Correlates of leisure time physical activity compliance in colorectal cancer survivors

D’Andrea, Anthony P.; Fernandez, Cristina A.; Tannenbaum, Stacey L.; Clarke, Tainya C.; McClure, Laura A.; LeBlanc, William G.; Lee, Dong Hoon

doi:10.1016/j.ypmed.2014.01.032

Cited by 15 publications

(10 citation statements)

References 9 publications

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“…Furthermore, previous studies have also found that being female, having a higher BMI and being anxious were associated with a lower physical activity among CRC survivors [ 10 , 15 ]. In contrast with previous studies, in the present study, the number of comorbidities and tumor stage were not significantly associated with physical activity [ 10 , 12 ].…”

Section: Discussioncontrasting

confidence: 99%

“…Furthermore, physical activity behavior could also be affected by socio-demographic and clinical factors. For instance, studies show that CRC survivors who were younger, male, have a partner, a lower BMI, who were diagnosed with colon cancer, treated with chemotherapy, with a longer time since diagnosis and no comorbidities were more physically active [ 10 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry

Putten

Husson

Mols

et al. 2015

Support Care Cancer

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PurposePhysical activity can improve health of cancer survivors. To increase physical activity levels among colorectal cancer (CRC) survivors, we need to understand which factors affect physical activity. Therefore, this study examined the longitudinal relationship between symptom-related, functioning-related, and psychological barriers and socio-demographic and clinical factors with physical activity among CRC survivors.MethodsCRC survivors identified from the population-based Eindhoven Cancer Registry (ECR) diagnosed between 2000 and 2009 were included. Survivors completed validated questionnaires measuring moderate-to-vigorous physical activity (MVPA) and barriers in 2010(T1), 2011(T2), and 2012(T3). Linear-mixed models and linear regression techniques were used.ResultsResponse rates were 74 % (N = 2451, T1); 47 % (N = 1547, T2); and 41 % (N = 1375, T3). Several factors were negatively associated with MVPA: symptom-related barriers (e.g., fatigue, dyspnea, chemotherapy side effects, pain, appetite loss, and weight loss); psychological barriers (i.e., depressive symptoms and anxiety); functioning-related barriers (e.g., low physical or role functioning, unfavorable future perspective); socio-demographic (i.e., older age, female, no partner); and clinical factors (i.e., obesity). However, no within-subject effects were significantly associated with MVPA. Groups of functioning-related barriers, socio-demographic factors, symptom-related barriers, psychological barriers, and clinical factors explained 11, 3.9, 3.8, 2.4, and 2.2 % of the variance in MVPA at T1, respectively.ConclusionsSeveral functioning-related and symptom-related barriers and few socio-demographic factors were associated with physical activity among CRC survivors. Future interventions to promote physical activity among CRC survivors could benefit by taking into account functioning aspects and symptoms of cancer and its treatment, and assess the causal direction of these associations.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry

Putten

Husson

Mols

et al. 2015

Support Care Cancer

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“…In addition, in a study of colorectal cancer survivors, men reported higher levels of physical activity than women ( 27 ). People with lower education levels were significantly less likely to adhere to physical activity recommendations, which is consistent with results from other studies ( 10 , 11 , 14 , 24 , 25 ) as well as that in the overall adult population ( 28 ). Studies examining correlates of physical activity among colorectal cancer survivors found that more-educated survivors were also more physically active ( 11 , 25 , 26 ).…”

Section: Discussionsupporting

confidence: 91%

Physical Activity in Cancer Survivors During “Re-Entry” Following Cancer Treatment

