Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Current Oncology Reports
Erschienen in: Current Oncology Reports 10/2017

01.10.2017 | Geriatric Oncology (AR MacKenzie, Section Editor)

Motivating Older Adults with Cancer to Keep Moving: the Implications of Lifestyle Interventions on Physical Activity

verfasst von: Thuy T. Koll, Jessica N. Semin, Brett M. Grieb, William Dale

Erschienen in: Current Oncology Reports | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purposes of this review are to describe the unique needs and preferences of older adults with cancer regarding physical activity and to outline the essential characteristics associated with increased physical activity resulting from lifestyle interventions in older adults.

Recent Findings

Functional decline is accelerated in inactive and sedentary older adults. Even a modest increase in physical activity can improve physical function for older cancer survivors.

Summary

Participation in physical activity is influenced by diverse individual-level factors, behavioral characteristics and skills and social and environmental factors. Thus, programs that are tailored to older adults’ preferences provide social support and remove obstacles to participation may be more effective, particularly for older adults with low physical activity and sedentary lifestyle.
Literatur
1.
DeSantis CE, Lin CC, Mariotto AB, Siegel RL, Stein KD, Kramer JL, et al. Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin. 2014;64(4):252–71.CrossRefPubMed
2.
Siegel R, DeSantis C, Virgo K, Stein K, Mariotto A, Smith T, et al. Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin. 2012;62(4):220–41.CrossRefPubMed
3.
Deimling GT, Sterns S, Bowman KF, Kahana B. Functioning and activity participation restrictions among older adult, long-term cancer survivors. Cancer Investig. 2007;25(2):106–16.CrossRef
4.
Freedman VA, Kasper JD, Spillman BC, Agree EM, Mor V, Wallace RB, et al. Behavioral adaptation and late-life disability: a new spectrum for assessing public health impacts. Am J Public Health. 2014;104(2):e88–94.CrossRefPubMedPubMedCentral
5.
Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013;8:549–56.CrossRefPubMedPubMedCentral
6.
Fassier P, Zelek L, Partula V, Srour B, Bachmann P, Touillaud M, et al. Variations of physical activity and sedentary behavior between before and after cancer diagnosis: results from the prospective population-based NutriNet-Sante cohort. Medicine (Baltimore). 2016;95(40):e4629.CrossRef
7.
Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32(9; SUPP/1):S498–504.CrossRefPubMed
8.
9.
Fong DY, Ho JW, Hui BP, Lee AM, Macfarlane DJ, Leung SS, et al. Physical activity for cancer survivors: meta-analysis of randomised controlled trials. BMJ. 2012;344:e70.CrossRefPubMedPubMedCentral
10.
Speck RM, Courneya KS, Mâsse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. J Cancer Surviv. 2010;4(2):87–100.CrossRefPubMed
11.
•• Buffart LM, Kalter J, Sweegers MG, Courneya KS, Newton RU, Aaronson NK, et al. Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev. 2017;52:91–104. A meta-analysis of 34 exercise randomized controlled trials found significant positive effects of exercise on physical function and quality of life. The effects were comparable across demographic, including age, and clinical characteristics. CrossRefPubMed
12.
Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. J ACSM. 2010:1409–26.
13.
Seguin R, LaMonte M, Tinker L, Liu J, Woods N, Michael YL, et al. Sedentary behavior and physical function decline in older women: findings from the women’s health initiative. J Aging Res. 2012;21:2012.
14.
Buman MP, Hekler EB, Haskell WL, Pruitt L, Conway TL, Cain KL, et al. Objective light-intensity physical activity associations with rated health in older adults. Am J Epidemiol. 2010;172(10):1155–65.CrossRefPubMedPubMedCentral
15.
Lynch BM, Friedenreich CM, Winkler EA, Healy GN, Vallance JK, Eakin EG, et al. Associations of objectively assessed physical activity and sedentary time with biomarkers of breast cancer risk in postmenopausal women: findings from NHANES (2003–2006). Breast Cancer Res Treat. 2011;130(1):183–94.CrossRefPubMed
16.
Healy GN, Wijndaele K, Dunstan DW, Shaw JE, Salmon J, Zimmet PZ, et al. Objectively measured sedentary time, physical activity, and metabolic risk. Diabetes Care. 2008;31(2):369–71.CrossRefPubMed
17.
