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1. Effects of a combined exercise and dietary intervention on body composition, physical functioning and fatigue in patients with ovarian cancer: results of the PADOVA trial

Author

Kenkhuis, Marlou-Floor, Stelten, Stephanie, Hartman, Yvonne AW., Brouwer, Calvin G., ten Tusscher, Marieke R., van Lonkhuijzen, Luc RCW., Kenter, Gemma G., van Driel, Willemien J., Winkels, Renate M., Bekkers, Ruud LM., Ottevanger, Nelleke PB., Hoedjes, Meeke, and Buffart, Laurien M.

Published
2024
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2. Implementing Individually Tailored Prescription of Physical Activity in Routine Clinical Care: Protocol of the Physicians Implement Exercise = Medicine (PIE=M) Development and Implementation Project

Author

Krops, Leonie A, Bouma, Adrie J, Van Nassau, Femke, Nauta, Joske, van den Akker-Scheek, Inge, Bossers, Willem JR, Brügemann, Johan, Buffart, Laurien M, Diercks, Ronald L, De Groot, Vincent, De Jong, Johan, Kampshoff, Caroline S, Van der Leeden, Marike, Leutscher, Hans, Navis, Gerjan J, Scholtens, Salome, Stevens, Martin, Swertz, Morris A, Van Twillert, Sacha, Van der Velde, Joeri, Zwerver, Johannes, Van der Woude, Lucas HV, Van Mechelen, Willem, Verhagen, Evert ALM, Van Keeken, Helco G, Van der Ploeg, Hidde P, and Dekker, Rienk

Subjects
Medicine, Computer applications to medicine. Medical informatics, R858-859.7
Abstract

BackgroundThe prescription of physical activity (PA) in clinical care has been advocated worldwide. This “exercise is medicine” (E=M) concept can be used to prevent, manage, and cure various lifestyle-related chronic diseases. Due to several challenges, E=M is not yet routinely implemented in clinical care. ObjectiveThis paper describes the rationale and design of the Physicians Implement Exercise = Medicine (PIE=M) study, which aims to facilitate the implementation of E=M in hospital care. MethodsPIE=M consists of 3 interrelated work packages. First, levels and determinants of PA in different patient and healthy populations will be investigated using existing cohort data. The current implementation status, facilitators, and barriers of E=M will also be investigated using a mixed-methods approach among clinicians of participating departments from 2 diverse university medical centers (both located in a city, but one serving an urban population and one serving a more rural population). Implementation strategies will be connected to these barriers and facilitators using a systematic implementation mapping approach. Second, a generic E=M tool will be developed that will provide tailored PA prescription and referral. Requirements for this tool will be investigated among clinicians and department managers. The tool will be developed using an iterative design process in which all stakeholders reflect on the design of the E=M tool. Third, we will pilot-implement the set of implementation strategies, including the E=M tool, to test its feasibility in routine care of clinicians in these 2 university medical centers. An extensive learning process evaluation will be performed among clinicians, department managers, lifestyle coaches, and patients using a mixed-methods design based on the RE-AIM framework. ResultsThis project was approved and funded by the Dutch grant provider ZonMW in April 2018. The project started in September 2018 and continues until December 2020 (depending on the course of the COVID-19 crisis). All data from the first work package have been collected and analyzed and are expected to be published in 2021. Results of the second work package are described. The manuscript is expected to be published in 2021. The third work package is currently being conducted in clinical practice in 4 departments of 2 university medical hospitals among clinicians, lifestyle coaches, hospital managers, and patients. Results are expected to be published in 2021. ConclusionsThe PIE=M project addresses the potential of providing patients with PA advice to prevent and manage chronic disease, improve recovery, and enable healthy ageing by developing E=M implementation strategies, including an E=M tool, in routine clinical care. The PIE=M project will result in a blueprint of implementation strategies, including an E=M screening and referral tool, which aims to improve E=M referral by clinicians to improve patients’ health, while minimizing the burden on clinicians.

