Correlates of physical activity among lung cancer survivors Journal Article


Authors: Coups, E. J.; Park, B. J.; Feinstein, M. B.; Steingart, R. M.; Egleston, B. L.; Wilson, D. J.; Ostroff, J. S.
Article Title: Correlates of physical activity among lung cancer survivors
Abstract: Objective: Lung cancer survivors commonly experience impairments in quality of life, which may be improved through regular physical activity. However, little is known regarding correlates of physical activity in this survivor population. The current study addressed this research gap. Methods: The participants were 175 survivors of early-stage non-small cell lung cancer who completed surgical treatment from 1 to 6 years previously. Information regarding medical factors was obtained from chart records and from participant self-report. Participants also answered questions about demographic and social cognitive factors that may be associated with physical activity, which was assessed as reported engagement in moderate/strenuous activities and leisurely walking. Results: Participants reported an average of 77.7 min of moderate/ strenuous weekly activity and 64.6% reported engaging in leisurely walking at least three times per week. Less leisurely walking was reported by older individuals (p=0.001) and those with a lower education level (p<0.001), who also reported less engagement in moderate/ strenuous activities (p=0.004). Individuals with poorer pre-operative pulmonary function reported less moderate/strenuous physical activity (p=0.014) and the number of surgical complications was inversely associated with leisurely walking (p=0.003). Multiple social cognitive constructs were associated with moderate/strenuous activity and leisurely walking. Conclusions: The study identified several lung cancer survivor subgroups who may be most in need of physical activity interventions. Identification of social cognitive correlates of physical activity provides valuable information regarding theory-guided constructs that should be targeted in future physical activity interventions for lung cancer survivors. Copyright © 2009 John Wiley & Sons, Ltd.
Keywords: adult; controlled study; aged; aged, 80 and over; middle aged; major clinical study; cigarette smoking; adjuvant therapy; cancer radiotherapy; cancer staging; antineoplastic agent; neoplasm staging; preoperative evaluation; demography; quality of life; statistics; lung lobectomy; lung non small cell cancer; lung resection; lung neoplasms; exercise; lung cancer; medical record review; oncology; survivor; time; age; cancer survivor; self report; questionnaires; survivors; postoperative complication; questionnaire; lung tumor; social support; length of stay; body mass; health status; comorbidity; cognition; health promotion; self concept; physical activity; motor activity; educational status; employment status; ethnic difference; leisure; lung function; lung surgery; marriage; social aspect; walking; leisure activities
Journal Title: Psycho-Oncology
Volume: 18
Issue: 4
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2009-01-01
Start Page: 395
End Page: 404
Language: English
DOI: 10.1002/pon.1520
PUBMED: 19241488
PROVIDER: scopus
PMCID: PMC2778598
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "CODEN: POJCE" - "Source: Scopus"
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  1. Jamie S Ostroff
    344 Ostroff
  2. Richard M Steingart
    174 Steingart
  3. Bernard J Park
    263 Park
  4. Donna J Wilson
    18 Wilson