Preventing Chronic Disease | Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009 - CDC
Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009
Pratibha Nayak, MPH; Holly M. Holmes, MD; Hoang T. Nguyen, PhD; Linda S. Elting, DrPH
Suggested citation for this article: Nayak P, Holmes HM, Nguyen HT, Elting LS. Self-Reported Physical Activity Among Middle-Aged Cancer Survivors in the United States: Behavioral Risk Factor Surveillance System Survey, 2009. Prev Chronic Dis 2014;11:140067. DOI:http://dx.doi.org/10.5888/pcd11.140067
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Abstract
Introduction
Regular 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.
Regular 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.
Methods
We 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.
We 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.
Results
Cancer 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).
Cancer 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).
Conclusion
Most 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.
Most 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.
Acknowledgments
This research was supported by funds from the University Cancer Foundation and the Duncan Family Institute for Cancer Prevention and Risk Assessment via the Cancer Survivorship Research Seed Money Grants at The University of Texas MD Anderson Cancer Center, and from the Cancer Prevention and Research Institute of Texas through the CERCIT grant (grant no. RP101207 P04 02- L. Elting, PI) to the University of Texas Medical Branch at Galveston. Some of this information was presented as a poster at the 33rd Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine in New Orleans, Louisiana, April 11–14, 2012. We acknowledge the editorial assistance of Ms Lee Ann Chastain and statistical advice from Ms Chiew Kwei Kaw.
Author Information
Corresponding Author: Pratibha Nayak, MPH, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, 1400 Herman Pressler St, Houston, TX 77030. Telephone: 713-792-0711. E-mail: pnayak@mdanderson.org.
Author Affiliations: Holly M. Holmes, MD, Hoang T. Nguyen, Linda S. Elting, The University of Texas MD Anderson Cancer Center, Houston, Texas.
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