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Sweegers MG, Boyle T, Vallance JK, et al. Which cancer survivors are at risk for a physically inactive and sedentary lifestyle? Results from pooled accelerometer data of 1447 cancer survivors. Int J Behav Nutr Phys Act. 2019;16(1):66doi: 10.1186/s12966-019-0820-7.
Sweegers, M. G., Boyle, T., Vallance, J. K., Chinapaw, M. J., Brug, J., Aaronson, N. K., D'Silva, A., Kampshoff, C. S., Lynch, B. M., Nollet, F., Phillips, S. M., Stuiver, M. M., van Waart, H., Wang, X., Buffart, L. M., & Altenburg, T. M. (2019). Which cancer survivors are at risk for a physically inactive and sedentary lifestyle? Results from pooled accelerometer data of 1447 cancer survivors. The international journal of behavioral nutrition and physical activity, 16(1), 66. https://doi.org/10.1186/s12966-019-0820-7
Sweegers, M G, et al. "Which cancer survivors are at risk for a physically inactive and sedentary lifestyle? Results from pooled accelerometer data of 1447 cancer survivors." The international journal of behavioral nutrition and physical activity vol. 16,1 (2019): 66. doi: https://doi.org/10.1186/s12966-019-0820-7
Sweegers MG, Boyle T, Vallance JK, Chinapaw MJ, Brug J, Aaronson NK, D'Silva A, Kampshoff CS, Lynch BM, Nollet F, Phillips SM, Stuiver MM, van Waart H, Wang X, Buffart LM, Altenburg TM. Which cancer survivors are at risk for a physically inactive and sedentary lifestyle? Results from pooled accelerometer data of 1447 cancer survivors. Int J Behav Nutr Phys Act. 2019 Aug 16;16(1):66. doi: 10.1186/s12966-019-0820-7. PMID: 31420000; PMCID: PMC6698042.
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Int J Behav Nutr Phys Act. 2019 Aug 16;16(1):66. doi: 10.1186/s12966-019-0820-7.

Which cancer survivors are at risk for a physically inactive and sedentary lifestyle? Results from pooled accelerometer data of 1447 cancer survivors.

The international journal of behavioral nutrition and physical activity

M G Sweegers, T Boyle, J K Vallance, M J Chinapaw, J Brug, N K Aaronson, A D'Silva, C S Kampshoff, B M Lynch, F Nollet, S M Phillips, M M Stuiver, H van Waart, X Wang, L M Buffart, T M Altenburg

Affiliations

  1. Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  2. Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  3. Australian Centre for Precision Health, School of Health Sciences, University of South Australia Cancer Research Institute, Adelaide, Australia.
  4. Faculty of Health Disciplines, Athabasca University, Athabasca, Canada.
  5. Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  6. National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
  7. Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
  8. Faculty of Kinesiology, University of Calgary, Calgary, Alberta, Canada.
  9. Department of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  10. Cancer Epidemiology Division, Cancer Council Victoria, Melbourne, Australia.
  11. Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global health, The University of Melbourne, Melbourne, Australia.
  12. Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, Australia.
  13. Department of Rehabilitation, Amsterdam Movement Sciences institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
  14. Department of Behavioural Medicine, Northwestern University, Chicago, USA.
  15. Center for Quality of Life, Netherlands Cancer Institute, Amsterdam, The Netherlands.
  16. Department of Anesthesiology, University of Auckland, Auckland, New Zealand.
  17. Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. [email protected].

PMID: 31420000 PMCID: PMC6698042 DOI: 10.1186/s12966-019-0820-7

Abstract

BACKGROUND: Physical activity has beneficial effects on the health of cancer survivors. We aimed to investigate accelerometer-assessed physical activity and sedentary time in cancer survivors, and describe activity profiles. Additionally, we identify demographic and clinical correlates of physical activity, sedentary time and activity profiles.

METHODS: Accelerometer, questionnaire and clinical data from eight studies conducted in four countries (n = 1447) were pooled. We calculated sedentary time and time spent in physical activity at various intensities using Freedson cut-points. We used latent profile analysis to identify activity profiles, and multilevel linear regression analyses to identify demographic and clinical variables associated with accelerometer-assessed moderate to vigorous physical activity (MVPA), sedentary time, the highly active and highly sedentary profile, adjusting for confounders identified using a directed acyclic graph.

RESULTS: Participants spent on average 26 min (3%) in MVPA and 568 min (66%) sedentary per day. We identified six activity profiles. Older participants, smokers and participants with obesity had significantly lower MVPA and higher sedentary time. Furthermore, men had significantly higher MVPA and sedentary time than women and participants who reported less fatigue had higher MVPA time. The highly active profile included survivors with high education level and normal body mass index. Haematological cancer survivors were less likely to have a highly active profile compared to breast cancer survivors. The highly sedentary profile included older participants, males, participants who were not married, obese, smokers, and those < 12 months after diagnosis.

CONCLUSIONS: Cancer survivors engage in few minutes of MVPA and spend a large proportion of their day sedentary. Correlates of MVPA, sedentary time and activity profiles can be used to identify cancer survivors at risk for a sedentary and inactive lifestyle.

Keywords: Activity profiles; Cancer survivors; Physical activity; Profile analysis; Sedentary time

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