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Supportive Care in Cancer

, Volume 23, Issue 2, pp 501–510 | Cite as

Adolescents and young adult cancer survivors: exercise habits, quality of life and physical activity preferences

  • A. MurnaneEmail author
  • K. Gough
  • K. Thompson
  • L. Holland
  • R. Conyers
Original Article

Abstract

Introduction

Given the decades of survivorship for adolescent and young adult (AYA) cancer survivors, it is important to promote behaviours that enhance physical and mental well-being and quality of life (QoL). The purpose of this study was to explore the exercise programming preferences and information needs of AYA survivors and to examine the impact of a cancer diagnosis on physical activity behavior and QoL.

Methods

Participants aged 15–25 years at time of diagnosis and referred to a specialist AYA cancer service between January 2008 and February 2012 were recruited. Eligible participants were mailed a self-administered questionnaire assessing demographic and disease-related information, physical activity levels over time and exercise information preferences. QoL was measured using the Assessment of Quality of Life-6D (AQoL-6D).

Results

Seventy-four (response rate 52 %) participants completed the questionnaire. The mean age was 23 years with 54 % female, with prevalent diagnoses included hematological malignancy (45 %) and sarcoma (24 %). Results indicated a significant reduction in the average minutes of physical activity post diagnosis (p = <0.001) and during treatment (p = <0.001). AYA who met public health physical activity guidelines (n = 36) at questionnaire completion had significantly higher QoL than those not meeting the guidelines (n = 38) (median (Mdn) = 0.87, interquartile range (IQR) = 0.73 to 0.98 and Mdn = 0.81, IQR = 0.57 to 0.93, respectively; p = 0.034). Most participants wanted exercise information at some point after diagnosis (85 %) but many did not receive any information (45 %).

Conclusions

Findings suggest that AYA with cancer experience a significant impact on physical activity levels and QoL. Moreover, survivors experience considerable difficulty returning to premorbid levels of activity. Our study suggests that interventions promoting physical activity and healthy lifestyle behaviours would be well accepted within this population and may be essential to improve their long-term health and QoL during survivorship.

Keywords

Adolescent and young adult Exercise Quality of life Survivorship 

Notes

Acknowledgments

We would like to thank Bobbie-Jane Rosenhart for the assistance with the questionnaire package and data entry along with the Victorian and Tasmanian Youth Cancer Consumer Advisory Board for the feedback and comments relating to the study.

Conflict of interest

The authors have no conflict of interest to declare.

