Sasha E Knowlton1,2,3, Elizabeth K O'Donnell4,5, Nora Horick4, Giselle K Perez4,5, Elyse Park4, Julia Rabin6, Kit M Quain7, Jessica Garton4, Jeffrey M Peppercorn4,5. 1. Spaulding Rehabilitation Hospital, Charlestown, MA, USA. seknowlton@partners.org. 2. Massachusetts General Hospital, Boston, MA, USA. seknowlton@partners.org. 3. Harvard Medical School, Boston, MA, USA. seknowlton@partners.org. 4. Massachusetts General Hospital, Boston, MA, USA. 5. Harvard Medical School, Boston, MA, USA. 6. University of Cincinnati, Cincinnati, OH, USA. 7. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Abstract
INTRODUCTION: Exercise is recommended for all patients with cancer, but there has been limited study of exercise habits in patients across the spectrum of illness. PURPOSE: This pragmatic survey aimed to identify the unmet supportive care needs, self-reported symptoms, and exercise habits among both cancer survivors and patients living with advanced disease to determine adherence to exercise guidelines and to identify barriers and opportunities to improve exercise. METHODS: An anonymous cross-sectional self-administered paper survey was distributed to patients with cancer presenting for oncology clinic visits at an academic cancer center. Survey measures included presence of symptoms and health problems in addition to weekly time spent exercising, change in exercise levels since diagnosis, interest in exercise, and self-reported barriers. Participants reporting at least 150 min of exercise per week were characterized as adherent to guidelines. RESULTS: Among 640 survey respondents, 570 (89%) completed questions about exercise. Only 44% of cancer survivors and 34% of patients living with advanced disease met current guidelines. Survivors who met exercise guidelines had a lower prevalence of fatigue and memory impairments, but this finding was not seen among patients with advanced cancer. Over 70% of patients with advanced disease and 47% of survivors reported decreasing exercise post-diagnosis compared to pre-diagnosis. Prominent barriers to exercise among both groups included burden of illness and time constraints but interest in increasing exercise was high. CONCLUSIONS: There is an opportunity to improve exercise and related outcomes among a large percentage of both cancer survivors and patients living with advanced disease.
INTRODUCTION: Exercise is recommended for all patients with cancer, but there has been limited study of exercise habits in patients across the spectrum of illness. PURPOSE: This pragmatic survey aimed to identify the unmet supportive care needs, self-reported symptoms, and exercise habits among both cancer survivors and patients living with advanced disease to determine adherence to exercise guidelines and to identify barriers and opportunities to improve exercise. METHODS: An anonymous cross-sectional self-administered paper survey was distributed to patients with cancer presenting for oncology clinic visits at an academic cancer center. Survey measures included presence of symptoms and health problems in addition to weekly time spent exercising, change in exercise levels since diagnosis, interest in exercise, and self-reported barriers. Participants reporting at least 150 min of exercise per week were characterized as adherent to guidelines. RESULTS: Among 640 survey respondents, 570 (89%) completed questions about exercise. Only 44% of cancer survivors and 34% of patients living with advanced disease met current guidelines. Survivors who met exercise guidelines had a lower prevalence of fatigue and memory impairments, but this finding was not seen among patients with advanced cancer. Over 70% of patients with advanced disease and 47% of survivors reported decreasing exercise post-diagnosis compared to pre-diagnosis. Prominent barriers to exercise among both groups included burden of illness and time constraints but interest in increasing exercise was high. CONCLUSIONS: There is an opportunity to improve exercise and related outcomes among a large percentage of both cancer survivors and patients living with advanced disease.
Authors: Kelcey A Bland; Meinir Krishnasamy; Evelyn B Parr; Stella Mulder; Peter Martin; Luc J C van Loon; Prue Cormie; Natasha Michael; Eva M Zopf Journal: BMC Palliat Care Date: 2022-05-17 Impact factor: 3.113
Authors: Igor L Gomes-Santos; Zohreh Amoozgar; Ashwin S Kumar; William W Ho; Kangsan Roh; Nilesh P Talele; Hannah Curtis; Kosuke Kawaguchi; Rakesh K Jain; Dai Fukumura Journal: Cancer Immunol Res Date: 2021-04-10 Impact factor: 11.151
Authors: Clare M P Roscoe; Andy Pringle; Charlotte Chandler; Mark A Faghy; Ben Barratt Journal: Int J Environ Res Public Health Date: 2022-03-18 Impact factor: 3.390