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Social-cognitive, demographic, clinical, and health-related correlates of physical activity and sedentary behaviour in newly diagnosed women with breast cancer

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Abstract

Purpose

Identifying correlates of physical activity and sedentary behaviour allows for the identification of factors that may be targeted in future behaviour change interventions. This study sought to determine the social-cognitive, demographic, clinical, and health-related correlates of physical activity and sedentary behaviour in individuals recently diagnosed with breast cancer.

Methods

Data were collected from 1381 participants within 90 days of diagnosis in the Alberta Moving Beyond Breast Cancer (AMBER) Cohort Study. Physical activity and sedentary behaviour were measured with ActiGraph GT3X+® and activPALTM devices, respectively, for seven consecutive days. Correlates were collected via a self-reported questionnaire, medical record extraction, or measured by staff.

Results

Multivariable models were fitted for sedentary behaviour, light physical activity, and moderate-to-vigorous physical activity. Greater sedentary behaviour was associated with higher body fat percentage (BF%) (ß=0.044; p<0.001) and being single (ß=0.542; p<0.002). Lower light physical activity was associated with higher BF% (ß=−0.044; p<0.001), higher body mass index (ß=−0.039; p<0.001), greater disease barrier influence (ß=−0.006; p<0.001), a HER2-positive diagnosis (ß=−0.278; p=0.001), and being single (ß=−0.385; p= 0.001). Lower moderate-to-vigorous physical activity was associated with higher BF% (ß =−0.011; p=0.001), greater disease barrier influence (ß=−0.002; p<0.001), and being of Asian (ß=−0.189; p=0.002) or Indian/South American (ß=−0.189; p=0.002) descent. Greater moderate-to-vigorous physical activity was associated with having greater intentions (ß=0.049; p=0.033) and planning (ß=0.026; p=0.015) towards physical activity.

Conclusion

Tailoring interventions to increase physical activity for individuals recently diagnosed with breast cancer may improve long-term outcomes across the breast cancer continuum.

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Data can be made available upon reasonable request.

References

  1. Battaglini CL, Mills RC, Phillips BL et al (2014) Twenty-five years of research on the effects of exercise training in breast cancer survivors: a systematic review of the literature. World J Clin Oncol 5:177–190. https://doi.org/10.5306/wjco.v5.i2.177

    Article  PubMed  PubMed Central  Google Scholar 

  2. Brenner DR, Poirier A, Woods RR et al (2022) Projected estimates of cancer in Canada in 2022. CMAJ 194:E601–E607. https://doi.org/10.1503/cmaj.212097

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schmidt ME, Wiskemann J, Ulrich CM et al (2017) Self-reported physical activity behavior of breast cancer survivors during and after adjuvant therapy: 12 months follow-up of two randomized exercise intervention trials. Acta Oncol 56:618–627. https://doi.org/10.1080/0284186X.2016.1275776

    Article  PubMed  Google Scholar 

  4. De Groef A, Geraerts I, Demeyer H et al (2018) Physical activity levels after treatment for breast cancer: two-year follow-up. Breast 40:23–28. https://doi.org/10.1016/j.breast.2018.04.009

    Article  PubMed  Google Scholar 

  5. Santa Mina D, Brahmbhatt P, Lopez C et al (2017) The case for prehabilitation prior to breast cancer treatment. PM&R 9:S305–S316. https://doi.org/10.1016/j.pmrj.2017.08.402

    Article  Google Scholar 

  6. Vallance JK, Friedenreich CM, Wang Q et al (2023) Associations of device-measured physical activity and sedentary time with quality of life and fatigue in newly diagnosed breast cancer patients: baseline results from the AMBER cohort study. Cancer 129:296–306. https://doi.org/10.1002/cncr.34531

    Article  CAS  PubMed  Google Scholar 

  7. Kampshoff CS, Stacey F, Short CE et al (2016) Demographic, clinical, psychosocial, and environmental correlates of objectively assessed physical activity among breast cancer survivors. Support Care Cancer 24:3333–3342. https://doi.org/10.1007/s00520-016-3148-8

