Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors
Despite exercise benefits for cancer survivor health, most breast cancer survivors do not meet exercise recommendations. Few studies have examined associations between psychosocial symptoms and exercise barriers in this population. To improve physician exercise counseling by identifying survivors wi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/20/6531 |
| _version_ | 1797573462512893952 |
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| author | Hunter Scott Nashira I. Brown Erica A. Schleicher Robert A. Oster Edward McAuley Kerry S. Courneya Philip Anton Diane K. Ehlers Siobhan M. Phillips Laura Q. Rogers |
| author_facet | Hunter Scott Nashira I. Brown Erica A. Schleicher Robert A. Oster Edward McAuley Kerry S. Courneya Philip Anton Diane K. Ehlers Siobhan M. Phillips Laura Q. Rogers |
| author_sort | Hunter Scott |
| collection | DOAJ |
| description | Despite exercise benefits for cancer survivor health, most breast cancer survivors do not meet exercise recommendations. Few studies have examined associations between psychosocial symptoms and exercise barriers in this population. To improve physician exercise counseling by identifying survivors with high barriers in a clinical setting, associations between breast cancer symptoms (fatigue, mood, sleep quality) and exercise barriers were investigated. Physically inactive survivors (<i>N</i> = 320; average age 55 ± 8 years, 81% White, 77% cancer stage I or II) completed a baseline survey for a randomized physical activity trial and secondary analyses were performed. Potential covariates, exercise barriers interference score, Fatigue Symptom Inventory, Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index were assessed. Based on multiple linear regression analyses, only HADS Global (B = 0.463, <i>p</i> < 0.001) and number of comorbidities (B = 0.992, <i>p</i> = 0.01) were independently associated with total exercise barriers interference score, explaining 8.8% of the variance (R<sup>2</sup> = 0.088, F(2,317) = 15.286, <i>p</i> < 0.001). The most frequent barriers to exercise for survivors above the HADS clinically important cut point included procrastination, routine, and self-discipline. These results indicate greater anxiety levels, depression levels, and comorbidities may be independently associated with specific exercise barriers. Health professionals should consider mood and comorbidities when evaluating survivors for exercise barriers, and tailoring exercise counseling. |
| first_indexed | 2024-03-10T21:09:54Z |
| format | Article |
| id | doaj.art-799b98e9a06e4e73a6c48045c75e6164 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:09:54Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-799b98e9a06e4e73a6c48045c75e61642023-11-19T16:52:25ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011220653110.3390/jcm12206531Associations between Symptoms and Exercise Barriers in Breast Cancer SurvivorsHunter Scott0Nashira I. Brown1Erica A. Schleicher2Robert A. Oster3Edward McAuley4Kerry S. Courneya5Philip Anton6Diane K. Ehlers7Siobhan M. Phillips8Laura Q. Rogers9Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35233, USAO’Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35233, USADepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, IL 61820, USAFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB T6G 2R3, CanadaSchool of Human Sciences, Southern Illinois University Carbondale, Carbondale, IL 62910, USADepartment of Quantitative Health Sciences, Mayo Clinic, Phoenix, AZ 85054, USADepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USAO’Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35233, USADespite exercise benefits for cancer survivor health, most breast cancer survivors do not meet exercise recommendations. Few studies have examined associations between psychosocial symptoms and exercise barriers in this population. To improve physician exercise counseling by identifying survivors with high barriers in a clinical setting, associations between breast cancer symptoms (fatigue, mood, sleep quality) and exercise barriers were investigated. Physically inactive survivors (<i>N</i> = 320; average age 55 ± 8 years, 81% White, 77% cancer stage I or II) completed a baseline survey for a randomized physical activity trial and secondary analyses were performed. Potential covariates, exercise barriers interference score, Fatigue Symptom Inventory, Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index were assessed. Based on multiple linear regression analyses, only HADS Global (B = 0.463, <i>p</i> < 0.001) and number of comorbidities (B = 0.992, <i>p</i> = 0.01) were independently associated with total exercise barriers interference score, explaining 8.8% of the variance (R<sup>2</sup> = 0.088, F(2,317) = 15.286, <i>p</i> < 0.001). The most frequent barriers to exercise for survivors above the HADS clinically important cut point included procrastination, routine, and self-discipline. These results indicate greater anxiety levels, depression levels, and comorbidities may be independently associated with specific exercise barriers. Health professionals should consider mood and comorbidities when evaluating survivors for exercise barriers, and tailoring exercise counseling.https://www.mdpi.com/2077-0383/12/20/6531exercise barriersoncologybreast cancersurvivorshipexercise counselingcancer-related fatigue |
| spellingShingle | Hunter Scott Nashira I. Brown Erica A. Schleicher Robert A. Oster Edward McAuley Kerry S. Courneya Philip Anton Diane K. Ehlers Siobhan M. Phillips Laura Q. Rogers Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors Journal of Clinical Medicine exercise barriers oncology breast cancer survivorship exercise counseling cancer-related fatigue |
| title | Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors |
| title_full | Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors |
| title_fullStr | Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors |
| title_full_unstemmed | Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors |
| title_short | Associations between Symptoms and Exercise Barriers in Breast Cancer Survivors |
| title_sort | associations between symptoms and exercise barriers in breast cancer survivors |
| topic | exercise barriers oncology breast cancer survivorship exercise counseling cancer-related fatigue |
| url | https://www.mdpi.com/2077-0383/12/20/6531 |
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