Match!

Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS)

Published on Feb 1, 2018in Psycho-oncology3.43
· DOI :10.1002/pon.4528
Katie A. Devine17
Estimated H-index: 17
(RU: Rutgers University),
Ann C. Mertens48
Estimated H-index: 48
(Emory University)
+ 8 AuthorsKevin R. Krull41
Estimated H-index: 41
(St. Jude Children's Research Hospital)
Abstract
Objective To evaluate concurrent and longitudinal associations between psychosocial functioning and physical activity in adolescent and young adult survivors of early childhood cancer. Methods Adolescent survivors of early childhood cancer (diagnosed before age four) participating in the Childhood Cancer Survivor Study completed the Coping Health and Illness Profile–Adolescent Edition (CHIP-AE; n = 303; mean age at survey: 17.6 years). A subset of these survivors (n = 248) completed a follow-up survey an average of 6.0 years later (range: 4-10). Logistic regression identified associations between psychosocial functioning in adolescence and physical activity levels in adolescence and young adulthood. Results Survivors reported low physical activity as adolescents (46.1% scored below CHIP-AE cut-point) and young adults (40.8% below Centers for Disease Control guidelines). Poor physical activity during adolescence was associated with female sex (OR = 2.06, 95% CI, 1.18-3.68), parents with less than a college education (OR = 1.91, 95% CI, 1.11-3.32), previous treatment with cranial radiation (OR = 3.35, 95% CI, 1.69-6.88), TV time (OR = 1.77, 95% CI, 1.00-3.14), and limitations of activity due to health or mobility restrictions (OR = 8.28, 95% CI, 2.87-30.34). Poor diet (OR = 1.84, 95% CI, 1.05-3.26) and low self-esteem (OR = 1.80, 95% CI, 0.99-3.31) during adolescence were associated with lower odds of meeting Centers for Disease Control physical activity guidelines in young adulthood. Conclusion These findings provide targets for future interventional studies to improve physical activity in this high-risk population.
  • References (36)
  • Citations (4)
References36
Newest
#2Yan Chen (U of A: University of Alberta)H-Index: 23
Last.Leslie L. RobisonH-Index: 115
view all 15 authors...
166 CitationsSource
#1Carmen L. WilsonH-Index: 14
#2Kayla Stratton (Fred Hutchinson Cancer Research Center)H-Index: 19
Last.Kirsten K. NessH-Index: 54
view all 14 authors...
24 CitationsSource
#1Lee W. Jones (MSK: Memorial Sloan Kettering Cancer Center)H-Index: 60
#2Qi Liu (U of A: University of Alberta)H-Index: 23
Last.Kevin C. Oeffinger (MSK: Memorial Sloan Kettering Cancer Center)H-Index: 70
view all 12 authors...
57 CitationsSource
#1Ann C. Mertens (Emory University)H-Index: 50
#2Sarah Brand (Harvard University)H-Index: 8
Last.Lonnie K. Zeltzer (UCLA: University of California, Los Angeles)H-Index: 64
view all 8 authors...
25 CitationsSource
#1Steven E. LipshultzH-Index: 87
#2M. Jacob AdamsH-Index: 18
Last.James D. WilkinsonH-Index: 42
view all 18 authors...
210 CitationsSource
#1Margaux B. Gilliam (UAB: University of Alabama at Birmingham)H-Index: 5
#2Avi Madan-Swain (UAB: University of Alabama at Birmingham)H-Index: 21
Last.David C. Schwebel (UAB: University of Alabama at Birmingham)H-Index: 56
view all 6 authors...
21 CitationsSource
#1David R. Freyer (SC: University of Southern California)H-Index: 30
113 CitationsSource
#1Raheem J. Paxton (University of Texas MD Anderson Cancer Center)H-Index: 20
#2Lee W. Jones (Duke University)H-Index: 60
Last.Wendy Demark-Wahnefried (University of Texas MD Anderson Cancer Center)H-Index: 63
view all 6 authors...
51 CitationsSource
#1Kevin R. Krull (St. Jude Children's Research Hospital)H-Index: 41
#2Sujuan Huang (St. Jude Children's Research Hospital)H-Index: 11
Last.Melissa M. Hudson (St. Jude Children's Research Hospital)H-Index: 78
view all 12 authors...
43 CitationsSource
#1Melinda R. Stolley (UIC: University of Illinois at Chicago)H-Index: 25
#2Jacqueline Restrepo (UIUC: University of Illinois at Urbana–Champaign)H-Index: 2
Last.Lisa K. Sharp (UIUC: University of Illinois at Urbana–Champaign)H-Index: 31
view all 3 authors...
83 CitationsSource
Cited By4
Newest
#1Christina Schindera (University of Bern)H-Index: 4
#2Annette Weiss (University of Regensburg)H-Index: 4
Last.Claudia E. Kuehni (University of Bern)H-Index: 46
view all 7 authors...
Source
#1David Mizrahi (UNSW: University of New South Wales)H-Index: 5
#2Joanna E. Fardell (UNSW: University of New South Wales)H-Index: 14
Last.Richard J. Cohn (UNSW: University of New South Wales)H-Index: 28
view all 7 authors...
Source
#1Sherilyn W. Driscoll (Mayo Clinic)H-Index: 9
#2Erin M. Conlee (Mayo Clinic)H-Index: 1
Last.Edward R. Laskowski (Mayo Clinic)H-Index: 26
view all 7 authors...
Source
#1Rachel S. Fisher (The Research Institute at Nationwide Children's Hospital)H-Index: 1
#2Joseph Rausch (OSU: Ohio State University)H-Index: 6
Last.Cynthia A. Gerhardt (OSU: Ohio State University)H-Index: 34
view all 8 authors...
3 CitationsSource