Urban‐Rural Differences in Aerobic Physical Activity, Muscle Strengthening Exercise, and Screen‐Time Sedentary Behavior

Robertson, Michael C; Song, Jaejoon; Taylor, Wendell C.; Durand, Casey P.; Basen-Engquist, Karen

doi:10.1111/jrh.12295

Cited by 21 publications

(22 citation statements)

References 57 publications

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“…Accordingly, rural was defined as a population approximately < 40,000 individuals. This is consistent with previous research that utilized RUCC 1-3 as urban location and RUCC ≥ 4 as rural [1,9,10,19,20].…”

Section: Survivor Demographic and Clinical Characteristicssupporting

confidence: 92%

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

Coletta

Johnson

Moxon

et al. 2021

Support Care Cancer

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Purpose To assess the impact of the Personal Optimism With Exercise Recovery (POWER) program on cancer treatment–related side effects among rural cancer survivors. Methods In this retrospective study of data collected between 2016 and 2019, we assessed change in cardiorespiratory fitness, whole-body muscular endurance, physical function and strength, anthropometrics, fatigue, and quality of life (QoL), after participation in POWER. Descriptive statistics were calculated for demographic and clinical variables. Univariate analysis of variance was carried out with age and BMI at initial assessment as covariates. Results A total of 239 survivors, 78% rural residents, completed a follow-up assessment. Among rural cancer survivors, the most prevalent cancer sites were breast (42.5%), prostate (12.4%), and lymphoma (5.9%). The majority of survivors were female (70%), non-Hispanic (94.6%), and white (93.5%), with average age and BMI of 62.1 ± 13.2 years and 28.4 ± 6.7 kg/m2, respectively. Rural cancer survivors with cancer stages I–III exhibited significant improvements in fitness (+ 3.07 ml/kg/min, 95% CI 1.93, 4.21; + 0.88 METS, 95% CI 0.55, 1.20), physical function (30-s chair stand: + 2.2 repetitions, 95% CI 1.3, 3.1), muscular endurance (10-repetition maximum: chest press + 4.1 kg, 95% CI 2.0, 6.3; lateral pulldown + 6.6 kg, 95% CI 4.4, 8.9), self-reported fatigue (FACIT-Fatigue score: + 4.9, 95% CI 1.6, 8.1), and QoL (FACT-G7 score + 2.1, 95% CI, 0.9, 3.4). Among stage IV rural and urban cancer survivors, significant improvements were observed in muscular endurance and physical function. Conclusion Participation in POWER was associated with attenuation of cancer treatment–related side effects and may serve as a model exercise oncology program for rural cancer survivors.

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Section: Survivor Demographic and Clinical Characteristicssupporting

confidence: 92%

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

Coletta

Johnson

Moxon

et al. 2021

Support Care Cancer

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“…A recent report by Hughes et al [12] on over 300,000 U.S. adults also reported no differences in physical activity, weight status or current smoking by rural-urban status. Likewise in an analysis of the 2011-2014 waves of the HINTS survey (n = 14,188), Robertson and colleagues, [13] also found no rural-urban differences in total physical activity, though differences in leisure-time resistance training activity (a question not included in our survey) were observed. Indeed, with the exception of physical activity, the most striking observation in our study is how unhealthy the behaviors of Alabamians are, regardless of rurality, or at least the behaviors of respondents to this survey.…”

Section: Discussionsupporting

confidence: 65%

Cancer-related Beliefs and Preventive Health Practices among Residents of Rural versus Urban Counties in Alabama

Aly

Daniel

Bae

et al. 2021

Cancer Prevention Research

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Higher prevalence of cancer-related risk factors, e.g., tobacco-use, obesity, poor diet, and physical inactivity, are observed in the U.S. Deep South and likely contribute to its increased cancer burden. While this region is largely rural, it is unknown whether cancer-related beliefs and lifestyle practices differ by rural-urban status or are more influenced by other factors. We contacted 5,633 Alabamians to complete a cross-sectional survey to discern cancer-related beliefs and lifestyle All of the aforementioned authors have substantially contributed to the writing and/or revision of the manuscript, approved the final version of the manuscript, and are accountable for the manuscript's contents. Drs. Demark-Wahnefried, Bae, and Fouad also contributed to the conception or design of the work. The authors declare that they had full access to all of the data in this study and the authors take complete responsibility for the integrity of the data and the accuracy of the data analysis.

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“…Similar differences in physical activity were found in urban versus rural dwelling minors in the United States [16] and female adolescents in Portugal [17]. Other studies [18,19] have demonstrated no or an inverse relationship between physical activity and the degree of urbanization.…”

Section: Increased Urbanization and Decreased Physical Activitysupporting

confidence: 64%

Increased Physical Activity in a Public Health Perspective

Nielsen¹

2020

Physical Therapy Effectiveness

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Human beings are born to be physically active. Being physically active gives several advantages and is essential for a healthy life. Physical inactivity is to date one of the major risk factors for developing non-communicable diseases (NCD), which are responsible for nearly 70% of all deaths. It is well documented in the literature that daily physical activity reduces the risk of non-communicable diseases NCDs. The level of physical activity differs between regions of the world and between the countries. Moreover, there are age and gender differences. WHOs Global action plan on Physical Activity and Health 2018-2030 and the UN Sustainable Goal are an important document and blueprint in the work for promoting a healthier world with reduced physical inactivity. Global action plans must be translated into national needs and adapted according to local variations. Successful implementation can only be achieved with anchoring of the strategies and policies at the top and within all sectors. Prioritization of actions and cooperation are also important factors for successful implementation. Work with the aim of increasing physical activity is intersectoral. Every sector is influenced, and no sector can disclaim liability. Physical inactivity is a global, increasing public health problem, and it will not disappear by itself.

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Urban‐Rural Differences in Aerobic Physical Activity, Muscle Strengthening Exercise, and Screen‐Time Sedentary Behavior

Abstract: Taken together with previous literature, these results suggest that rural residents may engage in comparable levels of total PA, but less leisure-time PA, than their urban counterparts.

Cited by 21 publications

References 57 publications

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

The impact of a hospital-based exercise oncology program on cancer treatment–related side effects among rural cancer survivors

Cancer-related Beliefs and Preventive Health Practices among Residents of Rural versus Urban Counties in Alabama

Increased Physical Activity in a Public Health Perspective

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