Satisfaction with an Exercise Physiology Consultation After Treatment for Childhood Cancer

Mizrahi, David; Wakefield, Claire E.; Ha, Lauren; Cohn, Richard J.; Simar, David; Fardell, Joanna E.

doi:10.4103/hm.hm_47_19

Cited by 4 publications

(11 citation statements)

References 36 publications

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“…Practical examples to overcome physical activity barriers could be discussing relationship between physical activity with chronic diseases and late‐effects such as fatigue 44 . Additionally, referrals to exercise specialists can prescribe individualised programs including family or friends to set a positive example by identifying physical activity likes and dislikes, implement technology including pedometers or mobile phone applications to self‐monitor progress, use cost‐effective equipment including resistance bands, outdoor gyms, using bodyweight or home‐based play and start with small bouts that progressively increase the volume over time 18,44 …”

Section: Discussionmentioning

confidence: 99%

“…44 Additionally, referrals to exercise specialists can prescribe individualised programs including family or friends to set a positive example by identifying physical activity likes and dislikes, implement technology including pedometers or mobile phone applications to self-monitor progress, use cost-effective equipment including resistance bands, outdoor gyms, using bodyweight or home-based play and start with small bouts that progressively increase the volume over time. 18,44 In the present study, we established a risk profile, identifying that CCS with low fitness were more likely to be younger, female, have higher waist-to-height ratio and screen time and lower physical activ-ity, therefore may be at increased CVD risk during survivorship. In our cohort, females had a higher proportion with reduced fitness compared with gender-based normative values.…”

Section: Discussionmentioning

confidence: 99%

“…The ‘teachable moment’ of completing cancer treatment is an opportunity to prepare families for engaging in healthy lifestyles, 16 and can be a useful point to refer survivors for individualised programs with exercise physiologists 17,18 . Identifying key barriers, enablers and contributing factors to physical activity engagement may ensure appropriate support is provided in this population 18 . It could be crucial to identify physical activity stage of change (PASC), using the transtheoretical model, to determine current behaviours and readiness to engage in regular physical activity 19 .…”

Section: Introductionmentioning

confidence: 99%

“…17,18 Identifying key barriers, enablers and contributing factors to physical activity engagement may ensure appropriate support is provided in this population. 18 It could be crucial to identify physical activity stage of change (PASC), using the transtheoretical model, to determine current behaviours and readiness to engage in regular physical activity. 19 Assessing behaviours and addressing potential risk factors may ensure appropriate lifestyle is achieved before survivors' transition into adulthood.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and enablers to physical activity and aerobic fitness deficits among childhood cancer survivors

Mizrahi

Wakefield

Simar

et al. 2020

Pediatric Blood & Cancer

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Background: Physical activity and aerobic fitness are modifiable risk factors for cardiovascular disease (CVD) after childhood cancer. How survivors engage in physical activity remains unclear, potentially increasing CVD risk. We assessed survivors' physical activity levels, barriers and enablers, fitness, and identified predictors of fitness and physical activity stage of change. Methods: Childhood cancer survivors (CCS; 8-18 years old) ≥1 year post-treatment were assessed for aerobic fitness (6-min walk test), used to extrapolate VO 2max , and body composition (InBody 570). Survivors self-reported physical activity to determine stage of change (Patient-Centered Assessment and Counselling for Exercise). Physical activity and fitness were compared with guidelines and CVD-risk cut-points (VO 2max < 42 mL/kg/min: males; VO 2max < 35 mL/kg/min: females). Multiple regression and mediator-moderator analysis were used to identify fitness predictors and stage of change.Results: One hundred two survivors (12.8 ± 3.3 years) participated (46% acute lymphoblastic leukaemia). Forty percent of males (VO 2max = 43.3 ± 6.3 mL/kg/min) and 28% of females (VO 2max = 36.5 ± 5.9 mL/kg/min) were in the CVD-risk category, while 25% met physical activity guidelines. Most prevalent physical activity barriers were fatigue (52%), preferring television instead of exercise (38%), and lacking time (34%). Predictive factors for reduced fitness included being older, female, higher waist-to-height ratio, higher screen time, and moderated by lower physical activity (r 2 = 0.91, P < .001). Survivors with higher physical activity stage of change were male, lower body fat percentage, lower screen time, and lived with both parents (r = 0.42, P = .003). Conclusion:Aerobic fitness and physical activity of CCS is low compared with population norms, potentially increasing CVD risk. Addressing physical activity barriers and enablers, including reducing screen time, could promote regular physical activity, reducing CVD risk. K E Y W O R D Saerobic fitness, barriers, childhood cancer survivors, exercise, physical activity, survivorship, VO 2max

