TY - JOUR
T1 - Which cancer survivors are at risk for a physically inactive and sedentary lifestyle?
T2 - Results from pooled accelerometer data of 1447 cancer survivors
AU - Sweegers, M.G.
AU - Boyle, T.
AU - Vallance, J.K.
AU - Chinapaw, M.J.
AU - Brug, J.
AU - Aaronson, N.K.
AU - D'Silva, A.
AU - Kampshoff, C.S.
AU - Lynch, B.M.
AU - Nollet, F.
AU - Phillips, S.M.
AU - Stuiver, M.M.
AU - van Waart, H.
AU - Wang, X.
AU - Buffart, L.M.
AU - Altenburg, T.M.
N1 - With supplementary file.
PY - 2019/8/16
Y1 - 2019/8/16
N2 - BACKGROUND: Physical activity has beneficial effects on the health of cancer survivors. We aimed to investigate accelerometer-assessed physical activity and sedentary time in cancer survivors, and describe activity profiles. Additionally, we identify demographic and clinical correlates of physical activity, sedentary time and activity profiles.METHODS: Accelerometer, questionnaire and clinical data from eight studies conducted in four countries (n = 1447) were pooled. We calculated sedentary time and time spent in physical activity at various intensities using Freedson cut-points. We used latent profile analysis to identify activity profiles, and multilevel linear regression analyses to identify demographic and clinical variables associated with accelerometer-assessed moderate to vigorous physical activity (MVPA), sedentary time, the highly active and highly sedentary profile, adjusting for confounders identified using a directed acyclic graph.RESULTS: Participants spent on average 26 min (3%) in MVPA and 568 min (66%) sedentary per day. We identified six activity profiles. Older participants, smokers and participants with obesity had significantly lower MVPA and higher sedentary time. Furthermore, men had significantly higher MVPA and sedentary time than women and participants who reported less fatigue had higher MVPA time. The highly active profile included survivors with high education level and normal body mass index. Haematological cancer survivors were less likely to have a highly active profile compared to breast cancer survivors. The highly sedentary profile included older participants, males, participants who were not married, obese, smokers, and those < 12 months after diagnosis.CONCLUSIONS: Cancer survivors engage in few minutes of MVPA and spend a large proportion of their day sedentary. Correlates of MVPA, sedentary time and activity profiles can be used to identify cancer survivors at risk for a sedentary and inactive lifestyle.
AB - BACKGROUND: Physical activity has beneficial effects on the health of cancer survivors. We aimed to investigate accelerometer-assessed physical activity and sedentary time in cancer survivors, and describe activity profiles. Additionally, we identify demographic and clinical correlates of physical activity, sedentary time and activity profiles.METHODS: Accelerometer, questionnaire and clinical data from eight studies conducted in four countries (n = 1447) were pooled. We calculated sedentary time and time spent in physical activity at various intensities using Freedson cut-points. We used latent profile analysis to identify activity profiles, and multilevel linear regression analyses to identify demographic and clinical variables associated with accelerometer-assessed moderate to vigorous physical activity (MVPA), sedentary time, the highly active and highly sedentary profile, adjusting for confounders identified using a directed acyclic graph.RESULTS: Participants spent on average 26 min (3%) in MVPA and 568 min (66%) sedentary per day. We identified six activity profiles. Older participants, smokers and participants with obesity had significantly lower MVPA and higher sedentary time. Furthermore, men had significantly higher MVPA and sedentary time than women and participants who reported less fatigue had higher MVPA time. The highly active profile included survivors with high education level and normal body mass index. Haematological cancer survivors were less likely to have a highly active profile compared to breast cancer survivors. The highly sedentary profile included older participants, males, participants who were not married, obese, smokers, and those < 12 months after diagnosis.CONCLUSIONS: Cancer survivors engage in few minutes of MVPA and spend a large proportion of their day sedentary. Correlates of MVPA, sedentary time and activity profiles can be used to identify cancer survivors at risk for a sedentary and inactive lifestyle.
KW - Accelerometry
KW - Activity profiles
KW - Cancer Survivors/statistics & numerical data
KW - Cancer survivors
KW - Cohort Studies
KW - Exercise
KW - Female
KW - Fitness Trackers
KW - Humans
KW - Male
KW - Physical activity
KW - Profile analysis
KW - Sedentary Behavior
KW - Sedentary time
UR - https://pure.uva.nl/ws/files/48711571/12966_2019_820_MOESM1_ESM.docx
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85070905441&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31420000
U2 - https://doi.org/10.1186/s12966-019-0820-7
DO - https://doi.org/10.1186/s12966-019-0820-7
M3 - Article
C2 - 31420000
SN - 1479-5868
VL - 16
JO - international journal of behavioral nutrition and physical activity
JF - international journal of behavioral nutrition and physical activity
IS - 1
M1 - 66
ER -