Exercise Levels and Preferences in Cancer Patients: A Cross-Sectional Study.

Autor: Avancini A; Department of Medicine, Biomedical, Clinical and Experimental Sciences, University of Verona, 37134 Verona, Italy., Pala V; Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy., Trestini I; Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy., Tregnago D; Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy., Mariani L; Department of Medical Statistics, Biometry and Bioinformatics, Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milan, Italy., Sieri S; Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy., Krogh V; Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy., Boresta M; Department of Computer, Control and Management Engineering Antonio Ruberti, Sapienza University of Rome, 00185 Rome, Italy., Milella M; Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy., Pilotto S; Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy., Lanza M; Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Jul 24; Vol. 17 (15). Date of Electronic Publication: 2020 Jul 24.
DOI: 10.3390/ijerph17155351
Abstrakt: Background: Despite the benefits related to physical exercise, large numbers of cancer patients are not sufficiently active.
Methods: To investigate exercise levels and preferences in cancer patients, a cross-sectional study was conducted on a random sample of 392 cancer outpatients who anonymously completed a questionnaire investigating general and medical characteristics, and expressed willingness to participate in exercise programs. Current exercise levels were estimated with the Leisure Score Index (LSI).
Results: Most patients (93%) were insufficiently active but 80% declared an interest in exercise programs. Patients preferred oncologist-instructed programs and specified particular exercise needs. Multivariate logistic regression showed that willingness to exercise was associated with education (OR: 1.87; 95% CI: 1.15-3.04 beyond age 14 years vs. up to 14 years) and current physical activity (OR: 1.92; 95% CI: 1.92-3.63 for sweat-inducing activity >2 times/week vs. <1 time/week). Patients given chemotherapy were less inclined to exercise (OR: 0.45; 95% CI: 0.23-0.86) than those who did not. LSI was lower if cancer stage was advanced (β: -0.36; 95% CI: -0.75 to -0.02) than if it was in remission. High LSI was also associated with longer education, lower BMI, and longer time after diagnosis.
Conclusion: Cancer patients are insufficiently active but are willing to participate in personalized exercise programs. Information from this survey may help in designing personalized interventions so these patients will achieve sufficient exercise.
Databáze: MEDLINE