Intramural Research Program, Health Equity and Decision Sciences Research Laboratory, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, 20892, USA.
Center for Cancer Research at the National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Breast Cancer Res Treat. 2024 Dec;208(3):643-655. doi: 10.1007/s10549-024-07460-1. Epub 2024 Sep 30.
Exercise offers various clinical benefits to older breast cancer survivors. However, studies report that healthcare providers may not regularly discuss exercise with their patients. We evaluated clinical and sociodemographic determinants of receiving advice about exercise from healthcare providers among older breast cancer survivors (aged ≥65 years).
We used data from the Surveillance, Epidemiology, and End Results cancer registries linked to the Medicare Health Outcomes Survey (MHOS) from 2008 to 2015. We included female breast cancer survivors, aged ≥65 years, who completed the MHOS survey ≥2 years after a breast cancer diagnosis in a modified Poisson regression to identify clinical and sociodemographic determinants of reportedly receiving advice about exercise from healthcare providers.
The sample included 1,836 breast cancer survivors. The median age of the sample was 76 years (range: 72-81). Overall, 10.7% of the survivors were non-Hispanic Black, 10.1% were Hispanic, and 69.3% were non-Hispanic White. Only 52.3% reported receiving advice about exercise from a healthcare provider. Higher body mass index (BMI) and comorbid medical history that included diabetes, cardiovascular, or musculoskeletal disease were each associated with a higher likelihood of receiving exercise advice. Lower education levels, lower BMI, and never having been married were each associated with a lower likelihood of receiving exercise advice.
Nearly half of breast cancer survivors aged ≥65 years did not report receiving exercise advice from a healthcare provider, suggesting interventions are needed to improve exercise counseling between providers and survivors, especially with women with lower educational attainment who have never been married.
运动为老年乳腺癌幸存者带来了各种临床益处。然而，研究报告称，医疗保健提供者可能不会定期与患者讨论运动。我们评估了临床和社会人口统计学因素对老年乳腺癌幸存者（年龄≥65 岁）接受医疗保健提供者关于运动建议的影响。
我们使用了 2008 年至 2015 年期间来自监测、流行病学和最终结果癌症登记处的数据，这些数据与医疗保险健康结果调查（MHOS）相关联。我们纳入了≥65 岁、在乳腺癌诊断后至少完成了两次 MHOS 调查的女性乳腺癌幸存者，采用修正泊松回归模型来确定报告接受医疗保健提供者关于运动建议的临床和社会人口统计学因素。
样本包括 1836 名乳腺癌幸存者。样本的中位年龄为 76 岁（范围：72-81 岁）。总体而言，10.7%的幸存者是非西班牙裔黑人，10.1%是西班牙裔，69.3%是非西班牙裔白人。只有 52.3%的人报告接受过医疗保健提供者关于运动的建议。较高的身体质量指数（BMI）和包括糖尿病、心血管或肌肉骨骼疾病在内的合并症病史与更有可能接受运动建议相关。较低的教育水平、较低的 BMI 和从未结婚与更不可能接受运动建议相关。
近一半的年龄≥65 岁的乳腺癌幸存者未报告从医疗保健提供者那里获得运动建议，这表明需要采取干预措施来改善提供者和幸存者之间的运动咨询，特别是针对那些教育程度较低且从未结婚的女性。
