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Promoting physical activity in childhood cancer survivors†
Results from the Childhood Cancer Survivor Study
Article first published online: 31 DEC 2008
Copyright © 2008 American Cancer Society
Volume 115, Issue 3, pages 642–654, 1 February 2009
How to Cite
Cox, C. L., Montgomery, M., Oeffinger, K. C., Leisenring, W., Zeltzer, L., Whitton, J. A., Mertens, A. C., Hudson, M. M. and Robison, L. L. (2009), Promoting physical activity in childhood cancer survivors. Cancer, 115: 642–654. doi: 10.1002/cncr.24043
Presented at the 4th Biennial Cancer Survivorship Research Conference, Atlanta, Georgia, June 18-20, 2008.
- Issue published online: 20 JAN 2009
- Article first published online: 31 DEC 2008
- Manuscript Accepted: 10 JUL 2008
- Manuscript Revised: 19 MAY 2008
- Manuscript Received: 31 MAR 2008
- National Institutes of Health. Grant Number: NINR RO3 NR009203
- National Cancer Institute. Grant Number: NCI U24 CA55727
- American Lebanese Syrian Associated Charities
- childhood cancer survivors;
- sedentary lifestyle;
- intervention strategies;
- physical activity
Although physical activity may modify the late effects of childhood cancer treatment, from 20% to 52% of adult survivors are sedentary. The authors of this report sought to identify modifiable factors that influence survivors' participation in physical activity.
Structural equation modeling of data were derived from the Childhood Cancer Survivors Study of adult survivors (current mean age, 30.98 years; mean years since diagnosis, 23.74; mean age at diagnosis, 9.25 years) who were diagnosed between 1970 and 1986.
Approximately 40% of the variance in male survivors' recent participation versus nonparticipation in physical activity was explained directly and/or indirectly by self-reported health fears (P = .01), perceived primary-care physician (PCP) expertise (P = .01), baseline exercise frequency (P ≤ .001), education level (P = .01), self-reported stamina (P = .01), cancer-related pain (P ≤ .001), fatigue (P ≤ .001), age at diagnosis (P = .01), cancer-related anxiety (P ≤ .001), motivation (P = .01), affect (P = .01), and discussion of subsequent cancer risk with the PCP (P ≤ .001) (N = 256; chi-square test statistic = 53.38; degrees of freedom [df] = 51; P = .38, Comparative Fit Index [CFI] = 1.000; Tucker Lewis Index [TLI] = 1.000; root mean square of approximation [RMSEA] = 0.014; weighted root mean square residual [WRMR] = 0.76). Thirty-one percent of the variance in women' recent physical activity participation was explained directly and/or indirectly by self-reported stamina (P ≤ .001), fatigue (P = .01), baseline exercise frequency (P = .01), cancer-related pain (P ≤ .001), cancer-related anxiety (P = .01), recency of visits with PCP (<0.001), quality of interaction with the PCP (P = .01), and motivation (P ≤ .001; N = 366; chi-square test statistic = 67.52; df = 55; P = .12; CFI = 0.98; TLI = 0.98; RMSEA = 0.025; WRMR = 0.76).
Gender-tailored intervention strategies in which providers specifically target motivation, fear, and affect may support physical activity in childhood cancer survivors. Cancer 2009. © 2008 American Cancer Society.