    Article  PubMed  PubMed Central  Google Scholar 

  8. Awick EA, Phillips SM, Lloyd GR, McAuley E (2017) Physical activity, self-efficacy and self-esteem in breast cancer survivors: a panel model: physical activity and self-esteem in breast cancer survivors. Psycho-Oncology 26:1625–1631. https://doi.org/10.1002/pon.4180

    Article  PubMed  Google Scholar 

  9. Forbes CC, Blanchard CM, Mummery WK, Courneya KS (2014) A comparison of physical activity correlates across breast, prostate and colorectal cancer survivors in Nova Scotia, Canada. Support Care Cancer 22:891–903. https://doi.org/10.1007/s00520-013-2045-7

    Article  PubMed  Google Scholar 

  10. Gjerset GM, Fosså SD, Courneya KS et al (2011) Exercise behavior in cancer survivors and associated factors. J Cancer Surviv 5:35–43. https://doi.org/10.1007/s11764-010-0148-4

    Article  PubMed  Google Scholar 

  11. Doré I, Plante A, Peck SS et al (2022) Physical activity and sedentary time: associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors. Support Care Cancer 30:785–792. https://doi.org/10.1007/s00520-021-06469-2

    Article  PubMed  Google Scholar 

  12. Welch WA, Solk P, Auster-Gussman L et al (2022) Longitudinal sedentary time and symptoms in breast cancer patients during chemotherapy using ecological momentary assessment. Med Sci Sports Exerc 54:158. https://doi.org/10.1249/MSS.0000000000003115

    Article  CAS  Google Scholar 

  13. Lynch BM, Dunstan DW, Healy GN et al (2010) Objectively measured physical activity and sedentary time of breast cancer survivors, and associations with adiposity: findings from NHANES (2003–2006). Cancer Causes Control 21:283–288. https://doi.org/10.1007/s10552-009-9460-6

    Article  PubMed  Google Scholar 

  14. Courneya KS, Vallance JK, Culos-Reed SN et al (2012) The Alberta moving beyond breast cancer (AMBER) cohort study: a prospective study of physical activity and health-related fitness in breast cancer survivors. BMC Cancer 12:525. https://doi.org/10.1186/1471-2407-12-525

    Article  PubMed  PubMed Central  Google Scholar 

  15. Friedenreich CM, Vallance JK, McNeely ML et al (2022) The Alberta moving beyond breast cancer (AMBER) cohort study: baseline description of the full cohort. Cancer Causes Control 33:441–453. https://doi.org/10.1007/s10552-021-01539-6

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lyden K, Keadle SK, Staudenmayer J, Freedson PS (2014) A method to estimate free-living active and sedentary behavior from an accelerometer. Med Sci Sports Exerc 46:386–397. https://doi.org/10.1249/MSS.0b013e3182a42a2d

    Article  PubMed  PubMed Central  Google Scholar 

  17. O’Brien MW, Wu Y, Petterson JL et al (2022) Validity of the ActivPAL monitor to distinguish postures: a systematic review. Gait Posture 94:107–113. https://doi.org/10.1016/j.gaitpost.2022.03.002

    Article  PubMed  Google Scholar 

  18. Friedenreich CM, Courneya KS, Neilson HK et al (2006) Reliability and validity of the Past Year Total Physical Activity Questionnaire. Am J Epidemiol 163:959–970. https://doi.org/10.1093/aje/kwj112

    Article  PubMed  Google Scholar 

  19. Ainsworth BE, Haskell WL, Herrmann SD et al (2011) 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 43:1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12

    Article  PubMed  Google Scholar 

  20. Marshall AL, Miller YD, Burton NW, Brown WJ (2010) Measuring total and domain-specific sitting: a study of reliability and validity. Med Sci Sports Exerc 42:1094–1102. https://doi.org/10.1249/MSS.0b013e3181c5ec18

    Article  PubMed  Google Scholar 

  21. Trinh L, Plotnikoff RC, Rhodes RE et al (2012) 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 9:96. https://doi.org/10.1186/1479-5868-9-96

