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Physical Activity in Older Cancer Survivors: What Role Do Multimorbidity and Perceived Disability Play?
- Source :
- J Aging Phys Act
- Publication Year :
- 2020
-
Abstract
- Purpose: (a) To describe the relationship of multimorbidity and physical activity (PA) in cancer survivors and (b) to explore perceived disability and PA in middle-aged and older survivors. Methods: The authors analyzed the data from cancer survivors (N = 566), identified using the Pennsylvania Cancer Registry, who responded to a Behavioral Risk Factor Surveillance System-derived questionnaire. They created age groups (e.g., 45–54 years, 55–64 years, 65–74 years, and 75 years and older) and calculated a composite score of eight common comorbidities (e.g., chronic obstructive pulmonary disease, heart disease) to assess multimorbidity. Logistic regression was used to estimate the association of demographic and behavioral/clinical risk factors (e.g., multimorbidity, perceived disability, body mass index) with PA. Results: Most respondents were females (62%), older (mean age = 68 years) and represented diverse cancer sites, including breast (n = 132), colorectal (n = 102), gynecologic (n = 106), prostate (n = 111), and lung (n = 80). PA participation was mixed; 44% of survivors reported achieving >150 min of aerobic PA, but half of lung and 37% of gynecologic survivors reported no PA (0 min/week). Higher multimorbidity (odds ratio = 0.82, confidence interval [0.69, 0.98], p p p Conclusion: Most older survivors experienced comorbid conditions, and this was associated with less PA. Survivors who perceived themselves as disabled or who were obese were half as likely as others to participate in PA. This suggests an increasing need to address both physical and psychological limitations in designing PA interventions for real-world needs. Exercise interventions that address the unique needs of older survivors for multimorbidity, obesity, and perceived disability may strengthen opportunities for PA.
- Subjects :
- Gerontology
Male
Strength training
Psychological intervention
Physical Therapy, Sports Therapy and Rehabilitation
Logistic regression
Article
03 medical and health sciences
0302 clinical medicine
Cancer Survivors
Neoplasms
Surveys and Questionnaires
medicine
Humans
030212 general & internal medicine
Exercise
Aged
business.industry
Rehabilitation
Multimorbidity
Odds ratio
Middle Aged
medicine.disease
Obesity
Cancer registry
Geriatric oncology
030220 oncology & carcinogenesis
Female
Geriatrics and Gerontology
business
Body mass index
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- J Aging Phys Act
- Accession number :
- edsair.doi.dedup.....bae2fb6c70b8cab0b92e86b2ed0eefc6