Table 3.
Sequential linear regressions examining associations between treatment exposures, BMI, prevalent neuropathy, and lifestyle factors on physiological cost index in adult survivors of childhood acute lymphoblastic leukemia.
| n | Physiological cost index | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Model A (R2 = 0.08) | Model B (R2 = 0.10) | Model C (R2 = 0.11)a | ||||||||
| mean | SE | p | mean | SE | p | mean | SE | p | ||
| Cranial Radiation | ||||||||||
| Yes | 549 | 0.54 | 0.04 | 0.73 | 0.53 | 0.04 | 0.19 | 0.53 | 0.03 | 0.21 |
| No | 608 | 0.55 | 0.03 | REF | 0.54 | 0.03 | REF | 0.51 | 0.04 | REF |
| Anthracyclines | ||||||||||
| Yes | 890 | 0.56 | 0.03 | 0.08 | 0.55 | 0.03 | 0.05 | 0.53 | 0.04 | 0.07 |
| No | 267 | 0.53 | 0.03 | REF | 0.52 | 0.03 | REF | 0.51 | 0.04 | REF |
| Corticosteroids | ||||||||||
| Yes | 1,150 | 0.53 | 0.01 | 0.64 | 0.52 | 0.01 | 0.64 | 0.51 | 0.01 | 0.78 |
| No | 7 | 0.55 | 0.06 | REF | 0.55 | 0.07 | REF | 0.53 | 0.06 | REF |
| Neuropathy | ||||||||||
| Yes | 89 | 0.57 | 0.04 | 0.03 | 0.55 | 0.04 | 0.07 | 0.54 | 0.04 | 0.05 |
| No | 1,068 | 0.52 | 0.03 | REF | 0.52 | 0.03 | REF | 0.50 | 0.03 | REF |
| Body mass index | ||||||||||
| Normal weight | 289 | N/A | N/A | N/A | 0.53 | 0.03 | REF | 0.52 | 0.04 | REF |
| Overweight | 322 | N/A | N/A | N/A | 0.54 | 0.04 | 0.69 | 0.53 | 0.04 | 0.68 |
| Obese grade I | 235 | N/A | N/A | N/A | 0.54 | 0.04 | 0.48 | 0.52 | 0.03 | 0.74 |
| Obese grade II | 151 | N/A | N/A | N/A | 0.54 | 0.03 | 0.56 | 0.53 | 0.04 | 0.72 |
| Obese grade III | 109 | N/A | N/A | N/A | 0.61 | 0.04 | <0.01 | 0.59 | 0.03 | <0.01 |
| Underweight | 21 | N/A | N/A | N/A | 0.46 | 0.05 | 0.05 | 0.44 | 0.05 | 0.05 |
BMI classifications: normal weight (BMI 18.5–24.9 kg/m2); overweight (BMI 25.0–29.9 kg/m2); obese grade I (BMI 30.0–34.9 kg/m2); obese II (BMI 35.0–39.9 kg/m2); obese III (BMI ≥ 40.0 kg/m2); underweight (BMI < 18.5 kg/m2).
All models were adjusted for sex, age at assessment, and age at diagnosis.
Nine survivors did not complete the six-minute walk and were removed from analysis due to uncontrolled asthma (1), paralysis (2), painful swelling in legs (2), acute neurological symptoms (1), chronic low back pain (2), and a recent triple bypass surgery (1).
Seven community controls were removed from analysis due to a recently placed pacemaker (1), acute angina (1), technical error (2), severe COPD (1), unable to ambulate without assistance (1), severe shortness of breath (1).
BMI, body mass index; <, less than; n, number; N/A, not applicable; R2, Coefficient of determination; REF, reference.
Additionally adjusted for smoking status and physical activity status.