Determinants of Physical Activity in a Cohort of Prostate Cancer Survivors

Date
2018-07-24
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Abstract
Background: Physical activity has been shown to improve overall health, improve cancer outcomes and reduce all-cause mortality as well as prostate cancer specific mortality after diagnosis, however a cancer diagnosis can often cause a change in physical activity patterns. Current guidelines recommend 150 minutes per week of physical activity and the determinants of meeting these guidelines before and after a prostate cancer diagnosis are widely unknown. Objectives: Our first objective was to examine the determinants of meeting physical activity guidelines at pre-diagnosis and three time-points post-diagnosis. Our second objective was to examine the determinants of patterns of meeting guidelines from pre-diagnosis to two years post-diagnosis. The final objective was to examine determinants of patterns of long-term physical activity behaviours from pre-diagnosis to an average measure of post-diagnosis physical activity. Methods: This prospective cohort study included 830 prostate cancer patients who participated in a population-based case-control study between November 1997 and December 2000 in Alberta, Canada. Pre-diagnosis activity levels were self-reported at diagnosis and again at three time points post-diagnosis. Demographic, quality of life and lifestyle variables were collected by questionnaires, while medical chart abstractions were performed to capture clinical variables. Results: Active smoking status, poor physical health and rural living location were commonly found to be statistically significantly associated with failing to meet physical activity guidelines in cross-sectional analyses and in analyses examining patterns of behaviour from pre- to post-diagnosis. Conclusions: Demographic, health and lifestyle variables are associated with meeting or not meeting physical activity guidelines from pre-diagnosis to post-diagnosis. Programming should be aimed at offering survivors support to overcome determinants associated with decline in physical activity patterns.
Description
Keywords
physical activity, Prostate cancer, Determinants
Citation
Stone, C. R. (2018). Determinants of Physical Activity in a Cohort of Prostate Cancer Survivors (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/32685