Intramural Research Department, American Cancer Society, 250 Williams St, Atlanta, GA 30303. Email:
Intramural Research Department, American Cancer Society, Atlanta, Georgia.
Prev Chronic Dis. 2018 May 24;15:E65. doi: 10.5888/pcd15.170277.
The transition from active cancer treatment into survivorship, known as re-entry, remains understudied. During re-entry, clinicians can educate survivors on the benefits of healthy behaviors, including physical activity, as survivors adjust to life after cancer. We examine the prevalence of adherence to established aerobic physical activity guidelines (≥150 minutes of moderate-intensity physical activity per week) in addition to related medico-demographic factors among cancer survivors during re-entry.
Data from 1,160 breast, colorectal, and prostate cancer survivors participating in the American Cancer Society's National Cancer Survivor Transition Study were examined. Multinomial logistic regression was used to calculate adjusted odds ratios (AOR) for various medico-demographic variables in relation to 4 established levels of physical activity (inactive, insufficiently active, 1-<2 times the guideline level, and ≥2 times the guideline level [referent group]).
Overall, 8.1% were inactive, 34.1% were insufficiently active, 24.3% were within 1 to less than 2 times the guidelines, and 33.4% exceeded guidelines by 2 or more times. Inactive people had significantly higher odds of being women (AOR, 1.88; 95% confidence interval [CI], 1.10-3.23) and having lower education levels (AOR, 2.02; 95% CI, 1.21-3.38) compared with those who exceeded guidelines by 2 or more times. Each additional comorbidity was associated with a 26% increase in odds of inactivity (AOR, 1.26; 95% CI, 1.08-1.47).
Patient education on the benefits of regular physical activity is important for all cancer survivors and may be especially important to review after treatment completion to promote healthy habits during this transition period. Survivors who are women, are less educated, and have comorbid conditions may be less likely to be compliant with physical activity guidelines.
从癌症的积极治疗过渡到生存阶段，即重新进入（re-entry），这一过程仍研究不足。在重新进入阶段，临床医生可以向生存者传授健康行为的益处，包括身体活动，因为生存者在适应癌症后的生活。我们检查了在重新进入期间，癌症生存者在遵循既定的有氧运动指南（每周至少进行 150 分钟中等强度的身体活动）方面的流行率，以及相关的医学人口统计学因素。
对参加美国癌症协会全国癌症生存者过渡研究的 1160 名乳腺癌、结直肠癌和前列腺癌生存者的数据进行了检查。使用多项逻辑回归来计算各种医学人口统计学变量与 4 个既定身体活动水平（不活动、活动不足、1-<2 次指南水平和≥2 次指南水平[参考组]）的调整后比值比（AOR）。
总体而言，8.1%的人不活动，34.1%的人活动不足，24.3%的人处于 1-<2 次指南水平，33.4%的人超过指南 2 次或更多次。与超过指南 2 次或更多次的人相比，不活动的人更有可能是女性（AOR，1.88；95%置信区间[CI]，1.10-3.23）和教育水平较低（AOR，2.02；95%CI，1.21-3.38）。每增加一种合并症，不活动的几率就会增加 26%（AOR，1.26；95%CI，1.08-1.47）。
向所有癌症生存者提供关于定期身体活动益处的患者教育很重要，在治疗完成后尤其要进行审查，以促进这一过渡期间的健康习惯。女性、教育程度较低和合并症较多的生存者可能不太遵守身体活动指南。
