Body image, physical activity and psychological health in older female cancer survivors.
Body image, physical activity and psychological health in older female cancer survivors.
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DOI：
10.1016/j.jgo.2021.04.007
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发表时间：
2021-09
影响因子：
3
通讯作者：
Paskett ED
中科院分区：
文献类型：
--
作者：
Zhang X;Pennell ML;Bernardo BM;Clark J;Krok-Schoen JL;Focht BC;Crane TE;Shadyab AH;Paskett ED
确定身体活动和身体意象与心理健康结果的关联，以及身体意象是否介导了老年女性癌症幸存者身体活动与心理健康的关联。使用了妇女健康倡议（WHI）癌症后寿命和长寿（LILAC）研究的数据。调查评估了身体形象（外表、吸引力、疤痕）、中等强度的身体活动（分钟/周）和心理健康（抑郁、焦虑、痛苦）。中介分析进行估计的百分比，身体活动对心理健康的身体形象的关注介导的总效果。在4，567名66-98岁的女性癌症幸存者中，自癌症诊断以来的平均时间为9.2年。大约50%的人报告没有中等强度的体力活动; 15%的人报告抑郁症状，6%的人报告焦虑，5%的人报告心理困扰; 3%的人担心外表，20%的人担心吸引力，21%的人担心疤痕。当未调整身体形象时，每周增加30分钟的体力活动与抑郁症状（RR=0.93，95%CI：0.90-0.96），焦虑（RR=0.92，95%CI：0.87-0.97）和痛苦（RR= 0.92，95%CI：0.87-0.98）的风险降低相关。身体形象与外观的关系分别介导了7%，8.8%和14.5%的体力活动与抑郁症状，焦虑和痛苦之间的关联。老年女性癌症幸存者报告了身体形象问题，这与身体活动和心理健康有关。我们的研究结果表明，旨在解决老年女性癌症幸存者身体形象问题的干预措施可以提高身体活动对心理健康的益处。
To determine the association of physical activity and body image with psychological health outcomes and whether body image mediates the association of physical activity with psychological health among older female cancer survivors. Data from the Women’s Health Initiative (WHI) Life and Longevity after Cancer (LILAC) Study were used. Surveys assessed body image (appearance, attractiveness, scars), moderate-strenuous physical activity (min/week), and psychological health (depression, anxiety, distress). A mediation analysis was conducted to estimate the percentage of the total effect of physical activity on psychological health mediated by body image concerns. Among 4,567 female cancer survivors aged 66–98 years, the average time since cancer diagnosis was 9.2 years. Approximately 50% reported no moderate-strenuous physical activity; 15% reported depressive symptoms, 6% reported anxiety, and 5% reported psychological distress; 3% had concerns with appearance, 20% had concerns with attractiveness, and 21% had concerns with scars. When unadjusted for body image concerns, every 30 min/week increase in physical activity was associated with lower risk of depressive symptoms (RR=0.93, 95%CI: 0.90–0.96), anxiety (RR=0.92, 95%CI: 0.87–0.97), and distress (RR=0.92, 95%CI: 0.87–0.98). Body image concerns with appearance mediated 7%, 8.8%, and 14.5% of the association between physical activity and depressive symptoms, anxiety, and distress, respectively. Older female cancer survivors reported body image concerns, which were associated with both physical activity and psychological health. Our findings suggest that interventions designed to address body image concerns in older female cancer survivors could serve to improve the benefit of physical activity on psychological health.
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