Department of Exercise Science, Bellarmine University, Louisville, KY 40205, USA.
Support Care Cancer. 2012 Oct;20(10):2511-21. doi: 10.1007/s00520-011-1360-0. Epub 2012 Jan 15.
Supervised exercise interventions can elicit numerous positive health outcomes in older breast cancer survivors. However, to maintain these benefits, regular exercise needs to be maintained long after the supervised program. This may be difficult, as in this transitional period (i.e., time period immediately following a supervised exercise program), breast cancer survivors are in the absence of on-site direct supervision from a trained exercise specialist. The purpose of the present study was to identify key determinants of regular exercise participation during a 6-month follow-up period after a 12-month supervised exercise program among women aged 65+ years who had completed adjuvant treatment for breast cancer.
At the conclusion of a supervised exercise program and 6 months later, 69 breast cancer survivors completed surveys examining their exercise behavior and key constructs from the Transtheoretical Model.
After adjusting for weight status and physical activity at the transition point, breast cancer survivors with higher self-efficacy at the point of transition were more likely to be active 6 months after leaving the supervised exercise program (odds ratio [95% confidence interval, 1.10 [1.01-1.18]). Similarly, breast cancer survivors with higher behavioral processes of change use at the point of transition were more likely to be active (odds ratio [95% confidence interval], 1.13 [1.02-1.26]).
These findings suggest that self-efficacy and the behavioral processes of change, in particular, play an important role in exercise participation during the transition from a supervised to a home-based program among older breast cancer survivors.
监督下的运动干预可以给老年乳腺癌幸存者带来许多积极的健康结果。然而，为了保持这些益处，需要在监督计划结束后很长时间内继续进行定期运动。这可能很困难，因为在这个过渡时期（即监督运动计划结束后的时间段），乳腺癌幸存者没有经过训练的运动专家的现场直接监督。本研究的目的是确定在完成辅助治疗后 65 岁及以上女性的 12 个月监督运动计划后 6 个月的随访期间定期进行运动的关键决定因素。
在监督运动计划结束时和 6 个月后，69 名乳腺癌幸存者完成了调查，调查了他们的运动行为和跨理论模型中的关键结构。
在调整了过渡点的体重状况和身体活动后，过渡点自我效能较高的乳腺癌幸存者在离开监督运动计划后 6 个月更有可能积极参与运动（优势比[95%置信区间]，1.10[1.01-1.18]）。同样，过渡点行为改变过程使用较高的乳腺癌幸存者更有可能积极参与运动（优势比[95%置信区间]，1.13[1.02-1.26]）。
这些发现表明，自我效能和行为改变过程，特别是在从监督到家庭为基础的计划的过渡期间，在老年乳腺癌幸存者的运动参与中起着重要作用。
