A Comparison of the Physical Activity of Hematopoietic Stem Cell Transplantation Patients and Healthy People

A Rum Han; Jeong Yun Park

doi:10.5388/aon.2014.14.4.221

Journal List > Asian Oncol Nurs > v.14(4) > 1081814

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Han and Park: A Comparison of the Physical Activity of Hematopoietic Stem Cell Transplantation Patients and Healthy People

Original Article

Asian Oncology Nursing 2014; 14(4): 221-226.

Published online: 31 December 2014

DOI: https://doi.org/10.5388/aon.2014.14.4.221

A Comparison of the Physical Activity of Hematopoietic Stem Cell Transplantation Patients and Healthy People

A Rum Han¹, Jeong Yun Park²

¹Department of Nursing, Asan Medical Center, Seoul, Korea.

²Department of Clinical Nursing, University of Ulsan, Seoul, Korea.

Address reprint requests to: Park, Jeong Yun. Department of Clinical Nursing, University of Ulsan, 86 Asanbyeongwon-gil, Songpa-gu, Seoul 138-736, Korea. Tel: +82-2-3010-5333 Fax: +82-2-3010-5332, pjyun@ulsan.ac.kr

Received 2 September 2014 Accepted 18 December 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The study aimed to compare the physical activity of hematopoietic stem cell transplantation (HSCT) patients with healthy people (HP).

Methods

The research design of this study was cross sectional and, descriptive study. It was conducted from January 26th to May 22nd, 2013. We matched HSCT patients to HP based on age and gender, and measured physical activity using a pedometer. Patient's clinical information were gathered by the medical record reviews.

Results

The number of steps was significantly less in HSCT patients (HSCT: 214 (7~3,373) vs HP: 7,921 (3,180~17,539), p<.001). Physical activity time was significantly less in HSCT patients (HSCT: 840 (680~1,320)min vs HP: 990 (540~1,090)min, p<.001). Step count showed a significant relationship with platelet count (r=.40, p=.004).

Conclusion

HSCT patients perform very low intensity of physical activities. The study shows the necessity to apply programs to promote physical activities in isolation rooms for patients undergoing HSCT.

Keywords: Physical Activity, Step Test, Hematopoietic Stem Cell Transplantation, Laminar Air-Flow Areas, Hematologic Diseases

Figures and Tables

Table 1

Demographic Characteristics (N=50)

HSCT=Hematopoietic stem cell transplantation.

Table 2

HSCT-related Characteristics in HSCT Patients (N=25)

HSCT=Hematopoietic stem cell transplantation; AML=Acute myeloid leukemia; ALL=Acute lymphocytic leukemia; MDS=Myelo-dysplastic syndrome; NHL=Non-hodgkin's Lymphoma; SAA=Severe aplastic Anemia; PBSC=Peripheral blood stem cell.

Table 3

Comparison of the Physical activities of HSCT Patients and Healthy People (N=50)

HSCT=Hematopoietic stem cell transplantation.

Table 4

Correlations of the Physical activities among ANC, Hb, PLT and Length of stay in a LAF Day (N=25)

ANC=Absolute neutrophil count; Hb=Hemoglobin; PLT=Platelet; LOS=Length of stay; LAF=Laminar air flow.

References

1. Kim KS. Effects of health status and physiological index by exercise program undergoing allogeneic blood and marrow transplant patients [dissertation]. Seoul: The Catholic Univ.;2009.

2. Cho HS, Kim NH. Physical activity and fatigue in patient with cancer. J Korean Oncol Nurs. 2010; 10(1):30–37.

3. Winningham M, MacVicar M, Burke C. Exercise for cancer patients. Guidelines and precautions. Phys Sportmed. 1986; 14(10):125–134.

4. Kang YA, Lee MS. Ethnography on isolataion unit for hematopoietic stem cell transplantation. J Korean Oncol Nurs. 2009; 9(1):31–42.

5. Ko EG. A study on the experience of the process of allogeneic BMT (Bone marrow Transplantation) patients. Hanyang J Med. 1998; 18(2):197–210.

6. Rousseau P. Immobility in the aged. Arch Fam Med. 1993; 2(2):169–177.

7. Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, et al. American college of sports medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010; 42(7):1409–1426.

8. Elter T, Stipanov M, Heuser E, von Bergwelt-Baildon M, Bloch W, Hallek M, et al. Is physical exercise possible in patients with critical cytopenia undergoing intensive chemotherapy for acute leukaemia or aggressive lymphoma? Int J Hematol. 2009; 90(2):199–204.

9. Inoue J, Ono R, Okamura A, Matsui T, Takekoshi H, Miwa M, et al. The impact of early rehabilitation on the duration of hospitalization in patients after allogeneic hematopoietic stem cell transplantation. Transplant Proc. 2010; 42(7):2740–2744.

10. Dimeo F, Fetscher S, Lange W, Mertelsmann R, Keul J. Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood. 1997; 90(9):3390–3394.

11. Baumann FT, Zopf EM, Nykamp E, Kraut L, Schule K, Elter T, et al. Physical activity for patients undergoing an allogeneic hematopoietic stem cell transplantation: benefits of a moderate exercise intervention. Eur J Haematol. 2011; 87(2):148–156.

12. Tonosaki A. Impact of walking ability and physical condition on fatigue and anxiety in hematopoietic stem cell transplantation recipients immediately before hospital discharge. Eur J Oncol Nurs. 2012; 16(1):26–33.

13. Cho JH, Kim JH. Pedometer accuracy in wearing location and difference walking conditions. Korean Soc Meas Eval Phys Edu Sports Sci. 2010; 12(3):1–14.

14. De Cocker KA, De Meyer J, De Bourdeaudhuij IM, Cardon GM. Nontraditional wearing positions of pedometers: validity and reliability of the Omron HJ-203-ED pedometer under controlled and free-living conditions. J Sci Med Sport. 2012; 15(5):418–424.

15. Kenyon A, McEvoy M, Sprod J, Maher C. Validity of pedometers in people with physical disabilities: a systematic review. Arch Phys Med Rehabil. 2013; 94(6):1161–1170.

16. Tudor-Locke C, Bassett DR Jr. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004; 34(1):1–8.

17. Tudor-Locke CE, Myers AM. Methodological considerations for researchers and practitioners using pedometers to measure physical (ambulatory) activity. Res Q Exerc Sport. 2001; 72(1):1–12.

18. Lee YY. Introduction of hematopoietic stem cell transformation. Hanyang J Med. 2000; 20(2):1–3.

19. Choi JA, Choe MA. The concept analysis of physical activity. J Korean Biol Nurs Sci. 2004; 6:17–31.

20. Chae DH, Kim SH, Lee CY. A study on gender differences in influencing factors of office workers' physical activity. J Korean Acad Community Health Nurs. 2013; 24(3):273–281.

TOOLS

Similar articles