Skip to main content
Top
Published in: Cancer Causes & Control 1/2016

01-01-2016 | Original paper

Patterns and correlates of accelerometer-assessed physical activity and sedentary time among colon cancer survivors

Authors: Brigid M. Lynch, Terry Boyle, Elisabeth Winkler, Jessica Occleston, Kerry S. Courneya, Jeff K. Vallance

Published in: Cancer Causes & Control | Issue 1/2016

Login to get access

Abstract

Background

Understanding of the physical activity and sedentary behavior of cancer survivors is limited by reliance on self-reported data. Here, we report the correlates, and patterns of accumulation, of physical activity (light, and moderate-vigorous; MVPA) and sedentary behavior, in colon cancer survivors, using accelerometer-based assessments.

Methods

Colon cancer survivors from Alberta, Canada (n = 92), and Western Australia (n = 93) (overall response rate = 21 %) wore an Actigraph® GT3X+ accelerometer for seven consecutive days and completed a questionnaire in 2012–2013. Accelerometer data (60 s epochs) were summarized using Freedson activity cutpoints and were adjusted for wear time. Linear regression analyses, conducted 2014–2015, examined correlates for different intensities of activity.

Results

Younger age, being employed, higher family income, and lower BMI were significantly correlated with MVPA, while gender, educational attainment, and BMI were correlated with light-intensity physical activity. Gender, comorbidities, and BMI were correlated with sedentary time. MVPA did not vary by day of the week, whereas the remaining time (as a sedentary/light ratio) showed significant variation, with Saturdays being more sedentary than average. When considering time of day, we found that evenings were when the likelihood of both MVPA and sedentary time was highest.

