Health-related physical fitness assessment in a community-based cancer rehabilitation setting
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Assessment of physical fitness is important in order to set goals, appropriately prescribe exercise, and monitor change over time. This study aimed to determine the utility of a standardized physical fitness assessment for use in cancer-specific, community-based exercise programs.
Tests anticipated to be feasible and suitable for a community setting and a wide range of ages and physical function were chosen to measure body composition, aerobic fitness, strength, flexibility, and balance. Cancer Exercise Trainers/Specialists at cancer-specific, community-based exercise programs assessed new clients (n = 60) at enrollment, designed individualized exercise programs, and then performed a re-assessment 3–6 months later (n = 34).
Resting heart rate, blood pressure, body mass index, waist circumference, handgrip strength, chair stands, sit-and-reach, back scratch, single-leg standing, and timed up-and-go tests were considered suitable and feasible tests/measures, as they were performed in most (≥88 %) participants. The ability to capture change was also noted for resting blood pressure (−7/−5 mmHg, p = 0.02), chair stands (+4, p < 0.01), handgrip strength (+2 kg, p < 0.01), and sit-and-reach (+3 cm, p = 0.03). While the submaximal treadmill test captured a meaningful improvement in aerobic fitness (+62 s, p = 0.17), it was not completed in 33 % of participants. Change in mobility, using the timed up-and-go was nominal and was not performed in 27 %.
Submaximal treadmill testing, handgrip dynamometry, chair stands, and sit-and-reach tests were feasible, suitable, and provided meaningful physical fitness information in a cancer-specific, community-based, exercise program setting. However, a shorter treadmill protocol and more sensitive balance and upper body flexibility tests should be investigated.
KeywordsRehabilitation Exercise tests Cancer Physical fitness
Amy Kirkham and Sarah Neil-Sztramko are supported by Canada Graduate Scholarship Doctoral Awards from the Canadian Institute of Health Research.
Conflict of interest
Joanne Morgan and Sara Hodson are the respective owners of Back on Track Fitness and Live Well Exercise Clinic, which were the two centers included in this study. They were involved in study design and data collection and reviewed the manuscript but were not involved in data analysis, interpretation, or reporting of results.
- 3.American College of Sports Medicine (2013) ACSM/ACS Certified Cancer Exercise TrainerSM. American College of Sports Medicine. http://certification.acsm.org/acsm-cancer-exercise-trainer. Accessed 12 Nov 2014
- 4.Canadian Physiotherapy Association (2014) Oncology Physiotherapy. Canadian Physiotherapy Association. http://www.physiotherapy.ca/Divisions/Oncology. Accessed 12 Nov 2014
- 5.American Physical Therapy Association (2014) Oncology Section, American Physical Therapy Association. American Physical Therapy Association. http://www.oncologypt.org. Accessed 12 Nov 2014
- 8.Thompson WR, Gordon NF, Pescatello LS (2010) ACSM’s guidelines for exercise testing and prescription, 8th edn. Wolters Kluwer Lippincott Williams & Wilkins, PhiladephiaGoogle Scholar
- 9.Van Londen GJ, Livesey KM, Lemberskey BC (2012) Breast cancer: never too young for a functional assessment? Oncology 26:1–5Google Scholar
- 10.Hayward R (2014) Rocky Mountain Cancer Exercise Specialist Workshop. University of Northern Colorado. http://www.unco.edu/rmcri/cancer_ex_spec_workshop.html. Accessed 12 Nov 2014
- 11.Pescatello LS, Arena R, Riebe D, Thompson PD (2014) ACSM’s guidelines for exercise testing and prescription, 9th edn. Wolters Kluwer Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
- 15.Rikli RE (1999) Functional fitness normative scores for community residing older adults ages 60–94. J Aging Phys Act 7:162–181Google Scholar
- 17.Swain DP (2014) ACSM’s resource manual for guidelines for exercise testing and prescription, 9th edn. Lippincott Williams & Wilkins, PhiladelphiaGoogle Scholar
- 22.Jones CJ, Rikli RE (2002) Measuring functional fitness in older adults. J Act Aging 1:24–30Google Scholar
- 33.Rikli RE, Jones CJ (1999) Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act 7:129–161Google Scholar
- 36.Flansbjer U-B, Holmbäck AM, Downham D, Patten C, Lexell J (2005) Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med 37(2):75–82. doi: 10.1080/16501970410017215