Yelena Tarasenko1,2, Chen Chen1, Nancy Schoenberg3,4. 1. Department of Health Policy and Management, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia. 2. Department of Epidemiology, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, Georgia. 3. College of Medicine, University of Kentucky, Lexington, Kentucky. 4. College of Public Health, University of Kentucky, Lexington, Kentucky.
Abstract
OBJECTIVES: To examine adherence to the American College of Sports Medicine and American Cancer Society guidelines on leisure-time aerobic and muscle-strengthening physical activity (PA) of older cancer survivors. DESIGN: Cross-sectional study based on the 2014 National Health Interview Survey. SETTING: United States. PARTICIPANTS: Young-old (65-74) (n = 627), old-old (≥75) (n = 656), and middle-aged (45-64) (n = 786) cancer survivors and adults without cancer (n = 18,369), stratified according to the same age groups. MEASUREMENTS: Weighted percentages were used to describe sociodemographic and health-related characteristics of the study population. Unadjusted and adjusted predicted probabilities from generalized ordered and multinomial logistic regressions were estimated to examine levels of aerobic and muscle-strengthening PA in the study population. RESULTS: Cancer survivors and those without a cancer diagnosis had similarly low rates of adherence to PA guidelines according to age group. In unadjusted analyses, the age effect was statistically significant in long-term cancer survivors only. Adjusting for sociodemographic and health-related characteristics, on average, 34.0% of young-old and 35.4% of old-old cancer survivors engaged in sufficient levels of aerobic PA, versus 44.3% of their middle-aged counterparts (P's <.05). Approximately 10% of older cancer survivors met aerobic and muscle-strengthening guidelines, compared with 19.1% of middle-aged cancer survivors (P = .001). CONCLUSION: Adherence to the recommended levels of leisure-time aerobic and muscle-strengthening PA is lower in older than middle-aged cancer survivors in the United States. Greater efforts must be made to encourage and support PA participation in this population.
OBJECTIVES: To examine adherence to the American College of Sports Medicine and American Cancer Society guidelines on leisure-time aerobic and muscle-strengthening physical activity (PA) of older cancer survivors. DESIGN: Cross-sectional study based on the 2014 National Health Interview Survey. SETTING: United States. PARTICIPANTS: Young-old (65-74) (n = 627), old-old (≥75) (n = 656), and middle-aged (45-64) (n = 786) cancer survivors and adults without cancer (n = 18,369), stratified according to the same age groups. MEASUREMENTS: Weighted percentages were used to describe sociodemographic and health-related characteristics of the study population. Unadjusted and adjusted predicted probabilities from generalized ordered and multinomial logistic regressions were estimated to examine levels of aerobic and muscle-strengthening PA in the study population. RESULTS:Cancer survivors and those without a cancer diagnosis had similarly low rates of adherence to PA guidelines according to age group. In unadjusted analyses, the age effect was statistically significant in long-term cancer survivors only. Adjusting for sociodemographic and health-related characteristics, on average, 34.0% of young-old and 35.4% of old-old cancer survivors engaged in sufficient levels of aerobic PA, versus 44.3% of their middle-aged counterparts (P's <.05). Approximately 10% of older cancer survivors met aerobic and muscle-strengthening guidelines, compared with 19.1% of middle-aged cancer survivors (P = .001). CONCLUSION: Adherence to the recommended levels of leisure-time aerobic and muscle-strengthening PA is lower in older than middle-aged cancer survivors in the United States. Greater efforts must be made to encourage and support PA participation in this population.
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