Browsing by Author "Dabare, H.P.M."

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The relationship between delaying physiotherapy intervention commencement and lymphedema among breast cancer survivors in Sri Lanka
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Weerarathne, B.O.K.; Samudika, V.G.G.; Arunakanthi, A.M.; Dabare, H.P.M.; Malaviarachchi, S.L.
Introduction: The recent cancer statistics in Sri Lanka evaluated breast cancer as the most common cancer among female population with cancers. Due to the better survival rate, Modified Radical Mastectomy surgery is an ideal surgical management for most of the breast cancer stages. Upper limb lymphedema is a known post-surgical complication which has long-life impact on breast cancer survivors that can be easily managed with early physiotherapy intervention. Objective: This study was aimed to identify the relationship between delaying physiotherapy intervention and lymphedema volume among breast cancer survivors at Apeksha hospital, Maharagama, Sri Lanka. Methods: 74 female breast cancer patients newly referred to the department of physiotherapy were recruited for this study. Patients undergone bilateral surgeries were excluded from the study. An interviewer-administered questionnaire was used to collect information of socio-demographic data and underwent surgical procedures. The severity of upper limb lymphedema was assessed by measuring the lymphedema volume according to the frustum model formula, using multiple circumferential measurements. International Society of Lymphology staging system was used to identify the distribution of lymphedema severity. Results: Within the sample, delayed period to commence physiotherapy after the surgery ranged from < 1 to 17 years. The lymphedema severity stages minimal, moderate and severe among the sample recorded as 37.8%, 50.0% and 12.2% respectively. A significant positive correlation was observed between delayed period to start physiotherapy and lymphedema volume (p=0.05, r= 0.75). Conclusions: The lymphedema volume increases with time of delayed physiotherapy intervention. Hence, the patients are required to participate in early physiotherapy intervention.
Relationship between objectively measured physical activity, sedentary behaviour and body mass index among 11-13 year-old adolescents in Colombo
(Sri Lanka Medical Association., 2019) Dabare, H.P.M.; Waidyatilaka, P.H.I.U.; de Lanerolle-Dias, M.; Wickremasinghe, R.; Jayawardena, R.; Hills, A.P.; Lanerolle, P.; Wickramasinghe, V.P.
INTRODUCTION & OBJECTIVES: Inadequate physical activity (PA) and sedentary behaviour (SB) are attributed to the high prevalence of adolescent obesity in the world. This study aimed to identify the relationship between PA intensity, SB and body mass index (BMI) among I I -13 year-old adolescents in Colombo, Sri Lanka. METHODS: A purposive sample of 95 adolescent school girls and boys were recruited from the Colombo Municipal Council Area. Time spent on moderate-to-vigorous PA (MVPA) and SB were determined by accelerometers (Actigraph-WGT3X-BT) worn on the waist for 10 consecutive days. Height and weight were measured using the standard methodology and BMI was calculated. RESULTS: The sample consisted of 51.6 % of boys (n=49). Mean BMI of the boys was 17.2 ± 3.2 kgm-2 and girls was 17.2 ± 3.2 kgm-2. A significantly (p< 0.05) lower SB (487.4 ± 101.4 min/day vs. 596.4 ± 83.8 min/day) and a significantly higher time spent on MVPA (31.8 ± 15.1 min/day vs. 15 ± 6.7 min/day) were observed among normal weight (NW) girls compared to overweight (OW) girls. Similarly, compared to the OW boys, NW boys had a significantly (p< 0.05) lower SB (578.5 ± 94.1 min/day vs. 696.4 ± 87.4 min/day) and a significantly higher time spent in MVPA (52.9 ± 19.3 min/day vs. 23.4 ± 6.3 min/day). CONCLUSION: Effective strategies should be implemented to reduce SB and increase PA in order to correct the obsogenic behaviour among the adolescents.