Self‐reported physical activity, sitting time, and mental and physical health among older cancer survivors compared with adults without a history of cancer

Abstract

BACKGROUND: To the authors' knowledge, few studies to date have examined associations between moderate to vigorous physical activity (MVPA) and sitting time with quality of life in cancer survivors compared with a cancer-free group. The current study examined differences in global mental health (GMH) and global physical health (GPH) across levels of MVPA and sitting among cancer survivors and cancer-free participants. METHODS: Cancer Prevention Study II participants (59.9% of whom were female with an age of 77.8 ± 5.8 years) were grouped as: 1) survivors who were 1 to 5 years after diagnosis (3718 participants); 2) survivors who were 6 to 10 years after diagnosis (4248 participants); and 3) cancer-free participants (ie, no history of cancer; 69,860 participants). In 2009, participants completed MVPA, sitting, and Patient-Reported Outcomes Measurement Information System GMH/GPH surveys. Mean differences in GMH and GPH T scores across MVPA (none, 0 to <7.5, 7.5 to <15, 15 to <22.5, and ≥22.5 metabolic equivalent [MET]-hours/week) and sitting (0 to <3, 3 to <6, and ≥6 hours/day) were assessed using multivariate generalized linear models. RESULTS: The mean GMH and GPH scores were statistically significantly higher in cancer-free participants compared with cancer survivor groups, although the differences were not clinically meaningful (mean difference of 0.52 for GMH and 0.88 for GPH). More MVPA was associated with higher GMH and GPH scores for all 3 groups (P for trend <.001), and differences between the least and most active participants were found to be clinically meaningful (mean differences of ≥4.34 for GMH and ≥6.39 for GPH). Similarly, a lower duration of sitting was associated with higher GMH and GPH scores for all groups (P for trend <.001), with clinically meaningful differences observed between the least and most sedentary participants (mean differences of ≥2.74 for GMH and ≥3.75 for GPH). CONCLUSIONS: The findings of the current study provide evidence of the importance of increased MVPA and decreased sitting for improved health in older adults with or without a prior cancer diagnosis.

Fracture Risk Among Older Cancer Survivors Compared With Older Adults Without a History of Cancer

“…Because newly diagnosed cancer survivors are more likely to be receiving curative or palliative care that may acutely affect fracture risk, survival, and other variables examined, the first year after the date of diagnosis was excluded from the main analysis but was included in an analysis examining risk by single year since diagnosis. These analytic decisions align with those made in previous studies of bone health in cancer survivors and with other studies of cancer survivorship within CPS-II NC …”

“…These analytic decisions align with those made in previous studies of bone health in cancer survivors 11 and with other studies of cancer survivorship within CPS-II NC. 23…”

Outcomes and Survivorship 5 Years After Arthroscopic Rotator Cuff Repair in Active Patients 70 Years and Older

“…While this relationship is undoubtedly multifactorial, increasing physical activity and decreasing sedentary lifestyle habits have been shown to be associated with improved mental and physical health as people age. 1,2,31 Despite the overall high patient satisfaction with surgical outcomes and return to prior activities in the present study, there were 10 patients (16%) who reported satisfaction scores \7; of 4 (6.4% of entire cohort) of whom were deemed to have ''poor'' outcomes because of corresponding ASES scores of \75. Interestingly, each patient reported moderate (3) or severe (1) pain with recreation and mild (2) or moderate (2) pain with sleep, indicating that pain resolution is likely a central focus of this patient cohort.…”

“…While this relationship is undoubtedly multifactorial, increasing physical activity and decreasing sedentary lifestyle habits have been shown to be associated with improved mental and physical health as people age. 1,2,31…”

Physical Activity, Sedentary Time, and Psychosocial Functioning among Adults with Cancer: A Scoping Review

“…During this phase, the adoption of healthy lifestyle habits is crucial to countering these effects. However, to date, the concurrent associations of PA and ST with psychological functioning and QoL during this period remain poorly understood in adults with cancer [25]. Indeed, while a few reviews have investigated the associations between PA and psychosocial functioning in this population (e.g., [26,27]), ST is a much more recent concept that is often misinterpreted as physical inactivity rather than a distinct behaviour with unique health implications.…”