et al. 2018

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IntroductionThe transition from active cancer treatment into survivorship, known as re-entry, remains understudied. During re-entry, clinicians can educate survivors on the benefits of healthy behaviors, including physical activity, as survivors adjust to life after cancer. We examine the prevalence of adherence to established aerobic physical activity guidelines (≥150 minutes of moderate-intensity physical activity per week) in addition to related medico-demographic factors among cancer survivors during re-entry.MethodsData from 1,160 breast, colorectal, and prostate cancer survivors participating in the American Cancer Society’s National Cancer Survivor Transition Study were examined. Multinomial logistic regression was used to calculate adjusted odds ratios (AOR) for various medico-demographic variables in relation to 4 established levels of physical activity (inactive, insufficiently active, 1–<2 times the guideline level, and ≥2 times the guideline level [referent group]).ResultsOverall, 8.1% were inactive, 34.1% were insufficiently active, 24.3% were within 1 to less than 2 times the guidelines, and 33.4% exceeded guidelines by 2 or more times. Inactive people had significantly higher odds of being women (AOR, 1.88; 95% confidence interval [CI], 1.10–3.23) and having lower education levels (AOR, 2.02; 95% CI, 1.21–3.38) compared with those who exceeded guidelines by 2 or more times. Each additional comorbidity was associated with a 26% increase in odds of inactivity (AOR, 1.26; 95% CI, 1.08–1.47).ConclusionPatient education on the benefits of regular physical activity is important for all cancer survivors and may be especially important to review after treatment completion to promote healthy habits during this transition period. Survivors who are women, are less educated, and have comorbid conditions may be less likely to be compliant with physical activity guidelines.

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“…This reveals the influence of cultural factors in the physical activity participation in this collective (D'Andrea et al, 2014).…”

Section: Sociodemographic Factorsmentioning

confidence: 70%

Factors that promote or hinder physical activity participation in patients with colorectal cancer: A systematic review

Romero-Elías

González‐Cutre

Beltrán-Carrillo

et al. 2017

PSYE

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Different studies of patients with colorectal cancer have shown that physical activity has positive physical and psychosocial effects. However, most patients do not comply with the recommended criteria of physical activity. The aim of the present study was to analyze, by means of a systematic review of the literature, the factors associated with physical activity participation in patients with colorectal cancer. For this purpose, we conducted a search in the databases WEB OF SCIENCE, SCOPUS and SPORTDISCUS up to February of 2016. After the selection process, 23 full-text articles were retained. The results allowed identifying four large categories of factors related to physical activity participation in this population: sociodemographic factors, health factors (specific and nonspecific to the disease), prior experience and preferences, and motivational factors. Among the results obtained, comorbidity and the receipt of adjuvant therapy (with its corresponding side effects, such as fatigue and nausea) were related to less physical activity. Variables such as positive attitude, family support, satisfaction of basic psychological needs, and self-determined motivation were shown to be facilitators of physical activity. Taking into account these results, it is necessary to develop programs of physical activity adapted to the particular characteristics of this population and based on motivational strategies that promote adherence to physical activity. Keywords: physical exercise, motivation, barriers, treatment, health Factores que promueven o dificultan la práctica de actividad física en pacientes con cáncer colorrectal: Una revisión sistemática RESUMEN: Diferentes estudios con pacientes de cáncer colorrectal han demostrado que el ejercicio físico tiene efectos físicos y psicosociales positivos. Sin embargo, la mayoría de pacientes no cumple los criterios de actividad física recomendados. El objetivo del presente estudio fue analizar, a través de una revisión sistemática de la literatura, los factores asociados con la práctica de actividad física en pacientes con cáncer colorrectal. Para ello se realizó una búsqueda en las bases de datos WEB OF SCIENCE, SCOPUS y SPORTDISCUS hasta febrero de 2016. Tras el proceso de selección, se retuvieron 23 artículos a texto completo. Los resultados permitieron identificar cuatro grandes categorías de factores relacionados con la práctica de actividad física en esta población: factores sociodemográficos, factores de salud (específicos y no específicos de la enfermedad), preferencias y experiencias previas, y factores motivacionales. Entre los resultados obtenidos, cabe destacar que la comorbilidad y la recepción de terapia adyuvante (con sus correspondientes efectos secundarios como Physical activity in patients with colorectal cancer © Psy, Soc, & Educ, 2017, Vol. 9(2) 202 fatiga y náuseas), se relacionaron con una menor realización de actividad física. Variables como la actitud positiva, el apoyo familiar, la satisfacción de las necesidades psicológicas básicas y la mot...

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Correlates of leisure time physical activity compliance in colorectal cancer survivors

Cited by 15 publications

References 9 publications

Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry

Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry

Physical Activity in Cancer Survivors During “Re-Entry” Following Cancer Treatment

Factors that promote or hinder physical activity participation in patients with colorectal cancer: A systematic review

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