•• Thraen-Borowski KM, Trentham-Dietz A, Edwards DF, Koltyn KF, Colbert LH. Dose–response relationships between physical activity, social participation, and health-related quality of life in colorectal cancer survivors. J Cancer Surviv. 2013;7(3):369–78. This study found that older colorectal cancer survivors who are engaged in physical activity and are socially active have higher levels of physical and mental health than those who don’t. These improvements were seen in both non-exercise and light-intensity activities. CrossRefPubMedPubMedCentral
18.
•• Blair CK, Morey MC, Desmond RA, Cohen HJ, Sloane R, Snyder DC, et al. Light-intensity activity attenuates functional decline in older cancer survivors. Med Sci Sports Exerc. 2014;46(7):1375–83. This study found that a lifestyle intervention in older, long-term cancer survivors can improve physical function by increasing moderate intensity activities. CrossRefPubMedPubMedCentral
19.
Physical Activity Guidelines Advisory Committee. Physical activity guidelines advisory committee report, 2008. Washington, DC: US Department of Health and Human Services 2008;2008:A1-H14.
20.
Morey MC, Sloane R, Pieper CF, Peterson MJ, Pearson MP, Ekelund CC, et al. Effect of physical activity guidelines on physical function in older adults. J Am Geriatr Soc. 2008;56(10):1873–8.CrossRefPubMedPubMedCentral
21.
Dunn AL, Andersen RE, Jakicic JM. Lifestyle physical activity interventions: history, short-and long-term effects, and recommendations. Am J Prev Med. 1998;15(4):398–412.CrossRefPubMed
22.
Glanz K, Bishop DB. The role of behavioral science theory in development and implementation of public health interventions. Annu Rev Public Health. 2010;31:399–418.CrossRefPubMed
23.
Demark-Wahnefried W, Clipp EC, Morey MC, Pieper CF, Sloane R, Snyder DC, et al. Lifestyle intervention development study to improve physical function in older adults with cancer: outcomes from project LEAD. J Clin Oncol. 2006;24(21):3465–73.CrossRefPubMedPubMedCentral
24.
Morey MC, Snyder DC, Sloane R, Cohen HJ, Peterson B, Hartman TJ, et al. Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors: RENEW: a randomized controlled trial. JAMA. 2009;301(18):1883–91.CrossRefPubMedPubMedCentral
25.
Hawkes AL, Chambers SK, Pakenham KI, Patrao TA, Baade PD, Lynch BM, et al. Effects of a telephone-delivered multiple health behavior change intervention (CanChange) on health and behavioral outcomes in survivors of colorectal cancer: a randomized controlled trial. J Clin Oncol. 2013;31(18):2313–21.CrossRefPubMed
26.
McGowan EL, North S, Courneya KS. Randomized controlled trial of a behavior change intervention to increase physical activity and quality of life in prostate cancer survivors. Ann Behav Med. 2013;46(3):382–93.CrossRefPubMed
27.
Forbes CC, Blanchard CM, Mummery WK, Courneya KS. Feasibility and preliminary efficacy of an online intervention to increase physical activity in Nova Scotian cancer survivors: a randomized controlled trial. JMIR Cancer. 2015;1(2):e12.CrossRefPubMedPubMedCentral
28.
Hong YA, Goldberg D, Ory MG, Towne SD Jr, Forjuoh SN, Kellstedt D, et al. Efficacy of a mobile-enabled web app (iCanFit) in promoting physical activity among older cancer survivors: a pilot study. JMIR Cancer. 2015;1(1):e7.CrossRefPubMedPubMedCentral
29.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef
30.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38–48.CrossRefPubMed
31.
Husebø AML, Dyrstad SM, Søreide JA, Bru E. Predicting exercise adherence in cancer patients and survivors: a systematic review and meta-analysis of motivational and behavioural factors. J Clin Nurs. 2013;22(1–2):4–21.CrossRefPubMed
32.
Bandura A. Health promotion by social cognitive means. Health Educ Behav. 2004;31(2):143–64.CrossRefPubMed
33.
Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, et al. The effectiveness of interventions to increase physical activity: a systematic review. Am J Prev Med. 2002;22(4):73–107.CrossRefPubMed
34.
Stewart AL, Verboncoeur CJ, McLellan BY, Gillis DE, Rush S, Mills KM, et al. Physical activity outcomes of CHAMPS II: a physical activity promotion program for older adults. J Gerontol A Biol Sci Med Sci. 2001;56(8):M465–70.CrossRefPubMedPubMedCentral
35.
Snyder DC, Morey MC, Sloane R, Stull V, Cohen HJ, Peterson B, et al. Reach out to ENhancE wellness in older cancer survivors (RENEW): design, methods and recruitment challenges of a home-based exercise and diet intervention to improve physical function among long-term survivors of breast, prostate, and colorectal cancer. Psycho-Oncology. 2009;18(4):429–39.CrossRefPubMedPubMedCentral
36.
