Skip to main content
Top
Published in: Journal of Cancer Survivorship 3/2013

01-09-2013

Objectively measured physical activity among US cancer survivors: considerations by weight status

Authors: Paul D. Loprinzi, Hyo Lee, Bradley J. Cardinal

Published in: Journal of Cancer Survivorship | Issue 3/2013

Login to get access

Abstract

Purpose

We have a limited understanding of the objectively determined physical activity levels of cancer survivors at the population level. Further, we have even less of an understanding of this behavior by weight status (i.e., normal weight, overweight, and obese). Therefore, the purpose of this study was to describe accelerometer-assessed physical activity levels among US cancer survivors and to do so across weight status.

Methods

Data from the 2003–2006 NHANES was used. One hundred twenty-six adult cancer survivors wore an accelerometer for ≥4 days, with weight status determined from measured body mass index.

Results

Approximately 13 % of cancer survivors were sufficiently active (i.e., met current physical activity guidelines). Results were not significant for light-intensity physical activity; however, results showed that obese cancer survivors engaged in 47 % less MVPA than normal weight cancer survivors (rate ratio = 0.53; 95 % CI, 0.29–0.93).

Conclusion

Most adult cancer survivors are insufficiently active and obese cancer survivors engage in less MVPA than their counterparts.

Implications for Cancer Survivors

Health care professionals are encouraged to increase cancer survivors’ awareness of the minimum levels of MVPA needed for optimal health, particularly among obese cancer survivors. Additionally, cancer survivors should also be informed of the positive health outcomes associated with light-intensity physical activity.
Literature
1.
go back to reference Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services; 2008. Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: U.S. Department of Health and Human Services; 2008.
2.
go back to reference Ries LAG, Melbert D, Krapcho M, Stinchcomb DG, Howlader N, Horner MJ, et al., editors. SEER Cancer Statistics Review, 1975–2005. Bethesda: National Cancer Institute; 2008. Ries LAG, Melbert D, Krapcho M, Stinchcomb DG, Howlader N, Horner MJ, et al., editors. SEER Cancer Statistics Review, 1975–2005. Bethesda: National Cancer Institute; 2008.
3.
go back to reference Loprinzi PD, Cardinal BJ, Winters-Stone K, et al. Physical activity and the risk of breast cancer recurrence: a literature review. Oncol Nurs Forum. 2012;39:269–74.PubMedCrossRef Loprinzi PD, Cardinal BJ, Winters-Stone K, et al. Physical activity and the risk of breast cancer recurrence: a literature review. Oncol Nurs Forum. 2012;39:269–74.PubMedCrossRef
4.
go back to reference Lee IM, Wolin KY, Freeman SE, et al. Physical Activity and Survival after Cancer Diagnosis in Men. J Phys Act Health. 2012 Lee IM, Wolin KY, Freeman SE, et al. Physical Activity and Survival after Cancer Diagnosis in Men. J Phys Act Health. 2012
5.
go back to reference Moskowitz MC, Feuerstein M, Todd BL. Job stress and physical activity related to elevated symptom clusters in breast cancer survivors at work. J Occup Environ Med. 2013;55:93–8.PubMedCrossRef Moskowitz MC, Feuerstein M, Todd BL. Job stress and physical activity related to elevated symptom clusters in breast cancer survivors at work. J Occup Environ Med. 2013;55:93–8.PubMedCrossRef
6.
go back to reference Blaney JM, Lowe-Strong A, Rankin-Watt J, et al. Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology. 2013;22:186–94.PubMedCrossRef Blaney JM, Lowe-Strong A, Rankin-Watt J, et al. Cancer survivors’ exercise barriers, facilitators and preferences in the context of fatigue, quality of life and physical activity participation: a questionnaire-survey. Psychooncology. 2013;22:186–94.PubMedCrossRef
7.
go back to reference Chung JY, Lee DH, Park JH, et al. Patterns of physical activity participation across the cancer trajectory in colorectal cancer survivors. Support Care Cancer. 2013;21(6):1605–12.PubMedCrossRef Chung JY, Lee DH, Park JH, et al. Patterns of physical activity participation across the cancer trajectory in colorectal cancer survivors. Support Care Cancer. 2013;21(6):1605–12.PubMedCrossRef
8.
