Predictors of follow-up exercise behavior 6 months after a randomized trial of supervised exercise training in lymphoma patients

被引:22
|
作者
Courneya, Kerry S. [1 ]
Stevinson, Clare [2 ]
McNeely, Margaret L.
Sellar, Christopher M.
Friedenreich, Christine M. [3 ]
Peddle-McIntyre, Carolyn J.
Chua, Neil [3 ,4 ]
Reiman, Tony [5 ,6 ]
机构
[1] Univ Alberta, Fac Phys Educ & Recreat, Vliet Ctr E 488, Edmonton, AB T6G 2H9, Canada
[2] Univ Loughborough, Loughborough, Leics, England
[3] Alberta Hlth Serv, Calgary, AB, Canada
[4] Cross Canc Inst, Edmonton, AB T6G 1Z2, Canada
[5] St Johns Hosp, Halifax, NS, Canada
[6] Dalhousie Univ, Halifax, NS, Canada
关键词
cancer; cancer survivorship; exercise adherence; lifestyle; oncology; physical activity; QUALITY-OF-LIFE; LEISURE-TIME EXERCISE; BREAST-CANCER; PHYSICAL-ACTIVITY; FUNCTIONAL ASSESSMENT; PLANNED BEHAVIOR; ADHERENCE; SURVIVORS; PARTICIPATION; CONTAMINATION;
D O I
10.1002/pon.2010
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objectives Supervised exercise is beneficial for lymphoma patients, but it needs to be maintained to optimize long-term benefits. Here, we report the predictors of follow-up exercise behavior 6?months after a randomized controlled trial in lymphoma patients. Methods Lymphoma patients were randomly assigned to 12?weeks of supervised aerobic exercise (n?=?60) or usual care (n?=?62). At baseline and post-intervention, data were collected on demographic, medical, health-related fitness, quality of life, and motivational variables. At 6-month follow-up, participants were mailed a questionnaire that assessed exercise behavior and were categorized as meeting or not meeting public health exercise guidelines. Results At 6-month follow-up, 110 participants (90.2%) responded, of which 61 (55.5%) were meeting public health exercise guidelines. In univariate analyses, 16 variables predicted 6-month follow-up exercise behavior. In a stepwise regression analysis, five variables entered the model and explained 38% (p?<?0.001) of the variance including the following: accepting a post-intervention exercise prescription (beta?=?0.33; p?<?0.001), achieving a higher peak power output at post-intervention (beta?=?0.28; p?=?0.001), experiencing a larger positive change in perceived behavioral control (beta?=?0.18; p?=?0.028), having Hodgkin lymphoma (beta?=?0.19; p?=?0.025), and having a stronger post-intervention intention (beta?=?0.18; p?=?0.034). Conclusion Exercise behavior in lymphoma patients 6 months after a randomized trial was predicted by a wide range of demographic, medical, health-related fitness, quality of life, and motivational variables. These findings may help facilitate the uptake of self-directed exercise after short-term supervised exercise in lymphoma patients. Copyright (c) 2011 John Wiley & Sons, Ltd.
引用
收藏
页码:1124 / 1131
页数:8
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