Correlates of physical activity among lung cancer survivors.

Correlates of physical activity among lung cancer survivors.
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DOI:
10.1002/pon.1520
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发表时间:
2009-04
期刊:
影响因子:
3.6
通讯作者:
Ostroff, James S.
Ostroff, James S.
中科院分区:
医学2区
文献类型:
--
作者:
Coups, Elliot J.;Park, Bernard J.;Feinstein, Marc B.;Steingart, Richard M.;Egleston, Brian L.;Wilson, Donna J.;Ostroff, James S.

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肺癌幸存者通常会经历生活质量的损害,这可以通过定期的体力活动来改善。然而,很少有人知道在这个幸存者群体的体力活动的相关性。目前的研究填补了这一研究空白。参与者是175名早期非小细胞肺癌的幸存者,他们在1至6年前完成了手术治疗。从病历记录和参与者自我报告中获得有关医疗因素的信息。参与者还回答了有关可能与体力活动相关的人口统计学和社会认知因素的问题,这些问题被评估为参与中度/剧烈活动和悠闲散步。参与者平均每周进行77.7分钟的中度/剧烈活动,64.6%的人每周至少进行三次悠闲散步。老年人(p = 0.001)和受教育程度较低的人(p < 0.001)报告了较少的悠闲步行,他们也报告了较少的中度/剧烈活动(p = 0.004)。术前肺功能较差的个体报告中度/剧烈体力活动较少(p = 0.014),手术并发症的数量与悠闲步行呈负相关(p = 0.003)。多种社会认知结构与中度/剧烈活动和悠闲散步相关。该研究确定了几个可能最需要体力活动干预的肺癌幸存者亚组。识别身体活动的社会认知相关性提供了有价值的信息,理论指导的结构,应该有针对性地在未来的身体活动干预肺癌幸存者。
Lung cancer survivors commonly experience impairments in quality of life, which may be improved through regular physical activity. However, little is known regarding correlates of physical activity in this survivor population. The current study addressed this research gap. The participants were 175 survivors of early-stage non-small cell lung cancer who completed surgical treatment from one to six years previously. Information regarding medical factors was obtained from chart records and from participant self-report. Participants also answered questions about demographic and social cognitive factors that may be associated with physical activity, which was assessed as reported engagement in moderate/strenuous activities and leisurely walking. Participants reported an average of 77.7 minutes of moderate/strenuous weekly activity and 64.6% reported engaging in leisurely walking at least three times per week. Less leisurely walking was reported by older individuals (p = .001) and those with a lower education level (p < 0.001), who also reported less engagement in moderate/strenuous activities (p = .004). Individuals with poorer pre-operative pulmonary function reported less moderate/strenuous physical activity (p = .014) and the number of surgical complications was inversely associated with leisurely walking (p = .003). Multiple social cognitive constructs were associated with moderate/strenuous activity and leisurely walking. The study identified several lung cancer survivor subgroups who may be most in need of physical activity interventions. Identification of social cognitive correlates of physical activity provides valuable information regarding theory-guided constructs that should be targeted in future physical activity interventions for lung cancer survivors.
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