Leach Michael James, Monacella Stephanie, Trinh Thi, Byrne Anny, Ristevski Eli
School of Rural Health, Monash University, Bendigo, VIC, Australia.
West Gippsland Healthcare Group, Warragul, VIC, Australia.
Support Care Cancer. 2025 Jun 2;33(6):529. doi: 10.1007/s00520-025-09598-0.
This study aimed to identify correlates of physical activity (PA) among rural Australian cancer survivors.
A cross-sectional study was undertaken. We recruited a convenience sample of adults diagnosed with any cancer type who received care at a rural hospital in Gippsland, Victoria, Australia, between August 2017 and December 2021. PA was measured using the Godin-Shephard Leisure-Time PA Questionnaire (GSLTPAQ). Correlates of sufficient PA (total GSLTPAQ score ≥ 14), any mild PA (item-specific GSLTPAQ score > 0), and any PA (item-specific GSLTPAQ score > 0 for one or more intensities: mild, moderate and/or strenuous) were identified via binary logistic regression.
There were 103 participants with a median age of 66 years. Among them, 35% had sufficient PA, 62% had any mild PA, and 64% had any PA. Obesity was associated with lower odds of sufficient PA (adjusted odds ratio (aOR) = 0.21, 95% confidence interval (CI) = 0.07-0.61), any mild PA (aOR = 0.26, 95% CI = 0.10-0.66), and any PA (aOR = 0.26, 95% CI = 0.10-0.64). Fatigue was associated with lower odds of sufficient PA (aOR = 0.30, 95% CI = 0.11-0.83) but not with any mild PA or any PA. Breast cancer survivors had lower odds of any mild PA (aOR = 0.27, 95% CI = 0.08-0.87) but not of any PA or sufficient PA.
This study identified levels and correlates of PA among rural Australian cancer survivors. While further research is warranted, our results suggest considerable scope for exercise oncology interventions in a rural region of Australia. Exercise interventions for cancer survivors in this and similar rural settings could be tailored to and targeted towards those with obesity, fatigue, and/or breast cancer.
本研究旨在确定澳大利亚农村癌症幸存者身体活动（PA）的相关因素。
开展了一项横断面研究。我们选取了2017年8月至2021年12月期间在澳大利亚维多利亚州吉普斯兰地区一家农村医院接受治疗的、被诊断患有任何癌症类型的成年患者作为便利样本。使用戈丁-谢泼德休闲时间身体活动问卷（GSLTPAQ）来测量身体活动情况。通过二元逻辑回归确定充足身体活动（GSLTPAQ总分≥14）、任何轻度身体活动（特定项目GSLTPAQ得分>0）以及任何身体活动（一个或多个强度：轻度、中度和/或剧烈强度的特定项目GSLTPAQ得分>0）的相关因素。
共有103名参与者，中位年龄为66岁。其中，35%的人有充足的身体活动，62%的人有任何轻度身体活动，64%的人有任何身体活动。肥胖与充足身体活动的较低几率相关（调整后的优势比（aOR）=0.21，95%置信区间（CI）=0.07 - 0.61）、任何轻度身体活动（aOR = 0.26，95% CI = 0.10 - 0.66）以及任何身体活动（aOR = 0.26，95% CI = 0.10 - 0.64）。疲劳与充足身体活动的较低几率相关（aOR = 0.30，95% CI = 0.11 - 0.83），但与任何轻度身体活动或任何身体活动无关。乳腺癌幸存者进行任何轻度身体活动的几率较低（aOR = 0.27，95% CI = 0.08 - 0.87），但进行任何身体活动或充足身体活动的几率并非如此。
本研究确定了澳大利亚农村癌症幸存者身体活动的水平及其相关因素。虽然仍需进一步研究，但我们的结果表明在澳大利亚农村地区开展运动肿瘤学干预有很大空间。针对该农村地区及类似农村环境中癌症幸存者的运动干预可针对肥胖、疲劳和/或乳腺癌患者进行调整和靶向实施。
