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Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors
PURPOSE: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). METHODS: Data from two cross-sectional studi...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876272/ https://www.ncbi.nlm.nih.gov/pubmed/29151175 http://dx.doi.org/10.1007/s00520-017-3966-3 |
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author | Buffart, Laurien M. de Bree, Remco Altena, Martine van der Werff, Sophie Drossaert, Constance H. C. Speksnijder, Caroline M. van den Brekel, Michiel W. Jager-Wittenaar, Harriët Aaronson, Neil K. Stuiver, Martijn M. |
author_facet | Buffart, Laurien M. de Bree, Remco Altena, Martine van der Werff, Sophie Drossaert, Constance H. C. Speksnijder, Caroline M. van den Brekel, Michiel W. Jager-Wittenaar, Harriët Aaronson, Neil K. Stuiver, Martijn M. |
author_sort | Buffart, Laurien M. |
collection | PubMed |
description | PURPOSE: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). METHODS: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates. RESULTS: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior. CONCLUSIONS: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status. |
format | Online Article Text |
id | pubmed-5876272 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-58762722018-04-03 Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors Buffart, Laurien M. de Bree, Remco Altena, Martine van der Werff, Sophie Drossaert, Constance H. C. Speksnijder, Caroline M. van den Brekel, Michiel W. Jager-Wittenaar, Harriët Aaronson, Neil K. Stuiver, Martijn M. Support Care Cancer Original Article PURPOSE: The purpose of the study is to identify demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity (PA) intention and behavior in head and neck cancer (HNC) survivors using the theory of planned behavior (TPB). METHODS: Data from two cross-sectional studies on correlates of PA in HNC survivors were pooled. Both studies used self-reports to assess PA and social-cognitive correlates. Potential correlates were collected via self-report or medical records. Univariable and multivariable multilevel linear mixed-effects models were built to identify correlates of PA intention and PA behavior (Z scores). Structural equation model analyses were conducted to study the full TPB model in one analysis, taking into account relevant covariates. RESULTS: In total, 416 HNC survivors were surveyed. Their mean (SD) age was 66.6 (9.4) years; 64% were men, and 78% were diagnosed with laryngeal cancer. The structural equation model showed that PA intention was significantly higher in HNC survivors with a history of exercising, who had a more positive attitude, subjective norm, and perceived behavioral control. Patients with higher PA intention, higher PBC, a lower age, and without unintentional weight loss or comorbidities had higher PA behavior. The model explained 22.9% of the variance in PA intention and 16.1% of the variance in PA behavior. CONCLUSIONS: Despite significant pathways of the TPB model, the large proportion variance in PA intention and behavior remaining unexplained suggests the need for better PA behavior (change) models to guide the development of PA promotion programs, particularly for the elderly. Such programs should be tailored to comorbidities and nutritional status. Springer Berlin Heidelberg 2017-11-18 2018 /pmc/articles/PMC5876272/ /pubmed/29151175 http://dx.doi.org/10.1007/s00520-017-3966-3 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial 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. |
spellingShingle | Original Article Buffart, Laurien M. de Bree, Remco Altena, Martine van der Werff, Sophie Drossaert, Constance H. C. Speksnijder, Caroline M. van den Brekel, Michiel W. Jager-Wittenaar, Harriët Aaronson, Neil K. Stuiver, Martijn M. Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
title | Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
title_full | Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
title_fullStr | Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
title_full_unstemmed | Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
title_short | Demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
title_sort | demographic, clinical, lifestyle-related, and social-cognitive correlates of physical activity in head and neck cancer survivors |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876272/ https://www.ncbi.nlm.nih.gov/pubmed/29151175 http://dx.doi.org/10.1007/s00520-017-3966-3 |
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