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers and enablers to physical activity and aerobic fitness deficits among childhood cancer survivors

Mizrahi

Wakefield

Simar

et al. 2020

Pediatric Blood & Cancer

Self Cite

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“…Cancer‐specific exercise consultations could be a potential strategy to educate and assist survivors with strategies to improve their physical activity levels. A single exercise consultation for childhood cancer survivors and their parents has been reported as feasible and acceptable, 14 though further longitudinal evaluation is needed to determine the long‐term efficacy of exercise consultations, given the complexities of survivors’ health care and needs.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of perceived physical activity and fitness levels among childhood cancer survivors

Mizrahi

Cohn

et al. 2021

Pediatric Blood & Cancer

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Background: Childhood cancer survivors do not engage in sufficient physical activity and have low fitness levels. Perceived physical activity and fitness levels may influence survivors' engagement in health behaviours. We aimed to investigate survivors' perceptions of physical activity and fitness levels and identify how accurate their perceptions were. We further explored survivors' attitudes toward physical activity, including perceived importance and desire to increase activity levels. Procedure:We recruited 116 childhood cancer survivors (8-18 years) and assessed their perceived physical activity levels using a questionnaire and the Godin's Leisure Score Index. Accuracy of their perceptions was established by comparing their perceived physical activity levels with the recommended guidelines. Survivors reported their perceived fitness levels using the International Fitness Scale. We compared survivors' perceptions with their performance on the 6-minute walk test using weighted Cohen's kappa to determine interrater agreement between perceived and objectively measured fitness.Results: Most survivors did not meet the physical activity guidelines (<420 min/week).One-third incorrectly perceived whether their self-reported physical activity levels were appropriate (84% underestimated, while 16% overestimated). Survivors had average fitness and were inaccurate at perceiving their fitness level. Survivors highly valued the importance of being able to do physical activity, and 89% reported a desire to increase their physical activity. Conclusions:Our results reveal that many survivors are not accurate when perceiving their physical activity and fitness levels. Emphasising the need for objective fitness assessments, and patient education in clinical practice may support survivors to accurately perceive their physical activity and fitness levels, thus improving health behaviours.

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Parent perceptions of their child’s and their own physical activity after treatment for childhood cancer

Wakefield

Fardell

et al. 2022

Support Care Cancer

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Purpose Parents are important facilitators of physical activity for children, yet little is known about the perceptions of parents of childhood cancer survivors. We investigated parent perceptions of their own and their child’s physical activity levels after cancer treatment and examined associations with clinical, demographic, and psychosocial factors. Methods We conducted a cross-sectional survey among 125 parents and 125 survivors. Parents reported on the perceived importance of their child being physically active and concerns regarding exercising after cancer treatment. Results Parents and survivors self-reported median (range) of 127.5 (0–1260) and 220 (0–1470) min/week of moderate-to-vigorous physical activity. Most parents (n = 109, 98%) believed that physical activity was highly important for their child. Some parents (n = 19, 17%) reported concerns, most commonly regarding exercise safety (n = 7, 22%). Parents were more likely to perceive that their child should increase physical activity if their child was an adolescent and had high body fat percentage. Conclusions Physical activity levels varied widely among survivors, reflecting factors including parents’ lifestyles, limited understanding of exercise benefits and perceptions of risk. Given survivors’ insufficient physical activity levels and sedentary behaviour among families, embedding physical activity promotion into health systems and follow-up support could benefit the entire family unit.

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Satisfaction with an Exercise Physiology Consultation After Treatment for Childhood Cancer

Cited by 4 publications

References 36 publications

Barriers and enablers to physical activity and aerobic fitness deficits among childhood cancer survivors

Barriers and enablers to physical activity and aerobic fitness deficits among childhood cancer survivors

Accuracy of perceived physical activity and fitness levels among childhood cancer survivors

Parent perceptions of their child’s and their own physical activity after treatment for childhood cancer

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