Published
2020
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3. Longitudinal associations of diurnal rest-activity rhythms with fatigue, insomnia, and health-related quality of life in survivors of colorectal cancer up to 5 years post-treatment

Author

Chong, Marvin Y., Frenken, Koen G., Eussen, Simone J. P. M., Koster, Annemarie, Pot, Gerda K., Breukink, Stéphanie O., Janssen-Heijnen, Maryska, Keulen, Eric T. P., Bijnens, Wouter, Buffart, Laurien M., Meijer, Kenneth, Scheer, Frank A. J. L., Steindorf, Karen, de Vos-Geelen, Judith, Weijenberg, Matty P., van Roekel, Eline H., and Bours, Martijn J. L.

Published
2024
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5. Physical Activity Levels, Correlates, and All-Cause Mortality Risk in People Living With Different Health Conditions.

Author

Marks-Vieveen, Jenny M., Uijtdewilligen, Léonie, Motazedi, Ehsan, Stijnman, Dominique P.M., van den Akker-Scheek, Inge, Bouma, Adrie J., Buffart, Laurien M., de Groot, Vincent, de Hollander, Ellen, Jelsma, Judith G.M., de Jong, Johan, van Keeken, Helco G., Krops, Leonie A., van der Leeden, Marike, Loer, Stephan A., van Mechelen, Willem, van Nassau, Femke, Nauta, Joske, Verhagen, Evert, and Wendel-Vos, Wanda

Subjects
PHYSICAL activity, MORTALITY, PHYSICAL mobility, HEALTH behavior, AT-risk people
Abstract

Background: To better understand physical activity behavior and its health benefits in people living with health conditions, we studied people with and without 20 different self-reported health conditions with regard to (1) their physical activity levels, (2) factors correlated with these physical activity levels, and (3) the association between physical activity and all-cause mortality. Methods: We used a subsample (n = 88,659) of the Lifelines cohort study from the Netherlands. For people living with and without 20 different self-reported health conditions, we studied the aforementioned factors in relation to physical activity. Physical activity was assessed with the Short Questionnaire to Assess Health-Enhancing Physical Activity Questionnaire, and mortality data were obtained from the Dutch death register. Results: People with a reported health condition were less likely to meet physical activity guidelines than people without a reported health condition (odds ratios ranging from 0.55 to 0.89). Higher body mass index and sitting time, and lower self-rated health, physical functioning, and education levels were associated with lower odds of meeting physical activity guidelines across most health conditions. Finally, we found a protective association between physical activity and all-cause mortality in both people living with and without different health conditions. Conclusion: People living with different health conditions are generally less physically active compared with people living without a health condition. Both people living with and without self-reported health conditions share a number of key factors associated with physical activity levels. We also observed the expected protective association between physical activity and all-cause mortality. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Moderators of exercise effects on self-reported cognitive functioning in cancer survivors: an individual participant data meta-analysis

Author

Hiensch, Anouk E., Beckhaus, Julia, Witlox, Lenja, Monninkhof, Evelyn M., Schagen, Sanne B., van Vulpen, Jonna K., Sweegers, Maike G., Newton, Robert U., Aaronson, Neil K., Galvão, Daniel A., Steindorf, Karen, Stuiver, Martijn M., Mesters, Ilse, Knoop, Hans, Goedendorp, Martine M., Bohus, Martin, Thorsen, Lene, Schulz, Karl-Heinz, Schmidt, Martina E., Ulrich, Cornelia M., Sonke, Gabe S., van Harten, Wim H., Winters-Stone, Kerri M., Velthuis, Miranda J., Taaffe, Dennis R., van Mechelen, Willem, Kersten, Marie José, Nollet, Frans, Wiskemann, Joachim, Buffart, Laurien M, and May, Anne M

Published
2023
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9. The course of health-related quality of life in the first 2 years after a diagnosis of head and neck cancer: the role of personal, clinical, psychological, physical, social, lifestyle, disease-related, and biological factors

Author

Verdonck-de Leeuw, Irma M., Korsten, Laura H.A., van Nieuwenhuizen, Annette, Baatenburg de Jong, Rob J., Brakenhoff, Ruud H., Buffart, Laurien M., Lamers, Femke, Langendijk, Johannes A., Leemans, C. René, Smit, Jan H., Sprangers, Mirjam A., Takes, Robert P., Terhaard, Chris H. J., Lissenberg-Witte, Birgit I., and Jansen, Femke

Published
2023
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19. Tailoring of exercise and dietary interventions to adverse effects and existing comorbidities in patients with ovarian cancer receiving chemotherapy: a clinical vignettes study among expert physical therapists and dietitians.

