Prevalence of lifestyle behaviors and associations with health-related quality of life among older female cancer survivors

Krok‐Schoen, Jessica L.; Pisegna, Janell; Arthur, Elizabeth; Ridgway, Emily; Stephens, Christian; Rosko, Ashley

doi:10.1007/s00520-020-05812-3

Cited by 16 publications

(11 citation statements)

References 37 publications

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“…For instance, two separate crosssectional studies by Courneya et al [14] and Speed-Andrews et al [15] showed that about 70-80% of cancer survivors in Canada were physically inactive. Likewise, two American cross-sectional surveys of survivors of different cancers revealed a low self-reported adequate PA participation (around 30%) [16,17]. A cross-sectional survey by Frikkel et al [18] also revealed that only 22% of cancer patients in Germany were physically active.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Elshahat

Treanor

Donnelly

2021

Int J Behav Nutr Phys Act

101

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Background It has been posited that physical activity (PA) has the potential to improve health outcomes and the health-related quality of life of people living with or beyond cancer. Despite the well-documented health benefits of PA, there is a low level of PA among cancer patients. A systematic scoping review was conducted to investigate attitudes, perceptions, preferences and barriers vs. facilitators to cancer patients’ PA participation. Methods A systematic search was performed across four automated databases (PubMed, Embase, PsycINFO and Medline) in keeping with the PRISMA guideline. All cancer types were included, and any age/gender groups were eligible. Both qualitative and quantitative studies were included. The Health Belief Model provided a conceptual framework for the conduct of the scoping review as well as guiding thinking to inform evidence-based interventions. Results Ninety-eight articles were included in this review. Nearly half of the studies focused on mixed cancer sites; breast cancer was the most commonly examined cancer type (19%). Post-treatment was the most commonly investigated stage (33%), followed by studies of mixed stages of the cancer trajectory (27%), the acute treatment stage (23%) and pre-treatment stage (1%). Patient treatment stage was not reported in 16% of studies. Cancer patients reported positive attitudes to PA and recognized its benefits for health and wellbeing. Cancer-related side effects (e.g. fatigue) were a leading physiological barrier to PA participation, whereas effective symptom management techniques/tools acted as a powerful facilitator. Psychosocial barriers included low motivation and kinesiophobia, and perceived health benefits and social support/guidance by healthcare providers were significant facilitators. Inaccessible fitness facilities hindered cancer patients’ PA engagement though the availability of tailored amenities appeared to be a strong facilitator. PA preferences varied in terms of type, place, time, company and source of information and pointed to the need for individualized PA programs. Conclusions There is a need for further research to identify barriers and facilitators to PA that are faced by patients with particular cancer types. Recommended PA promoting-strategies involve including exercise science professionals in healthcare teams and ensuring that fitness facilities are accessible.

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Section: Introductionmentioning

confidence: 99%

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Elshahat

Treanor

Donnelly

2021

Int J Behav Nutr Phys Act

101

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“…Researchers have reported that oncologist engagement in exercise counselling is low (13 to 27%) [18,19] and largely unchanged from 15 years ago [20]. Patient engagement in physical activity during treatment also remains suboptimal (< 50%) across multiple cancer types [13,21,22,23]. Given the robust evidence base that has been generated for the therapeutic benefits of exercise during treatment, it is critical to start investigating how to best translate exercise oncology research into practice to ensure that patients are receiving optimal care.…”

Section: Introductionmentioning

confidence: 99%

Implementation barriers to integrating exercise as medicine in oncology: an ecological scoping review

et al. 2021

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Purpose While calls have been made for exercise to become standard practice in oncology, barriers to implementation in real-world settings are not well described. This systematic scoping review aimed to comprehensively describe barriers impeding integration of exercise into routine oncology care within healthcare systems. Methods A systematic literature search was conducted across six electronic databases (since 2010) to identify barriers to implementing exercise into real-world settings. An ecological framework was used to classify barriers according to their respective level within the healthcare system. Results A total of 1,376 results were retrieved; 50 articles describing implementation barriers in real-world exercise oncology settings were reviewed. Two hundred and forty-three barriers were identified across all levels of the healthcare system. Nearly 40% of barriers existed at the organizational level (n = 93). Lack of structures to support exercise integration and absence of staff/resources to facilitate its delivery were the most common issues reported. Despite the frequency of barriers at the organizational level, organizational stakeholders were largely absent from the research. Conclusions Implementing exercise into routine cancer care is hindered by a web of interrelated barriers across all levels of the healthcare system. Organizational barriers are central to most issues. Future work should take an interdisciplinary approach to explore best practices for overcoming implementation barriers, with organizations as a central focus. Implications for Cancer Survivors This blueprint of implementation barriers highlights critical issues that need to be overcome to ensure people with cancer have access to the therapeutic benefits of exercise during treatment and beyond.

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“…In this study, breast and gastric cancer showed higher rates of increase in older cancer survivors than in younger cancer survivors. Emotional support, normal weight maintenance, eating a healthy diet, and physical activity are important factors that influence the happiness and prognosis of cancer survivors as age increases [ 9 , 11 ]. However, it is difficult to provide appropriate care at home due to decreased physical strength and the independence of children as they age.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, poor eating habits can be life threatening [ 10 ]. Furthermore, emotional support and healthy diet intake affects physical and psychological well-being [ 11 ]. Taken together, these reports show a difference in health care needs according to the age and lifestyle of female cancer survivors.…”

Section: Introductionmentioning

confidence: 99%

Convalescent Hospital Use among Young and Older Female Cancer Survivors

Park

Kim

2021

IJERPH

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This study analyzed national health data to assess convalescent hospital use among female cancer survivors according to age group. This retrospective study collected data from women recovering from breast, colon, and stomach cancer, based on health insurance claim data over 5 years (2013–2017), from the Korea Health Insurance Review and Assessment Service (KHIRA). Interestingly, the number of young and older women who were treated in convalescent hospitals increased every year. In addition, total medical expenses increased in both groups. The annual rate of convalescent hospitalization was higher in older women (8.29~16.39%) than in younger women (4.01~7.46%). The total yearly medical expenses of cancer survivors in convalescent hospitals increased in both age groups and all cancer types, and the range of increase rate was from 7.7% in young breast cancer survivors to 32.2% in young colon cancer survivors. Visit days and days of medication increased noticeably in young colon cancer survivors. Taken together, these data have confirmed the importance of developing standard guidelines for inpatient management in convalescent hospitals and the health management of women cancer survivors by cancer type. This includes establishing a health management system and medical policies.

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Prevalence of lifestyle behaviors and associations with health-related quality of life among older female cancer survivors

Cited by 16 publications

References 37 publications

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Factors influencing physical activity participation among people living with or beyond cancer: a systematic scoping review

Implementation barriers to integrating exercise as medicine in oncology: an ecological scoping review

Convalescent Hospital Use among Young and Older Female Cancer Survivors

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