Physical activity and quality of life among breast cancer survivors


Nouha Ammar
Faten Ezzairi
Nihel Omri
Asma Ammar
Olfa Ezzi
Tessnim Ben El Ghali
Mouhamed Mahjoub
Imene Chabchoub
Slim Ben Ahmed
Mansour Njah


Background and purpose:


To assess physical activity (PA) and its determinants in breast cancer survivors (BCS),attending a Tunisian hospital, as well as to assess their quality of life (QOL) and examine the relationship between PA and BCS’QOL.

Methods: We conducted a cross-sectional study among BCS attending the outpatient oncology,

gynecology and radiotherapy clinics at a Tunisian hospital in April 2022 using a self-

administered questionnaire.  The valid Arabic version of the International Physical Activity

Questionnaire short version was used to assess PA and sitting time. QOL was assessed using

the valid Arabic version of the 12-item Short-Form health survey .


Results: A total of 95 BCS were recruited. BCS reported overall moderate PA levels with a median

MET of 1440 (IQR 680- 2400) minutes/week and a mean total sitting time of 281.79±134.36

minutes/day. Overall, patients aged 50 years and above had significantly lower levels of

sitting time (231.43±129.32vs 332.14±121.63, p= 0.04). Similarly, subjects aged 50 years and

above, and of rural origin had higher levels of PA (1908.5 (IQR 939.7-3268.5) vs. 1266 (IQR

471-2946), p= 0.114    and 1788.5 (IQR 1072.5-3252) vs. 1440 (IQR 537-3057), p= 0.259

respectively). Regarding BCS’QOL, they showed moderate disability in the physical component (39.3 ±7.08) , and mild disability in the mental component (43.94 ±9.23). BCS’ QOL was significantly correlated to PA (r=0,258, p=0,012).




Adherence to regular PA is effective in improving BC patients’ survival rate . Therefore to

enhance survivors’ QOL, a healthy lifestyle including regular PA is well recommended.



Breast Cancer, Survivor, Physical activity, Quality of life



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