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Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors.
Eng, Lawson; Pringle, Dan; Su, Jie; Shen, XiaoWei; Mahler, Mary; Niu, Chongya; Charow, Rebecca; Tiessen, Kyoko; Lam, Christine; Halytskyy, Oleksandr; Naik, Hiten; Hon, Henrique; Irwin, Margaret; Pat, Vivien; Gonos, Christina; Chan, Catherine; Villeneuve, Jodie; Harland, Luke; Shani, Ravi M; Brown, M Catherine; Selby, Peter; Howell, Doris; Xu, Wei; Liu, Geoffrey; Alibhai, Shabbir M H; Jones, Jennifer M.
Afiliação
  • Eng L; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Pringle D; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Su J; Department of Medicine, University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Shen X; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Mahler M; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Niu C; Department of Biostatistics, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Charow R; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Tiessen K; Department of Biostatistics, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Lam C; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Halytskyy O; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Naik H; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Hon H; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Irwin M; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Pat V; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Gonos C; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Chan C; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Villeneuve J; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Harland L; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Shani RM; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Brown MC; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Selby P; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Howell D; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Xu W; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Liu G; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Alibhai SMH; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Jones JM; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Support Care Cancer ; 26(11): 3755-3763, 2018 Nov.
Article em En | MEDLINE | ID: mdl-29808379
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Percepção / Exercício Físico / Sobreviventes de Câncer / Neoplasias Tipo de estudo: Guideline / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Percepção / Exercício Físico / Sobreviventes de Câncer / Neoplasias Tipo de estudo: Guideline / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article