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Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer

BACKGROUND: A better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the...

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Autores principales: Depenbusch, Johanna, Wiskemann, Joachim, Haussmann, Alexander, Tsiouris, Angeliki, Schmidt, Laura, Ungar, Nadine, Sieverding, Monika, Steindorf, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166881/
https://www.ncbi.nlm.nih.gov/pubmed/34550527
http://dx.doi.org/10.1007/s12529-021-10014-0
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author Depenbusch, Johanna
Wiskemann, Joachim
Haussmann, Alexander
Tsiouris, Angeliki
Schmidt, Laura
Ungar, Nadine
Sieverding, Monika
Steindorf, Karen
author_facet Depenbusch, Johanna
Wiskemann, Joachim
Haussmann, Alexander
Tsiouris, Angeliki
Schmidt, Laura
Ungar, Nadine
Sieverding, Monika
Steindorf, Karen
author_sort Depenbusch, Johanna
collection PubMed
description BACKGROUND: A better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the association between structural barriers and insufficient post-diagnosis PA, taking different PA change patterns into account. METHODS: A total of 1299 people with breast, prostate, or colorectal cancer completed a questionnaire assessing their socio-demographic and medical characteristics, pre- and post-diagnosis PA, and perceived PA impediment by seven structural barriers. Regression analyses were used to investigate determinants of the perception of structural barriers and to examine the association between structural barriers and insufficient post-diagnosis PA, also with regard to different pre-diagnosis PA levels. RESULTS: Overall 30–60% of participants indicated to feel impeded by structural barriers. The analyses revealed a younger age, higher BMI, lower educational level, no current work activity, co-morbidities, and lacking physicians’ exercise counseling as significant determinants of the perception of structural barriers. Individuals reporting stronger impediments by structural barriers were significantly less likely to be meeting PA guidelines post-diagnosis, particularly those with sufficient pre-diagnosis PA levels. CONCLUSIONS: The study highlights the need for tailored PA programs for people with cancer as well as for more guidance and support in overcoming structural barriers to improve PA behavior. The study has been registered under NCT02678832 at clinicaltrials.gov on February 10(th) 2016.
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spelling pubmed-91668812022-06-05 Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer Depenbusch, Johanna Wiskemann, Joachim Haussmann, Alexander Tsiouris, Angeliki Schmidt, Laura Ungar, Nadine Sieverding, Monika Steindorf, Karen Int J Behav Med Full Length Manuscript BACKGROUND: A better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the association between structural barriers and insufficient post-diagnosis PA, taking different PA change patterns into account. METHODS: A total of 1299 people with breast, prostate, or colorectal cancer completed a questionnaire assessing their socio-demographic and medical characteristics, pre- and post-diagnosis PA, and perceived PA impediment by seven structural barriers. Regression analyses were used to investigate determinants of the perception of structural barriers and to examine the association between structural barriers and insufficient post-diagnosis PA, also with regard to different pre-diagnosis PA levels. RESULTS: Overall 30–60% of participants indicated to feel impeded by structural barriers. The analyses revealed a younger age, higher BMI, lower educational level, no current work activity, co-morbidities, and lacking physicians’ exercise counseling as significant determinants of the perception of structural barriers. Individuals reporting stronger impediments by structural barriers were significantly less likely to be meeting PA guidelines post-diagnosis, particularly those with sufficient pre-diagnosis PA levels. CONCLUSIONS: The study highlights the need for tailored PA programs for people with cancer as well as for more guidance and support in overcoming structural barriers to improve PA behavior. The study has been registered under NCT02678832 at clinicaltrials.gov on February 10(th) 2016. Springer US 2021-09-22 2022 /pmc/articles/PMC9166881/ /pubmed/34550527 http://dx.doi.org/10.1007/s12529-021-10014-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Full Length Manuscript
Depenbusch, Johanna
Wiskemann, Joachim
Haussmann, Alexander
Tsiouris, Angeliki
Schmidt, Laura
Ungar, Nadine
Sieverding, Monika
Steindorf, Karen
Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer
title Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer
title_full Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer
title_fullStr Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer
title_full_unstemmed Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer
title_short Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer
title_sort impact and determinants of structural barriers on physical activity in people with cancer
topic Full Length Manuscript
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166881/
https://www.ncbi.nlm.nih.gov/pubmed/34550527
http://dx.doi.org/10.1007/s12529-021-10014-0
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