Haider Zainab Faatimah, Smith Samuel George, Walwyn Rebecca E A, Lally Phillippa, Fisher Abigail, Beeken Rebecca J
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
J Cancer Surviv. 2024 Oct 28. doi: 10.1007/s11764-024-01700-5.
Physical activity is safe and feasible for individuals with metastatic cancer and may support symptom management. We investigated the extent to which individuals with metastatic cancer are meeting the World Health Organisation (WHO) moderate-vigorous physical activity (MVPA) guideline, factors associated with meeting the guideline, and perceptions about physical activity and receiving physical activity advice.
Data were from UK adults with metastatic breast, prostate, or colorectal cancer who completed the Healthy Lifestyle After Cancer survey (N = 588). Self-reported clinical, demographic, and physical activity (Godin Leisure-Time Exercise Questionnaire) data were collected. Logistic regression models assessed whether clinical and demographic factors were associated with meeting the MVPA guideline.
Most (59%) individuals with metastatic cancer were not meeting the WHO guideline of 150 min of MVPA per week. Adjusting for cancer type, the odds of meeting the MVPA guideline were lower for unemployed individuals (OR = 0.47, 95% CI = 0.23-0.77) and ethnic minorities (OR = 0.44, 95% CI = 0.22-0.89), but higher for those with a university education (OR = 1.89, 95% CI = 1.0-3.57). Most (63.5%) participants felt they should be doing more physical activity. However, 70.1% did not receive any physical activity advice or support, despite 73.6% wanting to receive it.
People with metastatic cancer may need further support to address inadequate levels of physical activity. The differences observed between demographic sub-groups suggest this may be more beneficial for those less likely to engage in physical activity.
Individuals with metastatic cancer are likely to benefit from increased physical activity support, which considers the needs of diverse demographic groups.
体育活动对转移性癌症患者而言是安全可行的，且可能有助于症状管理。我们调查了转移性癌症患者达到世界卫生组织（WHO）中度至剧烈体育活动（MVPA）指南的程度、与达到该指南相关的因素，以及对体育活动和接受体育活动建议的看法。
数据来自完成癌症后健康生活方式调查的英国成年转移性乳腺癌、前列腺癌或结直肠癌患者（N = 588）。收集了自我报告的临床、人口统计学和体育活动（戈丁休闲时间运动问卷）数据。逻辑回归模型评估临床和人口统计学因素是否与达到MVPA指南相关。
大多数（59%）转移性癌症患者未达到WHO每周150分钟MVPA的指南。在调整癌症类型后，失业者（OR = 0.47，95%CI = 0.23 - 0.77）和少数族裔（OR = 0.44，95%CI = 0.22 - 0.89）达到MVPA指南的几率较低，但大学学历者的几率较高（OR = 1.89，95%CI = 1.0 - 3.57）。大多数（63.5%）参与者认为他们应该增加体育活动。然而，70.1%的人未得到任何体育活动建议或支持，尽管73.6%的人希望得到。
转移性癌症患者可能需要进一步支持以解决体育活动不足的问题。不同人口亚组之间观察到的差异表明，这对那些不太可能参与体育活动的人可能更有益。
转移性癌症患者可能会从增加的体育活动支持中受益，这种支持应考虑不同人口群体的需求。