Author

Stelten, Stephanie, ten Tusscher, Marieke R., Stuiver, Martijn M., Hartman, Yvonne A. W., van Lonkhuijzen, Luc R. C. W., Kenter, Gemma G., van der Leeden, Marike, Hoedjes, Meeke, and Buffart, Laurien M.

Abstract

Purpose: This study aims to capture the complex clinical reasoning process during tailoring of exercise and dietary interventions to adverse effects and comorbidities of patients with ovarian cancer receiving chemotherapy. Methods: Clinical vignettes were presented to expert physical therapists (n = 4) and dietitians (n = 3). Using the think aloud method, these experts were asked to verbalize their clinical reasoning on how they would tailor the intervention to adverse effects of ovarian cancer and its treatment and comorbidities. Clinical reasoning steps were categorized in questions raised to obtain additional information; anticipated answers; and actions to be taken. Questions and actions were labeled according to the evidence-based practice model. Results: Questions to obtain additional information were frequently related to the patients' capacities, safety or the etiology of health issues. Various hypothetical answers were proposed which led to different actions. Suggested actions by the experts included extensive monitoring of symptoms and parameters, specific adaptations to the exercise protocol and dietary-related patient education. Conclusions: Our study obtained insight into the complex process of clinical reasoning, in which a variety of patient-related variables are used to tailor interventions. This insight can be useful for description and fidelity assessment of interventions and training of healthcare professionals. IMPLICATIONS FOR REHABILITATION: The delivery of exercise and dietary programs is not a one-size fits all approach but involves a complex clinical reasoning process. Therefore, protocols should not only describe the intervention content, but also the strategy on how to tailor the intervention to individual adverse effects and pre-existing comorbidities. Education of healthcare professionals delivering the intervention is important as these professionals need to have good clinical reasoning skills to adequately tailor the intervention. [ABSTRACT FROM AUTHOR]

Published
2024
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22. A Prospective Randomised Trial to Determine the Effect of a Reduced Versus Standard Dose of Enzalutamide on Side Effects in Frail Patients with Prostate Cancer

Author

Boerrigter, Emmy, primary, Overbeek, Joanneke K., additional, Benoist, Guillemette E., additional, Somford, Diederik M., additional, Hamberg, Paul, additional, Tol, Jolien, additional, Scholtes, Brian, additional, Willemsen, Annelieke E.C.A.B., additional, Buffart, Laurien M., additional, Kessels, Roy P.C., additional, Mehra, Niven, additional, van Oort, Inge M., additional, and van Erp, Nielka P., additional

Published
2024
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23. The effect of spinal manipulative therapy on pain relief and function in patients with chronic low back pain: an individual participant data meta-analysis

Author

Bronfort, G., Foster, N.E., Maher, C.G., Hartvigsen, J., Balthazard, P., Cecchi, F., Ferreira, M.L., Gudavalli, M.R., Haas, M., Hidalgo, B., Hondras, M.A., Hsieh, C.Y., Learman, K., McCarthy, P.W., Petersen, T., Rasmussen-Barr, E., Skillgate, E., Verma, Y., Vismara, L., Walker, B.F., Xia, T., Zaproudina, N., de Zoete, Annemarie, Rubinstein, Sidney M., de Boer, Michiel R., Ostelo, Raymond, Underwood, Martin, Hayden, Jill A., Buffart, Laurien M., and van Tulder, Maurits W.

