Physical Activity and Self-Rated Health Status Among Older Adult Cancer Survivors: Does Intensity of Activity Play a Role?

Lee, Hee Yun; Kim, Jeehoon; Merighi, Joseph R.

doi:10.1188/15.onf.614-624

Cited by 21 publications

(14 citation statements)

References 33 publications

(50 reference statements)

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“…QOL was measured using the EORTC QLQ-C30, which includes global QOL, five functional scales, and multi-and single-item symptom scales on the eighth day following the HCT (Aaronson, Cull, Kaasa, & Sprangers, 1996). This was a secondary data analysis of data from three previous studies (Hacker et al, 2006;Hacker, Larson, Kujath, et al, 2011;. One study was a two-site descriptive study examining fatigue and physical activity following HCT (Hacker et al, 2006).…”

Section: Methodsmentioning

confidence: 99%

“…This was a secondary data analysis of data from three previous studies (Hacker et al, 2006;Hacker, Larson, Kujath, et al, 2011;. One study was a two-site descriptive study examining fatigue and physical activity following HCT (Hacker et al, 2006). Only patients from the University of Illinois Hospital and Health Sciences System were included in the current study because of the inability to gain access to the outside facility's electronic medical record after the initial data collection procedures were completed.…”

Section: Methodsmentioning

confidence: 99%

“…Sleep variables were scored for each 24-hour period, and a mean was computed. Wrist actigraphy has been successfully used to assess sleep and sleep disturbances across a wide range of populations, including patients with cancer (Berger, 1998;Hacker et al, 2006;Miaskowski & Lee, 1999;Sarna & Conde, 2001). Intra-and inter-instrument reliability was established using a shaker table under six different conditions of various intensity to produce a range of accelerometry counts (Esliger & Tremblay, 2006).…”

Section: Instrumentationmentioning

confidence: 99%

See 2 more Smart Citations

An Inpatient Surgical Oncology Unit’s Experience With Moral Distress: Part II

Pelton¹,

Bohnenkamp²,

Reed³

et al. 2015

ONF

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Instrumentationmentioning

confidence: 99%

See 1 more Smart Citation

An Inpatient Surgical Oncology Unit’s Experience With Moral Distress: Part II

Pelton¹,

Bohnenkamp²,

Reed³

et al. 2015

ONF

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“…According to Schootman et al, 21 increased participation in LTPA was associated with a reduction of fair-poor self-rated health during both the first year after diagnosis and one year later. In addition, Lee et al 22 found that older adult cancer survivors who engaged in LTPA reported better health status. Moreover, previous studies suggested that LTPA serves an important non-pharmacologic means to improve overall healthrelated quality of life among people with cancer.…”

Section: Leisure Time Physical Activity Health Perception and Mentamentioning

confidence: 99%

“…For example, a population-based study of breast cancer patients found that participation in low-and moderate-intensity LTPA was associated with better mental health (i.e., low levels of depression). 27 Furthermore, Lee et al 22 found the older adult cancer survivors who participated in vigorous LTPA showed significantly higher levels of health status than those who engaged in low-intensity LTPA. These studies suggest that greater involvement in LTPA is positively associated with mental health among people with cancer.…”

Section: Leisure Time Physical Activity Health Perception and Mentamentioning

confidence: 99%

The impact of leisure time physical activity on mental health and health perception among people with cancer

Kim

Han

2020

Health Promot Perspect

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Background: People with cancer often report high levels of negative psychological symptoms and poor perception of health due to cancer treatment and activity limitations. Prior studies have suggested that participation in leisure time physical activity (LTPA) can reduce negative psychological symptoms and improve health perception. However, a few studies have examined the contribution of LTPA to health benefits among people with cancer. Thus, we aimed to examine how a different level of LTPA engagement contributed to mental health and health perceptions among people with cancer. Methods: Using the 2017 Health Information National Trends Survey (HINTS) data, cross sectional data of 504 respondents diagnosed with any types of 22 cancers listed in the survey questionnaire were analyzed. A multivariate analysis of variance (MANOVA) was used to test for mean differences in mental health and health perception among the three different LTPA groups(i.e., inactive, moderately active, and vigorously active groups). Results: Results indicated that people with cancer who reported higher levels of LTPA scored higher on mental health and health perception than those with lower levels of LTPA (Pillai’s trace= 0.060, F (4,944) = 15.06, P < 0.001). Conclusion: This finding suggests that individuals with cancer gained more health benefits through high engagement in LTPA. Moreover, we suggested that LTPA can be used as an important therapeutic intervention to promote health quality and wellbeing among people with cancer. Implications for practical suggestions are further discussed.

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Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania

Mama

Bhuiyan

Foo

et al. 2020

Support Care Cancer

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Background: This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status. Methods: Cancer survivors (N=2,463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as: 1) meeting aerobic recommendations (≥150 minutes/week), 2) muscle-strengthening recommendations (≥2 times/week), 3) both aerobic and muscle-strengthening recommendations, or 4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for cancer type, gender and income. Results: Nearly 600 (N=591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p=.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI: 1.1-6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI: 1.1-4.5), adjusting for rurality and covariates. Conclusions: Results demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health. These findings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities in this population. dichotomized poor physical health days (≥7 days vs. <7 days), poor mental health days (≥7 days vs. <7 days), and poor physical or mental health days impeding activities (≥7 days vs. <7 days). Regression analyses included cancer type, gender, and income because they were associated with PA and rural-urban residence. Effect modification by rural-urban differences was assessed. Results Participant Characteristics Of the 2,463 cancer survivors mailed recruitment letters and questionnaires, 591 (24.0%) returned completed questionnaires and participated in this study (Figure 1); the response rate did not significantly differ between rural (19.8%) and urban (24.5%) cancer survivors (χ 2 =3.1, p=.078). Breast cancer survivors were most likely to return completed questionnaires, followed by gynecologic, prostate, and colorectal cancer survivors; lung cancer survivors were least likely to participate. Demographic characteristics, PA, and health status are summarized in Table 1 by rural-urban residence. Rural cancer survivors were significantly more likely to be unemployed (χ 2 =4.9, p=.025) than urban cancer survivors. Half (50.0%) of rural cancer survivors reported being physically inactive (re...

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Physical Activity and Self-Rated Health Status Among Older Adult Cancer Survivors: Does Intensity of Activity Play a Role?

Abstract: Health programs and policies need to address physical activity to improve the overall well-being of older adult cancer survivors.

Cited by 21 publications

References 33 publications

An Inpatient Surgical Oncology Unit’s Experience With Moral Distress: Part II

An Inpatient Surgical Oncology Unit’s Experience With Moral Distress: Part II

The impact of leisure time physical activity on mental health and health perception among people with cancer

Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania

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