Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer

A report from the childhood cancer survivor study (CCSS)

Katie A. Devine, Ann C. Mertens, John A. Whitton, Carmen L. Wilson, Kirsten K. Ness, Jordan Gilleland Marchak, Wendy Leisenring, Kevin C. Oeffinger, Leslie L. Robison, Gregory Armstrong, Kevin R. Krull

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To evaluate concurrent and longitudinal associations between psychosocial functioning and physical activity in adolescent and young adult survivors of early childhood cancer. Methods: Adolescent survivors of early childhood cancer (diagnosed before age four) participating in the Childhood Cancer Survivor Study completed the Coping Health and Illness Profile–Adolescent Edition (CHIP-AE; n = 303; mean age at survey: 17.6 years). A subset of these survivors (n = 248) completed a follow-up survey an average of 6.0 years later (range: 4-10). Logistic regression identified associations between psychosocial functioning in adolescence and physical activity levels in adolescence and young adulthood. Results: Survivors reported low physical activity as adolescents (46.1% scored below CHIP-AE cut-point) and young adults (40.8% below Centers for Disease Control guidelines). Poor physical activity during adolescence was associated with female sex (OR = 2.06, 95% CI, 1.18-3.68), parents with less than a college education (OR = 1.91, 95% CI, 1.11-3.32), previous treatment with cranial radiation (OR = 3.35, 95% CI, 1.69-6.88), TV time (OR = 1.77, 95% CI, 1.00-3.14), and limitations of activity due to health or mobility restrictions (OR = 8.28, 95% CI, 2.87-30.34). Poor diet (OR = 1.84, 95% CI, 1.05-3.26) and low self-esteem (OR = 1.80, 95% CI, 0.99-3.31) during adolescence were associated with lower odds of meeting Centers for Disease Control physical activity guidelines in young adulthood. Conclusion: These findings provide targets for future interventional studies to improve physical activity in this high-risk population.

Original languageEnglish (US)
Pages (from-to)613-619
Number of pages7
JournalPsycho-Oncology
Volume27
Issue number2
DOIs
StatePublished - Feb 1 2018

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Survivors
Young Adult
Exercise
Neoplasms
Centers for Disease Control and Prevention (U.S.)
Guidelines
Health
Self Concept
Parents
Logistic Models
Radiation
Diet
Education
Population

All Science Journal Classification (ASJC) codes

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health

Cite this

Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer : A report from the childhood cancer survivor study (CCSS). / Devine, Katie A.; Mertens, Ann C.; Whitton, John A.; Wilson, Carmen L.; Ness, Kirsten K.; Gilleland Marchak, Jordan; Leisenring, Wendy; Oeffinger, Kevin C.; Robison, Leslie L.; Armstrong, Gregory; Krull, Kevin R.

In: Psycho-Oncology, Vol. 27, No. 2, 01.02.2018, p. 613-619.

Research output: Contribution to journalArticle

Devine, KA, Mertens, AC, Whitton, JA, Wilson, CL, Ness, KK, Gilleland Marchak, J, Leisenring, W, Oeffinger, KC, Robison, LL, Armstrong, G & Krull, KR 2018, 'Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS)', Psycho-Oncology, vol. 27, no. 2, pp. 613-619. https://doi.org/10.1002/pon.4528
Devine, Katie A. ; Mertens, Ann C. ; Whitton, John A. ; Wilson, Carmen L. ; Ness, Kirsten K. ; Gilleland Marchak, Jordan ; Leisenring, Wendy ; Oeffinger, Kevin C. ; Robison, Leslie L. ; Armstrong, Gregory ; Krull, Kevin R. / Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer : A report from the childhood cancer survivor study (CCSS). In: Psycho-Oncology. 2018 ; Vol. 27, No. 2. pp. 613-619.
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abstract = "Objective: To evaluate concurrent and longitudinal associations between psychosocial functioning and physical activity in adolescent and young adult survivors of early childhood cancer. Methods: Adolescent survivors of early childhood cancer (diagnosed before age four) participating in the Childhood Cancer Survivor Study completed the Coping Health and Illness Profile–Adolescent Edition (CHIP-AE; n = 303; mean age at survey: 17.6 years). A subset of these survivors (n = 248) completed a follow-up survey an average of 6.0 years later (range: 4-10). Logistic regression identified associations between psychosocial functioning in adolescence and physical activity levels in adolescence and young adulthood. Results: Survivors reported low physical activity as adolescents (46.1{\%} scored below CHIP-AE cut-point) and young adults (40.8{\%} below Centers for Disease Control guidelines). Poor physical activity during adolescence was associated with female sex (OR = 2.06, 95{\%} CI, 1.18-3.68), parents with less than a college education (OR = 1.91, 95{\%} CI, 1.11-3.32), previous treatment with cranial radiation (OR = 3.35, 95{\%} CI, 1.69-6.88), TV time (OR = 1.77, 95{\%} CI, 1.00-3.14), and limitations of activity due to health or mobility restrictions (OR = 8.28, 95{\%} CI, 2.87-30.34). Poor diet (OR = 1.84, 95{\%} CI, 1.05-3.26) and low self-esteem (OR = 1.80, 95{\%} CI, 0.99-3.31) during adolescence were associated with lower odds of meeting Centers for Disease Control physical activity guidelines in young adulthood. Conclusion: These findings provide targets for future interventional studies to improve physical activity in this high-risk population.",
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T1 - Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer

T2 - A report from the childhood cancer survivor study (CCSS)

AU - Devine, Katie A.

AU - Mertens, Ann C.

AU - Whitton, John A.

AU - Wilson, Carmen L.

AU - Ness, Kirsten K.

AU - Gilleland Marchak, Jordan

AU - Leisenring, Wendy

AU - Oeffinger, Kevin C.

AU - Robison, Leslie L.

AU - Armstrong, Gregory

AU - Krull, Kevin R.

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AB - Objective: To evaluate concurrent and longitudinal associations between psychosocial functioning and physical activity in adolescent and young adult survivors of early childhood cancer. Methods: Adolescent survivors of early childhood cancer (diagnosed before age four) participating in the Childhood Cancer Survivor Study completed the Coping Health and Illness Profile–Adolescent Edition (CHIP-AE; n = 303; mean age at survey: 17.6 years). A subset of these survivors (n = 248) completed a follow-up survey an average of 6.0 years later (range: 4-10). Logistic regression identified associations between psychosocial functioning in adolescence and physical activity levels in adolescence and young adulthood. Results: Survivors reported low physical activity as adolescents (46.1% scored below CHIP-AE cut-point) and young adults (40.8% below Centers for Disease Control guidelines). Poor physical activity during adolescence was associated with female sex (OR = 2.06, 95% CI, 1.18-3.68), parents with less than a college education (OR = 1.91, 95% CI, 1.11-3.32), previous treatment with cranial radiation (OR = 3.35, 95% CI, 1.69-6.88), TV time (OR = 1.77, 95% CI, 1.00-3.14), and limitations of activity due to health or mobility restrictions (OR = 8.28, 95% CI, 2.87-30.34). Poor diet (OR = 1.84, 95% CI, 1.05-3.26) and low self-esteem (OR = 1.80, 95% CI, 0.99-3.31) during adolescence were associated with lower odds of meeting Centers for Disease Control physical activity guidelines in young adulthood. Conclusion: These findings provide targets for future interventional studies to improve physical activity in this high-risk population.

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