Published
2021
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27. Course of objectively measured physical activity and sleep in postmenopausal breast cancer survivors during the COVID-19 pandemic: A 1-year follow-up

Author

van Cappellen-van Maldegem, Sandra J.M., primary, Hoedjes, Meeke, additional, de Boer, Michiel R., additional, Nijman, Inge L., additional, van Valenberg, Henrike M.W., additional, Seidell, Jacob C., additional, van de Poll-Franse, Lonneke V., additional, Buffart, Laurien M., additional, Mols, Floortje, additional, and de Rooij, Belle H., additional

Published
2023
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28. Translating Evidence from Dutch Exercise Oncology Trials in Patients with Breast Cancer into Clinical Practice Using the RE-AIM Framework

Author

Ten Tusscher, Marieke R., primary, Stuiver, Martijn M., additional, Kampshoff, Caroline S., additional, Huijsmans, Rosalie J., additional, Aaronson, Neil K., additional, Velthuis, Miranda, additional, Gal, Roxanne, additional, Van Waart, Hanna, additional, May, Anne M., additional, and Buffart, Laurien M., additional

Published
2023
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29. Tailoring of exercise and dietary interventions to adverse effects and existing comorbidities in patients with ovarian cancer receiving chemotherapy: a clinical vignettes study among expert physical therapists and dietitians

Author

Stelten, Stephanie, primary, ten Tusscher, Marieke R., additional, Stuiver, Martijn M., additional, Hartman, Yvonne A. W., additional, van Lonkhuijzen, Luc R. C. W., additional, Kenter, Gemma G., additional, van der Leeden, Marike, additional, Hoedjes, Meeke, additional, and Buffart, Laurien M., additional

Published
2023
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30. Health-Related Quality of Life in Patients With Metastatic Colorectal Cancer Undergoing Systemic Therapy With or Without Maximal Tumor Debulking

Author

Bakkerus, Lotte, primary, Buffart, Laurien M., additional, Buffart, Tineke E., additional, Meyer, Yannick M., additional, Zonderhuis, Barbara M., additional, Haasbeek, Cornelis J.A., additional, Versteeg, Kathelijn S., additional, Loosveld, Olaf J.L., additional, de Groot, Jan Willem B., additional, Hendriks, Mathijs P., additional, Verhoef, Cornelis, additional, Verheul, Hendrik M.W., additional, and Gootjes, Elske C., additional

Published
2023
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37. Moderators of Exercise Effects on Cancer-related Fatigue: A Meta-analysis of Individual Patient Data

Author

VAN VULPEN, JONNA K., SWEEGERS, MAIKE G., PEETERS, PETRA H. M., COURNEYA, KERRY S., NEWTON, ROBERT U., AARONSON, NEIL K., JACOBSEN, PAUL B., GALVÃO, DANIEL A., CHINAPAW, MAI J., STEINDORF, KAREN, IRWIN, MELINDA L., STUIVER, MARTIJN M., HAYES, SANDI, GRIFFITH, KATHLEEN A., MESTERS, ILSE, KNOOP, HANS, GOEDENDORP, MARTINE M., MUTRIE, NANETTE, DALEY, AMANDA J., MCCONNACHIE, ALEX, BOHUS, MARTIN, THORSEN, LENE, SCHULZ, KARL-HEINZ, SHORT, CAMILLE E., JAMES, ERICA L., PLOTNIKOFF, RONALD C., SCHMIDT, MARTINA E., ULRICH, CORNELIA M., VAN BEURDEN, MARC, OLDENBURG, HESTER S., SONKE, GABE S., VAN HARTEN, WIM H., SCHMITZ, KATHRYN H., WINTERS-STONE, KERRI M., VELTHUIS, MIRANDA J., TAAFFE, DENNIS R., VAN MECHELEN, WILLEM, KERSTEN, MARIE JOSÉ, NOLLET, FRANS, WENZEL, JENNIFER, WISKEMANN, JOACHIM, VERDONCK-DE LEEUW, IRMA M., BRUG, JOHANNES, MAY, ANNE M., and BUFFART, LAURIEN M.

