mHealth system (ATOPE+) to support exercise prescription in breast cancer survivors: a reliability and validity, cross‑sectional observational study (ATOPE study)
Metadatos
Mostrar el registro completo del ítemAutor
Postigo Martín, Elisa Paula; Gil Gutiérrez, María del Rocío; Moreno Gutiérrez, Salvador; López Garzón, María de la Cabeza; González Santos, Ángela; Arroyo Morales, Manuel; Cantarero Villanueva, IreneEditorial
Nature
Fecha
2022-09-08Referencia bibliográfica
Postigo-Martin, P... [et al.]. mHealth system (ATOPE+) to support exercise prescription in breast cancer survivors: a reliability and validity, cross-sectional observational study (ATOPE study). Sci Rep 12, 15217 (2022). [https://doi.org/10.1038/s41598-022-18706-7]
Patrocinador
Spanish Ministry of Economy and Competitiveness (Plan Estatal de I + D + I 2013– 2016); Fondo de Investigación Sanitaria del Instituto de Salud Carlos III (PI18/01840); Fondos Estructurales de la Unión Europea (FEDER); European Social fund the Carlos III Health Institute (FI19/00230); Spanish Ministry of Education Cultura y Deporte (FPU17/00939, FPU16/04201, FPU18/0357); ERDF, SOMM17/6107/UGRResumen
Physical exercise is known to be beneficial for breast cancer survivors (BCS). However, avoiding
nonfunctional overreaching is crucial in this population, as they are in physiological dysregulation.
These factors could decrease their exercise capacity or facilitate nonfunctional overreaching, which
can increase their risk of additional morbidities and even all-cause mortality. The focus of this study is
to evaluate the reliability and validity of the ATOPE+ mHealth system to estimate autonomic balance
and specific wellness parameters associated with BCS’ perceived load, thereby informing nonlinear
prescriptions in individualized physical exercise programs for BCS.Twenty-two BCS were included in
the reliability and validity analysis. Measures were taken for four days, including morning autonomic
balance by heart rate variability, self-reported perception of recovery from exercise, sleep satisfaction,
emotional distress and fatigue after exertion. Measures were taken utilizing the ATOPE+ mHealth
system application. The results of these measures were compared with criterion instruments to
assess validity.The reliability results indicated that the intraclass correlation coefficient (ICC) showed
an excellent correlation for recovery (0.93; 95% CI 0.85–0.96) and distress (0.94, 95% CI 0.89–0.97)
as well as good correlation for the natural logarithm of the mean square root differences of the
standard deviation (LnRMSSD) (0.87; 95% CI 0.74–0.94). Sleep satisfaction also showed an excellent
correlation with a weighted kappa of 0.83. The validity results showed no significant differences,
except for fatigue. ATOPE+ is reliable and valid for remotely assessing autonomic balance, perception
of recovery, sleep satisfaction and emotional distress in BCS; however, it is not for fatigue. This
highlights that ATOPE+ could be an easy and efficient system used to assess readiness in BCS, and
could help to improve their health by supporting the prescription of optimal and safe physical exercise.
Trial registration NCT03787966 ClinicalTrials.gov, December 2019 [ATOPE project]. https:// clini caltr
ials. gov/ ct2/ show/ NCT03 787966.