Evolution of physical activity and body weight changes in breast cancer survivors five years after diagnosis- VICAN 2 & 5 French national surveys

Background: Regular physical activity (PA) and healthy body weight have proven benefits on survival in breast cancer (BC) survivors. We aimed to define predictors of long-term PA and weight gain in a representative sample of BC survivors. Methods: Data were analysed from 723 women with BC who participated in both the 2012 and 2015 French National VICAN surveys. Results: Five years after diagnosis, 26.0, 60.6, and 13.4 % of BC survivors reported regular, occasional and no PA, respectively. Moreover, 27.4 % had a weight gain >5 kg. In multinomial logistic regressions, regular and occasional PA were both associated with not having depressive disorders, with higher post-traumatic growth, and with a healthy and stable Body Mass Index. Occasional PA was associated with the use of non-conventional medicine, and regular PA with better mental quality of life and normal arm mobility. Weight gain >5 kg was associated with younger age, heavier body weight at diagnosis, and lymphedema 5 years after diagnosis. Conclusions: Mental well-being is associated with successful long-term patient investment in PA. Psy-chological support and early management of disease sequelae are needed to help ensure BC survivors engage in and maintain healthy lifestyles. (c) 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).