Published
2020
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41. Moderators of exercise effects on self-reported cognitive functioning in cancer survivors:an individual participant data meta-analysis

Author

Hiensch, Anouk E., Beckhaus, Julia, Witlox, Lenja, Monninkhof, Evelyn M., Schagen, Sanne B., van Vulpen, Jonna K., Sweegers, Maike G., Newton, Robert U., Aaronson, Neil K., Galvão, Daniel A., Steindorf, Karen, Stuiver, Martijn M., Mesters, Ilse, Knoop, Hans, Goedendorp, Martine M., Bohus, Martin, Thorsen, Lene, Schulz, Karl-Heinz, Schmidt, Martina E., Ulrich, Cornelia M., Sonke, Gabe S., van Harten, Wim H., Winters-Stone, Kerri M., Velthuis, Miranda J., Taaffe, Dennis R., van Mechelen, Willem, Kersten, Marie José, Nollet, Frans, Wiskemann, Joachim, Buffart, Laurien M., May, Anne M., Master Evidence Based Practice, APH - Health Behaviors & Chronic Diseases, APH - Quality of Care, CCA - Cancer Treatment and Quality of Life, Medical Psychology, APH - Mental Health, Clinical Haematology, AII - Cancer immunology, CCA - Cancer biology and immunology, Rehabilitation medicine, AMS - Rehabilitation & Development, EURO-NMD, Public and occupational health, and APH - Societal Participation & Health

Subjects
Oncology (nursing), Survivorship, RANDOMIZED CONTROLLED-TRIAL, FATIGUE, Cognitive functioning, PROSTATE-CANCER, INCREASING PHYSICAL-ACTIVITY, ADJUVANT CHEMOTHERAPY, Sociology, Oncology, QUALITY-OF-LIFE, Individual participant data meta-analysis, ANDROGEN DEPRIVATION THERAPY, Human medicine, AEROBIC EXERCISE, HIGH-INTENSITY, Exercise, Biology, RESISTANCE, Cancer
Abstract

Purpose This individual participant data meta-analysis (IPD-MA) assesses exercise effects on self-reported cognitive functioning (CF) and investigates whether effects differ by patient-, intervention-, and exercise-related characteristics. Methods IPD from 16 exercise RCTs, including 1987 patients across multiple types of non-metastatic cancer, was pooled. A one-stage IPD-MA using linear mixed-effect models was performed to assess exercise effects on self-reported CF (z-score) and to identify whether the effect was moderated by sociodemographic, clinical, intervention- and exercise-related characteristics, or fatigue, depression, anxiety, and self-reported CF levels at start of the intervention (i.e., baseline). Models were adjusted for baseline CF and included a random intercept at study level to account for clustering of patients within studies. A sensitivity analysis was performed in patients who reported cognitive problems at baseline. Results Minimal significant beneficial exercise effects on self-reported CF (β=−0.09 [−0.16; −0.02]) were observed, with slightly larger effects when the intervention was delivered post-treatment (n=745, β=−0.13 [−0.24; −0.02]), and no significant effect during cancer treatment (n=1,162, β=−0.08 [−0.18; 0.02]). Larger effects were observed in interventions of 12 weeks or shorter (β=−0.14 [−0.25; −0.04]) or 24 weeks or longer (β=−0.18 [−0.32; −0.02]), whereas no effects were observed in interventions of 12–24 weeks (β=0.01 [−0.13; 0.15]). Exercise interventions were most beneficial when provided to patients without anxiety symptoms (β=−0.10 [−0.19; −0.02]) or after completion of treatment in patients with cognitive problems (β=−0.19 [−0.31; −0.06]). No other significant moderators were identified. Conclusions This cross-cancer IPD meta-analysis observed small beneficial exercise effects on self-reported CF when the intervention was delivered post-treatment, especially in patients who reported cognitive problems at baseline. Implications for Cancer Survivors This study provides some evidence to support the prescription of exercise to improve cognitive functioning. Sufficiently powered trials are warranted to make more definitive recommendations and include these in the exercise guidelines for cancer survivors.

Published
2023

48. Construct Validity of the Steep Ramp Test for Assessing Cardiorespiratory Fitness in Patients With Breast Cancer and the Effect of Chemotherapy-Related Symptom Burden

Author

de Wiel, Hester J. Van, primary, Groen, Wim G., additional, Kampshoff, Caroline S., additional, Buffart, Laurien M., additional, van Mechelen, Willem, additional, Schep, Goof, additional, Sonke, Gabe S., additional, Huijsmans, Rosalie, additional, van Harten, Wim H., additional, Aaronson, Neil K., additional, and Stuiver, Martijn M., additional

Published
2022
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