Exercise among breast and prostate cancer survivors—what are their barriers?

Ottenbacher, Allison; Day, R. Sue; Taylor, Wendell C.; Sharma, Shreela V.; Sloane, Richard; Snyder, Denise C.; Kraus, William E.; Demark‐Wahnefried, Wendy

doi:10.1007/s11764-011-0184-8

Cited by 146 publications

(121 citation statements)

References 28 publications

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“…Several studies have collected exercise barrier data from cancer patients who were participating in supervised exercise intervention as part of a clinical trial, and reported that the greatest barriers to exercise are 'lack of time' or 'too busy' regardless of cancer type (Courneya et al, 2005;Ottenbacher et al, 2011). The limitation of these studies is that results from these studies could only be applied to patients who are participating in regular or scheduled exercise sessions.…”

Section: Discussionmentioning

confidence: 99%

Exercise Barriers in Korean Colorectal Cancer Patients

Kang¹,

Chung²,

Lee³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: It has been proved that participating in exercise improves colorectal cancer patients' prognosis. This study is to identify barriers to exercise in Korean colorectal cancer patients and survivors. Materials and Methods: A total of 427 colorectal cancer patients and survivors from different stages and medical status completed a self-administered questionnaire that surveyed their barriers to exercise and exercise participation. Results: The greatest perceived exercise barriers for the sampled population as a whole were fatigue, low level of physical fitness, and poor health. Those under 60-years old reported lack of time (p=0.008), whereas those over 60 reported low level of physical fitness (p=0.014) as greater exercise barriers than their counterparts. Women reported fatigue as a greater barrier than men (p<0.001). Those who were receiving treatment rated poor health (p=0.0005) and cancer-related factors as greater exercise barriers compared to those who were not receiving treatment. A multivariate model found that other demographic and medical status were not potential factors that may affect exercise participation. Further, for those who were not participating in physical activity, tendency to be physically inactive (p<0.001) and lack of exercise skill (p<0.001) were highly significant barriers, compared to those who were participating in physical activity. Also, for those who were not meeting ACSM guidelines, cancer-related exercise barriers were additionally reported (p<0.001), compared to those who were. Conclusions: Our study suggests that fatigue, low level of physical fitness, and poor health are most reported exercise barriers for Korean colorectal cancer survivors and there are differences in exercise barriers by age, sex, treatment status, and physical activity level. Therefore, support for cancer patients should be provided considering these variables to increase exercise participation.

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Section: Discussionmentioning

confidence: 99%

Exercise Barriers in Korean Colorectal Cancer Patients

Kang¹,

Chung²,

Lee³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Another key concept related to intention is that of motivation or 'willpower'. Ottenbacher et al (2011) found that, of their sample of breast and prostate cancer survivors, those who reported 'no willpower' to be physically active engaged in less physical activity. Significantly, 'no willpower' was reported as a barrier by 51% of breast and 44% of prostate cancer survivors.…”

Section: Addressing Psychological Barriers To Physical Activitymentioning

confidence: 99%

“…These frequently include lack of time or being too busy, nonspecific treatment side effects, fatigue, nausea, diarrhoea, surgical complications, work or family responsibilities, and lack of enjoyment Ottenbacher et al, 2011;Rogers et al, 2008). Some of these barriers are also often reported in general population samples.…”

Section: Barriers To Physical Activitymentioning

confidence: 99%

“…Intervention studies have shown that it is possible for cancer survivors to be active to some extent both during and soon after the completion of treatment with very few observed negative consequences (Battaglini, 2011;Keogh & MacLeod, 2012;Schmitz et al, 2011). Additionally, many of the barriers to physical activity which are frequently reported by cancer survivors are not treatment related (Rogers et al, 2007;Ottenbacher et al, 2011). This suggests that physical condition alone does not determine whether someone participates in physical activity or not.…”

