"Moving Away From Cancer" Prospective Exercise Trial for Female Rural Cancer Survivors: How Can We Step It Up?

Autor:	Modesitt SC; Thornton Gynecologic Oncology Service, Department of Obstetrics and Gynecology, School of Medicine, University of Virginia, Charlottesville, VA., Eichner N; Department of Kinesiology, Curry School of Education and Human Development, University of Virginia, Charlottesville, VA., Penberthy JK; Department of Psychiatry and Neurobehavioral Sciences, School of Medicine, University of Virginia, Charlottesville, VA., Horton BJ; Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, VA., Stewart ME; Thornton Gynecologic Oncology Service, Department of Obstetrics and Gynecology, School of Medicine, University of Virginia, Charlottesville, VA., Lacy R; Thornton Gynecologic Oncology Service, Department of Obstetrics and Gynecology, School of Medicine, University of Virginia, Charlottesville, VA., Weltman AL; Department of Kinesiology, Curry School of Education and Human Development, University of Virginia, Charlottesville, VA.; Department of Medicine, School of Medicine, University of Virginia, Charlottesville, VA.
Jazyk:	angličtina
Zdroj:	JCO oncology practice [JCO Oncol Pract] 2021 Jan; Vol. 17 (1), pp. e16-e25. Date of Electronic Publication: 2020 Sep 02.
DOI:	10.1200/OP.20.00407
Abstrakt:	Purpose: This prospective trial's objective was to determine feasibility and outcomes of an exercise-based intervention for rural overweight/obese female cancer survivors. Materials and Methods: Survivors of endometrial, breast, or ovarian cancer enrolled in a 6-month program of increased aerobic activity (30 minutes daily walking) and strength-training exercises using exercise bands (THERABAND; Akron, OH) with personalized telephone motivational coaching. Baseline demographics, anthropomorphic measurements, quality of life (QOL), fitness, and readiness to adopt exercise changes were assessed; daily steps, band use, and follow-up measurements were assessed at 3 and 6 months. Study completion was modeled using logistic regression. Results: The mean age of the 99 women was 59.9 years, the mean body mass index (BMI) was 35.9 kg/m 2 , 88.9% were white, and 41.4% reported current exercise. Fifty-five women (55.6%) completed the 6-month program, and 36 (36.4%) completed exercise interventions. Using logistic regression to model study completion, only baseline QOL scores (physical component summary) and mental component summary) remained significant predictors. The mean weight change was a gain (0.88 kg). Higher MCS baseline scores and prior regular exercise predicted continued exercise and increased step counts, whereas higher BMI and baseline sleep predicted decreased QOL. Top walking barriers were feeling unwell and weather; barriers to strength exercises were band dislike and pain. Conclusion: The most significant predictor of trial completion and improved exercise outcomes was a higher baseline mental QOL. Motivation, belief in the importance of exercise, and prescribed/monitored exercise regimens were not sufficient; supportive and cognitive behavioral therapy interventions for survivors are needed to sustain uptake.
Databáze:	MEDLINE
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