Prospective Evaluation of the Impact on Patients' Quality of Life of a 12-Week Adapted Physical Activity Program (APA)

Describe the evolution of the quality of life of patients being treated for their cancer pathology at the ICO site in Angers, and participating in the 12-week adapted physical activity program at ICO.

Quality of life is measured with the FACIT-F Fatigue and Quality of Life Questionnaire. The questionnaire is structured into five sections, each containing between 6 and 13 items. In total, it includes 40 items, each scored from 0 to 4:

0 - Not at all

• - A little
• - Moderately
• - Quite a bit
• - Very much By adding up the answers, the score range obtained is: 0 to 160. The higher the score, the less tired the patient is.

The number of sessions is planned by the APA coach at the beginning of the APA program. The number of performed sessions is measured.

Kinesiophobia is measured with the TAMPA Scale for Kinesiophobia (TSK-CF). This scale assesses the kinesiophobia index presented by the patient at the time of the assessment. The higher the score, the greater the level of kinesiophobia. Total score range: 17 to 68. Higher scores indicate greater fear of movement.

A score ≥ 40 is considered significant kinesiophobia.

The level of physical activity (PA) is assessed using the GPAQ questionnaire. The questionnaire consists of 16 items. Physical activity is expressed in MET-minutes per week (Metabolic Equivalent of Task), calculated from reported activity.

Based on the score, three profiles are defined:

High

• ≥3 days vigorous activity (≥1500 MET-min/week) OR
• ≥7 days walking/moderate/vigorous PA (≥3000 MET-min/week) Moderate
• ≥20 min vigorous PA / day, ≥3 days/week OR
• ≥30 min moderate PA/walking / day, ≥5 days/week OR
• ≥5 days mixed activity (≥600 MET-min/week) Low
• Does not meet above criteria