Promoting Team-Based Exercise Among African American Breast Cancer Survivors

Piacentine, Linda B.; Robinson, Karen M.; Waltke, Leslie J.; Tjoe, Judy A.; Ng, Alexander V.

doi:10.1177/0193945918795313

Cited by 15 publications

(20 citation statements)

References 30 publications

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“…Wilson et al (106) in an 8-week walking intervention observed significant weight loss. Strategies included using group- or team-based strategies (106, 107) or combined group and home-based strategies (104, 105). Spector et al (104), in particular, used a certified personal training to encourage aerobic and resistance training.…”

Section: Resultsmentioning

confidence: 99%

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Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review

et al. 2019

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Background: African American breast cancer survivors have a higher incidence of estrogen receptor negative and basal-like (e.g., triple negative) tumors, placing them at greater risk for poorer survival when compared to women of other racial and ethnic groups. While access to equitable care, late disease stage at diagnosis, tumor biology, and sociodemographic characteristics contribute to health disparities, poor lifestyle characteristics (i.e., inactivity, obesity, and poor diet) contribute equally to these disparities. Lifestyle interventions hold promise in shielding African American survivors from second cancers, comorbidities, and premature mortality, but they are often underrepresented in studies promoting positive behaviors. This review examined the available literature to document health behaviors and lifestyle intervention (i.e., obesity, physical activity, and sedentary behavior) studies in African American breast cancer survivors.Methods: We used PubMed, Academic Search Premier, and Scopus to identify cross-sectional and intervention studies examining the lifestyle behaviors of African American breast cancer survivors. Identified intervention studies were assessed for risk of bias. Other articles were identified and described to provide context for the review.Results: Our systematic review identified 226 relevant articles. The cross-sectional articles indicated poor adherence to physical activity and dietary intake and high rates of overweight and obesity. The 16 identified intervention studies indicated reasonable to modest study adherence rates (>70%), significant reductions in weight (range −1.9 to −3.6%), sedentary behavior (−18%), and dietary fat intake (range −13 to −33%) and improvements in fruit and vegetable intake (range +25 to +55%) and physical activity (range +13 to +544%). The risk of bias for most studies were rated as high (44%) or moderate (44%).Conclusions: The available literature suggests that African American breast cancer survivors adhere to interventions of various modalities and are capable of making modest to significant changes. Future studies should consider examining (a) mediators and moderators of lifestyle behaviors and interventions, (b) biological outcomes, and (c) determinants of enhanced survival in this population.

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Section: Resultsmentioning

confidence: 99%

“…A total of 7 interventions studies were characterized as high bias (52, 90, 98, 104–107), 7 studies were characterized a moderate bias (81, 91–94, 99, 108), and 2 studies were characterized a low bias (49, 89). Risk of bias was lowest for the weight loss studies and highest for the physical activity studies (see Table 4).…”

Section: Resultsmentioning

confidence: 99%

Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review

et al. 2019

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“…Consistent with the opinions of a number of our participants, previous research has also noted that peer volunteers involved in exercise interventions are beneficial in motivating breast cancer patients (Pinto, Stein, & Dunsiger, , ). Additionally, other studies have shown that exercise adherence can be promoted through the use of team‐based exercise training programmes (Piacentine, Robinson, Waltke, Tjoe, & Ng, ; Robinson, Piacentine, Waltke, Ng, & Tjoe, ). Thus, future studies should examine team‐based exercise as a potential motivator for exercise adherence among BCS.…”

Section: Discussionmentioning

confidence: 99%

The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews

Kim

Han

Lee

et al. 2019

Journal of Clinical Nursing

119

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Aims and objectives To identify the experience of breast cancer survivors regarding cancer‐related fatigue, exercise and exercise adherence. Background Cancer‐related fatigue is a common symptom among cancer survivors that limits quality of life. Despite exercise being recommended as a viable solution to manage cancer‐related fatigue, relatively few research studies on the experience of cancer‐related fatigue and exercise adherence have been conducted. Design This was a qualitative study to identify breast cancer survivors’ experience of cancer‐related fatigue, exercise and exercise adherence. This paper adhered to the COREQ checklist in reporting. Methods Four focus group interviews were conducted with 16 breast cancer survivors who had fatigue score of 4 out of 10 (moderate fatigue) or greater. Ethical approval was obtained and participants met for focus group interview discussion. The interview guide included questions on cancer‐related fatigue, barriers and facilitators of exercising, strategies for exercise adherence and suggestions for a supportive programme. Results Four themes were identified through thematic analysis: (a) The insidious and overpowering nature of cancer‐related fatigue; (b) exercising when experiencing fatigue surrounded by prevailing myths; (c) multiple barriers to exercise; and (d) facilitative factors to continue exercising despite fatigue. Conclusions Participants’ experience of moderate or greater cancer‐related fatigue prevented them from exercising, despite knowing its importance, and limited them to passive activities. Misconceptions that exercise is associated with lymphedema and risk of recurrence, poor psychosocial self‐image and lack of clear knowledge and exercise programmes for cancer survivors further limited adherence to exercise. In contrast, finding comfort and strength through exercising and interacting with other breast cancer survivors were facilitative factors. Relevance to clinical practice The insights shared by breast cancer survivors experiencing cancer‐related fatigue can contribute to developing an exercise adherence programme as a way to manage and alleviate fatigue and establish healthy survivorship care.

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“…During the full-text papers selection, authors (AB, AJR, ER) decided by consensus to exclude studies that focused more on specific sub-populations with obesity, given that it would have not been possible to clearly distinguish whether PA motives, barriers, and preferences should be attributed to obesity or the coexistent condition/circumstance. These specific subpopulations included: pregnant women [31][32][33], cancers survivors [34][35][36][37], people with intellectual disabilities [38], veterans living with schizophrenia [39], and bariatric surgery patients [40][41][42][43][44][45][46][47][48][49][50][51].…”

Section: Eligibility Criteriamentioning

confidence: 99%

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

Baillot

Chenail

Polita³

et al. 2021

PLoS ONE

105

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Background Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population. Methods Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). Results From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity. Conclusions Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.

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Promoting Team-Based Exercise Among African American Breast Cancer Survivors

Cited by 15 publications

References 30 publications

Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review

Health Behaviors and Lifestyle Interventions in African American Breast Cancer Survivors: A Review

The experience of cancer‐related fatigue, exercise and exercise adherence among women breast cancer survivors: Insights from focus group interviews

Physical activity motives, barriers, and preferences in people with obesity: A systematic review

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