Change patterns and determinants of physical activity differ between breast, prostate, and colorectal cancer patients

Steindorf, Karen; Depenbusch, Johanna; Haussmann, Alexander; Tsiouris, Angeliki; Schmidt, Laura; Hermann, Silke; Sieverding, Monika; Wiskemann, Joachim; Ungar, Nadine

doi:10.1007/s00520-019-05097-1

Cited by 25 publications

(30 citation statements)

References 48 publications

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“…Fourth, in people who reported osteoarthritis and cancer, the levels of aerobic PA did not differ from the average for Germany's adult population. This last finding is in line with the results of another recent German study showing that slightly more than half of those diagnosed with cancer reported meeting the recommendations for aerobic activity (Steindorf et al, 2020).…”

Section: Discussionsupporting

confidence: 91%

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Do adults with non-communicable diseases meet the German physical activity recommendations?

Sudeck

Geidl

Abu‐Omar

et al. 2021

Ger J Exerc Sport Res

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Introduction The numerous health benefits of physical activity (PA) for people with non-communicable diseases (NCDs) are well-documented. In Germany, there are limited data on whether adults with NCDs fulfill health-oriented PA recommendations. This study describes the prevalence of meeting PA recommendations among adults with select NCDs. Method Based on the national representative GEDA-2014/2015-EHIS (N = 24,016), the self-reported PA data of the European Health Interview Survey–Physical Activity Questionnaire (EHIS-PAQ) were classified with respect to fulfilling recommendations for health-enhancing aerobic activities (≥ 150 min per week with at least moderate intensity) and muscle strengthening (≥ 2 times per week). These binary indicators were used to analyze the association between the prevalence of sufficient PA and the self-reported presence of certain NCDs and multiple NCDs to reflect multimorbidity. Results Compared to the general adult population, sufficient aerobic PA was lower for most NCDs, with the lowest level among people with diabetes mellitus, obesity, stroke, chronic obstructive pulmonary disease (COPD), and depression. Compared to the general adult population, sufficient muscle strengthening was lower for some NCDs (diabetes mellitus, obesity, depression), but it was higher in people with musculoskeletal diseases (osteoarthritis, lower back pain). Multimorbidity was negatively associated with sufficient PA levels. Conclusion The study specifies the need to promote PA among adults with select NCDs to counteract insufficient levels of health-enhancing PA and to reduce the individual and societal burden of NCDs.

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Section: Discussionsupporting

confidence: 91%

“…Likewise, this study was unable to distinguish between different types of cancer. As a result, we could not account for the fulfillment of PA recommendations that may vary according to the type of cancer (Steindorf et al, 2020).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Do adults with non-communicable diseases meet the German physical activity recommendations?

Sudeck

Geidl

Abu‐Omar

et al. 2021

Ger J Exerc Sport Res

View full text Add to dashboard Cite

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“…Similar to what is observed in other cancer cohorts, this review suggests the proportion of insufficiently active patients increases during treatment [33][34][35][36]. After treatment, levels of PA are lower for patients with brain cancer (22-41% meeting guidelines) compared to more common cancers (e.g., mixed cohort of breast, colorectal, prostate cancer-54% meeting guidelines) [36].…”

Section: Discussionsupporting

confidence: 74%

Physical activity and exercise in adults diagnosed with primary brain cancer: a systematic review

et al. 2021

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Purpose The aims of this systematic review were to: (1) describe physical activity (PA) levels following diagnosis of primary brain cancer, (2) determine the relationship between PA levels and health outcomes, and (3) assess the effect of participating in an exercise intervention on health outcomes following a diagnosis of brain cancer. Methods PubMed, EMBASE, Scopus and CINAHL were searched for relevant articles published prior to May 1, 2020. Studies reporting levels of PA, the relationship between PA and health outcomes, and exercise interventions conducted in adults with brain cancer were eligible. The search strategy included terms relating to primary brain cancer, physical activity, and exercise. Two independent reviewers assessed articles for eligibility and methodological quality (according to Joanna Briggs Institute Critical Appraisal Tools). Descriptive statistics were used to present relevant data and outcomes. Results 15 studies were eligible for inclusion. Most adults with brain cancer were insufficiently active from diagnosis through to post-treatment. Higher levels of PA were associated with lower severity of brain cancer specific concerns and higher quality of life. Preliminary evidence suggests that exercise is safe, feasible and potentially beneficial to brain cancer symptom severity and interference, aerobic capacity, body composition and PA levels. However, the level of evidence to support these findings is graded as weak. Conclusions Evidence suggests that it is likely appropriate to promote those with brain cancer to be as physically active as possible. The need or ability of those with brain cancer to meet current PA guidelines promoted to all people with cancer remains unclear. Supplementary Information The online version contains supplementary material available at 10.1007/s11060-021-03745-3.

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“…The present cross‐sectional study was part of the large‐scale Momentum Project Heidelberg, which was conducted between January 2017 and May 2018 and addressed people with breast, prostate, or colorectal cancer, diagnosed with the primary tumor, recurrence, or metastases ≤ 2.5 years ago. Eligibility criteria and recruitment procedures are described elsewhere 9 . The present analysis was restricted to individuals, who provided information on PA and counseling.…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, it is recommended that individuals with cancer engage in at least 30 minutes of moderateintensity aerobic activity three times per week and 20 to 30 minutes of resistance exercises twice per week 4 . While most studies have indicated a decline of PA post-diagnosis and low adherence rates to recommended guidelines 5,6 , some recent investigations found that up to 50% of individuals with cancer reported being sufficiently active [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

The association between physicians’ exercise counseling and physical activity in patients with cancer: Which roles do patients’ satisfaction and previous physical activity levels play?

et al. 2020

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Objectives: The purpose of this study was to examine the association between physicians' exercise counseling and post-diagnosis physical activity (PA) in patients with cancer by investigating the mediating role of patients' satisfaction with exercise counseling as well as the moderating role of patients' previous PA. Methods: The study sample consisted of 1002 people with cancer (503 breast, 265 prostate, and 234 colorectal cancer). Participants reported their pre-and postdiagnosis moderate-to-vigorous PA (MVPA) levels, indicated whether their physician had covered different steps of exercise counseling as defined by the 5A framework (Assess, Advise, Agree, Assist, and Arrange) and rated their satisfaction with exercise counseling. A conditional process analysis was used to determine the direct and indirect effects of counseling on post-diagnosis MVPA through satisfaction at different levels of pre-diagnosis MVPA. Results: Physicians' exercise counseling was associated with post-diagnosis MVPA in patients with cancer. However, the association differed by patients' pre-diagnosis MVPA (P = .039). While counseling was directly associated with higher postdiagnosis MVPA for individuals with low pre-diagnosis MVPA (CI: 0.02-0.20, P = .014), the effect was mediated through satisfaction with exercise counseling for previously highly active individuals (Boot CI: 0.01-0.08). Conclusions: Our findings emphasize the relevance of physicians' exercise counseling for PA in patients with cancer. However, the results indicate that in order to effectively influence patients' PA, it appears important to provide a comprehensive counseling that is adjusted to the patients' exercise experiences.

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Change patterns and determinants of physical activity differ between breast, prostate, and colorectal cancer patients

Cited by 25 publications

References 48 publications

Do adults with non-communicable diseases meet the German physical activity recommendations?

Do adults with non-communicable diseases meet the German physical activity recommendations?

Physical activity and exercise in adults diagnosed with primary brain cancer: a systematic review

The association between physicians’ exercise counseling and physical activity in patients with cancer: Which roles do patients’ satisfaction and previous physical activity levels play?

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