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Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study.

Publication ,  Journal Article
Cox, CL; Montgomery, M; Oeffinger, KC; Leisenring, W; Zeltzer, L; Whitton, JA; Mertens, AC; Hudson, MM; Robison, LL
Published in: Cancer
February 1, 2009

BACKGROUND: 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. METHODS: 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. RESULTS: 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 < or = .001), education level (P = .01), self-reported stamina (P = .01), cancer-related pain (P < or = .001), fatigue (P < or = .001), age at diagnosis (P = .01), cancer-related anxiety (P < or = .001), motivation (P = .01), affect (P = .01), and discussion of subsequent cancer risk with the PCP (P < or = .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 < or = .001), fatigue (P = .01), baseline exercise frequency (P = .01), cancer-related pain (P < or = .001), cancer-related anxiety (P = .01), recency of visits with PCP (<0.001), quality of interaction with the PCP (P = .01), and motivation (P < or = .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). CONCLUSIONS: Gender-tailored intervention strategies in which providers specifically target motivation, fear, and affect may support physical activity in childhood cancer survivors.

Duke Scholars

Published In

Cancer

DOI

ISSN

0008-543X

Publication Date

February 1, 2009

Volume

115

Issue

3

Start / End Page

642 / 654

Location

United States

Related Subject Headings

  • Survivors
  • Sex Factors
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motor Activity
  • Motivation
  • Models, Biological
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Cox, C. L., Montgomery, M., Oeffinger, K. C., Leisenring, W., Zeltzer, L., Whitton, J. A., … Robison, L. L. (2009). Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study. Cancer, 115(3), 642–654. https://doi.org/10.1002/cncr.24043
Cox, Cheryl L., Michele Montgomery, Kevin C. Oeffinger, Wendy Leisenring, Lonnie Zeltzer, John A. Whitton, Ann C. Mertens, Melissa M. Hudson, and Leslie L. Robison. “Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study.Cancer 115, no. 3 (February 1, 2009): 642–54. https://doi.org/10.1002/cncr.24043.
Cox CL, Montgomery M, Oeffinger KC, Leisenring W, Zeltzer L, Whitton JA, et al. Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study. Cancer. 2009 Feb 1;115(3):642–54.
Cox, Cheryl L., et al. “Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study.Cancer, vol. 115, no. 3, Feb. 2009, pp. 642–54. Pubmed, doi:10.1002/cncr.24043.
Cox CL, Montgomery M, Oeffinger KC, Leisenring W, Zeltzer L, Whitton JA, Mertens AC, Hudson MM, Robison LL. Promoting physical activity in childhood cancer survivors: results from the Childhood Cancer Survivor Study. Cancer. 2009 Feb 1;115(3):642–654.
Journal cover image

Published In

Cancer

DOI

ISSN

0008-543X

Publication Date

February 1, 2009

Volume

115

Issue

3

Start / End Page

642 / 654

Location

United States

Related Subject Headings

  • Survivors
  • Sex Factors
  • Oncology & Carcinogenesis
  • Neoplasms
  • Motor Activity
  • Motivation
  • Models, Biological
  • Male
  • Humans
  • Female