Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors

Endometrial cancer survivors experience high rates of cardiovascular disease (e.g., heart disease, obesity, diabetes). The heightened cardiovascular disease risk may be attributed to cancer treatment coupled with sub-optimal lifestyle behaviors following treatment, including high amounts of sedentar...

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Main Authors: Lauren C. Bates, Margaret I. Damare, Erik D. Hanson, Justin B. Moore, Victoria Bae-Jump, Michelle L. Meyer, Lee Stoner
Format: Article
Language:English
Published: IMR Press 2022-07-01
Series:Reviews in Cardiovascular Medicine
Subjects:
Online Access:https://www.imrpress.com/journal/RCM/23/7/10.31083/j.rcm2307250
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author Lauren C. Bates
Margaret I. Damare
Erik D. Hanson
Justin B. Moore
Victoria Bae-Jump
Michelle L. Meyer
Lee Stoner
author_facet Lauren C. Bates
Margaret I. Damare
Erik D. Hanson
Justin B. Moore
Victoria Bae-Jump
Michelle L. Meyer
Lee Stoner
author_sort Lauren C. Bates
collection DOAJ
description Endometrial cancer survivors experience high rates of cardiovascular disease (e.g., heart disease, obesity, diabetes). The heightened cardiovascular disease risk may be attributed to cancer treatment coupled with sub-optimal lifestyle behaviors following treatment, including high amounts of sedentary behavior (SB). Public health agencies have graded the association of evidence between SB and cardiovascular disease as strong. However, while clinicians may wish to prescribe SB substitution strategies to reduce SB, guidelines do not currently exist. An additional challenge to behavior change pertains to the unique barriers that endometrial cancer survivors face, including treatment-associated fatigue and limited self-efficacy. Engaging in healthy movement behaviors, including minimizing SB and achieving recommended amounts of physical activity, are critical for health and well-being as well as cardiometabolic disease prevention. The purpose of this perspective paper is to propose an informed approach to physical activity promotion aimed to initiate movement and promote long-term behavior change by starting with an emphasis on reducing SB in endometrial cancer survivors. First, we address why endometrial cancer survivors should be targeted with SB reduction. Then, we suggest a stepwise approach to increasing physical activity by starting with SB reduction, including consideration to behavioral theories. Finally, we provide suggestions for future directions.
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spelling doaj.art-1cfe1f82a00743e79cfb4bf3b59a6f492022-12-22T03:03:51ZengIMR PressReviews in Cardiovascular Medicine1530-65502022-07-0123725010.31083/j.rcm2307250S1530-6550(22)00623-8Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer SurvivorsLauren C. Bates0Margaret I. Damare1Erik D. Hanson2Justin B. Moore3Victoria Bae-Jump4Michelle L. Meyer5Lee Stoner6Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USALineberger Comprehensive Cancer Center, Chapel Hill, NC 27599, USAHuman Movement Science Curriculum, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USAEndometrial cancer survivors experience high rates of cardiovascular disease (e.g., heart disease, obesity, diabetes). The heightened cardiovascular disease risk may be attributed to cancer treatment coupled with sub-optimal lifestyle behaviors following treatment, including high amounts of sedentary behavior (SB). Public health agencies have graded the association of evidence between SB and cardiovascular disease as strong. However, while clinicians may wish to prescribe SB substitution strategies to reduce SB, guidelines do not currently exist. An additional challenge to behavior change pertains to the unique barriers that endometrial cancer survivors face, including treatment-associated fatigue and limited self-efficacy. Engaging in healthy movement behaviors, including minimizing SB and achieving recommended amounts of physical activity, are critical for health and well-being as well as cardiometabolic disease prevention. The purpose of this perspective paper is to propose an informed approach to physical activity promotion aimed to initiate movement and promote long-term behavior change by starting with an emphasis on reducing SB in endometrial cancer survivors. First, we address why endometrial cancer survivors should be targeted with SB reduction. Then, we suggest a stepwise approach to increasing physical activity by starting with SB reduction, including consideration to behavioral theories. Finally, we provide suggestions for future directions.https://www.imrpress.com/journal/RCM/23/7/10.31083/j.rcm2307250sedentary behaviorendometrial cancerlifestyle behaviorcardiovascular diseasebehavior change
spellingShingle Lauren C. Bates
Margaret I. Damare
Erik D. Hanson
Justin B. Moore
Victoria Bae-Jump
Michelle L. Meyer
Lee Stoner
Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors
Reviews in Cardiovascular Medicine
sedentary behavior
endometrial cancer
lifestyle behavior
cardiovascular disease
behavior change
title Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors
title_full Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors
title_fullStr Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors
title_full_unstemmed Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors
title_short Sedentary Behavior Reduction: A Stepwise Approach to Increasing Physical Activity and Reducing Cardiovascular Disease Risk in Endometrial Cancer Survivors
title_sort sedentary behavior reduction a stepwise approach to increasing physical activity and reducing cardiovascular disease risk in endometrial cancer survivors
topic sedentary behavior
endometrial cancer
lifestyle behavior
cardiovascular disease
behavior change
url https://www.imrpress.com/journal/RCM/23/7/10.31083/j.rcm2307250
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