Pahor M. Effects of a physical activity intervention on measures of physical performance: results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) study. J Gerontol A Biol Sci Med Sci. 2006;
37.
Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4(1):50.CrossRefPubMedPubMedCentral
38.
Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V, et al. 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. 2007;4(1):1.CrossRef
39.
Karvinen KH, Courneya KS, Plotnikoff RC, Spence JC, Venner PM, North S. A prospective study of the determinants of exercise in bladder cancer survivors using the theory of planned behavior. Support Care Cancer. 2009;17(2):171–9.CrossRefPubMed
40.
Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS. Correlates of physical activity in a population-based sample of kidney cancer survivors: an application of the theory of planned behavior. Int J Behav Nutr Phys Act. 2012;9(1):1.CrossRef
41.
Jones LW, Courneya KS, Vallance JK, Ladha AB, Mant MJ, Belch AR, et al. Understanding the determinants of exercise intentions in multiple myeloma cancer survivors: an application of the theory of planned behavior. Cancer Nurs. 2006;29(3):167–75.CrossRefPubMed
42.
Karvinen KH, Vallance J, Walker PR. Newly diagnosed lung cancer patients’ preferences for and beliefs about physical activity prior to chemotherapy. Psychol Health Med. 2016;21(5):593–600.CrossRefPubMed
43.
Ungar N, Sieverding M, Ulrich CM, Wiskemann J. What explains the intention to be physically active in cancer patients? Different determinants for active and insufficiently active patients. J Psychosoc Oncol. 2015;33(1):15–33.CrossRefPubMed
44.
Franke T, Tong C, Ashe MC, McKay H, Sims-Gould J. Team, the walk the talk. The secrets of highly active older adults. J Aging Stud. 2013;27(4):398–409.CrossRefPubMed
45.
Gretebeck KA, Black DR, Blue CL, Glickman LT, Huston SA, Gretebeck RJ. Physical activity and function in older adults: theory of planned behavior. Am J Health Behav. 2007;31(2):203–14.CrossRefPubMed
46.
•• Santanasto AJ, Glynn NW, Lovato LC, Blair SN, Fielding RA, Gill TM, Guralnik JM, Hsu FC, King AC, Strotmeyer ES, Manini TM. Effect of Physical Activity versus Health Education on Physical Function, Grip Strength and Mobility. J Am Geriatr Soc. 2017. This study found that an activity intervention (LIFE) that preserves lower extremity strength can prevent major mobility disability in sedentary older adults. LIFE is a long-term, moderate intensity physical activity intervention focused on walking, supplemented with lower extremity resistance and balance exercises.
47.
Morey MC, Blair CK, Sloane R, Cohen HJ, Snyder DC, Demark-Wahnefried W. Group trajectory analysis helps to identify older cancer survivors who benefit from distance-based lifestyle interventions. Cancer. 2015;121(24):4433–40.CrossRefPubMedPubMedCentral
48.
Short CE, Vandelanotte C, Duncan MJ. Individual characteristics associated with physical activity intervention delivery mode preferences among adults. Int J Behav Nutr Phys Act. 2014;11(1):25.CrossRefPubMedPubMedCentral
49.
Lundahl B, Moleni T, Burke BL, Butters R, Tollefson D, Butler C, et al. Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013;93(2):157–68.CrossRefPubMed
50.
Glasgow RE, Toobert DJ, Barrera M, Strycker LA. Assessment of problem-solving: a key to successful diabetes self-management. J Behav Med. 2004;27(5):477–90.CrossRefPubMed
51.
Barber FD. Social support and physical activity engagement by cancer survivors. Clin J Oncol Nurs. 2012;16(3):E84.CrossRefPubMed
52.
Jones LW, Courneya KS. Exercise discussions during cancer treatment consultations. Cancer Pract. 2002;10(2):66–74.CrossRefPubMed
53.
Jones LW, Courneya KS, Fairey AS, Mackey JR. Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors: a single-blind, randomized controlled trial. Ann Behav Med. 2004;28(2):105–13.CrossRefPubMed
54.
Speed-Andrews AE, McGowan EL, Rhodes RE, Blanchard CM, Culos-Reed SN, Friedenreich CM, et al. Identification and evaluation of the salient physical activity beliefs of colorectal cancer survivors. Cancer Nurs. 2014;37(1):14–22.CrossRefPubMed
55.
56.
Metadaten
Titel
Motivating Older Adults with Cancer to Keep Moving: the Implications of Lifestyle Interventions on Physical Activity
verfasst von
Thuy T. Koll
Jessica N. Semin
Brett M. Grieb
William Dale
Publikationsdatum
01.10.2017
Verlag
Springer US
Erschienen in
Current Oncology Reports / Ausgabe 10/2017
Print ISSN: 1523-3790
Elektronische ISSN: 1534-6269
DOI
https://doi.org/10.1007/s11912-017-0623-4