go back to reference Zhao G, Li C, Li J, et al. Physical activity, psychological distress, and receipt of mental healthcare services among cancer survivors. J Cancer Surviv. 2012;7(1):131–9.PubMedCrossRef Zhao G, Li C, Li J, et al. Physical activity, psychological distress, and receipt of mental healthcare services among cancer survivors. J Cancer Surviv. 2012;7(1):131–9.PubMedCrossRef
9.
go back to reference Charlier C, Pauwels E, Lechner L, et al. Physical activity levels and supportive care needs for physical activity among breast cancer survivors with different psychosocial profiles: a cluster-analytical approach. Eur J Cancer Care (Engl). 2012;21:790–9.CrossRef Charlier C, Pauwels E, Lechner L, et al. Physical activity levels and supportive care needs for physical activity among breast cancer survivors with different psychosocial profiles: a cluster-analytical approach. Eur J Cancer Care (Engl). 2012;21:790–9.CrossRef
10.
go back to reference Buffart LM, Thong MS, Schep G, et al. Self-reported physical activity: its correlates and relationship with health-related quality of life in a large cohort of colorectal cancer survivors. PLoS One. 2012;7:e36164.PubMedCrossRef Buffart LM, Thong MS, Schep G, et al. Self-reported physical activity: its correlates and relationship with health-related quality of life in a large cohort of colorectal cancer survivors. PLoS One. 2012;7:e36164.PubMedCrossRef
11.
go back to reference Hsu HT, Huang CS, Liu Y, et al. Exercise behaviors in breast cancer survivors in Taiwan. Cancer Nurs. 2012;35:E48–56.PubMedCrossRef Hsu HT, Huang CS, Liu Y, et al. Exercise behaviors in breast cancer survivors in Taiwan. Cancer Nurs. 2012;35:E48–56.PubMedCrossRef
12.
13.
go back to reference Paxton RJ, Phillips KL, Jones LA, et al. Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer. 2012;118:4024–31.PubMedCrossRef Paxton RJ, Phillips KL, Jones LA, et al. Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer. 2012;118:4024–31.PubMedCrossRef
14.
go back to reference Szymlek-Gay EA, Richards R, Egan R. Physical activity among cancer survivors: a literature review. N Z Med J. 2011;124:77–89.PubMed Szymlek-Gay EA, Richards R, Egan R. Physical activity among cancer survivors: a literature review. N Z Med J. 2011;124:77–89.PubMed
15.
go back to reference Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med. 2003;37:197–206. discussion 206.PubMedCrossRef Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med. 2003;37:197–206. discussion 206.PubMedCrossRef
16.
go back to reference Shaw K, Gennat H, O’Rourke P, et al. Exercise for overweight or obesity. Cochrane Database Syst Rev. 2006;CD003817. Shaw K, Gennat H, O’Rourke P, et al. Exercise for overweight or obesity. Cochrane Database Syst Rev. 2006;CD003817.
20.
go back to reference Chen KY, Bassett Jr DR. The technology of accelerometry-based activity monitors: current and future. Med Sci Sports Exerc. 2005;37:S490–500.PubMedCrossRef Chen KY, Bassett Jr DR. The technology of accelerometry-based activity monitors: current and future. Med Sci Sports Exerc. 2005;37:S490–500.PubMedCrossRef
21.
go back to reference Troiano RP, Berrigan D, Dodd KW, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40:181–8.PubMed Troiano RP, Berrigan D, Dodd KW, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40:181–8.PubMed
23.
go back to reference Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the physical activity guidelines for Americans. Am J Prev Med. 2011;40:454–61.PubMedCrossRef Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the physical activity guidelines for Americans. Am J Prev Med. 2011;40:454–61.PubMedCrossRef
24.
go back to reference World Health Organization (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000. World Health Organization (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Geneva: World Health Organization, 2000.
25.
go back to reference Hawkins MS, Storti KL, Richardson CR, et al. Objectively measured physical activity of USA adults by sex, age, and racial/ethnic groups: a cross-sectional study. Int J Behav Nutr Phys Act. 2009;6:31.PubMedCrossRef Hawkins MS, Storti KL, Richardson CR, et al. Objectively measured physical activity of USA adults by sex, age, and racial/ethnic groups: a cross-sectional study. Int J Behav Nutr Phys Act. 2009;6:31.PubMedCrossRef
26.
