Rest-activity circadian rhythm in breast cancer survivors at 5 years after the primary diagnosis.
Authors of this article are:
Roveda E, Bruno E, Galasso L, Mulè A, Castelli L, Villarini A, Caumo A, Esposito F, Montaruli A, Pasanisi P.
A summary of the article is shown below:
Rest-activity circadian rhythm (RAR) is a marker of the circadian timing system. Particular attention has been given to RAR characteristics in cancer diseases. Specifically, alterations of RAR parameters have been found, at different stages of clinical pathway, in breast cancer (BC) patients. No studies to date have analyzed RAR alterations in breast cancer survivors several years after the diagnosis. The aim of this study was to determine RAR by actigraphy in a population of BC survivors at 5Â years after the primary diagnosis, and to compare their RAR characteristics with healthy controls. The study sample was 28 women: 15 BC survivors at 5Â years from the primary diagnosis (BC-group) and 13 healthy controls (Ctrl-group), matched for age and body mass index. All participants have been monitored for 7Â days by actigraphy to evaluate RAR. A statistically significant circadian rhythm (TÂ =Â 24) was found in all 28 subjects (p <Â .001). The group analysis revealed a significant RAR both in BC- and Ctrl-group (p <Â .001). The acrophase was not different between the BC- and Ctrl-group (15:09 vs. 15:01Â hr:min in BC- and Ctrl-group, respectively). In contrast, the MESOR (Midline Estimating Statistic of Rhythm) and the amplitude were lower in the BC-group with respect to the Ctrl-group. Indeed, the MESOR was 192.0 vs. 276.4 activity counts in BC- and Ctrl-group, respectively (p <Â .001), while the amplitude was 167.0 vs. 222.6 activity counts in BC- and Ctrl-group, respectively (p <Â .001). These results provide the first experimental evidence of alterations in RAR parameters in BC survivors at 5Â years after the primary diagnosis. Larger studies with a prospective design are needed to assess the role of RAR in the quality of life and prognosis in BC survivors.
Check out the article’s website on Pubmed for more information:
[link-preview url=https://www.ncbi.nlm.nih.gov/pubmed/31177874 forceshot=true]
This article is a good source of information and a good way to become familiar with topics such as: Breast cancer;actigraphy;activity level;rest-activity circadian rhythm.
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