Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors.
Purpose: Physical activity (PA) during and after cancer treatment is associated with improved cancer- and non-cancer-related outcomes. We assessed for predictors of change in PA levels among cancer survivors.Methods: Adult cancer survivors from a comprehensive cancer center completed a one-time ques...
| Publicado en: | Supportive Care in Cancer Vol. 26; no. 11; pp. 3755 - 3764 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Nov2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132002169&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132002169 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Nov2018 vid: 26 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132002169 132002169 NLM29808379 10.1007/s00520-018-4239-5 NLM29808379 132002169 ppf: 3755 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors. aug: au: Naik, Hiten Eng, Lawson Liu, Geoffrey Jones, Jennifer M. Pringle, Dan Mahler, Mary Niu, Chongya Charow, Rebecca Tiessen, Kyoko Lam, Christine Halytskyy, Oleksandr Hon, Henrique Irwin, Margaret Pat, Vivien Gonos, Christina Chan, Catherine Villeneuve, Jodie Harland, Luke Shani, Ravi M. Brown, M. Catherine affil: Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada sug: ab: Purpose: Physical activity (PA) during and after cancer treatment is associated with improved cancer- and non-cancer-related outcomes. We assessed for predictors of change in PA levels among cancer survivors.Methods: Adult cancer survivors from a comprehensive cancer center completed a one-time questionnaire retrospectively assessing PA levels before, during, and after cancer treatment along with their perceptions of PA. Multivariable logistic regression models evaluated the association of clinico-demographics variables and perceptions of PA with changes in whether patients were meeting PA guidelines after cancer diagnosis.Results: Among the 1003 patients, 319 (32%) met moderate to vigorous PA (MVPA) guidelines before diagnosis. Among those meeting guidelines before diagnosis, 50% still met guidelines after treatment; 12% not meeting MVPA guidelines initially met them after treatment/at follow-up. Among patients meeting guidelines before diagnosis, better ECOG performance status at follow-up, receiving curative therapy, and spending a longer time on PA initially were each associated with meeting guidelines at follow-up. After controlling for other variables, perceiving that PA improves quality of life (adjusted odds ratio, aOR = 11.09, 95%CI [1.42-86.64], P = 0.02) and overall survival (aOR = 8.52, 95%CI [1.12-64.71], P = 0.04) was each associated with meeting MVPA guidelines during/after treatment, in patients who did not meet guidelines initially. Only 13% reported receiving counseling, which was not associated with PA levels. Common reported barriers to PA included fatigue, lacking motivation, and being too busy.Conclusions: Patient perceptions of PA benefits are strongly associated with improving PA levels after a cancer diagnosis. Clinician counseling should focus on patient education and changing patient perceptions. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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