Details

Autor(en) / Beteiligte

• Ware, Megan E
• Delaney, Angela
• Krull, Kevin R
• Brinkman, Tara M
• Armstrong, Gregory T
• Wilson, Carmen L
• Mulrooney, Daniel A
• Wang, Zhaoming
• Lanctot, Jennifer Q
• Krull, Matthew R
• Partin, Robyn E
• Shelton, Kyla C
• Srivastava, Deo Kumar
• Hudson, Melissa M
• Robison, Leslie L
• Ness, Kirsten K

Titel

Cancer-Related Worry as a Predictor of 5-yr Physical Activity Level in Childhood Cancer Survivors

Ist Teil von

• Medicine and science in sports and exercise, 2023-09, Vol.55 (9), p.1584-1591

Ort / Verlag

United States

Erscheinungsjahr

2023

Quelle

WK Lippincott Williams & Wilkins–Connect here FIRST to enable access

Beschreibungen/Notizen

• Cancer-related worry (CRW; concerns related to cancer and its late effects) is prevalent among childhood cancer survivors. Elevated CRW has been associated with self-reported suboptimal physical activity. The aim of this investigation was to describe associations between CRW and objectively assessed physical activity in childhood cancer survivors. CRW was assessed at a baseline evaluation using six survey items. Weekly minutes of moderate and vigorous physical activity were captured by actigraphy 5.25 (3.8-8.0) yr later. Factor analysis was used to identify types of worry; multiple regression determined independent associations between CRW and moderate and vigorous physical activity adjusting for sex, race, diagnosis, age at baseline, anxiety level at baseline, self-reported physical activity at baseline, and pain interference at baseline. Participants ( n = 1223) were an average of 30.9 (SD, 6.9) yr at baseline and 36.1 (SD, 7.1) yr at follow-up. Thirty-seven percent were survivors of leukemia, 26% of non-CNS solid tumors, 19% of lymphoma, 11% of CNS tumors, and 6% of other malignancies. Two types of CRW were identified: "body-focused" and "general fear." Body-focused CRW ( β = -19.6, P = 0.012), endorsing pain interference ( β = -27.7, P = 0.002) at baseline, and having a diagnosis of CNS tumor ( β = -41.3, P = 0.0003) or non-CNS solid tumor ( β = -19.4, P = 0.02) were negatively associated with physical activity at follow-up. CRW related to bodily function and appearance is associated with decreased physical activity. Clinicians should consider the potential negative impact of CRW on physical activity levels and provide behavioral counseling.