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Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS).

Publication ,  Journal Article
Devine, KA; Mertens, AC; Whitton, JA; Wilson, CL; Ness, KK; Gilleland Marchak, J; Leisenring, W; Oeffinger, KC; Robison, LL; Armstrong, GT; Krull, KR
Published in: Psychooncology
February 2018

OBJECTIVE: To evaluate concurrent and longitudinal associations between psychosocial functioning and physical activity in adolescent and young adult survivors of early childhood cancer. METHODS: Adolescent survivors of early childhood cancer (diagnosed before age four) participating in the Childhood Cancer Survivor Study completed the Coping Health and Illness Profile-Adolescent Edition (CHIP-AE; n = 303; mean age at survey: 17.6 years). A subset of these survivors (n = 248) completed a follow-up survey an average of 6.0 years later (range: 4-10). Logistic regression identified associations between psychosocial functioning in adolescence and physical activity levels in adolescence and young adulthood. RESULTS: Survivors reported low physical activity as adolescents (46.1% scored below CHIP-AE cut-point) and young adults (40.8% below Centers for Disease Control guidelines). Poor physical activity during adolescence was associated with female sex (OR = 2.06, 95% CI, 1.18-3.68), parents with less than a college education (OR = 1.91, 95% CI, 1.11-3.32), previous treatment with cranial radiation (OR = 3.35, 95% CI, 1.69-6.88), TV time (OR = 1.77, 95% CI, 1.00-3.14), and limitations of activity due to health or mobility restrictions (OR = 8.28, 95% CI, 2.87-30.34). Poor diet (OR = 1.84, 95% CI, 1.05-3.26) and low self-esteem (OR = 1.80, 95% CI, 0.99-3.31) during adolescence were associated with lower odds of meeting Centers for Disease Control physical activity guidelines in young adulthood. CONCLUSION: These findings provide targets for future interventional studies to improve physical activity in this high-risk population.

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Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

February 2018

Volume

27

Issue

2

Start / End Page

613 / 619

Location

England

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Risk Factors
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motor Activity
  • Male
  • Logistic Models
  • Humans
  • Health Behavior
 

Citation

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Chicago
ICMJE
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Devine, K. A., Mertens, A. C., Whitton, J. A., Wilson, C. L., Ness, K. K., Gilleland Marchak, J., … Krull, K. R. (2018). Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS). Psychooncology, 27(2), 613–619. https://doi.org/10.1002/pon.4528
Devine, Katie A., Ann C. Mertens, John A. Whitton, Carmen L. Wilson, Kirsten K. Ness, Jordan Gilleland Marchak, Wendy Leisenring, et al. “Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS).Psychooncology 27, no. 2 (February 2018): 613–19. https://doi.org/10.1002/pon.4528.
Devine KA, Mertens AC, Whitton JA, Wilson CL, Ness KK, Gilleland Marchak J, et al. Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS). Psychooncology. 2018 Feb;27(2):613–9.
Devine, Katie A., et al. “Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS).Psychooncology, vol. 27, no. 2, Feb. 2018, pp. 613–19. Pubmed, doi:10.1002/pon.4528.
Devine KA, Mertens AC, Whitton JA, Wilson CL, Ness KK, Gilleland Marchak J, Leisenring W, Oeffinger KC, Robison LL, Armstrong GT, Krull KR. Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS). Psychooncology. 2018 Feb;27(2):613–619.
Journal cover image

Published In

Psychooncology

DOI

EISSN

1099-1611

Publication Date

February 2018

Volume

27

Issue

2

Start / End Page

613 / 619

Location

England

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Risk Factors
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motor Activity
  • Male
  • Logistic Models
  • Humans
  • Health Behavior