Conclusions

The low level of MVPA and high volume of sedentary time demonstrated by these objective data highlight the need for intervention in colon cancer survivors. The correlates and accumulation patterns described by this study may better inform interventions and translational research designed to increase physical activity and reduce sedentary behavior in colon cancer survivors.
Literature
1.
go back to reference Baade PD, Fritschi L, Eakin EG (2006) Non-cancer mortality among people diagnosed with cancer (Australia). Cancer Causes Control 17(3):287–297CrossRefPubMed Baade PD, Fritschi L, Eakin EG (2006) Non-cancer mortality among people diagnosed with cancer (Australia). Cancer Causes Control 17(3):287–297CrossRefPubMed
2.
go back to reference Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Colditz GA et al (2006) Physical activity and survival after colorectal cancer diagnosis. J Clin Oncol 24(22):3527–3534CrossRefPubMed Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Colditz GA et al (2006) Physical activity and survival after colorectal cancer diagnosis. J Clin Oncol 24(22):3527–3534CrossRefPubMed
3.
go back to reference Meyerhardt JA, Giovannucci EL, Ogino S, Kirkner GJ, Chan AT, Willett W et al (2009) Physical activity and male colorectal cancer survival. Arch Intern Med 169(22):2102–2108CrossRefPubMedPubMedCentral Meyerhardt JA, Giovannucci EL, Ogino S, Kirkner GJ, Chan AT, Willett W et al (2009) Physical activity and male colorectal cancer survival. Arch Intern Med 169(22):2102–2108CrossRefPubMedPubMedCentral
4.
go back to reference Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541CrossRefPubMed Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541CrossRefPubMed
5.
go back to reference Kuiper JG, Phipps AI, Neuhouser ML, Chlebowski RT, Thomson CA, Irwin ML et al (2012) Recreational physical activity, body mass index, and survival in women with colorectal cancer. Cancer Causes Control 23(12):1939–1948CrossRefPubMedPubMedCentral Kuiper JG, Phipps AI, Neuhouser ML, Chlebowski RT, Thomson CA, Irwin ML et al (2012) Recreational physical activity, body mass index, and survival in women with colorectal cancer. Cancer Causes Control 23(12):1939–1948CrossRefPubMedPubMedCentral
6.
go back to reference Courneya KS, Friedenreich CM, Quinney HA, Fields ALA, Jones LW, Vallance JKH et al (2005) A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial. Ann Behav Med 29(2):147–153CrossRefPubMed Courneya KS, Friedenreich CM, Quinney HA, Fields ALA, Jones LW, Vallance JKH et al (2005) A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial. Ann Behav Med 29(2):147–153CrossRefPubMed
7.
go back to reference Lynch BM, Cerin E, Owen N, Hawkes AL, Aitken JF (2008) Prospective relationships of physical activity with quality of life among colorectal cancer survivors. J Clin Oncol 26(27):4480–4487CrossRefPubMed Lynch BM, Cerin E, Owen N, Hawkes AL, Aitken JF (2008) Prospective relationships of physical activity with quality of life among colorectal cancer survivors. J Clin Oncol 26(27):4480–4487CrossRefPubMed
8.
go back to reference Vallance JK, Boyle T, Courneya KS, Lynch BM (2014) Associations of objectively assessed physical activity and sedentary time with health-related quality of life among colon cancer survivors. Cancer 120(18):2919–2926CrossRefPubMed Vallance JK, Boyle T, Courneya KS, Lynch BM (2014) Associations of objectively assessed physical activity and sedentary time with health-related quality of life among colon cancer survivors. Cancer 120(18):2919–2926CrossRefPubMed
9.
go back to reference Owen N (2012) Sedentary behavior: understanding and influencing adults’ prolonged sitting time. Prev Med 55(6):535–539CrossRefPubMed Owen N (2012) Sedentary behavior: understanding and influencing adults’ prolonged sitting time. Prev Med 55(6):535–539CrossRefPubMed
10.
go back to reference Network Sedentary Behaviour Research (2012) Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab 37:540–542CrossRef Network Sedentary Behaviour Research (2012) Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab 37:540–542CrossRef
11.
go back to reference Campbell PT, Patel AV, Newton C, Jacobs E, Gapstur SM (2013) Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival. J Clin Oncol 31(7):876–885CrossRefPubMed Campbell PT, Patel AV, Newton C, Jacobs E, Gapstur SM (2013) Associations of recreational physical activity and leisure time spent sitting with colorectal cancer survival. J Clin Oncol 31(7):876–885CrossRefPubMed
12.
go back to reference Hawkes AL, Lynch BM, Owen N, Aitken JF (2011) Lifestyle factors associated concurrently and prospectively with co-morbid cardiovascular disease in a population-based cohort of colorectal cancer survivors. Eur J Cancer 47:267–276CrossRefPubMed Hawkes AL, Lynch BM, Owen N, Aitken JF (2011) Lifestyle factors associated concurrently and prospectively with co-morbid cardiovascular disease in a population-based cohort of colorectal cancer survivors. Eur J Cancer 47:267–276CrossRefPubMed
13.
go back to reference Wijndaele K, Lynch BM, Owen N, Dunstan DW, Sharp S, Aitken JF (2009) Television viewing time and weight gain in colorectal cancer survivors: a prospective population-based study. Cancer Causes Control 20(8):1355–1362CrossRefPubMed Wijndaele K, Lynch BM, Owen N, Dunstan DW, Sharp S, Aitken JF (2009) Television viewing time and weight gain in colorectal cancer survivors: a prospective population-based study. Cancer Causes Control 20(8):1355–1362CrossRefPubMed
14.
go back to reference Lynch BM, Cerin E, Owen N, Hawkes AL, Aitken JF (2011) Television viewing time of colorectal cancer survivors is associated prospectively with quality of life. Cancer Causes Control 22(8):1111–1120CrossRefPubMed Lynch BM, Cerin E, Owen N, Hawkes AL, Aitken JF (2011) Television viewing time of colorectal cancer survivors is associated prospectively with quality of life. Cancer Causes Control 22(8):1111–1120CrossRefPubMed
15.
go back to reference Lynch BM, Neilson HK, Friedenreich CM (2011) Physical activity and breast cancer prevention. In: Courneya KS, Friedenreich CM (eds) Physical Activity and Cancer Springer, Berlin 186:13–42. doi:10.1007/978-3-642-04231-7_2 Lynch BM, Neilson HK, Friedenreich CM (2011) Physical activity and breast cancer prevention. In: Courneya KS, Friedenreich CM (eds) Physical Activity and Cancer Springer, Berlin 186:13–42. doi:10.​1007/​978-3-642-04231-7_​2
