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Daily Life Physical Activity in Long-Term Survivors of Nephroblastoma and Neuroblastoma

van Waas, Marjolein PhD*; Wijnen, Mark BSc*; Hartman, Annelies PhD*,†; de Vries, Andrica C.H. MD, PhD*; Pieters, Rob MD, PhD*; Neggers, Sebastian J.C.M.M. MD, PhD*,‡; van den Heuvel-Eibrink, Marry M. MD, PhD*

Journal of Pediatric Hematology/Oncology: July 2013 - Volume 35 - Issue 5 - p 361–365
doi: 10.1097/MPH.0b013e31827e8fb9
Original Articles

The risk of metabolic late effects after childhood cancer, such as obesity, hypertension, and diabetes, can be positively influenced by a healthy lifestyle with sufficient physical activity. Nevertheless, studies on physical activity in adult survivors of childhood cancer are scarce and involve different and often nonvalidated questionnaires. We used the Short QUestionnaire to ASsess Health-enhancing physical activity (SQUASH), which was developed and validated to assess daily life physical activity in the Dutch adult population. The aim of the study was to assess daily life physical activity in Dutch adult long-term nephroblastoma and neuroblastoma survivors. Sixty-seven nephroblastoma and 36 neuroblastoma survivors (median age, 30 y; range, 18 to 51 y) and 60 sociodemographically similar healthy control subjects (median age, 32 y; range, 18 to 62 y) were asked to complete the SQUASH during their regular follow-up visit. The adjusted mean physical activity score in male neuroblastoma survivors (mean, 7155; P=0.004) was significantly lower than in male controls (mean, 10,574), whereas it was not significantly lower in male nephroblastoma survivors (mean, 9122; P=0.108). Adjusted means for physical activity scores in females were not different from their controls. In conclusions, male neuroblastoma survivors were identified as performing less daily physical activity.

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Departments of *Pediatric Oncology/Hematology

Pediatric Physiotherapy, Erasmus MC-Sophia Children’s Hospital

Department of Medicine, Section Endocrinology, Erasmus University Medical Center, Rotterdam, the Netherlands

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Supported by Kinderen Kankervrij (KiKa) Foundation (2009-030) and Kinderoncologisch Centrum Rotterdam (KOCR).

The authors declare no conflict of interest.

Reprints: Marry M. van den Heuvel-Eibrink, MD, PhD, Department of Pediatric Oncology/Hematology, Erasmus MC-Sophia Children’s Hospital, Dr Molewaterplein 60, 3015 GJ Rotterdam, the Netherlands (e-mail:

Received March 7, 2012

Accepted November 15, 2012

© 2013 by Lippincott Williams & Wilkins.