ZENG Hongyu 1 , WANG Xiang 1 , ZHANG Tian 1 , WANG Yaqin 1 , WEI Xing 1 , DAI Zhen 2 , ZHANG Liping 1 , LIU Xiaoqin 1 , LI Qiang 1 , SHI Qiuling 1,3 , DAI Wei 1 , LIAO Jia 1
  • 1. Department of Thoracic Surgery, Sichuan Cancer Hospital & Institute, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu, 610041, P. R. China;
  • 2. Chengdu Center for Disease Control & Prevention, Chengdu, 610041, P. R. China;
  • 3. School of Public Health, Chongqing Medical University, Chongqing, 400016, P. R. China;
DAI Wei, Email: daiwei@sichuancancer.org; LIAO Jia, Email: 709524124@qq.com
Lung resection; lung cancer; post-discharge exercise; physical activity; exercise intensity; influencing factors
10.7507/1007-4848.202405036
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Objective  To investigate the post-discharge exercise behavior and factors influencing moderate to vigorous intensity physical activity (MVPA) in patients undergoing lung surgery. Methods  A total of 2874 patients from the large prospective, observational perioperative lung symptom study cohort (CN-PRO-Lung 3) in the Department of Thoracic Surgery at Sichuan Cancer Hospital between April 7, 2021, and January 31, 2024, were selected as the survey subjects. A survey was conducted using the Investigation of Exercise Behavior after Lung Surgery questionnaire and the International Physical Activity Questionnaire-Short Form (IPAQ-SF) among patients who underwent lung surgery. Binary logistic regression was used to analyze the factors influencing patients’ engagement in MVPA. Results  A total of 702 patients were surveyed, including 252 males and 450 females, with an average age of (52.4±10.2) years. Patients with lung cancer accounted for 85.9%. Only 36.0% of the patients had regular exercise habits, while 42.3% did not engage in any physical activity. The three main barriers for postoperative exercise were physical discomfort (pain, coughing, shortness of breath, etc, 54.7%), lack of professional guidance (41.7%), and concerns about the surgical wound (28.9%). The proportions of patients engaging in vigorous, moderate, and low-intensity physical activity were 5.7%, 28.2%, and 66.1%, respectively. Multivariate analysis showed that patients with a personal annual income ≥50000 yuan (OR=1.52, 95%CI 1.01-2.29, P=0.044), high school education or above (OR=1.92, 95%CI 1.33-2.76, P<0.001), and lobectomy (OR=1.44, 95%CI 1.02-2.03, P=0.037) engaged in more MVPA. Conclusion  Patients undergoing lung surgery have inadequate physical activity after discharge, particularly lacking in MVPA. Patients with higher income, higher educational levels, and lobectomy are more frequently engaged in MVPA. Measures such as symptom control, providing exercise guidance, and enhancing education on wound care may potentially improve the inadequate physical activity in lung surgery patients after discharge.

Citation： ZENG Hongyu, WANG Xiang, ZHANG Tian, WANG Yaqin, WEI Xing, DAI Zhen, ZHANG Liping, LIU Xiaoqin, LI Qiang, SHI Qiuling, DAI Wei, LIAO Jia. Survey of post-discharge exercise behavior and analysis of factors influencing exercise intensity in patients undergoing lung surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2026, 33(5): 734-742. doi: 10.7507/1007-4848.202405036 Copy

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