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Demographic, medical, social-cognitive, and environmental correlates of meeting independent and combined physical activity guidelines in kidney cancer survivors

  • Allyson Tabaczynski
  • Dominick A. Strom
  • Jaime N. Wong
  • Edward McAuley
  • Kristian Larsen
  • Guy E. Faulkner
  • Kerry S. Courneya
  • Linda TrinhEmail author
Original Article

Abstract

Purpose

Guidelines for cancer survivors recommend both aerobic physical activity (PA) and strength training (ST). Few kidney cancer survivors (KCS) are meeting single-activity or combined guidelines; therefore, examining factors influencing PA participation is warranted. The purpose of this study is to examine demographic, medical, social-cognitive, and environmental correlates of meeting independent (i.e., aerobic-only, strength training (ST)-only) and combined guidelines (i.e., aerobic and ST) in KCS.

Methods

KCS (N = 651) completed self-reported measures of PA and demographic, medical, social-cognitive, and perceived environmental factors. Built environment was assessed using the geographic information systems (GIS). Multinomial logistic regressions were conducted to determine the correlates of meeting the combined versus independent guidelines.

Results

Compared with meeting neither guideline, meeting aerobic-only guidelines was associated with higher intentions (p < .01) and planning (p < .01); meeting ST-only guidelines was associated with higher intentions (p = .02) and planning (p < .01), lower perceived behavioral control (PBC) (p = .03), healthy weight (p = .01), and older age (p < .01); and meeting the combined guidelines were associated with higher intentions (p < .01), planning (p = .02), higher instrumental attitudes (p < .01), higher education (p = .04), better health (p < .01), and localized cancer (p = .05). Additionally, compared with neither guideline, meeting aerobic-only (p < .01) and combined (p < .01) guidelines was significantly associated with access to workout attire. Compared with neither guideline, meeting aerobic-only guidelines was associated with proximity to retail (p = .02).

Conclusion

PA participation correlates may vary based on the modality of interest. Interventions may differ depending on the modality promoted and whether KCS are already meeting single-modality guidelines.

Keywords

Aerobic activity Strength training Kidney cancer Correlates Social-cognitive Built environment 

Notes

Acknowledgements

GEF is supported by the Canadian Institutes of Health Research-Public Health Agency of Canada (CIHR-PHAC) Chair in Applied Public Health. KSC is supported by the Canada Research Chairs Program. We thank Carol Russell and Lorraine Cormier from the Alberta Cancer Registry for their assistance in conducting this study.

Compliance with ethical standards

Ethical approval was obtained from the Alberta Cancer Board Research Ethics Board and the University of Alberta Health Research Ethics Board.

Conflict of interest

The authors declare that they have no conflicts of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Faculty of Kinesiology and Physical EducationUniversity of TorontoTorontoCanada
  2. 2.Department of Kinesiology and Community HealthUniversity of Illinois at Urbana-ChampaignUrbanaUSA
  3. 3.CAREX Canada, Faculty of Health SciencesSimon Fraser UniversityVancouverCanada
  4. 4.Department of Geography and PlanningUniversity of TorontoTorontoCanada
  5. 5.School of KinesiologyUniversity of British ColumbiaVancouverCanada
  6. 6.Faculty of Kinesiology, Sport, and RecreationUniversity of AlbertaEdmontonCanada

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