School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
J Geriatr Oncol. 2021 Nov;12(8):1173-1180. doi: 10.1016/j.jgo.2021.05.002. Epub 2021 May 11.
To assess exercise levels and exercise counselling /programming preferences among older cancer survivors.
A mixed-methods study design was employed. Quantitative instruments on exercise levels, exercise counselling and programming preferences, frailty status, and cancer-related symptoms were administered to 290 post-treatment older cancer survivors aged ≥65. Twelve participants with different exercise levels and different views on exercise counselling and programming were purposively selected to participate in semi-structured interviews.
Overall, 58.3% of participants did not meet the recommended exercise guidelines, and 44.1% were not engaging in any vigorous or moderate exercise. Frail survivors were less likely to meet the guidelines (aOR = 0.194, 95%CI = 0.053, 0.712) compared to their robust counterparts. However, 66.9% and 62.8% of participants expressed a definite or possible interest in receiving exercise counselling and participating in an exercise program, respectively. Particularly, survivors who are male, did not receive chemotherapy, are less educated, and have higher symptom burden were less likely to show interest. Most preferred low-intensity exercise (59.8%) and wanted to start the exercise program after treatment (68.2%), which differs from the literature on general adult survivors. The major trigger to initiate and maintain exercise behaviors was the benefits of exercise and a common barrier to exercising was lack of time.
Most older cancer survivors did not meet the recommended exercise guidelines, but they were open to exercise counselling and programming. Reviewing education on the benefits of exercise is especially important after treatment completion to promote healthy lifestyles.
评估老年癌症幸存者的运动水平和运动咨询/方案偏好。
采用混合方法研究设计。对 290 名年龄≥65 岁的治疗后老年癌症幸存者进行了关于运动水平、运动咨询和方案偏好、虚弱状况以及癌症相关症状的定量工具评估。根据不同的运动水平和对运动咨询和方案的不同看法，有针对性地选择了 12 名参与者参加半结构式访谈。
总体而言，58.3%的参与者未达到推荐的运动指南，44.1%的参与者没有进行任何剧烈或中度运动。与健壮的幸存者相比，虚弱的幸存者更不可能达到指南标准（aOR=0.194，95%CI=0.053，0.712）。然而，66.9%和 62.8%的参与者分别表示有明确或可能的兴趣接受运动咨询和参与运动方案。特别是男性、未接受化疗、教育程度较低以及症状负担较高的幸存者，表现出兴趣的可能性较小。大多数人更喜欢低强度运动（59.8%），并希望在治疗后开始运动方案（68.2%），这与一般成年幸存者的文献不同。启动和维持运动行为的主要触发因素是运动的益处，而运动的常见障碍是缺乏时间。
大多数老年癌症幸存者未达到推荐的运动指南标准，但他们对运动咨询和方案持开放态度。治疗完成后，尤其需要审查关于运动益处的教育，以促进健康的生活方式。