References

  1. 1.
    Australian Institute of Health and Welfare & Australasian Association of Cancer Registries (2012) Cancer in Australia: an overview 2012. Cancer series no. 74. Cat. No. CAN 70. AIHW, CanberraGoogle Scholar
  2. 2.
    Tai E, Buchanan N, Townsend J et al (2012) Health status of adolescents and young adult cancer survivors. Cancer 118:4884–4891PubMedCrossRefGoogle Scholar
  3. 3.
    Conn V, Hafdahl A, Porock D et al (2006) A meta-analysis of exercise interventions among people treated for cancer. Support Care Cancer 14:699–712PubMedCrossRefGoogle Scholar
  4. 4.
    Cramp F, Daniel J (2008) Exercise for the management of cancer-related fatigue in adults (review). Cochrane Database Syst Rev 2:1–32Google Scholar
  5. 5.
    Schmitz K, Holtzman J, Courneya K et al (2005) Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev 14:1588–1595PubMedCrossRefGoogle Scholar
  6. 6.
    Knols R, Aaronson N, Uebelhart D et al (2005) Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled clinical trials. J Clin Oncol 23:3830–3842PubMedCrossRefGoogle Scholar
  7. 7.
    Tseng-Tien H, Ness K (2011) Exercise interventions in children with cancer: a review. Int J Pediatr 2011:1–11Google Scholar
  8. 8.
    Dimeo F, Stieglitz R, Novelli-Fischer U (1999) Effects of physical activity on the fatigue and psychological status of cancer patients during chemotherapy. Cancer 85:2273–2277PubMedCrossRefGoogle Scholar
  9. 9.
    Galvao D, Newton R (2005) Review of exercise intervention studies in cancer patients. J Clin Oncol 23:899–909PubMedCrossRefGoogle Scholar
  10. 10.
    Jacobsen P, Donovan K, Vadaparampil S et al (2007) Systematic review and meta-analysis of psychological and activity-based interventions for cancer-related fatigue. Health Psychol 26:660–667PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Hayes S, Spence R, Galvao D et al (2009) Australian association for exercise and sport science potion stand: optimising cancer outcomes through exercise. J Sci Med Sport 12:428–434PubMedCrossRefGoogle Scholar
  12. 12.
    Maddocks M, Mockett S, Wilcock A (2008) Is exercise an acceptable and practical therapy for people with or cured of cancer? A systematic review. Cancer Treat Rev 35:383–390CrossRefGoogle Scholar
  13. 13.
    Koelwyn G, Khouri M, Mackey J et al (2012) Running on empty: cardiovascular reserve capacity and late effects of therapy in cancer survivorship. J Clin Oncol 30:4458–4461PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Rock C, Doyle C, Demark-Wahnefried W et al (2012) Nutrition and physical activity guidelines for cancer survivors. CA-Cancer J Clin 2012:242–274CrossRefGoogle Scholar
  15. 15.
    Belanger L, Plotnikoff R, Clark A et al (2012) A survey of physical activity programming and counselling preferences in young-adult cancer survivors. Cancer Nurs 35:48–54PubMedCrossRefGoogle Scholar
  16. 16.
    Rabin C, Politi M (2010) Need for health behaviour interventions for young adult cancer survivors. Am J Health Behav 34:70–76PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Belanger L, Plotnikoff R, Clark A et al (2011) Physical activity and health-related quality of life in young adult cancer survivors: a Canadian provincial survey. J Cancer Surviv 5:44–53PubMedCrossRefGoogle Scholar
  18. 18.
    Zebrack B (2008) Information and service needs for young adult cancer patients. Support Care Cancer 16:1353–1360PubMedCrossRefGoogle Scholar
  19. 19.
    Phillips-Salimi C, Andrykowski M (2013) Physical and mental health status of female adolescent young adult survivors of breast and gynaecological cancer: a national, population-based, case-control study. Support Care Cancer 21:1597–1604PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Love B, Moskowitz M, Crook B et al (2013) Defining adolescent and young adult (AYA) exercise and nutrition needs: concerns communicated in an online cancer support community. Patient Educ Couns 92:130–133PubMedCrossRefGoogle Scholar
  21. 21.
    Dilman DA (1983) Mail and other self-administered questionnaires. In: Rossi PH, Wright JD, Anderson AB (eds) Handbook of survey research, Academic, Toronto, pp 359–378Google Scholar
  22. 22.
    Richardson J, Atherton D, Peacock S et al (2004) Measurement of the quality of life for economic evaluation and the assessment of quality of life (AQoL) mark 2 instrument. Aust Econ Rev 37:62–88CrossRefGoogle Scholar
  23. 23.
    Murnane A, Geary B, Milne D (2012) The exercise programming preferences and activity levels of cancer patients undergoing radiotherapy treatment. Support Care Cancer 20:957–962PubMedCrossRefGoogle Scholar
