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A new paradigm for examining the correlates of aerobic, strength, and combined exercise: an application to gynecologic cancer survivors

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Abstract

Purpose

Almost all exercise guidelines recommend both aerobic and strength exercise, however, few studies have simultaneously examined the correlates of meeting both exercise guidelines. Here, we propose a new paradigm that calls on researchers to examine not only the correlates of meeting the various exercise guidelines versus no guideline but also the correlates of meeting the combined guidelines versus one guideline and meeting one guideline versus the other guideline.

Methods

A random sample of 621 gynecologic cancer survivors located in Alberta, Canada, completed a mailed questionnaire.

Results

A multivariate multinomial logistic regression analysis indicated that (a) meeting only the aerobic exercise guideline compared to neither guideline was associated with younger age, social drinking, healthy weight, better general health, and no comorbidities; (b) meeting only the strength exercise guideline compared to neither guideline was associated with social drinking and being healthy weight; (c) meeting the combined exercise guideline compared to neither guideline was associated with social drinking, being healthy weight, and better general health; (d) meeting the aerobic guideline only compared to the strength guideline only was associated with younger age and better general health; and (e) few correlates distinguished between meeting the combined guidelines compared to a single guideline.

Conclusions

Demographic and health variables are associated with meeting the various exercise guidelines versus no guideline but they are not associated with meeting the combined exercise guidelines versus a single guideline or meeting one guideline versus the other guideline. Application of this new paradigm to cancer survivors is encouraged.

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References

  1. Penedo FJ, Dahn JR (2005) Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry 18(2):189–193

    Article  PubMed  Google Scholar 

  2. Courneya KS, Friedenreich CM (2007) Physical activity and cancer control. Semin Oncol Nurs:242–252

  3. Ballard-Barbash R, Friedenreich CM, Courneya KS, Siddiqi SM, McTiernan A, Alfano CM (2012) Physical activity, biomarkers, and disease outcomes in cancer survivors: a systematic review. J Natl Cancer Inst 104(11):815–840. doi:10.1093/jnci/djs207

    Article  PubMed  PubMed Central  Google Scholar 

  4. Schmitz KH, Courneya KS, Matthews C, DemarkWahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KL, Segal RJ, Lucia A, Schneider CM, Von Greunigen VE, Schwartz AL (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sport Exerc 42(7):1409–1426. doi:10.1249/MSS.0b013e3181e0c112

  5. United States Department of Health and Homeland Securtiy, Centers for Disease Control [Internet]. 2008. Available at: http://www.health.gov.paguidelines/pdf/paguide.pdf. Accessed December 16th, 2015.

  6. American College of Sports Medicine. ACSM's complete guide to fitness & health. In: Bushmand BA (ed). Human Kinetics, Champaign, IL, pp. 115–151

  7. Focht BC, Clinton SK, Devor ST, Garver MJ, Lucas AR, Thomas-Ahner JM, Grainger E (2013) Resistance exercise interventions during and following cancer treatment: a systematic review. J Support Oncol 11(2):45–60. doi:10.12788/j.suponc.0002

    Article  CAS  PubMed  Google Scholar 

  8. Cheema B, Gaul CA, Lane K, Fiatarone Singh MA (2008) Progressive resistance training in breast cancer: a systematic review of clinical trials. Breast Cancer Res Treat 109(1):9–26. doi:10.1007/s10549-007-9638-0

    Article  PubMed  Google Scholar 

  9. De Backer IC, Schep G, Backx FJ, Vreugdenhil G, Kuipers H (2009) Resistance training in cancer survivors: a systematic review. Int J Sports Med 30(10):703–712. doi:10.1055/s-0029-1225330

    Article  PubMed  Google Scholar 

  10. Strasser B, Steindorf K, Wiskemann J, Ulrich CM (2013) Impact of resistance training in cancer survivors: a meta-analysis. Med Sci Sport Exer 45(11):2080–2090. doi:10.1249/MSS.0b013e31829a3b63

    Article  Google Scholar 

  11. Ottenbacher A, Yu M, Moser RP, Phillips SM, Alfano C, Perna FM (2014) Population estimates of meeting strength training and aerobic guidelines, by gender and cancer survivorship status: findings from the Health Information National trends survey (HINTS). J Phys Act Health. doi:10.1123/jpah.2014-0003

    PubMed  Google Scholar 

  12. Stevinson C, Tonkin K, Capstick V, Schepansky A, Ladha AB, Valance JK, Faught W, Steed H, Courneya KS (2009) A population-based study of the determinants of physical activity in ovarian cancer survivors. J Phys Act Health 6(3):339–346

