{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:37:44Z","timestamp":1792647464516,"version":"4.5.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Henan Province Key Technology Research and Development","award":["242102310236"],"award-info":[{"award-number":["242102310236"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lymphatic Research and Biology"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Cancer-related fatigue (CRF) is the most common symptom of cancer patients. This study aimed to investigate the prevalence of CRF among patients with breast cancer-related lymphedema (BCRL) and to indentify the factors associated with its occurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      In this cross-sectional study, women with BCRL (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 260) were recruited from the three general hospitals. Lymphedema status was determined using the Norman telephone questionnaire as the patient-reported occurrence of hand\/lower arm\/upper arm swelling. CRF status was assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue questionnaire. Multiple binary logistic regression analysis was used to identify factors associated with CRF.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The median time from BC diagnosis was 29 months (interquartile range, 15.0\u201362.0 months). The prevalence of CRF among BCRL patients was 88.46%. The median sedentary time was 245 min\/day (IQR: 150\u2013330min\/day), and 34.23% of the patients did not meet the moderate-intensity physical activity level. Abnormal postoperative wound healing status, radiotherapy, hormonal therapy, lymphedema severity and failure to meet moderate-intensity physical activity level were associated with an increased risk of CRF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CRF is highly prevalent among patients with BCRL. Targeted interventions aimed at promoting moderate-intensity physical activity and improving long-term symptom management may help alleviate fatigue.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15578585261461399","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:30:46Z","timestamp":1782232246000},"page":"197-203","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Predictors of Cancer-Related Fatigue in Breast Cancer-Related Lymphedema Patients: A Cross-Sectional Study"],"prefix":"10.1177","volume":"24","author":[{"given":"Yanfei","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luxin","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xincan","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyue","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Ruan","sequence":"additional","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Su","sequence":"additional","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weihong","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing and Health, Zhengzhou University, Zhengzhou, China."},{"name":"Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangyuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Nursing Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.34489"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/gs.2017.11.04"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2021.0009"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15114"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103707"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrclinonc.2014.127"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2020.07.011"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2018.06.009"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2015.09.001"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-023-03408-y"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-024-09010-3"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzac143"},{"key":"e_1_3_4_14_1","first-page":"1","article-title":"A holistic profile for cancer-related fatigue for women with breast cancer\u2014a qualitative study","volume":"18","author":"Wijlens KAE","year":"2023","unstructured":"13.Wijlens KAE, , Beenhakker L, , Witteveen A, et al. 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