    Article  PubMed  PubMed Central  Google Scholar 

  22. Canadian Society for Exercise Physiology (2004) Canadian physical activity, fitness & lifestyle approach: CSEP - health & fitness program’s health-related appraisal & counselling strategy, 3rd edn. Canadian Society for Exercise Physiology, Ottawa, Ont

    Google Scholar 

  23. Van Buuren S (2021) Flexible imputation of missing data, Second edn. Chapman & Hall/CRC, Boca Raton

    Google Scholar 

  24. Little RJA, Rubin DB (2010) Statistical analysis with missing data, Second edn. Wiley, Hoboken

    Google Scholar 

  25. D’Silva A, Bebb G, Boyle T et al (2018) Demographic and clinical correlates of accelerometer assessed physical activity and sedentary time in lung cancer survivors. Psycho-Oncology 27:1042–1049. https://doi.org/10.1002/pon.4608

    Article  PubMed  Google Scholar 

  26. Welch WA, Ehlers D, Gavin KL et al (2019) Effects of reallocating sedentary time with physical activity on quality of life indicators in breast cancer survivors. Psycho-Oncology 28:1430–1437. https://doi.org/10.1002/pon.5091

    Article  PubMed  PubMed Central  Google Scholar 

  27. Lim ZL, Lim GH, Ho PJ et al (2022) Associations between pre-diagnostic physical activity with breast cancer characteristics and survival. Cancers 14:1756. https://doi.org/10.3390/cancers14071756

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Azrad M, Demark-Wahnefried W (2014) The association between adiposity and breast cancer recurrence and survival: a review of the recent literature. Curr Nutr Rep 3:9–15. https://doi.org/10.1007/s13668-013-0068-9

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Miyamoto T, Nagao A, Okumura N, Hosaka M (2022) Effect of post-diagnosis physical activity on breast cancer recurrence: a systematic review and meta-analysis. Curr Oncol Rep 24:1645–1659. https://doi.org/10.1007/s11912-022-01287-z

    Article  PubMed  Google Scholar 

  30. Winters-Stone KM, Lyons KS, Dobek J et al (2016) Benefits of partnered strength training for prostate cancer survivors and spouses: results from a randomized controlled trial of the Exercising Together project. J Cancer Surviv 10:633–644. https://doi.org/10.1007/s11764-015-0509-0

    Article  PubMed  Google Scholar 

  31. Yildiz Kabak V, Gursen C, Aytar A et al (2020) Physical activity level, exercise behavior, barriers, and preferences of patients with breast cancer-related lymphedema. Support Care Cancer 29:3593–3602. https://doi.org/10.1007/s00520-020-05858-3

    Article  PubMed  Google Scholar 

  32. van Roekel EH, Duchâteau J, Bours MJL et al (2020) Longitudinal associations of light-intensity physical activity with quality of life, functioning and fatigue after colorectal cancer. Qual Life Res 29:2987–2998. https://doi.org/10.1007/s11136-020-02566-7

    Article  PubMed  PubMed Central  Google Scholar 

  33. Paxton RJ, Phillips KL, Jones LA et al (2012) Associations among physical activity, body mass index, and health-related quality of life by race/ethnicity in a diverse sample of breast cancer survivors. Cancer 118:4024–4031. https://doi.org/10.1002/cncr.27389

    Article  PubMed  Google Scholar 

  34. Shi Z, Rundle A, Genkinger JM et al (2020) Distinct trajectories of moderate to vigorous physical activity and sedentary behavior following a breast cancer diagnosis: the Pathways Study. J Cancer Surviv 14:393–403. https://doi.org/10.1007/s11764-020-00856-0

    Article  PubMed  PubMed Central  Google Scholar 

  35. Lavallée JF, Abdin S, Faulkner J, Husted M (2019) Barriers and facilitators to participating in physical activity for adults with breast cancer receiving adjuvant treatment: a qualitative metasynthesis. Psycho-Oncology 28:468–476. https://doi.org/10.1002/pon.4980

    Article  PubMed  Google Scholar 

  36. Karvinen KH, Courneya KS, Campbell KL et al (2007) 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 4:21. https://doi.org/10.1186/1479-5868-4-21

