Abstract
Objective
To assess differences in accelerometer-assessed moderate- to vigorous-intensity physical
activity (MVPA), light-intensity physical activity, and sedentary time between cancer
survivors and adults without cancer.
Patients and Methods
Accelerometer data collected from 241 breast cancer survivors (ACCEL-Breast study,
2013) and 171 colon cancer survivors (ACCEL-Colon study, 2012-2013) were pooled with
data collected from adults without cancer (Australian Diabetes, Obesity and Lifestyle
accelerometer substudy, 2011-2012). Linear regression was used to estimate differences
in physical activity and sedentary behavior levels between cancer survivors and adults
without cancer, adjusted for potential confounding factors.
Results
The mean MVPA was significantly higher among breast cancer survivors than among females
who had not had cancer (29 vs 22 min/d; P<.001). Colon cancer survivors had significantly lower levels of light activity than
did adults without cancer (311 vs 338 min/d; P<.001), more sedentary time (532 vs 507 min/d; P=.003), and more prolonged sedentary time (210 vs 184 min/d; P=.002).
Conclusion
Contrary to findings from previous research (based on self-reported physical activity),
cancer survivors engaged in more (breast) or equivalent (colon) MVPA compared with
adults without cancer. Differences between colon cancer survivors and adults without
cancer for light activity and sedentary behavior highlight the importance of considering
the full activity spectrum in the context of cancer control.
Abbreviations and Acronyms:
AusDiab (Australian Diabetes, Obesity and Lifestyle), BMI (body mass index), cpm (counts per minute), MVPA (moderate to vigorous physical activity), WA (Western Australia)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: February 06, 2017
Footnotes
Grant Support: This study was supported by Early Career Fellowships 1072266 (T.B.) from the National Health and Medical Research Council (NHMRC), fellowship 300068 (T.B.) from the Canadian Institutes of Health Research, postdoctoral fellowship 5553 (T.B.) from the Michael Smith Foundation for Health Research, and an honorary Killam Postdoctoral Research Fellowship from The University of British Columbia; the Canada Research Chairs program and a Population Health Investigator Award from Alberta Innovates – Health Solutions (J.K.V.); grant 1057608 (E.A.H.W.) from the NHMRC Centre for Research Excellence; and by a Career Development Fellowship (B.M.L.) from the National Breast Cancer Foundation. The ACCEL-Breast study was supported by the Breast Cancer Research Centre – WA. The AusDiab accelerometer substudy was supported by grant 566940 from the National Health and Medical Research Council (NHMRC) Program and grant 1000986 from the NHMRC Centre of Research Excellence.
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