Social and clinical determinants of physical activity in prostate cancer survivors.
Social and clinical determinants of physical activity in prostate cancer survivors.
复制标题
前列腺癌幸存者体育活动的社会和临床决定因素。
DOI：
10.1007/s00520-020-05482-1
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Bauer A
中科院分区：
文献类型：
--
作者：
Halbert CH;Jefferson MS;Drake R;Lilly M;Savage SJ;Nahhas GJ;Price ST;Loftley AE;Bauer A
体力活动对于提高前列腺癌幸存者的生活质量和癌症控制非常重要。本研究的目的是根据社会和临床决定因素以及心理社会因素，检查非裔美国人和白人前列腺癌幸存者对身体活动指南的遵守情况。在非裔美国人和白人前列腺癌幸存者 (n=89) 回顾性队列中进行中等强度体力活动指南的观察性研究。百分之三十四的幸存者符合中等强度体力活动的建议指南。非裔美国人和白人前列腺癌幸存者之间的体力活动没有种族差异；然而，达到指导方针的可能性与疾病阶段、自我评价健康状况和压力感知显着相关。患有 pT2c 期或更高阶段疾病的幸存者达到建议的体力活动指南的可能性显着降低（OR=0.27，95% CI=0.08、0.86，p=0.03）。对于那些认为自己的健康状况与诊断出患有前列腺癌之前相同或更差的幸存者来说，满足指南的可能性也有所降低（OR = 0.32，95％CI = 0.11，0.96，p = 0.04）。随着感知压力的增加，根据指南进行身体活动的可能性也降低（OR=0.48，95% CI=0.26，0.89，p=0.02）。这项研究的结果强调需要制定、实施和评估增强前列腺癌幸存者身体活动的策略，无论其种族背景如何。身体活动的补充和替代策略可能是前列腺癌幸存者提高活动水平和管理压力的一种策略。
Physical activity is important for enhancing quality of life and cancer control among prostate cancer survivors. The purpose of this study was to examine characterize adherence to physical activity guidelines among African American and white prostate cancer survivors based on social and clinical determinants and psychosocial factors. Observational study of meeting guidelines for moderate intensity physical activity in a retrospective cohort of African American and white prostate cancer survivors (n=89). Thirty-four percent of survivors met the recommended guidelines for moderate intensity physical activity. There were no racial differences in physical activity between African American and white prostate cancer survivors; however, the likelihood of meeting guidelines was associated significantly with stage of disease, self-rated health, and perceptions of stress. Survivors who had stage pT2c or higher disease had a significantly reduced likelihood of meeting recommended guidelines for physical activity (OR=0.27, 95% CI=0.08, 0.86, p=0.03). The likelihood of meeting guidelines was also reduced among survivors who rated their health as being the same or worse than before they were diagnosed with prostate cancer (OR=0.32, 95% CI=0.11, 0.96, p=0.04). As perceived stress increased, the likelihood of being physically active according to guidelines also decreased (OR=0.48, 95% CI=0.26, 0.89, p=0.02). The results of this study underscore the need to develop, implement, and evaluate strategies to enhance physical activity among prostate cancer survivors, regardless of their racial background. Complementary and alternative strategies for physical activity may be one strategy for enhancing activity levels and managing stress among prostate cancer survivors.
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影响因子：
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