Exercise levels and preferences on exercise counselling and programming among older cancer survivors: A mixed-methods study
Abstract
Objectives To assess exercise levels and exercise counselling /programming preferences among older cancer survivors.Materials and methods A mixed-methods study design was employed. Quantitative instruments on exercise levels, exercise counselling and programming preferences, frailty status, and cancer-related symptoms were administered to 290 post-treatment older cancer survivors aged ≥65. Twelve participants with different exercise levels and different views on exercise counselling and programming were purposively selected to participate in semi-structured interviews.Results Overall, 58.3% of participants did not meet the recommended exercise guidelines, and 44.1% were not engaging in any vigorous or moderate exercise. Frail survivors were less likely to meet the guidelines (aOR = 0.194, 95%CI = 0.053, 0.712) compared to their robust counterparts. However, 66.9% and 62.8% of participants expressed a definite or possible interest in receiving exercise counselling and participating in an exercise program, respectively. Particularly, survivors who are male, did not receive chemotherapy, are less educated, and have higher symptom burden were less likely to show interest. Most preferred low-intensity exercise (59.8%) and wanted to start the exercise program after treatment (68.2%), which differs from the literature on general adult survivors. The major trigger to initiate and maintain exercise behaviors was the benefits of exercise and a common barrier to exercising was lack of time.Conclusion Most older cancer survivors did not meet the recommended exercise guidelines, but they were open to exercise counselling and programming. Reviewing education on the benefits of exercise is especially important after treatment completion to promote healthy lifestyles.
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Büssing et al. indicated a decrease in the prevalence of depressive states between the first lockdown and the second (35% vs. 31%), which failed to reach statistical significance but is considered clinically significant.
“Büssing et al. indicated a decrease in the prevalence of depressive states between the first lockdown and the second (35% vs. 31% respectively), although this failed to reach statistical significance but is considered clinically significant (estimate of 1 or more points is proposed as MCID) [24,25,31].”
From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [31]
An estimate of 1 or more points is proposed as the minimal clinically important difference for depressive states.
“estimate of 1 or more points is proposed as MCID) [24,25,31].”
From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [31]
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The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review
Verma, R., Kilgour, H. M., & Haase, K. R. (2022) · Current Oncology · doi:10.3390/curroncol29020053 · Cited by 19 · see citing works
“This change met the level of minimal clinical important difference (MCID), which is estimated at 4 points on the GAD-7 total score [30].”
BackgroundInfluentialExercise interventions for frail older adults with cancer
Sattar, S., Haase, K. R., Lee, K., & Campbell, K. L. (2024) · Current Opinion in Supportive & Palliative Care · doi:10.1097/spc.0000000000000685 · Cited by 3 · see citing works
- Authors
- Cheung, D. S. T., Takemura, N., Chau, P. H., Ng, A. Y. M., Xu, X., & Lin, C. C.
- Affiliations
- University of Hong Kong (HK)
- Alice Ho Miu Ling Nethersole Hospital (CN)
- Corresponding author
- Cheung, Denise Shuk Ting
- Venue
- Journal of Geriatric Oncology
- Publisher
- Elsevier BV
- Published
- 2021-11
- Volume
- 12
- Issue
- 8
- Pages
- 1173-1180
- ISSN
- 1879-4068 (ISSN-L)
- OpenAlex
- W3160691428
- Cited by
- 18
- References
- 43
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 2 · 2023: 4 · 2022: 4
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Geriatric Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Hong Kong (201906159004)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- older cancer survivors, exercise level, physical activity counseling, frailty, cancer symptoms, physical activity guidelines, low-intensity exercise, barriers to exercise, physical activity promotion
- MeSH terms
- Cancer Survivors, Counseling, Educational Status, Humans, Male, Neoplasms, Exercise, Survivors
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