDIATRICS
Müberra Tanrıverdi, Sedef Sahin, Kardelen Yıldırım, Guleser Guney Yılmaz, Ceren Davutoglu, Fatma Betul Cakir, Özgün Kaya Kara
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引用次数: 0

摘要

目的:本研究比较了不同体重指数(BMI)类别的儿童癌症幸存者在日常生活活动中的参与限制。设计:前瞻性横断面研究。研究背景:研究数据来自两个独立的肿瘤门诊诊所。研究对象:116名年龄为10.07±3.83岁的癌症患儿纳入研究。癌症治疗结束后平均随访时间36.28±6.43个月。主要结局指标:使用儿科结局数据收集工具(PODCI)作为本研究的主要结局来评估参与水平,并按BMI进行分类。结果:z评分平均值为0.64 ± 1.12,BMI平均值为17.76±3.56。PODCI整体功能评分平均为80.25±15.23分。总体功能评分与年龄、化疗或手术之间无显著相关性(p < 0.05)。然而,总体功能评分与性别、BMI和放疗之间存在显著相关性(p0.05)。结论:完成治疗后,幸存者在日常生活活动中的参与受到限制。系统评估从患者/家长那里收到的关于身体功能、运动、转移和参与的反馈,突出了BMI对儿童癌症幸存者的重要性。解决这些因素是幸存者在功能和参与性成果方面实现更好的健康相关生活质量的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Body mass index-related participation limitations in daily life activities among survivors of childhood cancer: a cross-sectional study.

Objectives: This study compared participation limitations in daily life activities among childhood cancer survivors across different Body Mass Index (BMI) categories.

Design: Prospective cross-sectional study.

Setting: The study data were collected from two separate oncology outpatient clinics.

Participants: 116 children with cancer aged 10.07±3.83 were included in the study. The mean follow-up time after cancer treatment turnover was 36.28±6.43 months.

Primary outcome measures: Participation levels were assessed using the Pediatric Outcomes Data Collection Instrument (PODCI) as the primary outcome of this study, and they were categorised by BMI.

Results: The mean z score was 0.64 ± 1.12, and the average BMI was 17.76±3.56. The PODCI global functioning score averaged 80.25±15.23. There were no significant associations between the global functioning score and age, chemotherapy, or surgery (p>0.05). However, significant relationships were found between the global functioning score and gender, BMI, and radiotherapy (p<0.05). Significant functional differences were observed in the upper extremity, basic mobility transfer, happiness and overall functioning (p<0.05). No significant differences were noted in sports and physical functioning or pain/comfort across different BMI categories (underweight, normal/healthy, overweight) (p>0.05).

Conclusions: Survivors experience participation restrictions in daily living activities after completing treatment. Systematic evaluation of feedback received from patients/parents regarding physical function, sports, transfer and participation highlights the importance of BMI in childhood cancer survivors. Addressing these factors is key to achieving better health-related quality of life in functionality and participatory outcomes for survivors.

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来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
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