原始研究：女性成年癌症幸存者的关节炎相关功能障碍和体力活动不足。
Original Research: Arthritis-Related Functional Limitations and Inadequate Physical Activity Among Female Adult Cancer Survivors.
机构信息
So-Hyun Park is an assistant professor at the Hunter Bellevue School of Nursing, Hunter College, City University of New York in New York City. Shiela M. Strauss is a consultant at the Hunter Bellevue School of Nursing and an adjunct professor at the Rory Meyers College of Nursing at New York University in New York City. Contact author: So-Hyun Park,
出版信息
Am J Nurs. 2020 Mar;120(3):26-31. doi: 10.1097/01.NAJ.0000656328.23963.82.
BACKGROUND
The American Cancer Society (ACS) Guidelines on Nutrition and Physical Activity for Cancer Prevention recommend an adequate level of physical activity for cancer prevention and survivorship. Many adults have been diagnosed with arthritis, with a significantly higher rate in women. People with arthritis tend to be less physically active than those without arthritis, and are less likely to engage in moderate or vigorous activity. The proportion of adults meeting ACS physical activity guidelines is especially low among those with arthritis.
OBJECTIVE
We wanted to explore the extent to which arthritis-related functional limitations are predictive of inadequate physical activity in female adult cancer survivors after accounting for other known predictors.
METHODS
Data included in the analyses were from a sample of 729 adult women diagnosed with cancer who participated in the U.S. National Health and Nutrition Examination Survey between 2011 and 2016. Inadequate physical activity was defined as not meeting ACS physical activity guidelines. Bivariate and multivariate logistic regression analyses were conducted to identify correlates of inadequate physical activity.
RESULTS
Being age 65 years or older, having no more than a high school education, being overweight or obese, being clinically depressed, and having arthritis-related functional limitations were found to be significant correlates of inadequate physical activity in the study population.
CONCLUSIONS
Our results indicate that, in addition to previously identified predictors of inadequate physical activity in cancer survivors, having arthritis-related functional limitations is a significant predictor of inadequate physical activity in female adult cancer survivors. Assessment and management of arthritis-related functional limitations by health care providers are needed to facilitate successful adherence to physical activity guidelines.
背景
美国癌症协会（ACS）的营养与身体活动预防癌症指南建议成年人进行足够水平的身体活动，以预防癌症和提高癌症生存者的生活质量。许多成年人被诊断患有关节炎，女性的发病率明显更高。关节炎患者的身体活动水平往往低于没有关节炎的患者，并且不太可能进行中等强度或剧烈活动。在患有关节炎的成年人中，符合 ACS 身体活动指南的比例尤其低。
目的
我们想探讨在考虑其他已知预测因素的情况下，关节炎相关的功能限制对女性成年癌症生存者身体活动不足的预测程度。
方法
分析中使用的数据来自于 2011 年至 2016 年期间参加美国国家健康和营养调查的 729 名成年女性癌症患者的样本。身体活动不足被定义为不符合 ACS 身体活动指南。进行了双变量和多变量逻辑回归分析，以确定身体活动不足的相关因素。
结果
在研究人群中，年龄在 65 岁或以上、受教育程度不高、超重或肥胖、患有临床抑郁症以及存在关节炎相关的功能限制与身体活动不足显著相关。
结论
我们的研究结果表明，除了先前确定的癌症生存者身体活动不足的预测因素外，关节炎相关的功能限制也是女性成年癌症生存者身体活动不足的一个显著预测因素。医疗保健提供者需要评估和管理关节炎相关的功能限制，以促进成功遵守身体活动指南。
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