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@ARTICLE{lvarezSalvago:277988,
      author       = {Álvarez-Salvago, Francisco and Figueroa-Mayordomo, Maria
                      and Molina-García, Cristina and Atienzar-Aroca, Sandra and
                      Pujol-Fuentes, Clara and Jiménez-García, José Daniel and
                      Gutiérrez-García, Palmira and Ching-López, Rosario and
                      Medina Luque, Jose},
      title        = {{E}xploring {P}redictors of {S}elf-{P}erceived
                      {C}ardiorespiratory {F}itness ≥ 5 {Y}ears {B}eyond
                      {B}reast {C}ancer {D}iagnosis: {A} {C}ross-{S}ectional
                      {S}tudy.},
      journal      = {Healthcare},
      volume       = {13},
      number       = {7},
      issn         = {2227-9032},
      address      = {Basel},
      publisher    = {MDPI},
      reportid     = {DZNE-2025-00515},
      pages        = {718},
      year         = {2025},
      abstract     = {Background/Objectives: This study aimed to examine the
                      association between self-perceived cardiorespiratory fitness
                      and health outcomes in long-term breast cancer survivors
                      (LTBCSs) and identify possible predictors in women at least
                      5 years post-diagnosis. Methods: A cross-sectional study was
                      carried out involving 80 LTBCSs, divided into three groups
                      according to their self-reported cardiorespiratory fitness
                      levels: very poor/poor (1-2), average (3), and good/very
                      good (4-5). Sociodemographic and clinical data were
                      collected, and this study analyzed variables measured at
                      least five years after diagnosis, focusing on various
                      factors including physical fitness, physical activity (PA)
                      levels, cancer-related fatigue (CRF), mood, pain, and
                      health-related quality of life (HRQoL). ANOVA, Mann-Whitney
                      U, and chi-square tests were performed, along with
                      correlation and multiple regression analyses. Cohen's d was
                      used to calculate effect sizes. Results: Among the 80
                      LTBCSs, $35\%$ reported very poor/poor self-perceived
                      cardiorespiratory fitness, $35\%$ reported average levels,
                      and $30\%$ reported good/very good levels. Individuals with
                      lower self-perceived cardiorespiratory fitness levels showed
                      significant declines in physical fitness, greater physical
                      inactivity, increased CRF, higher pain levels, and a poorer
                      HRQoL (p < 0.05). Regression analysis identified
                      'self-perceived muscle strength' (β = 0.40; p < 0.01) and
                      'nausea and vomiting' (β = -0.37; p < 0.01) as significant
                      predictors of higher self-perceived cardiorespiratory
                      fitness (adjusted r2 = 0.472). Conclusions: These findings
                      highlight the importance of self-perceived cardiorespiratory
                      fitness as a relevant indicator of health outcomes in
                      LTBCSs. Given its association with physical fitness,
                      sedentary behavior, CRF, pain, and HRQoL, assessing
                      patients' perceptions may provide valuable insights for
                      developing tailored rehabilitation strategies. Future
                      interventions should consider both subjective and objective
                      measures to optimize the long-term health and quality of
                      life in this population.},
      keywords     = {exercise oncology (Other) / health-related quality of life
                      (Other) / long-term survivorship (Other) / perceived
                      physical fitness (Other) / rehabilitation (Other)},
      cin          = {AG Herms},
      ddc          = {610},
      cid          = {I:(DE-2719)1110001},
      pnm          = {352 - Disease Mechanisms (POF4-352)},
      pid          = {G:(DE-HGF)POF4-352},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40218016},
      doi          = {10.3390/healthcare13070718},
      url          = {https://pub.dzne.de/record/277988},
}