Participation in and adherence to physical exercise after completion of primary cancer treatment
Participation in and adherence to physical exercise after completion of primary cancer treatment
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DOI：
10.1186/s12966-016-0425-3
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发表时间：
2016-09-09
影响因子：
8.7
通讯作者：
Buffart, Laurien M.
中科院分区：
文献类型：
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作者：
Kampshoff, Caroline S.;van Mechelen, Willem;Buffart, Laurien M.
背景：本研究的目的是确定癌症幸存者在完成原发性癌症治疗后不久参与和坚持抗阻和耐力联合锻炼计划的人口学、临床、社会心理、生理和环境因素。本研究使用的数据来自随机对照化疗后抵抗和耐力锻炼（REACT）研究。方法：REACT研究的参与者被随机分配到高强度（HI）或低至中等强度（LMI）运动计划中。患者参与率定义为癌症幸存者决定参加REACT研究。锻炼依从性反映了参与者参加计划的锻炼课程和遵守规定的锻炼。高出勤率被定义为参加了至少80%的会议。高依从率被定义为在所有疗程中完成至少90%的规定运动。运动依从性的相关因素分别研究HI和LMI运动。采用自我报告问卷对人口统计学、临床和生理因素进行评估。从病历中提取相关临床信息。应用多变量逻辑回归分析来确定与参与、高出勤率、高依从性阻力和高依从性耐力运动显著相关的相关性。结果：与非参与者相比，参与者更有可能受过高等教育，不吸烟，心理困扰更低，结果期望更高，并且感知到更多的运动障碍。在高强度运动中，较高的自我效能感与高出勤率和高耐力运动依从性显著相关，较低的心理困扰与高阻力运动依从性显著相关。在LMI运动中，不吸烟与抵抗运动的高依从性显著相关，高BMI与抵抗和耐力运动的高依从性显著相关。此外，与其他类型癌症的幸存者相比，乳腺癌幸存者不太可能报告LMI运动中抵抗和耐力训练的高依从性。多变量模型的判别能力在0.62 ~ 0.75之间。结论：一些人口统计学、临床和社会心理因素与癌症幸存者参与和坚持锻炼有关。与LMI运动相比，社会心理因素与HI运动的依从性关系更强。
Background: The purpose of this study was to identify demographic, clinical, psychosocial, physical and environmental factors that are associated with participation in and adherence to a combined resistance and endurance exercise program among cancer survivors, shortly after completion of primary cancer treatment. Data from the randomized controlled Resistance and Endurance exercise After ChemoTherapy (REACT) study were used for this study.Methods: The participants of the REACT study were randomly allocated to either a high intensity (HI) or low-to-moderate intensity (LMI) exercise program. Patients' participation rate was defined as the cancer survivors' decision to participate in the REACT study. Exercise adherence reflected participants' attendance to the scheduled exercise sessions and their compliance to the prescribed exercises. High session attendance rates were defined as attending at least 80 % of the sessions. High compliance rates were defined as performing at least of 90 % of the prescribed exercise across all sessions. Correlates of exercise adherence were studied separately for HI and LMI exercise. Demographic, clinical, and physical factors were assessed using self-reported questionnaires. Relevant clinical information was extracted from medical records. Multivariable logistic regression analyses were applied to identify correlates that were significantly associated with participation, high session attendance, high compliance with resistance and high compliance with endurance exercises.Results: Participants were more likely to have higher education, be non-smokers, have lower psychological distress, higher outcome expectations, and perceive more exercise barriers than non-participants. In HI exercise, higher self-efficacy was significantly associated with high session attendance and high compliance with endurance exercises, and lower psychological distress was significantly associated with high compliance with resistance exercises. In LMI exercise, being a non-smoker was significantly associated with high compliance with resistance exercises and higher BMI was significantly associated with high compliance with resistance and endurance exercises. Furthermore, breast cancer survivors were less likely to report high compliance with resistance and endurance exercises in LMI exercise compared to survivors of other types of cancer. The discriminative ability of the multivariable models ranged from 0.62 to 0.75.Conclusion: Several demographic, clinical and psychosocial factors were associated with participation in and adherence to exercise among cancer survivors. Psychosocial factors were more strongly associated with adherence in HI than LMI exercise.