Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009
Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009
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DOI：
10.5888/pcd11.140067
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发表时间：
2014-09-01
影响因子：
5.5
通讯作者：
Elting, Linda S.
中科院分区：
文献类型：
--
作者：
Nayak, Pratibha;Holmes, Holly M.;Elting, Linda S.
有规律的体力活动（PA）可以改善癌症幸存者的健康状况，但中年幸存者对PA建议的依从率尚不清楚。我们研究了癌症幸存者和对照组对PA建议的依从性。我们试图找出相关的坚持PA，并确定PA的坚持是否与健康相关的生活质量（HRQOL）among cancer survival.MethodsWe检查PA坚持8,655癌症幸存者和144,213对照组年龄在45 - 64岁的受访者2009年行为风险因素监测系统调查。我们使用多项逻辑回归，以评估PA的依从性和人口，心理和临床因素之间的关联，和多变量线性回归，以评估PA的依从性和HRQOL的癌症survivor.ResultsCancer幸存者和对照组之间的关系有相似的PA的依从性率。在幸存者中，47%符合每周150分钟中等强度PA或120分钟高强度PA的建议，41%有点活跃，12%久坐不动。与久坐不动的癌症幸存者相比，有些活动的幸存者不太可能肥胖（比值比[OR]，0.65; P <.007），符合PA建议的幸存者不太可能超重（OR，0.61; P <.002）或肥胖（OR，0.33，P <.001）。回归分析表明，PA坚持与HRQOL呈正相关（P <.001）。结论大多数癌症幸存者没有满足PA的建议，但那些积极似乎有改善HRQOL。因此，需要有针对性的干预措施来提高癌症幸存者对PA的依从性。
IntroductionRegular physical activity (PA) can improve health outcomes in cancer survivors, but the rate of adherence to PA recommendations among middle-aged survivors is unclear. We examined adherence to PA recommendations among cancer survivors and controls. We sought to identify correlates of adherence to PA and to determine whether PA adherence is associated with health-related quality of life (HRQOL) among cancer survivors.MethodsWe examined PA adherence among 8,655 cancer survivors and 144,213 control subjects aged 45-64 years who were respondents to the 2009 Behavior Risk Factor Surveillance System survey. We used multinomial logistic regression to assess associations between PA adherence and demographic, psychosocial, and clinical factors, and multivariable linear regression to assess the relationship between PA adherence and HRQOL of cancer survivors.ResultsCancer survivors and control subjects had similar rates of PA adherence. Of the survivors, 47% met the recommendations of 150 minutes of moderate-intensity PA or 120 minutes of vigorous-intensity PA per week, 41% were somewhat active, and 12% were sedentary. Compared with cancer survivors who were sedentary, survivors who were somewhat active were less likely to be obese (odds ratio [OR], 0.65; P < .007), and those who met PA recommendations were less likely to be overweight (OR, 0.61; P < .002) or obese (OR, 0.33, P < .001). Regression analysis indicated that PA adherence was positively correlated with HRQOL (P < .001).ConclusionMost cancer survivors did not meet PA recommendations, but those who are active seem to have improved HRQOL. Therefore, targeted interventions to improve adherence to PA among cancer survivors are needed.