Himbert Caroline, Hathaway Cassandra A, Daniels Bailee, Salas Karen, Ashworth Anjelica, Gigic Biljana, Lin Tengda, Viskochil Richard, Kirchhoff Anne C, Grossman Douglas, Ose Jennifer, Tward Jonathan, Scaife Courtney, Figueiredo Jane C, Toriola Adetunji T, Beck Anna, Shibata David, Gonzalez Brian D, Matsen Cindy, Christenson Cristina, Ma Debra S, Colman Howard, Hunt Jason P, Jones Kevin B, Lee Catherine J, Larson Mikaela, Onega Tracy, Akerley Wallace L, Li Christopher I, Schneider Martin, Penedo Frank J, Siegel Erin M, Tworoger Shelley S, Ulrich Cornelia M, Peoples Anita R
Huntsman Cancer Institute Cancer Hospital: University of Utah Health Huntsman Cancer Institute.
Moffitt Cancer Center.
Res Sq. 2021 Sep 21:rs.3.rs-704646. doi: 10.21203/rs.3.rs-704646/v1.
Purpose There is limited information on how the COVID-19 pandemic has changed health behaviors among cancer patients. We examined the impact of the pandemic on changes in exercise behaviors and identified characteristics associated with these changes among cancer patients. Methods Cancer patients (n 1,361) completed a survey from August-September 2020 to assess COVID-19 pandemic-related changes in health behaviors and psychosocial factors. Patients were categorized into 3 groups: exercising less, exercising did not change, and exercising more. Patient characteristics were compared by exercise groups. Results One-third of the patients reported a decreased amount of regular exercise, while 11% reported exercising more during the pandemic. Patients who exercised less were more likely to be unemployed/retired, undergoing active treatment, and had increased pandemic-related alcohol consumption and psychosocial stressors such as loneliness and financial stress (all < 0.05). In contrast, patients who exercised more were younger, female, full-time employed, did not consume alcohol, and had good health status and more social interactions (all < 0.05). Patients who were living in rural areas and did not experience changes in daily life, were also more likely not to experience changes in exercise habits (all < 0.05). Conclusion Our results indicate that a significant proportion of cancer patients experienced changes in exercise habits during the first 6 months of the COVID-19 pandemic. Age, sex, employment status, health status, alcohol consumption, and psychosocial factors were associated with changes in exercise behaviors. Providers should monitor for changes in health behaviors, such as exercise, because of their importance in improving cancer survivorship.
目的 关于新冠疫情如何改变癌症患者的健康行为，相关信息有限。我们研究了疫情对运动行为变化的影响，并确定了癌症患者中与这些变化相关的特征。方法 癌症患者（n = 1361）在2020年8月至9月完成了一项调查，以评估与新冠疫情相关的健康行为和心理社会因素的变化。患者被分为三组：运动减少、运动无变化、运动增加。通过运动组比较患者特征。结果 三分之一的患者报告定期运动的量减少，而11%的患者报告在疫情期间运动增加。运动减少的患者更有可能失业/退休、正在接受积极治疗，并且与疫情相关的酒精消费量增加以及存在孤独和经济压力等心理社会压力源（所有P < 0.05）。相比之下，运动增加的患者更年轻、女性、全职工作、不饮酒，并且健康状况良好且社交互动更多（所有P < 0.05）。生活在农村地区且日常生活没有变化的患者，也更有可能运动习惯没有变化（所有P < 0.05）。结论 我们的结果表明，在新冠疫情的前6个月，相当一部分癌症患者的运动习惯发生了变化。年龄、性别、就业状况、健康状况、饮酒情况和心理社会因素与运动行为的变化有关。由于运动对改善癌症生存的重要性，医疗服务提供者应监测运动等健康行为的变化。
