ArticleBritish journal of cancer2025
Association of change in physical activity with use of outpatient specialist care and hospitalisations among breast cancer survivors with type 2 diabetes in Sweden.
Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundStudies in breast cancer patients have consistently shown that physical activity improves survival. We examined if change in physical activity from before to after a breast cancer diagnosis is associated with outpatient specialist care use and hospitalisations in women with type 2 diabetes mellitus (T2DM).
methodsThis register-based cohort study included 2145 women with T2DM who self-reported frequency of walking 30 min/week, 1-3 years before and after their breast cancer diagnosis (diagnosed 2004-2018). Women were grouped as: maintained inactive (reference), increased activity, decreased activity, or maintained active. Using multivariable-adjusted Cox proportional hazards models, we assessed change in physical activity with time to 1) first hospital admission and 2) first outpatient specialist care/hospitalisation for 15 International Classification of Disease chapters in the National Patient Register.
resultsWomen who maintained active (hazard ratio[95% CI]: 0.68[0.58-0.80]) or increased (0.72[0.58-0.88]) activity, but not those who decreased (0.92[0.79-1.08]) activity, had a lower rate of hospitalisations during follow-up than inactive women. Results were similar for infection, malignancy, blood disorders, general symptoms, mental/behavioural health.
conclusionIn breast cancer survivors, treated with curative intention, with T2DM, maintaining or increasing walking to ≥3times/week was associated with lower rates of hospitalisations overall and specialist outpatient care/hospitalisations across a range of diagnoses.
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