Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.
Currently, Psychology Department in Pediatrics, Baylor College of Medicine, Houston, TX.
JCO Oncol Pract. 2021 Jul;17(7):e972-e981. doi: 10.1200/OP.20.00625. Epub 2021 Mar 19.
The American College of Sports Medicine exercise guidelines for cancer survivors encourage a combination of 150 minutes of moderate-intensity aerobic activity and 2-3 weekly sessions of strength training. Cancer survivors often experience more barriers to meeting recommended guidelines because of side effects from cancer treatments. Our aim was to measure the cancer survivors' adherence and barriers with these recommendations.
Two hundred adult cancer survivors completed surveys (Stanford Patient Education Research Center Exercise Behaviors Survey and an exercise barrier scale) reporting their physical activity, barriers to physical activity, and symptom assessment.
A total of 68/200 participants (34%) reported adhering to the recommended physical activity guidelines of 150 minutes or more per week. Those who adhered to the guidelines reported fewer barriers to exercise (mean of 2.44 compared with 4.15 barriers, < .0001). Female participants ( = .01), higher number of barriers, and feeling of poor well-being were less likely to report at least 60 or 150 minutes of exercise time. Lack of interest ( = .003) and self-discipline ( = .001) were reported as barriers. These participants were more likely to report high symptom burden of pain ( = .007) and fatigue ( = .005). Participants who reported < 60 minutes of exercise reported lack of enjoyment ( = .03), lack of equipment ( = .01), and symptoms of poor appetite, poor well-being, and increased dyspnea.
Although recommendations are given for exercise, adherence to recommendations is low. Issues of motivation, including lack of interest and self-discipline, and symptoms of pain and fatigue were some of the main reported barriers to adhering to the recommended exercise guidelines. Therefore, interventions aimed at increasing motivation and treating symptoms could improve cancer survivor adherence to recommended exercise guidelines.
美国运动医学学院的癌症幸存者运动指南鼓励结合 150 分钟中等强度的有氧运动和 2-3 次每周的力量训练。由于癌症治疗的副作用，癌症幸存者往往面临更多的障碍，难以达到推荐的指南标准。我们的目的是衡量癌症幸存者对这些建议的坚持和障碍。
200 名成年癌症幸存者完成了调查（斯坦福患者教育研究中心运动行为调查和运动障碍量表），报告了他们的体育活动、体育活动障碍和症状评估。
共有 68/200 名参与者（34%）报告遵守了每周 150 分钟或以上的推荐体力活动指南。遵守指南的人报告的运动障碍较少（平均 2.44 个障碍，<0.0001）。女性参与者（=0.01）、更多的障碍和感觉健康状况不佳不太可能报告至少 60 或 150 分钟的运动时间。缺乏兴趣（=0.003）和自律（=0.001）被报告为障碍。这些参与者更有可能报告高症状负担的疼痛（=0.007）和疲劳（=0.005）。报告运动时间<60 分钟的参与者报告缺乏乐趣（=0.03）、缺乏设备（=0.01）以及食欲不佳、健康状况不佳和呼吸困难增加等症状。
尽管有运动建议，但遵守建议的情况很低。动机问题，包括缺乏兴趣和自律，以及疼痛和疲劳等症状，是遵守推荐运动指南的主要障碍之一。因此，旨在提高动机和治疗症状的干预措施可以提高癌症幸存者对推荐运动指南的遵守。