Section: Barriers To Physical Activitymentioning

confidence: 99%

“…Characteristics of individuals, such as gender and age, may also play a role in physical activity participation. Physical activity participation is typically found to be higher in men than in women (Trost et al, 2002), and gender differences in reported barriers and motivation may help to explain differences between gender-specific cancers (Kim et al, 2010;Smith et al, 1998;Ottenbacher et al, 2011). Further, some barriers are related to, or exacerbated by, physical decline in old age, such as muscular and joint problems (Craike et al, 2011) and fear of falling (Arfken et al, 1994), and older age has been associated both with lower levels of self-efficacy and lower levels of physical activity in cancer survivors (Bellizzi et al, 2005;Rogers et al, 2006).…”

Section: Addressing Psychological Barriers To Physical Activitymentioning

confidence: 99%

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Physical Activity and Cancer

Bk¹,

Ih²,

Rohde³

2013

Encyclopedia of Behavioral Medicine

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It is widely accepted that physical activity is important for physical functioning and well-being, and as such the promotion of active lifestyles is becoming increasingly significant in public health policy both in the UK and worldwide. Sedentary lifestyles have been associated with increased risk of obesity and preventable disease including diabetes, coronary heart disease and some cancers. With regards cancer specifically, this chapter will provide a brief overview on current opinions on the link between physical activity and cancer prevention.The published evidence focuses both on primary and secondary prevention. More recent evidence has investigated the use of physical activity in secondary prevention for those who have been diagnosed with cancer and proposed a link between physical activity, morbidity and mortality in those with cancer. The evidence-base for secondary prevention is more limited. Nevertheless, studies to date have indicated that physical activity can improve both physical functioning and psychological outcomes in cancer survivors, and significantly improve quality of life.The exact nature of those interventions which confer the most positive effects is less well-established, and there is a current lack of consensus on the most appropriate type, intensity and duration of activity for people with cancer. It has not yet been wellestablished as to which stage of the treatment programme physical activity should be encouraged (during or following treatment) or the most appropriate length of time during which structured physical activity interventions should be delivered to achieve beneficial results.These factors will be discussed in this chapter, and barriers to engaging in physical activity for those with a diagnosis of cancer will be considered. The chapter will conclude with a summary of key findings and the potential for further research.

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Soypeptide supplementation attenuates weight loss and improves quality of life among brain cancer patients in a pilot study

Amakye

Huang

et al. 2023

Food Frontiers

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Inability to meet nutrition needs resulting from multiple diseases‐related, and individual factors contribute significantly to malnutrition and poor disease outcome among cancer patients. Strategies capable of delivering metabolically efficient nutrients with less digestive and metabolic stress without adding bulk to the diet of patients may be suitable for dealing with cancer‐related malnutrition and quality of life (QoL). We sought to test the hypothesis that peptide supplementation could attenuate weight loss and improve QoL among brain cancer patients compared to conventionally treated controls. In a non‐blind pilot study, brain cancer patients received 9 g soybean peptide supplementation twice per day (peptide group, n = 9) and compared with conventional treatment (control group, n = 10) over two chemotherapy cycles of 42 days. Compared to the controls, soypeptide supplementation attenuated weight loss with 5.4% increase in weight. Moreover, QoL, assessed using the European Organization for Research and Treatment of Cancer QLQ‐C30, revealed that physical (8.1 ± 15.6, p < .047) and emotional (7.5 ± 3.5, p < .033) functioning as well as summary scores (7.1 ± 2.4, p < .048) improved, whereas others remain stable. Molecular docking simulation suggested that the peptides could induce body weight through the inhibition of angiotensin‐converting enzyme (ACE) upon digestion. Daily soypeptide supplementation could enhance weight gain and improve QoL among brain cancer patients possibly by inhibiting ACE activity. However, a follow‐up study with a larger sample size in a double‐blind randomized trial is required to validate these preliminary findings.

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Exercise among breast and prostate cancer survivors—what are their barriers?

Cited by 146 publications

References 28 publications

Exercise Barriers in Korean Colorectal Cancer Patients

Exercise Barriers in Korean Colorectal Cancer Patients

Physical Activity and Cancer

Soypeptide supplementation attenuates weight loss and improves quality of life among brain cancer patients in a pilot study

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