16.
go back to reference Lynch BM, Dunstan DW, Healy GN, Winkler E, Eakin E, Owen N (2010) Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003–2006). Cancer Causes Control 21:283–288CrossRefPubMed Lynch BM, Dunstan DW, Healy GN, Winkler E, Eakin E, Owen N (2010) Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003–2006). Cancer Causes Control 21:283–288CrossRefPubMed
17.
go back to reference Lynch BM, Dunstan DW, Winkler E, Healy GN, Eakin E, Owen N (2011) Objectively assessed physical activity, sedentary time and waist circumference among prostate cancer survivors: findings from the national health and nutrition examination survey (2003–2006). Eur J Cancer Care 20:514–519CrossRef Lynch BM, Dunstan DW, Winkler E, Healy GN, Eakin E, Owen N (2011) Objectively assessed physical activity, sedentary time and waist circumference among prostate cancer survivors: findings from the national health and nutrition examination survey (2003–2006). Eur J Cancer Care 20:514–519CrossRef
18.
go back to reference Sabiston CM, Brunet J, Vallance JK, Meterissian S (2014) Prospective examination of objectively assessed physical activity and sedentary time after breast cancer treatment: sitting on the crest of the teachable moment. Cancer Epidemiol Biomark Prev 23(7):1324–1330CrossRef Sabiston CM, Brunet J, Vallance JK, Meterissian S (2014) Prospective examination of objectively assessed physical activity and sedentary time after breast cancer treatment: sitting on the crest of the teachable moment. Cancer Epidemiol Biomark Prev 23(7):1324–1330CrossRef
19.
go back to reference Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR et al (2008) Amount of time spent in sedentary behaviors in the united states, 2003–2004. Am J Epidemiol 167(7):875–881CrossRefPubMedPubMedCentral Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR et al (2008) Amount of time spent in sedentary behaviors in the united states, 2003–2004. Am J Epidemiol 167(7):875–881CrossRefPubMedPubMedCentral
20.
go back to reference Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ et al (2007) Objectively measured light-intensity physical activity is independently associated with 2-h plasma glucose. Diabetes Care 30(6):1384–1389CrossRefPubMed Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ et al (2007) Objectively measured light-intensity physical activity is independently associated with 2-h plasma glucose. Diabetes Care 30(6):1384–1389CrossRefPubMed
21.
go back to reference Freedson PS, Melanson E, Sirard J (1998) Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc 30(5):777–781CrossRefPubMed Freedson PS, Melanson E, Sirard J (1998) Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc 30(5):777–781CrossRefPubMed
22.
go back to reference Dunstan DW, Kingwell BA, Larsen R, Healy GN, Cerin E, Hamilton MT et al (2012) Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care 35:976–983CrossRefPubMedPubMedCentral Dunstan DW, Kingwell BA, Larsen R, Healy GN, Cerin E, Hamilton MT et al (2012) Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care 35:976–983CrossRefPubMedPubMedCentral
24.
go back to reference Lynch BM, Cerin E, Newman B, Owen N (2007) Physical activity, activity change, and their correlates in a population-based sample of colorectal cancer survivors. Ann Behav Med 34(2):135–143CrossRefPubMed Lynch BM, Cerin E, Newman B, Owen N (2007) Physical activity, activity change, and their correlates in a population-based sample of colorectal cancer survivors. Ann Behav Med 34(2):135–143CrossRefPubMed
25.
go back to reference Peddle CJ, Au HJ, Courneya KS (2008) Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Dis Colon Rectum 51(8):1242–1248CrossRefPubMed Peddle CJ, Au HJ, Courneya KS (2008) Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Dis Colon Rectum 51(8):1242–1248CrossRefPubMed
26.
go back to reference Boyle T, Lynch BM, Courneya KS, Vallance JK (2015) Agreement between accelerometer-assessed and self-reported physical activity and sedentary time in colon cancer survivors. Support Care Cancer 23(4):1121–1126CrossRefPubMed Boyle T, Lynch BM, Courneya KS, Vallance JK (2015) Agreement between accelerometer-assessed and self-reported physical activity and sedentary time in colon cancer survivors. Support Care Cancer 23(4):1121–1126CrossRefPubMed
27.
go back to reference Clarke J, Janssen I (2014) Sporadic and bouted physical activity and the metabolic syndrome in adults. Med Sci Sports Exerc 46(1):76–83CrossRefPubMed Clarke J, Janssen I (2014) Sporadic and bouted physical activity and the metabolic syndrome in adults. Med Sci Sports Exerc 46(1):76–83CrossRefPubMed
28.
go back to reference Lynch BM, Courneya KS, Sethi P, Patrao TA, Hawkes AL (2014) A randomized controlled trial of a multiple health behavior change intervention delivered to colorectal cancer survivors: effects on sedentary behavior. Cancer 120(17):2665–2672CrossRefPubMed Lynch BM, Courneya KS, Sethi P, Patrao TA, Hawkes AL (2014) A randomized controlled trial of a multiple health behavior change intervention delivered to colorectal cancer survivors: effects on sedentary behavior. Cancer 120(17):2665–2672CrossRefPubMed
29.
go back to reference Kozey-Keadle S, Libertine A, Lyden K, Staudenmayer J, Freedson PS (2011) Validation of wearable monitors for assessing sedentary behavior. Med Sci Sports Exerc 43(8):1561–1567CrossRefPubMed Kozey-Keadle S, Libertine A, Lyden K, Staudenmayer J, Freedson PS (2011) Validation of wearable monitors for assessing sedentary behavior. Med Sci Sports Exerc 43(8):1561–1567CrossRefPubMed
Metadata
Title
Patterns and correlates of accelerometer-assessed physical activity and sedentary time among colon cancer survivors
Authors
Brigid M. Lynch
Terry Boyle
Elisabeth Winkler
Jessica Occleston
Kerry S. Courneya
Jeff K. Vallance
Publication date
01-01-2016
Publisher
Springer International Publishing
Published in
Cancer Causes & Control / Issue 1/2016
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-015-0683-4

Other articles of this Issue 1/2016

Cancer Causes & Control 1/2016 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine