Stress and Physical Activity in Rural Cancer Survivors: The Moderating Role of Social Support

Mama, Scherezade K.; Bhuiyan, Nishat; Smyth, Joshua M.; Schmitz, Kathryn H.

doi:10.1111/jrh.12455

Cited by 9 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PA data from this study are representative of the current literature on PA in rural populations [5,[65][66][67]. Specifically, although no significant between-group differences in selfreported PA were observed, large, significant differences in objectively measured PA were evident.…”

Section: Discussionsupporting

confidence: 54%

Physical activity and cognitive function: A comparison of rural and urban breast cancer survivors

Page

Kahn²,

Severson³

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

Purpose Increasing evidence suggests rural breast cancer survivors (BCS) may experience greater burden in symptoms known to be associated with cancer-associated cognitive decline (CACD). Yet, little is known about CACD in rural BCS. This study (1) examined differences in cognitive function, moderate-to-vigorous physical activity (MVPA), and other CACD correlates and (2) tested the effects of MVPA on cognitive function in rural versus urban BCS. Methods Rural and urban BCS (N = 80), matched on age, education, and time since diagnosis from a larger study, completed cognitive tasks assessing processing speed (Trails-B, Mazes, Task-Switch) and working memory (spatial working memory) and questionnaires assessing subjective memory impairment (SMI), MVPA, and CACD correlates (i.e., sleep quality, fatigue, anxiety/depression). Some participants (n = 62) wore an accelerometer to objectively estimate MVPA. Multiple linear regression and multivariate analysis of covariance were used to test study aims. Results Rural BCS (n = 40, M = 61.1±8.4 years-old) performed significantly slower on Trails-B (p<0.01) compared with urban BCS (n = 40, M = 61.0±8.2 years-old) and engaged in less objectively-estimated daily MVPA (mean difference = 13.83±4.73 minutes; p = 0.01). No significant differences in SMI, self-reported MVPA, or CACD correlates were observed (all p>0.28). Regression models did not reveal a significant interaction between MVPA and cognitive performance (all p>0.1); however, estimated marginal means models indicated that the effect of MVPA on processing speed was evident only among rural BCS (Trails-B, p = 0.04; Mazes, p = 0.03). Conclusions Findings suggest rural BCS may suffer greater CACD and engage in less MVPA. Additional research is warranted to further examine CACD and more effectively promote MVPA in rural BCS.

show abstract

Section: Discussionsupporting

confidence: 54%

Physical activity and cognitive function: A comparison of rural and urban breast cancer survivors

Page

Kahn²,

Severson³

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…The study was approved by the Institutional Review Boards at The Pennsylvania State University and The University of Texas MD Anderson Cancer Center and informed consent was provided prior to participation. Detailed descriptions of recruitment methods, participants, and procedures have been published previously and are described briefly below ( 20 , 21 ).…”

Section: Methodsmentioning

confidence: 99%

Associations Between Physical Activity and Alcohol Consumption in Rural Cancer Survivors

et al. 2022

Self Cite

View full text Add to dashboard Cite

PurposeRural adults and cancer survivors are more likely to be physically inactive and exceed recommendations for alcohol use. Physical activity and alcohol use are positively associated in adults and cancer survivors but associations between physical activity and alcohol use in rural cancer survivors is unknown. This cross-sectional study explored associations between physical activity, sitting time, and alcohol use in rural cancer survivors.MethodsCancer survivors residing in central Pennsylvania were recruited to the Partnering to Prevent and Control Cancer (PPCC) study and completed mailed questionnaires assessing physical activity (low, moderate, high), sitting time (<6 or ≥6 hours/day), and alcohol use (0 or ≥1 drinks/week). Binary logistic regression models tested associations between physical activity, sitting time, and alcohol use, adjusting for age, gender, and education.ResultsParticipants (N=219) were in their mid-60s (M age=64.5 ± 12.2 years, 60.7% female), overweight (M BMI=29.6 ± 6.9 kg/m2), and 50.5% were college graduates. Nearly half of participants were breast (22.8%) or prostate (20.5%) cancer survivors and 90.4% were >12 weeks but <5 years post-treatment. Participants self-reported meeting physical activity recommendations (79.5%), sitting <6 hours/day (53.3%), and consuming ≥1 alcoholic drinks/week (54.1%). Participants who reported being moderately (OR=5.0, 95% CI: 1.9-12.9) or highly (OR=4.5, 95% CI: 1.9-10.9) active had higher odds of reporting alcohol use, after adjusting for covariates.ConclusionResults mirror positive associations seen in adults and other subgroups (e.g., racial/ethnic minority adults). Cancer control efforts should stress being physically active while emphasizing messaging to curtail increases in alcohol use among rural cancer survivors.

show abstract

“…This study involved a secondary analysis of data from the Partnering to Prevent and Control Cancer study, a cross-sectional examination of factors associated with physical activity among cancer survivors in central Pennsylvania [19]. Data were collected in 2018-2019.…”

Section: Participants and Proceduresmentioning

confidence: 99%

“…Study details have been published previously [19,21]. In brief, participants were recruited through an academic-community partnership and mailings to state-and hospital-based cancer registries, e-yers and newsletters, and announcements at cancer support groups, churches, and community health events.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Healthier Energy Balance Behaviors Most Important for Health-Related Quality of Life in Rural Cancer Survivors in Central Pennsylvania

Olson

Robertson

Chen

et al. 2023

Journal of Physical Activity and Health

Self Cite

View full text Add to dashboard Cite

Background: Rural cancer survivors face a greater number of health disparities, including poorer health-related quality of life (HRQoL), than urban cancer survivors. Engagement in healthy lifestyle behaviors also varies between rural and urban cancer survivors. Lifestyle behaviors can improve HRQoL; however, the combination of behaviors most important for HRQoL in rural survivors is unclear. This study examined clusters of lifestyle behaviors in rural cancer survivors, and differences in HRQoL between behavioral clusters. Methods: Rural cancer survivors in the United States (N = 219) completed a cross-sectional survey. Lifestyle behaviors were classified into unhealthy/healthy binary categories (inactive/active, longer/shorter sedentary time, excessive/acceptable fat intake, very low/higher fruit and vegetable intake, some/no alcohol consumption, and poor/good sleep quality). Behavioral clusters were identified by latent class analysis. HRQoL differences between behavioral clusters were assessed by ordinary least squares regression. Results: The 2-class model demonstrated the best fit and interpretability. The “mostly unhealthy behaviors” class (38.5% of sample) had higher probabilities of all unhealthy behaviors, except alcohol consumption. The “healthier energy balance” class (61.5% of sample) had higher probabilities of active, shorter sedentary, higher fruit and vegetable consumption, excessive fat intake, some alcohol consumption, and poor sleep categories, and reported better HRQoL. Conclusions: Healthier energy balance behaviors were particularly relevant for HRQoL in rural cancer survivors. Multiple behavior change interventions to improve HRQoL in rural cancer survivors should focus on supporting energy balance behaviors. Many rural cancer survivors may lead very unhealthy lifestyles, placing them at high risk of adverse outcomes. This subpopulation should be prioritized to help alleviate cancer health disparities.

show abstract

Stress and Physical Activity in Rural Cancer Survivors: The Moderating Role of Social Support

Cited by 9 publications

References 23 publications

Physical activity and cognitive function: A comparison of rural and urban breast cancer survivors

Physical activity and cognitive function: A comparison of rural and urban breast cancer survivors

Associations Between Physical Activity and Alcohol Consumption in Rural Cancer Survivors

Healthier Energy Balance Behaviors Most Important for Health-Related Quality of Life in Rural Cancer Survivors in Central Pennsylvania

Contact Info

Product

Resources

About