Predictors of inactive lifestyle among adult survivors of childhood cancer

Kirsten K. Ness, Wendy M. Leisenring, Sujuan Huang, Melissa M. Hudson, James G. Gurney, Kimberly Whelan, Wendy L. Hobbie, Gregory Armstrong, Leslie L. Robison, Kevin C. Oeffinger

Research output: Contribution to journalArticle

113 Citations (Scopus)

Abstract

Background: Participation in physical activity is important for childhood cancer survivors. because inactivity may compound cancer/treatment-related late effects. However. some survivors may have difficulty participating in physical activity. and these individuals need to be identified so that risk-based guidelines for physical activity, tailored to specific needs, can be developed and implemented. The objectives of the current study were to document physical activity patterns in the Childhood Cancer Survivor Study (CCSS) cohort, to compare the physical activity patterns with siblings in the CCSS and with a population-based sample from the Behavioral Risk Factor Surveillance System. and to evaluate associations between diagnosis. treatment, and personal factors in terms of the risk for an inactive lifestyle. METHODS: Percentages of participation in recommended physical activity were compared among survivors, siblings, and population norms. Generalized linear models were used to evaluate the associations between cancer diagnosis and therapy, sociodemographics, and the risk for an inactive lifestyle. RESULTS: Participants included 9301 adult survivors of childhood cancer and 2886 siblings. Survivors were less likely than siblings (46% vs 52%) to meet physical activity guidelines and were more likely than siblings to report an inactive lifestyle (23% vs 14%). Medulloblastoma (35%) and osteosarcoma (27%) survivors reported the highest levels of inactive lifestyle. Treatments with cranial radiation or amputation were associated with an inactive lifestyle as were being a woman, black race, older age, lower educational attainment, underweight or obese status, smoking, and depression. CONCLUSIONS: Childhood cancer survivors were less active than a sibling comparison group or an age- and sex-matched population sample. Survivors who are at risk for an inactive lifestyle should be considered high priority for developing and testing of intervention approaches.

Original languageEnglish (US)
Pages (from-to)1984-1994
Number of pages11
JournalCancer
Volume115
Issue number9
DOIs
StatePublished - May 1 2009

Fingerprint

Survivors
Life Style
Siblings
Exercise
Neoplasms
Guidelines
Behavioral Risk Factor Surveillance System
Population
Medulloblastoma
Second Primary Neoplasms
Thinness
Osteosarcoma
Amputation
Linear Models
Cohort Studies
Therapeutics
Age Groups
Smoking
Radiation
Depression

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Cite this

Ness, K. K., Leisenring, W. M., Huang, S., Hudson, M. M., Gurney, J. G., Whelan, K., ... Oeffinger, K. C. (2009). Predictors of inactive lifestyle among adult survivors of childhood cancer. Cancer, 115(9), 1984-1994. https://doi.org/10.1002/cncr.24209

Predictors of inactive lifestyle among adult survivors of childhood cancer. / Ness, Kirsten K.; Leisenring, Wendy M.; Huang, Sujuan; Hudson, Melissa M.; Gurney, James G.; Whelan, Kimberly; Hobbie, Wendy L.; Armstrong, Gregory; Robison, Leslie L.; Oeffinger, Kevin C.

In: Cancer, Vol. 115, No. 9, 01.05.2009, p. 1984-1994.

Research output: Contribution to journalArticle

Ness, KK, Leisenring, WM, Huang, S, Hudson, MM, Gurney, JG, Whelan, K, Hobbie, WL, Armstrong, G, Robison, LL & Oeffinger, KC 2009, 'Predictors of inactive lifestyle among adult survivors of childhood cancer', Cancer, vol. 115, no. 9, pp. 1984-1994. https://doi.org/10.1002/cncr.24209
Ness KK, Leisenring WM, Huang S, Hudson MM, Gurney JG, Whelan K et al. Predictors of inactive lifestyle among adult survivors of childhood cancer. Cancer. 2009 May 1;115(9):1984-1994. https://doi.org/10.1002/cncr.24209
Ness, Kirsten K. ; Leisenring, Wendy M. ; Huang, Sujuan ; Hudson, Melissa M. ; Gurney, James G. ; Whelan, Kimberly ; Hobbie, Wendy L. ; Armstrong, Gregory ; Robison, Leslie L. ; Oeffinger, Kevin C. / Predictors of inactive lifestyle among adult survivors of childhood cancer. In: Cancer. 2009 ; Vol. 115, No. 9. pp. 1984-1994.
@article{7b3cefe5cda24574bc588b581248b119,
title = "Predictors of inactive lifestyle among adult survivors of childhood cancer",
abstract = "Background: Participation in physical activity is important for childhood cancer survivors. because inactivity may compound cancer/treatment-related late effects. However. some survivors may have difficulty participating in physical activity. and these individuals need to be identified so that risk-based guidelines for physical activity, tailored to specific needs, can be developed and implemented. The objectives of the current study were to document physical activity patterns in the Childhood Cancer Survivor Study (CCSS) cohort, to compare the physical activity patterns with siblings in the CCSS and with a population-based sample from the Behavioral Risk Factor Surveillance System. and to evaluate associations between diagnosis. treatment, and personal factors in terms of the risk for an inactive lifestyle. METHODS: Percentages of participation in recommended physical activity were compared among survivors, siblings, and population norms. Generalized linear models were used to evaluate the associations between cancer diagnosis and therapy, sociodemographics, and the risk for an inactive lifestyle. RESULTS: Participants included 9301 adult survivors of childhood cancer and 2886 siblings. Survivors were less likely than siblings (46{\%} vs 52{\%}) to meet physical activity guidelines and were more likely than siblings to report an inactive lifestyle (23{\%} vs 14{\%}). Medulloblastoma (35{\%}) and osteosarcoma (27{\%}) survivors reported the highest levels of inactive lifestyle. Treatments with cranial radiation or amputation were associated with an inactive lifestyle as were being a woman, black race, older age, lower educational attainment, underweight or obese status, smoking, and depression. CONCLUSIONS: Childhood cancer survivors were less active than a sibling comparison group or an age- and sex-matched population sample. Survivors who are at risk for an inactive lifestyle should be considered high priority for developing and testing of intervention approaches.",
author = "Ness, {Kirsten K.} and Leisenring, {Wendy M.} and Sujuan Huang and Hudson, {Melissa M.} and Gurney, {James G.} and Kimberly Whelan and Hobbie, {Wendy L.} and Gregory Armstrong and Robison, {Leslie L.} and Oeffinger, {Kevin C.}",
year = "2009",
month = "5",
day = "1",
doi = "10.1002/cncr.24209",
language = "English (US)",
volume = "115",
pages = "1984--1994",
journal = "Cancer",
issn = "0008-543X",
publisher = "John Wiley and Sons Inc.",
number = "9",

