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Correlates of objectively measured sedentary behavior in breast cancer survivors

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Abstract

Background

Emerging evidence indicates increased sedentary behavior is associated with poorer health outcomes and quality of life among cancer survivors. However, very little is known about which factors are associated with increased sedentary behavior. The purpose of the present study was to examine potential correlates of sedentary behavior among breast cancer survivors.

Methods

We used hierarchical general linear modeling to examine the associations between demographic, disease-specific, and psychosocial factors at baseline and accelerometer-estimated daily proportion of time spent sedentary at 6 months in breast cancer survivors [n = 342; M age = 56.7 (SD = 9.4)]. All models adjusted for objectively measured moderate and vigorous intensity physical activity and sedentary behavior at baseline.

Results

The final model including all baseline potential predictor variables and physical activity and sedentary behavior explained 49.8 % of the variance in the proportion of daily time spent sedentary at 6 months. The following factors were significantly (p < 0.05) associated with increased sedentary behavior among breast cancer survivors: higher number of comorbidities, more advanced disease stage, and increased fatigue severity. Additionally, being treated with surgery and chemotherapy was significantly related to a lower proportion of time spent sedentary compared to women who had received surgery alone.

Conclusions

This study provides preliminary insight into factors associated with sedentary behavior in breast cancer survivors. Future research is warranted to understand the potential demographic, disease-specific, psychosocial correlates of sedentary behavior to determine which correlates are potential mechanisms of behavior change and intervention targets.

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Acknowledgments

This work was supported by Grant #F31AG034025 from the National Institute on Aging (SP); Shahid and Ann Carlson Khan endowed professorship (EM); and Grant #AG020118 from the National Institute on Aging (EM). Dr. Phillips is also supported by the National Cancer Institute (#K07CA196840).

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Authors and Affiliations

  1. Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N. Lakeshore Drive, Suite 1400, Chicago, IL, 60611, USA

    Siobhan M. Phillips & Gillian R. Lloyd

  2. Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 906 S. Goodwin Avenue, Urbana, IL, 61801, USA

    Elizabeth A. Awick & Edward McAuley

Authors
  1. Siobhan M. Phillips
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  2. Gillian R. Lloyd
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  3. Elizabeth A. Awick
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  4. Edward McAuley
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Corresponding author

Correspondence to Siobhan M. Phillips.

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Conflicts of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

All data collected for this project were collected at the University of Illinois at Urbana-Champaign.

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Phillips, S.M., Lloyd, G.R., Awick, E.A. et al. Correlates of objectively measured sedentary behavior in breast cancer survivors. Cancer Causes Control 27, 787–795 (2016). https://doi.org/10.1007/s10552-016-0756-z

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  • DOI: https://doi.org/10.1007/s10552-016-0756-z

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