    PubMed  Google Scholar 

  13. Speed-Andrews AE, McGowan EL, Rhodes RE, Blanchard CM, Culos-Reed SN, Friedenreich CM, Courneya KS (2013) Correlates of strength exercise in colorectal cancer survivors. Am J Health Behav 37(2):162–170. doi:10.5993/AJHB.37.2.3

    Article  PubMed  Google Scholar 

  14. Short CE, James EL, Vandelanotte C, Courneya KS, Duncan MJ, Rebar A, Plotnikoff RC (2014) Correlates of resistance training in post-treatment breast cancer survivors. Support Care Cancer 22(10):2757–2766. doi:10.1007/s00520-014-2273-5

    Article  PubMed  Google Scholar 

  15. Crawford JJ, Vallance JK, Holt NL, Courneya KS (2015) Associations between exercise and posttraumatic growth in gynecologic cancer survivors. Support Care Cancer 23(3):705–714. doi:10.1007/s00520-014-2410-1

    Article  PubMed  Google Scholar 

  16. Acevedo EO (2012) The Oxford handbook of exercise psychology. Oxford University Press, USA

    Book  Google Scholar 

  17. Crawford JJ, Holt N, Valance JK, Courneya KS (2015) Prevalence and interest in extreme and adventure activities among gynecologic cancer survivors: associations with posttraumatic growth. Ment Health Phys Act 9:35–40. doi:10.1016/j.mhpa.2015.09.001

  18. Crawford JJ, Vallance JK, Holt NL, Courneya KS (2016) Extreme sport/adventure activity correlates in gynecologic cancer survivors. Am J Health Behav 40(2):172–181. doi:10.5993/AJHB.40.2.2

  19. Dillman DA (2007) Mail and internet surveys: the tailored design method. John Wiley & Sons, New York (NY)

    Google Scholar 

  20. Godin G, Shephard RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10(3):141–146

    CAS  PubMed  Google Scholar 

  21. Godin G, Shephard RJ (1997) Godin leisure-time exercise questionnaire. Med Sci Sport Exer 29(6 s):S36

    Google Scholar 

  22. Jacobs DR, Ainsworth BE, Hartman TJ, Leon AS (1993) A simultaneous evaluation of 10 commonly used physical-activity questionnaires. Med Sci Sport Exer 25(1):81–91. doi:10.1249/00005768-199301000-00012

    Article  Google Scholar 

  23. Doyle C, Kushi LH, Byers T, et al (2006) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 56(6):323–353

  24. Song M, Carroll DD, Fulton JE (2013) Meeting the 2008 physical activity guidelines for Americans among US youth. Am J Prev Med 44(3):216–222. doi:10.1016/j.amepre.2012.11.016

  25. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380(9838):258–271. doi:10.1016/S0140-6736(12)60735-1

    Article  PubMed  Google Scholar 

  26. Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V, Tonkin KS (2007) Correlates of exercise motivation and behavior in a population-based sample of endometrial cancer survivors: an application of the theory of planned behavior. Int J Behav Nutr Phys Act 4(1):21. doi:10.1186/1479-5868-4-21

    Article  PubMed  PubMed Central  Google Scholar 

  27. Forbes CC, Blanchard CM, Mummery KW, Courneya KS (2015) Prevalence and correlates of strength exercise among breast, prostate, and colorectal cancer survivors. Oncol Nurs Forum 42(2):118–127. doi:10.1188/15.ONF.42-02AP

    Article  PubMed  Google Scholar 

  28. Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50(2):179–211. doi:10.1016/0749-5978(91)90020-t

    Article  Google Scholar 

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Acknowledgments

JJC is supported by a Graduate Studentship Award from Alberta Innovates: Health Solutions. KSC and JKV are supported by the Canada Research Chairs Program. We thank Carol Russel from the Alberta Cancer Registry for her assistance in conducting this study.

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Authors and Affiliations

  1. Faculty of Physical Education and Recreation, University of Alberta, 1-113 University Hall, Edmonton, Alberta, T6G 2H9, Canada

    Jennifer J. Crawford, Nicholas L. Holt & Kerry S. Courneya

  2. Athabasca University, Athabasca, Canada

    Jeff K. Vallance

Authors
  1. Jennifer J. Crawford
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  2. Nicholas L. Holt
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  3. Jeff K. Vallance
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  4. Kerry S. Courneya
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Correspondence to Kerry S. Courneya.

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Crawford, J.J., Holt, N.L., Vallance, J.K. et al. A new paradigm for examining the correlates of aerobic, strength, and combined exercise: an application to gynecologic cancer survivors. Support Care Cancer 24, 3533–3541 (2016). https://doi.org/10.1007/s00520-016-3173-7

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  • DOI: https://doi.org/10.1007/s00520-016-3173-7

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