David E Conroy1,2, Kathleen Y Wolin3,4, Cindy K Blair5,6, Wendy Demark-Wahnefried7,8. 1. Department of Kinesiology, The Pennsylvania State University, 266 Rec Hall, University Park, PA, 16802, USA. conroy@psu.edu. 2. Department of Preventive Medicine, Northwestern University, Chicago, IL, USA. conroy@psu.edu. 3. Department of Preventive Medicine, Northwestern University, Chicago, IL, USA. 4. Coeus Health, Chicago, IL, USA. 5. Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA. 6. University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA. 7. Department of Nutrition Science, University of Alabama-Birmingham, Birmingham, AL, USA. 8. University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL, USA.
Abstract
PURPOSE: Physical activity can enhance quality of life in cancer survivors, but this conclusion is based largely on research linking moderate-to-vigorous physical activity with quality of life. Light-intensity physical activity may be more feasible than more strenuous exercise for many older cancer survivors. This study reports a secondary analysis of baseline data from a lifestyle behavior intervention trial and examines the hypothesis that older cancer survivors who engage in more light-intensity physical activity, independent of moderate-to-vigorous activity, will report better mental quality of life. METHODS: Older (≥65 years), overweight or obese breast, prostate, or colorectal cancer survivors (n = 641, 54% female) self-reported their physical activity and mental quality of life (i.e., mental health, emotional role functioning, vitality, and social role functioning from the Short-Form 36 Health Status Survey) as a part of the RENEW trial baseline assessment. Analysis of covariance was used to test hypotheses. RESULTS: For older women (but not men), light physical activity was positively associated with mental quality of life after adjusting for moderate-to-vigorous physical activity. Light physical activity that involved social participation appeared to be responsible for this association. For older men (but not women), moderate-to-vigorous physical activity was positively associated with mental quality of life. CONCLUSIONS: Some activity appears to be better than none for important dimensions of mental quality of life. Experimental research is needed to test the hypothesis that older cancer survivors should strive to avoid inactivity regardless of whether they are able to engage in moderate-to-vigorous physical activity.
PURPOSE: Physical activity can enhance quality of life in cancer survivors, but this conclusion is based largely on research linking moderate-to-vigorous physical activity with quality of life. Light-intensity physical activity may be more feasible than more strenuous exercise for many older cancer survivors. This study reports a secondary analysis of baseline data from a lifestyle behavior intervention trial and examines the hypothesis that older cancer survivors who engage in more light-intensity physical activity, independent of moderate-to-vigorous activity, will report better mental quality of life. METHODS: Older (≥65 years), overweight or obese breast, prostate, or colorectal cancer survivors (n = 641, 54% female) self-reported their physical activity and mental quality of life (i.e., mental health, emotional role functioning, vitality, and social role functioning from the Short-Form 36 Health Status Survey) as a part of the RENEW trial baseline assessment. Analysis of covariance was used to test hypotheses. RESULTS: For older women (but not men), light physical activity was positively associated with mental quality of life after adjusting for moderate-to-vigorous physical activity. Light physical activity that involved social participation appeared to be responsible for this association. For older men (but not women), moderate-to-vigorous physical activity was positively associated with mental quality of life. CONCLUSIONS: Some activity appears to be better than none for important dimensions of mental quality of life. Experimental research is needed to test the hypothesis that older cancer survivors should strive to avoid inactivity regardless of whether they are able to engage in moderate-to-vigorous physical activity.
Entities:
Keywords:
Cancer; Exercise; Oncology; Social participation; Walking; Well-being
Authors: Cheryl L Rock; Colleen Doyle; Wendy Demark-Wahnefried; Jeffrey Meyerhardt; Kerry S Courneya; Anna L Schwartz; Elisa V Bandera; Kathryn K Hamilton; Barbara Grant; Marji McCullough; Tim Byers; Ted Gansler Journal: CA Cancer J Clin Date: 2012-04-26 Impact factor: 508.702
Authors: Eric B Hekler; Matthew P Buman; William L Haskell; Terry L Conway; Kelli L Cain; James F Sallis; Brian E Saelens; Lawrence D Frank; Jacqueline Kerr; Abby C King Journal: J Phys Act Health Date: 2012-02
Authors: Shiraz I Mishra; Roberta W Scherer; Claire Snyder; Paula M Geigle; Debra R Berlanstein; Ozlem Topaloglu Journal: Cochrane Database Syst Rev Date: 2012-08-15
Authors: Kerry S Courneya; Christine M Friedenreich; H Arthur Quinney; Anthony L A Fields; Lee W Jones; Jeffrey K H Vallance; Adrian S Fairey Journal: Ann Behav Med Date: 2005-04
Authors: Genevieve N Healy; David W Dunstan; Jo Salmon; Ester Cerin; Jonathan E Shaw; Paul Z Zimmet; Neville Owen Journal: Diabetes Care Date: 2007-05-01 Impact factor: 19.112
Authors: Caitlin Mason; Catherine M Alfano; Ashley Wilder Smith; Ching-Yun Wang; Marian L Neuhouser; Catherine Duggan; Leslie Bernstein; Kathy B Baumgartner; Richard N Baumgartner; Rachel Ballard-Barbash; Anne McTiernan Journal: Cancer Epidemiol Biomarkers Prev Date: 2013-04-10 Impact factor: 4.254
Authors: E H van Roekel; J Duchâteau; M J L Bours; L van Delden; J J L Breedveld-Peters; J L Koole; M Kenkhuis; P A van den Brandt; R L Jansen; I Kant; V Lima Passos; K Meijer; S O Breukink; M L G Janssen-Heijnen; E Keulen; M P Weijenberg Journal: Qual Life Res Date: 2020-07-02 Impact factor: 4.147