Department of Cardiology, Toronto General Hospital Research Institute, Toronto, ON, M5G 2C4, Canada.
Ted Rogers Cardiotoxicity Prevention Program, Peter Munk Cardiac Centre, University Health Network, Toronto, ON, M5S2W6, Canada.
Support Care Cancer. 2021 Jul;29(7):4113-4127. doi: 10.1007/s00520-020-05897-w. Epub 2021 Jan 6.
Exercise and physical activity (hereafter, collectively referred to as PA) preferences and benefits are becoming increasingly well characterised in cancer survivors, yet evidence from adolescent and young adult cancer survivors (AYAs) is scant. We describe the overall PA behaviour and support preferences of AYAs and explore subgroup differences to inform AYA-specific research and support.
AYAs diagnosed with cancer between the ages of 18-39 years, irrespective of current age, were approached in clinic at a large cancer centre for this cross-sectional survey that assessed self-reported demographics, medical history, PA behaviour and PA support preferences.
A total of 318 AYAs completed the survey. Approximately 40% of AYAs were not meeting PA guidelines, and only 5% reported engagement with cancer PA support services. Most AYAs wanted PA support (78%), to increase PA levels (70%), and were interested in engaging in PA interventions that were individually supervised (82%), home-based (79%), performed ≥ 3 days/week (75%) and for ≥ 30 minutes/session (78%), offered following treatment (63%), restricted by age (63%), and involved strength (83%), walking (78%), and flexibility (75%) exercise. PA preferences most often differed according to sex, treatment status, current PA behaviour and PA support setting.
AYAs have a great capacity and interest in specific types of PA support. Poor engagement with existing PA support services highlights the need for further AYA-specific research. Better understanding of AYAs' unique PA behaviour and support preferences can inform the development of urgently needed research and support services for this understudied and rapidly growing population.
运动和身体活动（以下统称 PA）偏好和益处在癌症幸存者中越来越明显，但青少年和年轻成人癌症幸存者（AYAs）的证据却很少。我们描述了 AYAs 的整体 PA 行为和支持偏好，并探讨了亚组差异，以为 AYA 特定的研究和支持提供信息。
在一家大型癌症中心的诊所，向 18-39 岁之间被诊断患有癌症的 AYAs （无论其当前年龄如何）提出了这项横断面调查，该调查评估了自我报告的人口统计学、病史、PA 行为和 PA 支持偏好。
共有 318 名 AYAs 完成了调查。约 40%的 AYAs 不符合 PA 指南，只有 5%的人报告使用过癌症 PA 支持服务。大多数 AYAs希望获得 PA 支持（78%），以提高 PA 水平（70%），并对个人监督（82%）、家庭为基础（79%）、每周至少进行 3 天（75%）和每次至少 30 分钟（78%）的 PA 干预、在治疗后提供（63%）、按年龄限制（63%）、涉及力量（83%）、散步（78%）和灵活性（75%）运动的 PA 干预感兴趣。PA 偏好最常根据性别、治疗状态、当前 PA 行为和 PA 支持环境而有所不同。
AYAs 对特定类型的 PA 支持具有很大的能力和兴趣。对现有 PA 支持服务的参与度低表明需要进一步开展针对 AYA 的研究。更好地了解 AYAs 独特的 PA 行为和支持偏好，可以为这一研究不足且快速增长的人群提供急需的研究和支持服务提供信息。
