Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer.
Background: A better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the...
| Publicado en: | International Journal of Behavioral Medicine Vol. 29; no. 3; pp. 308 - 321 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2022
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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=157262052&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157262052 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Jun2022 vid: 29 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 157262052 152569130 157262052 157262052 10.1007/s12529-021-10014-0 157262052 ppf: 308 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer. aug: au: Depenbusch, Johanna Wiskemann, Joachim Haussmann, Alexander Tsiouris, Angeliki Schmidt, Laura Ungar, Nadine Sieverding, Monika Steindorf, Karen affil: Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120, Heidelberg, Germany sug: subj: Physical Activity Germany Cancer Patients Social Determinants of Health Human Pretest-Posttest Design Germany Sociodemographic Factors Breast Neoplasms Prostatic Neoplasms Colorectal Neoplasms Age Factors Body Mass Index Educational Status Comorbidity Counseling Descriptive Statistics Regression Exercise Questionnaires ab: Background: A better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the association between structural barriers and insufficient post-diagnosis PA, taking different PA change patterns into account. Methods: A total of 1299 people with breast, prostate, or colorectal cancer completed a questionnaire assessing their socio-demographic and medical characteristics, pre- and post-diagnosis PA, and perceived PA impediment by seven structural barriers. Regression analyses were used to investigate determinants of the perception of structural barriers and to examine the association between structural barriers and insufficient post-diagnosis PA, also with regard to different pre-diagnosis PA levels. Results: Overall 30–60% of participants indicated to feel impeded by structural barriers. The analyses revealed a younger age, higher BMI, lower educational level, no current work activity, co-morbidities, and lacking physicians' exercise counseling as significant determinants of the perception of structural barriers. Individuals reporting stronger impediments by structural barriers were significantly less likely to be meeting PA guidelines post-diagnosis, particularly those with sufficient pre-diagnosis PA levels. Conclusions: The study highlights the need for tailored PA programs for people with cancer as well as for more guidance and support in overcoming structural barriers to improve PA behavior. The study has been registered under NCT02678832 at clinicaltrials.gov on February 10th 2016. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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