RT Journal Article
SR Electronic
T1 Functional Impairment and Physical Activity Adherence Among Gynecologic Cancer Survivors: A Population-Based Study
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 381
OP 388
DO 10.1097/IGC.0000000000000620
VO 26
IS 2
A1 Pratibha Nayak
A1 Sally W. Vernon
A1 Lara S. Savas
A1 Karen Basen-Engquist
A1 Robert O. Morgan
A1 Linda S. Elting
YR 2016
UL http://ijgc.bmj.com/content/26/2/381.abstract
AB Objective Adherence to physical activity guidelines after cancer diagnosis improves physical functioning. The purpose of this study was to estimate the prevalence of physical activity in a population-based sample of gynecologic cancer survivors (GCSs) and to examine the association between functional impairment and adherence to physical activity guidelines.Methods Using the 2009 Behavioral Risk Factor Surveillance System survey, we identified 5,015 GCSs aged 20 years or older who were 1 year or more after diagnosis. We used multinomial logistic regression with survey weighting to examine the association between functional impairment and adherence to physical activity guidelines (using 3 levels: sedentary, somewhat active, and meeting physical activity guidelines), controlling for demographic and clinical factors.Results We found that 55% of GCSs did not adhere to physical activity guidelines and that 38% reported functional impairment. Gynecologic cancer survivors with functional impairment were less likely to meet guidelines (adjusted odds ratio [AOR], 0.34; 95% confidence interval [CI], 0.25–0.47) or to be somewhat active (AOR, 0.43; 95% CI, 0.31–0.59) compared with those without impairment. Having more than high school education (AOR, 1.66; 95% CI, 1.15–2.40), fewer comorbidities (AOR, 0.55; 95% CI, 0.33–0.91), and not being obese (OR, 0.53; 95% CI, 0.36–0.77) were associated with meeting physical activity guidelines compared with being sedentary.Conclusions Gynecologic cancer survivors do not meet physical activity guidelines and experience functional impairment, which is associated with lower adherence to physical activity recommendations. Prospective studies are needed to better elucidate the relation between functional impairment and physical activity.