  24. 24.
    Jones L, Courneya K (2002) Exercise counselling and programming preferences of cancer survivors. Cancer Pract 10:208–215PubMedCrossRefGoogle Scholar
  25. 25.
    Stevinson C, Capstick V, Schepanksky A et al (2009) Physical activity preferences of ovarian cancer survivors. Psycho-Oncol 18:422–428CrossRefGoogle Scholar
  26. 26.
    Garcia-Granero M (2008) Two proportions test (related)—SPSS. http://how2stats.blogspot.com.au/2011/09/two-proportions-test-related-spss.html. Accessed 27 Aug 2012
  27. 27.
    Newcombe R (1998) Interval estimation for the difference between independent proportions: comparison of eleven methods. Stat Med 17:873–890PubMedCrossRefGoogle Scholar
  28. 28.
    Fairclough DL (2010) Design and analysis of quality of life studies in clinical trials, 2nd edn. Chapman & Hall, Boca RatonGoogle Scholar
  29. 29.
    Bender R, Lange S (2001) Adjusting for multiple testing—when and how? J Clin Epidemiol 54:343–349PubMedCrossRefGoogle Scholar
  30. 30.
    Wold Health Organization Western Pacific Region, International Association for the Study of Obesity, International Obesity Task Force (2000) Redefining obesity and its treatment. WHO, Geneva. ISBN 0-9577082-1-1Google Scholar
  31. 31.
    World Health Organization (2011) Global recommendations on physical activity for health: 18-64 years old. http://www.who.int/dietphysicalactivity/pa/en/index.html. Accessed 28 January 2013
  32. 32.
    Schmitz K, Courneya K, Matthews C et al (2011) American college of sports medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 43:1409–1426CrossRefGoogle Scholar
  33. 33.
    Irwin M (2009) Physical activity interventions for cancer survivors. Br J Sports Med 43:32–38PubMedCrossRefGoogle Scholar
  34. 34.
    Australian Bureau of Statistics (2011) Physical activity in Australia: a snapshot 2007–2008. ABS cat no. 4835.0.55.001. Australian Bureau of Statistics, AustraliaGoogle Scholar
  35. 35.
    Oeffinger K, Mertens A, Sklar CA et al (2006) Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 355:1572–1582PubMedCrossRefGoogle Scholar
  36. 36.
    Stolley MR, Restrepo J, Sharp LK (2010) Diet and physical activity in childhood cancer survivors: a review of the literature. Ann Behav Med 39:232–249PubMedCentralPubMedCrossRefGoogle Scholar
  37. 37.
    Rabin C (2011) Review of health behaviours and their correlates among young adult cancer survivors. J Behav Med 34:41–52PubMedCrossRefGoogle Scholar
  38. 38.
    Irwin M, Crumley D, McTiernan A et al (2003) Physical activity levels before and after a diagnosis of breast carcinoma: the health, eating, activity and lifestyle (HEAL) study. Cancer 97:1746–1757PubMedCentralPubMedCrossRefGoogle Scholar
  39. 39.
    Keats M, Culos-Reed S, Courneya K et al (2006) An examination of physical activity behaviours in a sample of adolescent cancer survivors. J Pediatr Oncol Nurs(23135–142)Google Scholar
  40. 40.
    Blake H, Mo P, Malik S et al (2009) How effective are physical activity interventions for alleviating depressive symptoms in older people? A systematic review. Clin Rehabil 23:873–877PubMedCrossRefGoogle Scholar
  41. 41.
    Lampinen P, Heikkinen RL, Kauppinen M et al (2006) Activity as a predictor of mental well-being among older adults. Aging Ment Health 10:454–466PubMedCrossRefGoogle Scholar
  42. 42.
    Gilliam M, Schwebel D (2013) Physical activity in child and adolescent cancer survivors: a review. Health Psychol 7:92–110Google Scholar
  43. 43.
    Jones L, Eves N, Haykowsky M et al (2009) Exercise intolerance in cancer and the role of exercise therapy to reverse dysfunction. Lancet Oncol 10:598–605PubMedCrossRefGoogle Scholar
  44. 44.
    Desai M, Bruce M, Desai R et al (2001) Validity of self-reported cancer history: a comparison of health interview data and cancer registry records. Am J Epidemiol 153:299–306PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • A. Murnane
    • 1
    Email author
  • K. Gough
    • 2
  • K. Thompson
    • 1
  • L. Holland
    • 1
  • R. Conyers
    • 1
    • 3
    • 4
  1. 1.ONTrac at Peter Mac Victorian Adolescent and Young Adult Cancer Service Peter MacCallum Cancer CentreMelbourneAustralia
  2. 2.Department of Cancer Experiences ResearchPeter MacCallum Cancer CentreMelbourneAustralia
  3. 3.The University of MelbourneParkvilleAustralia
  4. 4.The Royal Children’s HospitalParkvilleAustralia

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