Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord Street, Toronto, ON, M5S 2W6, Canada.
Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 906 South Goodwin Avenue, Urbana, IL, 61801, USA.
Support Care Cancer. 2020 Jan;28(1):43-54. doi: 10.1007/s00520-019-04752-x. Epub 2019 Apr 12.
Guidelines for cancer survivors recommend both aerobic physical activity (PA) and strength training (ST). Few kidney cancer survivors (KCS) are meeting single-activity or combined guidelines; therefore, examining factors influencing PA participation is warranted. The purpose of this study is to examine demographic, medical, social-cognitive, and environmental correlates of meeting independent (i.e., aerobic-only, strength training (ST)-only) and combined guidelines (i.e., aerobic and ST) in KCS.
KCS (N = 651) completed self-reported measures of PA and demographic, medical, social-cognitive, and perceived environmental factors. Built environment was assessed using the geographic information systems (GIS). Multinomial logistic regressions were conducted to determine the correlates of meeting the combined versus independent guidelines.
Compared with meeting neither guideline, meeting aerobic-only guidelines was associated with higher intentions (p < .01) and planning (p < .01); meeting ST-only guidelines was associated with higher intentions (p = .02) and planning (p < .01), lower perceived behavioral control (PBC) (p = .03), healthy weight (p = .01), and older age (p < .01); and meeting the combined guidelines were associated with higher intentions (p < .01), planning (p = .02), higher instrumental attitudes (p < .01), higher education (p = .04), better health (p < .01), and localized cancer (p = .05). Additionally, compared with neither guideline, meeting aerobic-only (p < .01) and combined (p < .01) guidelines was significantly associated with access to workout attire. Compared with neither guideline, meeting aerobic-only guidelines was associated with proximity to retail (p = .02).
PA participation correlates may vary based on the modality of interest. Interventions may differ depending on the modality promoted and whether KCS are already meeting single-modality guidelines.
癌症幸存者指南建议进行有氧运动（PA）和力量训练（ST）。很少有肾癌幸存者（KCS）符合单一活动或综合指南的要求；因此，有必要研究影响 PA 参与的因素。本研究的目的是检查符合独立（即有氧运动，仅力量训练（ST））和综合（即有氧运动和 ST）指南的 KCS 的人口统计学，医学，社会认知和环境相关性。
KCS（N=651）完成了 PA 和人口统计学，医学，社会认知和感知环境因素的自我报告测量。使用地理信息系统（GIS）评估了建筑环境。进行多项逻辑回归分析，以确定符合综合与独立指南的相关性。
与不符合任何指南相比，符合有氧运动仅指南与更高的意向（p<.01）和计划（p<.01）相关；符合仅 ST 指南与更高的意向（p=.02）和计划（p<.01），较低的感知行为控制（PBC）（p=.03），健康体重（p=.01）和较年长（p<.01）相关；符合综合指南与更高的意向（p<.01），计划（p=.02），更高的工具性态度（p<.01），更高的教育水平（p=.04），更好的健康状况（p<.01）和局部癌症（p=.05）相关。此外，与不符合任何指南相比，符合仅有氧运动（p<.01）和综合（p<.01）指南与获得锻炼服装的机会显著相关。与不符合任何指南相比，符合仅有氧运动指南与接近零售（p=.02）相关。
PA 参与的相关性可能因所关注的模式而异。干预措施可能因所推广的模式以及 KCS 是否已经符合单一模式指南而异。
