Linda Trinh1,2, Kristian Larsen3,4, Guy E Faulkner5, Ronald C Plotnikoff6, Ryan E Rhodes7, Scott North8, Kerry S Courneya9. 1. Faculty of Kinesiology & Physical Education, University of Toronto, 55 Harbord Street, Toronto, Ontario, Canada, M5S 2W6. linda.trinh@utoronto.ca. 2. Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada. linda.trinh@utoronto.ca. 3. Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada. 4. Department of Geography, University of Toronto, Mississauga, Canada. 5. Faculty of Kinesiology & Physical Education, University of Toronto, 55 Harbord Street, Toronto, Ontario, Canada, M5S 2W6. 6. Priority Research Center in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia. 7. School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada. 8. Department of Medicine, Cross Cancer Institute, Edmonton, Canada. 9. Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada.
Abstract
PURPOSE: Previous studies in cancer survivors have examined behavioral correlates of physical activity (PA), but no study to date has adopted a broader social-ecological framework in understanding PA. This study examined the associations among demographic, medical, social-cognitive, and environmental correlates of meeting PA guidelines among kidney cancer survivors (KCS). METHODS: All 1985 KCS diagnosed between 1996 and 2010 identified through a Canadian provincial registry were mailed a survey that consisted of medical, demographic, and social-cognitive measures, as well as PA as measured by the Godin Leisure Time Exercise Questionnaire. Environmental constructs were also assessed for both self-report and objective measures using geographic information systems (GIS). A series of binary logistic regression analyses were conducted in this cross-sectional study. RESULTS: Completed surveys with geographical information were received from 432 KCS with M age = 64.4 ± 11.1 years, 63.2 % male, and 82.2 % having localized kidney cancer. In the final multivariate model, meeting PA guidelines was associated with disease stage (OR = 0.25, p = .005), having drug therapy (OR = 3.98, p = .009), higher levels of instrumental attitudes (OR = 1.66, p = .053), higher levels of intention (OR = 1.72, p = .002), and the perceived presence of many retail shops in the neighborhood (OR = 1.37, p = .032). CONCLUSIONS: Meeting PA guidelines in KCS were associated with various aspects of the social-ecological model. IMPLICATIONS FOR CANCER SURVIVORS: Understanding the social-ecological correlates for PA can provide insight into future interventions designed to increase PA in KCS. Prime targets for PA promotion should consider treatment-related factors, promote the benefits of PA, and enhance positive perceptions of the built environment.
PURPOSE: Previous studies in cancer survivors have examined behavioral correlates of physical activity (PA), but no study to date has adopted a broader social-ecological framework in understanding PA. This study examined the associations among demographic, medical, social-cognitive, and environmental correlates of meeting PA guidelines among kidney cancer survivors (KCS). METHODS: All 1985 KCS diagnosed between 1996 and 2010 identified through a Canadian provincial registry were mailed a survey that consisted of medical, demographic, and social-cognitive measures, as well as PA as measured by the Godin Leisure Time Exercise Questionnaire. Environmental constructs were also assessed for both self-report and objective measures using geographic information systems (GIS). A series of binary logistic regression analyses were conducted in this cross-sectional study. RESULTS: Completed surveys with geographical information were received from 432 KCS with M age = 64.4 ± 11.1 years, 63.2 % male, and 82.2 % having localized kidney cancer. In the final multivariate model, meeting PA guidelines was associated with disease stage (OR = 0.25, p = .005), having drug therapy (OR = 3.98, p = .009), higher levels of instrumental attitudes (OR = 1.66, p = .053), higher levels of intention (OR = 1.72, p = .002), and the perceived presence of many retail shops in the neighborhood (OR = 1.37, p = .032). CONCLUSIONS: Meeting PA guidelines in KCS were associated with various aspects of the social-ecological model. IMPLICATIONS FOR CANCER SURVIVORS: Understanding the social-ecological correlates for PA can provide insight into future interventions designed to increase PA in KCS. Prime targets for PA promotion should consider treatment-related factors, promote the benefits of PA, and enhance positive perceptions of the built environment.
Entities:
Keywords:
Cancer survivors; Correlates; Kidney cancer; Physical activity; Social-ecological framework
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