ORIGINAL RESEARCH article
Front. Oncol.
Sec. Breast Cancer
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1646486
This article is part of the Research TopicRedefining Care: Integrating Surgical Innovations and Precision Medicine in Breast Cancer TreatmentView all articles
A longitudinal study of Physical Activity in Breast Cancer Patients : A Latent Transition Analysis
Provisionally accepted
- 1Shanghai University of Traditional Chinese Medicine, Shanghai, China
- 2Shanghai University of Traditional Chinese Medicine Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai, China
- 3Shanghai Jiading District Waigang Community Health Service Centre, Shanghai, China
- 4Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China
- 5Shanghai Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
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Objective: To identify physical activity (PA) subgroups among breast cancer patients, examine transition probabilities between these groups over time, and determine influencing factors to guide targeted rehabilitation strategies. Methods: Using convenience sampling, we investigated PA levels in 204 breast cancer patients at baseline diagnosis (T0), during chemotherapy (T1), 3 months after chemotherapy (T2), and 6 months after chemotherapy (T3). Latent transition analysis (LTA) was employed to identify PA change patterns. Results: Our research identified three potential transformation categories of physical activity by LTA: "Moderate-to-Vigorous physical activity Compliance Group (MVC Group)", "Walking-based physical activity Compliance Group (WC Group)," and "Sedentary Lifestyle Group (SL Group)".The MVC Group exhibited a strong tendency to maintain its status from T1 to T2 and T2 to T3. The WC Group showed a higher probability of transitioning to the MVC Group from T1 to T2 but largely reverted to its original state by T3. The SL Group had a higher probability of transitioning to the MVC Group from T1 to T2 and was also likely to remain in the MVC Group at T3. The factors influencing the transformation include exercise self-efficacy, education level, etc. Conclusion: The three PA groups exhibited distinct behavioral change patterns. While PA decreased during chemotherapy, interest in PA increased post-treatment, with higher probabilities of meeting PA standards thereafter.
Keywords: breast cancer, physical activity, latent transition analysis, exercise self-efficacy, Rehabilitation strategies
Received: 13 Jun 2025; Accepted: 31 Jul 2025.
Copyright: © 2025 Ye, Liu, Zhou, Lyu, Yang, Zheng, Ji and Geng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Zhaohui Geng, Shanghai University of Traditional Chinese Medicine, Shanghai, China
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