go back to reference Herrmann SD, Barreira TV, Kang M, et al. (2013) How many hours are enough? Accelerometer wear time may provide bias in daily activity estimates. J Phys Act Health (in press). Herrmann SD, Barreira TV, Kang M, et al. (2013) How many hours are enough? Accelerometer wear time may provide bias in daily activity estimates. J Phys Act Health (in press).
27.
go back to reference Ball K, Salmon J, Giles-Corti B, et al. How can socio-economic differences in physical activity among women be explained? A qualitative study. Women Health. 2006;43:93–113.PubMed Ball K, Salmon J, Giles-Corti B, et al. How can socio-economic differences in physical activity among women be explained? A qualitative study. Women Health. 2006;43:93–113.PubMed
28.
go back to reference Kaptein SA, Badley EM. Sex differences, age, arthritis, and chronic disease: influence on physical activity behaviors. J Phys Act Health. 2012;9:540–8.PubMed Kaptein SA, Badley EM. Sex differences, age, arthritis, and chronic disease: influence on physical activity behaviors. J Phys Act Health. 2012;9:540–8.PubMed
30.
go back to reference Smith WA, Nolan VG, Robison LL, et al. Physical activity among cancer survivors and those with no history of cancer—a report from the National Health and Nutrition Examination Survey 2003–2006. Am J Transl Res. 2011;3:342–50.PubMed Smith WA, Nolan VG, Robison LL, et al. Physical activity among cancer survivors and those with no history of cancer—a report from the National Health and Nutrition Examination Survey 2003–2006. Am J Transl Res. 2011;3:342–50.PubMed
31.
go back to reference U.S. Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Atlanta, GA: Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, 1996. U.S. Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Atlanta, GA: Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, 1996.
32.
go back to reference Loprinzi PD, Lee H, Cardinal BJ. Dose response association between physical activity and biological, demographic, and perception of health variables. Obes Facts. 2013 (in press). Loprinzi PD, Lee H, Cardinal BJ. Dose response association between physical activity and biological, demographic, and perception of health variables. Obes Facts. 2013 (in press).
33.
go back to reference Cardinal BJ, Levy SS, John DH, et al. Counseling patients for physical activity. Am J Med Sports. 2002;4:364–71. Cardinal BJ, Levy SS, John DH, et al. Counseling patients for physical activity. Am J Med Sports. 2002;4:364–71.
34.
go back to reference Bennett JA, Lyons KS, Winters-Stone K, et al. Motivational interviewing to increase physical activity in long-term cancer survivors: a randomized controlled trial. Nurs Res. 2007;56:18–27.PubMedCrossRef Bennett JA, Lyons KS, Winters-Stone K, et al. Motivational interviewing to increase physical activity in long-term cancer survivors: a randomized controlled trial. Nurs Res. 2007;56:18–27.PubMedCrossRef
35.
go back to reference Resnicow K, DiIorio C, Soet JE, et al. Motivational interviewing in health promotion: it sounds like something is changing. Health Psychol. 2002;21:444–51.PubMedCrossRef Resnicow K, DiIorio C, Soet JE, et al. Motivational interviewing in health promotion: it sounds like something is changing. Health Psychol. 2002;21:444–51.PubMedCrossRef
37.
go back to reference Resnicow K, McMaster F. Motivational Interviewing: moving from why to how with autonomy support. Int J Behav Nutr Phys Act. 2012;9:19.PubMedCrossRef Resnicow K, McMaster F. Motivational Interviewing: moving from why to how with autonomy support. Int J Behav Nutr Phys Act. 2012;9:19.PubMedCrossRef
38.
go back to reference Miller WR, Rollnick S. Motivational interviewing: Preparing people for change. 2nd ed. New York: Guilford Press; 2002. Miller WR, Rollnick S. Motivational interviewing: Preparing people for change. 2nd ed. New York: Guilford Press; 2002.
Metadata
Title
Objectively measured physical activity among US cancer survivors: considerations by weight status
Authors
Paul D. Loprinzi
Hyo Lee
Bradley J. Cardinal
Publication date
01-09-2013
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 3/2013
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-013-0293-7

Other articles of this Issue 3/2013

Journal of Cancer Survivorship 3/2013 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