Cited by 18Cancer survivorship and careFrailty in Older AdultsPhysical Activity and Health

Exercise levels and preferences on exercise counselling and programming among older cancer survivors: A mixed-methods study

Cheung, Denise Shuk Ting, Takemura, Naomi, Chau, Pui Hing, Ng, Alina Yee Man, Xu, Xinyi, Lin, Chia Chin·2021·Journal of Geriatric Oncology

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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Crossref · 10.1016/j.jgo.2021.05.002

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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].”
  • 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].”

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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
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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