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Participation in and adherence to physical exercise after completion of primary cancer treatment

BACKGROUND: The purpose of this study was  to identify demographic, clinical, psychosocial, physical and environmental factors that are associated with participation in and adherence to a combined resistance and endurance exercise program among cancer survivors, shortly after completion of primary...

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Autores principales: Kampshoff, Caroline S., van Mechelen, Willem, Schep, Goof, Nijziel, Marten R., Witlox, Lenja, Bosman, Lisa, Chinapaw, Mai J. M., Brug, Johannes, Buffart, Laurien M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016937/
https://www.ncbi.nlm.nih.gov/pubmed/27612561
http://dx.doi.org/10.1186/s12966-016-0425-3
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author Kampshoff, Caroline S.
van Mechelen, Willem
Schep, Goof
Nijziel, Marten R.
Witlox, Lenja
Bosman, Lisa
Chinapaw, Mai J. M.
Brug, Johannes
Buffart, Laurien M.
author_facet Kampshoff, Caroline S.
van Mechelen, Willem
Schep, Goof
Nijziel, Marten R.
Witlox, Lenja
Bosman, Lisa
Chinapaw, Mai J. M.
Brug, Johannes
Buffart, Laurien M.
author_sort Kampshoff, Caroline S.
collection PubMed
description BACKGROUND: The purpose of this study was  to identify demographic, clinical, psychosocial, physical and environmental factors that are associated with participation in and adherence to a combined resistance and endurance exercise program among cancer survivors, shortly after completion of primary cancer treatment. Data from the randomized controlled Resistance and Endurance exercise After ChemoTherapy (REACT) study were used for this study. METHODS: The participants of the REACT study were randomly allocated to either a high intensity (HI) or low-to-moderate intensity (LMI) exercise program. Patients’ participation rate was defined as the cancer survivors’ decision to participate in the REACT study. Exercise adherence reflected participants’ attendance to the scheduled exercise sessions and their compliance to the prescribed exercises. High session attendance rates were defined as attending at least 80 % of the sessions. High compliance rates were defined as performing at least of 90 % of the prescribed exercise across all sessions. Correlates of exercise adherence were studied separately for HI and LMI exercise. Demographic, clinical, and physical factors were assessed using self-reported questionnaires. Relevant clinical information was extracted from medical records. Multivariable logistic regression analyses were applied to identify correlates that were significantly associated with participation, high session attendance, high compliance with resistance and high compliance with endurance exercises. RESULTS: Participants were more likely to have higher education, be non-smokers, have lower psychological distress, higher outcome expectations, and perceive more exercise barriers than non-participants. In HI exercise, higher self-efficacy was significantly associated with high session attendance and high compliance with endurance exercises, and lower psychological distress was significantly associated with high compliance with resistance exercises. In LMI exercise, being a non-smoker was significantly associated with high compliance with resistance exercises and higher BMI was significantly associated with high compliance with resistance and endurance exercises. Furthermore, breast cancer survivors were less likely to report high compliance with resistance and endurance exercises in LMI exercise compared to survivors of other types of cancer. The discriminative ability of the multivariable models ranged from 0.62 to 0.75. CONCLUSION: Several demographic, clinical and psychosocial factors were associated with participation in and adherence to exercise among cancer survivors. Psychosocial factors were more strongly associated with adherence in HI than LMI exercise. TRIAL REGISTRATION: This study was registered at the Netherlands Trial Register [NTR2153] on the 5(th) of January 2010.
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spelling pubmed-50169372016-09-10 Participation in and adherence to physical exercise after completion of primary cancer treatment Kampshoff, Caroline S. van Mechelen, Willem Schep, Goof Nijziel, Marten R. Witlox, Lenja Bosman, Lisa Chinapaw, Mai J. M. Brug, Johannes Buffart, Laurien M. Int J Behav Nutr Phys Act Research BACKGROUND: The purpose of this study was  to identify demographic, clinical, psychosocial, physical and environmental factors that are associated with participation in and adherence to a combined resistance and endurance exercise program among cancer survivors, shortly after completion of primary cancer treatment. Data from the randomized controlled Resistance and Endurance exercise After ChemoTherapy (REACT) study were used for this study. METHODS: The participants of the REACT study were randomly allocated to either a high intensity (HI) or low-to-moderate intensity (LMI) exercise program. Patients’ participation rate was defined as the cancer survivors’ decision to participate in the REACT study. Exercise adherence reflected participants’ attendance to the scheduled exercise sessions and their compliance to the prescribed exercises. High session attendance rates were defined as attending at least 80 % of the sessions. High compliance rates were defined as performing at least of 90 % of the prescribed exercise across all sessions. Correlates of exercise adherence were studied separately for HI and LMI exercise. Demographic, clinical, and physical factors were assessed using self-reported questionnaires. Relevant clinical information was extracted from medical records. Multivariable logistic regression analyses were applied to identify correlates that were significantly associated with participation, high session attendance, high compliance with resistance and high compliance with endurance exercises. RESULTS: Participants were more likely to have higher education, be non-smokers, have lower psychological distress, higher outcome expectations, and perceive more exercise barriers than non-participants. In HI exercise, higher self-efficacy was significantly associated with high session attendance and high compliance with endurance exercises, and lower psychological distress was significantly associated with high compliance with resistance exercises. In LMI exercise, being a non-smoker was significantly associated with high compliance with resistance exercises and higher BMI was significantly associated with high compliance with resistance and endurance exercises. Furthermore, breast cancer survivors were less likely to report high compliance with resistance and endurance exercises in LMI exercise compared to survivors of other types of cancer. The discriminative ability of the multivariable models ranged from 0.62 to 0.75. CONCLUSION: Several demographic, clinical and psychosocial factors were associated with participation in and adherence to exercise among cancer survivors. Psychosocial factors were more strongly associated with adherence in HI than LMI exercise. TRIAL REGISTRATION: This study was registered at the Netherlands Trial Register [NTR2153] on the 5(th) of January 2010. BioMed Central 2016-09-09 /pmc/articles/PMC5016937/ /pubmed/27612561 http://dx.doi.org/10.1186/s12966-016-0425-3 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Kampshoff, Caroline S.
van Mechelen, Willem
Schep, Goof
Nijziel, Marten R.
Witlox, Lenja
Bosman, Lisa
Chinapaw, Mai J. M.
Brug, Johannes
Buffart, Laurien M.
Participation in and adherence to physical exercise after completion of primary cancer treatment
title Participation in and adherence to physical exercise after completion of primary cancer treatment
title_full Participation in and adherence to physical exercise after completion of primary cancer treatment
title_fullStr Participation in and adherence to physical exercise after completion of primary cancer treatment
title_full_unstemmed Participation in and adherence to physical exercise after completion of primary cancer treatment
title_short Participation in and adherence to physical exercise after completion of primary cancer treatment
title_sort participation in and adherence to physical exercise after completion of primary cancer treatment
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016937/
https://www.ncbi.nlm.nih.gov/pubmed/27612561
http://dx.doi.org/10.1186/s12966-016-0425-3
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