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Examinando por Autor "Nowaczyk, Piotr"

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    Differences in physical activity recommendations, levels of physical activity and main barriers to exercise between Spanish and Polish cancer patients
    (Multidisciplinary Digital Publishing Institute (MDPI), 2025-03-09) Arco Paniagua, Asier del; Martínez de Aguirre Betolaza, Aitor; Muñoz Pérez, Iker; Malchrowicz Mośko, Ewa; Grajek, Mateusz; Krupa Kotara, Karolina; Wypych-Ślusarska, Agata; Nowaczyk, Piotr; Urbaniak, Tomasz; Castañeda Babarro, Arkaitz
    Background/Objectives: Physical activity (PA) and exercise have demonstrated numerous benefits for patients with cancer. However, there may be different barriers which vary according to geographical area. The aim of this study was to compare oncologists, PA recommendations, PA patterns and barriers in two different geographical areas. Methods: A total of 254 patients were included, 239 of them women and 15 of them men, while 41.3% of the sample was Polish and 58.7% of the sample Spanish. Results: In terms of differences in time spent on PA per day, the Spanish spent more time walking than the Polish did (p = 0.007). However, no significant differences were found between countries, types or intensity of exercise, and there was a significant relationship between age and type of PA modality (p = 0.002). At the same time, there were different reasons for not practicing PA (p = 0.009). The subsequent analysis showed that younger adults were prone to more vigorous-intensity exercise than the other age groups (p = 0.001, η2 = 0.08). Furthermore, there was a significant difference between age groups, countries and sitting time (p = 0.01), with Polish patients spending more time sitting than Spaniards (p = 0.01, η2 = 0.06). Conclusions: Although PA patterns in the two countries were similar, the main barriers to exercise differed. Therefore, PA programs should be as personalized as possible (taking into account sociodemographic, cultural and climatic characteristics). Ultimately, to improve the quality of life and health of their patients, oncologists should provide those activities that are most beneficial to their patients.
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    The level of kinesiophobia in breast cancer women undergoing surgical treatment
    (Frontiers Media S.A., 2023-02-02) Malchrowicz Mośko, Ewa ; Nowaczyk, Piotr ; Wasiewicz, Janusz ; Urbaniak, Tomasz ; Siejak, Wojciech ; Rozmiarek, Mateusz ; Czerniak, Urszula; Demuth, Anna; Martínez de Aguirre Betolaza, Aitor ; Castañeda Babarro, Arkaitz
    Introduction: Lifestyle-associated factors like physical activity (PA) play an important role in cancer prevention and oncology treatment outcomes. The aim of the study is to investigate the level of kinesiophobia (fear of movement) in breast cancer (BC) patients undergoing surgical treatment depending on socio-demographic variables, lifestyle before cancer diagnosis, stage and type of BC and comorbidities. Methods: We interviewed 285 women (132 patients from Greater Poland Cancer Center – age: 55.7 ± 12.4; BMI: 26.7 ± 4.7 and 153 healthy women from control group – age: 49.0 ± 15.7; BMI: 25.7 ± 4.0) using Polish adaptation of the Tampa Scale of Kinesiophobia (TSK). Results: Research results show that women with BC suffer from kinesiophobia (>37 points) signi!cantly. Approximately 3/4 of the surveyed women with BC did not know the World Health Organization (WHO) recommendations regarding the weekly dose of PA for healthy people and for people with cancer. Before cancer diagnosis more than a half of women (60%) performed PA in accordance with WHO recommendations. 7% less women performed PA during oncology treatment. Almost a half of patients are not physically active during cancer treatment and 1/5 of the respondents declared that they do not know yet if they will be physically active after oncology treatment. The level of kinesiophobia in BC women with comorbidities was the same as in the group of BC women without comorbidities. However, the highest levels of fear of movement have been observed among women with BC suffering also from osteoporosis, obesity and diabetes. In general, higher levels of kinesiophobia were reported among women in less advanced stages of the disease. There were no differences in the level of kinesiophobia depending on the type of BC (hormonally dependent luminal cancers vs. other types). The level of kinesiophobia did not differ between women who were physically active before BC diagnosis and women who were not. In terms of socio- demographic variables, we found one direct association between the level of kinesiophobia (pain) with age – the greater age, the higher level of pain kinesiophobia. Discussion: Research on fear of movement in female oncology requires further research (including also chemotherapy, radiotherapy, immunotherapy and hormonal therapy) and in order to effectively eliminate hypokinetic attitudes at every stage of cancer treatment.
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    Polish adaptation of the modified Tampa Scale of kinesiophobia for fatigue (TSK-F) and the revision of the Tampa Scale in terms of pain for cancer patients
    (MDPI, 2022-10-05) Rozmiarek, Mateusz; Grajek, Mateusz; Malchrowicz Mośko, Ewa; Sobczyk, Karolina; Krupa Kotara, Karolina; Nowaczyk, Piotr ; Wasiewicz, Janusz; Urbaniak, Tomasz; Siejak, Wojciech; Czerniak, Urszula ; Demuth, Anna; Martínez de Aguirre Betolaza, Aitor ; Castañeda Babarro, Arkaitz
    The aim of this study was to create a Polish adaptation of the Tampa Scale of Kinesiophobia considering fatigue, and to verify the usefulness of the scale in the context of pain in cancer patients. The study was conducted at the Breast Cancer Unit, operating at the Greater Poland Cancer Centre, and at the Poznan Centre for Specialist Medical Services in Poznan. After considering the exclusion criteria, 100 people qualified for the interviews for the final study: 50 breast cancer patients and 50 healthy respondents (without cancer). Statistical analysis of the CFA score showed that the chi-square test was not significant (χ2 = 10.243, p = 0.332), indicating an acceptable fit of items across scales. The reliability of the internal consistency of the scales was tested by examining the Cronbach’s alpha scores for each question/statement. The mean values for this indicator were 0.74 for the pain-related scale and 0.84 for the fatigue-related scale. Construct validity was confirmed for the scales; AVE for the pain-related scale was 0.64 and for the fatigue-related scale was 0.68. The results suggest the validity of examining kinesiophobia in the context of pain- and fatigue-related mobility anxiety among breast cancer patients in Poland, and that the Tampa Scale of Kinesiophobia can be adapted for different dimensions of the condition. Both versions of the scale demonstrated adequately prepared parametric constructs, and all correlations showed a statistically significant relationship (p < 0.05). The use of the Tampa Scale of Kinesiophobia in oncology patient studies in Poland may ultimately improve rehabilitation programs and enable the development of strategies to assist patients in supporting treatment to reduce movement anxiety.
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