Weitere Artikel der Ausgabe 10/2017

Current Oncology Reports 10/2017 Zur Ausgabe

Integrative Care (C Lammersfeld, Section Editor)

Mind-Body Therapies in Cancer: What Is the Latest Evidence?

Cardio-oncology (EH Yang, Section Editor)

Cardiac Imaging: Multimodality Advances and Surveillance Strategies in Detection of Cardiotoxicity

Head and Neck Cancers (EY Hanna, Section Editor)

Prognostic Stratification of Patients With Advanced Oral Cavity Squamous Cell Carcinoma

Evolving Therapies (R Bukowski, Section Editor)

Cancer Clonal Theory, Immune Escape, and Their Evolving Roles in Cancer Multi-Agent Therapeutics

Breast Cancer (B Overmoyer, Section Editor)

Immunotherapy in Breast Cancer: the Emerging Role of PD-1 and PD-L1

Neu im Fachgebiet Onkologie

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

CUP-Syndrom: Künstliche Intelligenz kann Primärtumor finden

30.04.2024 Künstliche Intelligenz Nachrichten

Krebserkrankungen unbekannten Ursprungs (CUP) sind eine diagnostische Herausforderung. KI-Systeme können Pathologen dabei unterstützen, zytologische Bilder zu interpretieren, um den Primärtumor zu lokalisieren.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise