Correlates of Physical Activity in Young Adult Survivors of Childhood Cancers

Finnegan, Lorna; Wilkie, Diana J.; Wilbur, Jo Ellen; Campbell, Richard T.; Zong, Shiping; Katula, Sarah

doi:10.1188/07.onf.e60-e69

Cited by 49 publications

(65 citation statements)

References 49 publications

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“…The percentage of physically active cancer survivors, according to different authors, ranged from 36 up to 80%, depending on demographic distribution of the study groups and cancer type and being significantly lower in women and patients with CNS tumors. [39][40][41][42] In our study, the percentage of cancer survivors who work out enough is 60.8%, being slightly lower than in healthy controls: 65.2%. However, the differences were not statistically significant.…”

Section: Discussionmentioning

confidence: 76%

The Estimation of Intima-Media Thickness and Cardiovascular Risk Factors in Young Survivors of Childhood Cancer

Sadurska

Brodzisz²,

Zaucha‐Prażmo³

et al. 2016

Journal of Pediatric Hematology/Oncology

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Cancer treatment in childhood is thought to accelerate the development of atherosclerosis, leading to significant cardiovascular complications and, ultimately, increasing cardiovascular mortality in childhood cancer survivors, which explains the need to assess vascular status in this group. The purpose of this paper was to assess early atherosclerotic lesions based on the analysis of intima-media thickness (IMT) of the common carotid artery, as well as to analyze cardiovascular risk factors in young childhood cancer survivors. The analysis of 158 patients aged 6 to29 years, with a history of previous cancer treatment for different childhood malignancies, revealed a statistically significant difference in IMT between them and 66 age-matched healthy controls. The observed higher IMT scores in childhood cancer survivors may be indicative of premature atherosclerosis. The actual scores were 0.056±0.007 versus 0.052±0.003 (P=0.0001) as a mean score for both carotid arteries in the study group and controls, respectively. We did not observe significant differences in IMT between cancer survivors treated with chemotherapy only versus those treated with chemotherapy and radiotherapy. Similar to the general population, childhood cancer survivors are affected by different cardiovascular risk factors. These factors may enhance the direct cardiotoxicity of cancer treatment, leading to symptomatic incidents in further life, which emphasizes the need of early prevention and/or treatment in this subpopulation.

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Section: Discussionmentioning

confidence: 76%

The Estimation of Intima-Media Thickness and Cardiovascular Risk Factors in Young Survivors of Childhood Cancer

Sadurska

Brodzisz²,

Zaucha‐Prażmo³

et al. 2016

Journal of Pediatric Hematology/Oncology

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“…Breast cancer survivors therefore represent an ideal population to study motivation and its associations with behavioral and psychological health outcomes. Indeed, there has been growing interest in linking motivation to physical activity (e.g., Finnegan et al, 2007;Milne, Wallman, Guilfoyle, Gordon, & Courneya, 2008;Wilson, Blanchard, Nehl, & Baker, 2006) and health outcomes (e.g., Brunet et al, 2013) in cancer survivors. To move this research forward, we explored whether the results of our polynomial regression analysis with response surface methodology in Studies 1 and 2 hold in a sample of breast cancer survivors.…”

Section: Studymentioning

confidence: 99%

An integrative analytical framework for understanding the effects of autonomous and controlled motivation

Brunet

Gunnell

Gaudreau

et al. 2015

Personality and Individual Differences

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Academic Health Polynomial regression analysis Response surface methodology Cross-sectional and prospective study designs a b s t r a c t Purpose: To use polynomial regression analysis with response surface methodology to examine the extent to which autonomous motivation (AM) and controlled motivation (CM) as separate constructs, as well as how the degree of agreement/differentiation and the direction of differentiation among them, can predict outcomes in academic and health contexts. Methods: Data from two studies with university students and one study with breast cancer survivors were used. Results: In general, AM predicted positive academic and health outcomes, whereas CM positively predicted negative outcomes. Positive outcomes were generally higher whereas negative outcomes were generally lower when AM was greater than CM and when agreement between AM and CM increased. Conclusions: Consideration of the degree of agreement and the direction of differentiation between AM and CM adds to the interpretation of the associations between motivation and outcomes in academic and health contexts that is not captured by simply examining AM or CM separately or using a combined AM-CM score.

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“…This is exemplified by findings that suggest that survivors who smoke are less likely to attempt or to successfully quit smoking 75 and by findings that psychological sequela of cancer, such as post-traumatic stress, depression, and worries about illness, relate to poor health behaviors. 32,[76][77][78][79] Behavioral Research in Survivors of Adult Onset Cancers A few large-scale studies of the preventative and health behaviors of adult cancer survivors have now been published. In a study of more than 9000 cancer survivors, Blanchard et al 80 reported that these survivors comprised 6 different tumor locations and that 8.4% to 17.4% were current smokers, which is on the low end and may reflect absence of survivors of lung, head and neck, and other cancers in which smoking is more prevalent.…”

Section: Health Behavior Research In Adult Survivors Of Childhood Canmentioning

confidence: 99%

Adult Cancer Survivorship: Evolution, Research, and Planning Care

Jacobs

Palmer

Schwartz

et al. 2009

CA: A Cancer Journal for Clinicians

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Increases in the number of adult cancer survivors and other issues have forced the oncology community to examine, evaluate, and alter the cancer care paradigm. Pediatric oncologists are grappling with the task of transitioning a growing population of adult survivors of childhood cancer to adult medicine, while oncologists caring for adult cancer survivors are seeking models of follow-up care that are acceptable to patients and providers. Workforce and access-to-care issues suggest that primary care providers will see more cancer survivors in their practices across time, although it is unclear how prepared they are for this task. Translational research is needed to develop evidence-based clinical care and survivorship care plans. A broad picture of the evolving field of adult cancer survivorship is presented. The recent focus on young adult survivors of childhood cancer, an overview of translational research needed to inform the physical and psychosocial care of cancer survivors, and the roles of primary and specialty care providers managing this population is examined. Finally, an overview of evolving treatment summary and care plan initiatives is presented.

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Correlates of Physical Activity in Young Adult Survivors of Childhood Cancers

Abstract: Interventions that promote autonomous motivation, decrease physical activity cons, and address present and future worries may increase physical activity in young adult cancer survivors and may have a greater impact on women than men.

Cited by 49 publications

References 49 publications

The Estimation of Intima-Media Thickness and Cardiovascular Risk Factors in Young Survivors of Childhood Cancer

The Estimation of Intima-Media Thickness and Cardiovascular Risk Factors in Young Survivors of Childhood Cancer

An integrative analytical framework for understanding the effects of autonomous and controlled motivation

Adult Cancer Survivorship: Evolution, Research, and Planning Care

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