City doc investigates how physical activity affects lymphoma patients

Source: The Hitavada      Date: 13 Jan 2018 10:37:17


Staff Reporter,

Increasing physical activity has a positive impact on survival in lymphoma patients. This inference was drawn by the research done by Nagpur’s young doctor Priyanka Pophali. She presented her research at 59th American Society of Hematology annual meeting that held at Atlanta, USA. Her study was well-appreciated. Lymphoma is a cancer of the lymphatic system, the part of the body’s germ-fighting network which includes the lymph nodes (lymph glands), spleen, thymus gland and bone marrow. Lymphoma can affect those areas as well as other organs throughout the body.

“As physicians, we recommend physical activity for all cancer survivors to improve overall quality of life,” says Dr Priyanka Pophali, a hematologist at Mayo Clinic, USA. “But we did not know if physical activity would have an impact on survival in lymphoma patients.”Dr Pophali and her colleagues wanted to assess how physical activity help in survival in all subtypes of lymphoma patients both before and after diagnosis. Will it affect the survival of a lymphoma patients if the level of his physical activity is changed after diagnosis?

With these issues in mind, the researchers started their study in that direction. A cohort of 4087 lymphoma patients enrolled prospectively (within 9 months of diagnosis) at Mayo Clinic between 2002 and 2012. At enrollment, participants completed questionnaires that asked about their usual physical activity before their lymphoma diagnosis. Researchers regularly contacted patients to collect information on exposures and outcomes and contacted them for a three-year follow-up.

Researchers used this information to calculate a Godin Leisure Score Index, a physical activity score which is a validated tool for measuring physical activity in oncology patients. Patients were also asked about their perception of any change in their level of physical activity (increase, decrease or no change) at three years after their diagnosis compared to baseline. Researchers then evaluated the association of physical activity with overall and lymphoma-specific survival.

Researchers found that patients who had a higher level of
usual adult physical activity prior to a lymphoma diagnosis had significantly better overall and lymphoma-specific survival compared to those who were less physically active. They also found that patients who increased their level of physical activity after their lymphoma diagnosis (at three-year follow-up) had significantly better overall and lymphoma-specific survival compared to those who were less physically active. Researchers found that patients who perceived that their level of physical activity had decreased at three years after a lymphoma diagnosis had worse overall and lymphoma-specific survival compared to those who did not report a change.

“Our findings show that physical activity can have a positive impact on survival in lymphoma patients,” says Dr Pophali. “Importantly, our study shows a survival benefit in patients who increase their level of physical activity. Since physical activity behaviors can be modified, physicians should counsel patients and survivors on the importance of physical activity and encourage them to maintain and, if possible, increase their level of physical activity.”