}

TY - JOUR

T1 - Predictors of inactive lifestyle among adult survivors of childhood cancer

AU - Ness, Kirsten K.

AU - Leisenring, Wendy M.

AU - Huang, Sujuan

AU - Hudson, Melissa M.

AU - Gurney, James G.

AU - Whelan, Kimberly

AU - Hobbie, Wendy L.

AU - Armstrong, Gregory

AU - Robison, Leslie L.

AU - Oeffinger, Kevin C.

PY - 2009/5/1

Y1 - 2009/5/1

N2 - Background: Participation in physical activity is important for childhood cancer survivors. because inactivity may compound cancer/treatment-related late effects. However. some survivors may have difficulty participating in physical activity. and these individuals need to be identified so that risk-based guidelines for physical activity, tailored to specific needs, can be developed and implemented. The objectives of the current study were to document physical activity patterns in the Childhood Cancer Survivor Study (CCSS) cohort, to compare the physical activity patterns with siblings in the CCSS and with a population-based sample from the Behavioral Risk Factor Surveillance System. and to evaluate associations between diagnosis. treatment, and personal factors in terms of the risk for an inactive lifestyle. METHODS: Percentages of participation in recommended physical activity were compared among survivors, siblings, and population norms. Generalized linear models were used to evaluate the associations between cancer diagnosis and therapy, sociodemographics, and the risk for an inactive lifestyle. RESULTS: Participants included 9301 adult survivors of childhood cancer and 2886 siblings. Survivors were less likely than siblings (46% vs 52%) to meet physical activity guidelines and were more likely than siblings to report an inactive lifestyle (23% vs 14%). Medulloblastoma (35%) and osteosarcoma (27%) survivors reported the highest levels of inactive lifestyle. Treatments with cranial radiation or amputation were associated with an inactive lifestyle as were being a woman, black race, older age, lower educational attainment, underweight or obese status, smoking, and depression. CONCLUSIONS: Childhood cancer survivors were less active than a sibling comparison group or an age- and sex-matched population sample. Survivors who are at risk for an inactive lifestyle should be considered high priority for developing and testing of intervention approaches.

AB - Background: Participation in physical activity is important for childhood cancer survivors. because inactivity may compound cancer/treatment-related late effects. However. some survivors may have difficulty participating in physical activity. and these individuals need to be identified so that risk-based guidelines for physical activity, tailored to specific needs, can be developed and implemented. The objectives of the current study were to document physical activity patterns in the Childhood Cancer Survivor Study (CCSS) cohort, to compare the physical activity patterns with siblings in the CCSS and with a population-based sample from the Behavioral Risk Factor Surveillance System. and to evaluate associations between diagnosis. treatment, and personal factors in terms of the risk for an inactive lifestyle. METHODS: Percentages of participation in recommended physical activity were compared among survivors, siblings, and population norms. Generalized linear models were used to evaluate the associations between cancer diagnosis and therapy, sociodemographics, and the risk for an inactive lifestyle. RESULTS: Participants included 9301 adult survivors of childhood cancer and 2886 siblings. Survivors were less likely than siblings (46% vs 52%) to meet physical activity guidelines and were more likely than siblings to report an inactive lifestyle (23% vs 14%). Medulloblastoma (35%) and osteosarcoma (27%) survivors reported the highest levels of inactive lifestyle. Treatments with cranial radiation or amputation were associated with an inactive lifestyle as were being a woman, black race, older age, lower educational attainment, underweight or obese status, smoking, and depression. CONCLUSIONS: Childhood cancer survivors were less active than a sibling comparison group or an age- and sex-matched population sample. Survivors who are at risk for an inactive lifestyle should be considered high priority for developing and testing of intervention approaches.

UR - http://www.scopus.com/inward/record.url?scp=65649091719&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65649091719&partnerID=8YFLogxK

U2 - 10.1002/cncr.24209

DO - 10.1002/cncr.24209

M3 - Article

C2 - 19224548

AN - SCOPUS:65649091719

VL - 115

SP - 1984

EP - 1994

JO - Cancer

JF - Cancer

SN - 0008-543X

IS - 9

ER -