    Article  PubMed  PubMed Central  Google Scholar 

  37. Karvinen KH, Courneya KS, Plotnikoff RC et al (2009) A prospective study of the determinants of exercise in bladder cancer survivors using the Theory of Planned Behavior. Support Care Cancer 17:171–179. https://doi.org/10.1007/s00520-008-0471-8

    Article  PubMed  Google Scholar 

  38. Blanchard CM, Courneya KS, Rodgers WM, Murnaghan DM (2002) Determinants of exercise intention and behavior in survivors of breast and prostate cancer: an application of the Theory of Planned Behavior. Cancer Nurs 25:88–95. https://doi.org/10.1097/00002820-200204000-00002

    Article  PubMed  Google Scholar 

  39. Speed-Andrews AE, Rhodes RE, Blanchard CM et al (2012) Medical, demographic and social cognitive correlates of physical activity in a population-based sample of colorectal cancer survivors: physical activity and colorectal cancer. Eur J Cancer Care 21:187–196. https://doi.org/10.1111/j.1365-2354.2011.01290.x

    Article  CAS  Google Scholar 

  40. Sallis JF, Cervero RB, Ascher W et al (2006) An ecological approach to creating active living communities. Annu Rev Public Health 27:297–322. https://doi.org/10.1146/annurev.publhealth.27.021405.102100

    Article  PubMed  Google Scholar 

  41. Wagoner CW, Capozzi LC, Culos-Reed SN (2022) Tailoring the evidence for exercise oncology within breast cancer care. Curr Oncol 29:4827–4841. https://doi.org/10.3390/curroncol29070383

    Article  PubMed  PubMed Central  Google Scholar 

  42. Sheng JY, Santa-Maria CA, Blackford AL et al (2022) The impact of weight loss on physical function and symptoms in overweight or obese breast cancer survivors: results from POWER-remote. J Cancer Surviv 16:542–551. https://doi.org/10.1007/s11764-021-01049-z

    Article  PubMed  Google Scholar 

  43. De Groef A, Demeyer H, de Kinkelder C et al (2021) Physical activity levels of breast cancer patients before diagnosis compared to a reference population: a cross-sectional comparative study. Clin Breast Cancer 22:e708–e717. https://doi.org/10.1016/j.clbc.2021.12.006

    Article  CAS  PubMed  Google Scholar 

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Funding

This study was funded by a Team Grant (#107534), a Project Grant (#155952), and a Foundation Grant (#159927) from the Canadian Institutes of Health Research.

Author information

Authors and Affiliations

  1. Faculty of Kinesiology, University of Calgary, 2500 University Dr NW, Calgary, Alberta, T2N IN4, Canada

    Chad W. Wagoner & S. Nicole Culos-Reed

  2. Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Edmonton, Canada

    Christine M. Friedenreich, Qinggang Wang, Lin Yang, Andria R. Morielli & Leanne Dickau

  3. Departments of Oncology and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Canada

    Christine M. Friedenreich & Lin Yang

  4. Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Canada

    Kerry S. Courneya & Gordon J. Bell

  5. Faculty of Health Disciplines, Athabasca University, Athabasca, Canada

    Jeff K. Vallance

  6. Division of Cancer Epidemiology and Genetics, US National Cancer Institute, Bethesda, USA

    Charles E. Matthews

  7. Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada

    Margaret L. McNeely

  8. Department of Kinesiology, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, USA

    Jessica McNeil

  9. Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Canada

    S. Nicole Culos-Reed

  10. Department of Psychosocial Resources, Tom Baker Cancer Centre, Cancer Care, Alberta Health Services, Edmonton, Canada

    S. Nicole Culos-Reed

Authors
  1. Chad W. Wagoner
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  2. Christine M. Friedenreich
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  3. Kerry S. Courneya
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  4. Qinggang Wang
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  5. Jeff K. Vallance
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  6. Charles E. Matthews
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  7. Lin Yang
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  8. Margaret L. McNeely
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  9. Gordon J. Bell
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  10. Andria R. Morielli
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  11. Jessica McNeil
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  12. Leanne Dickau
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  13. S. Nicole Culos-Reed
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Contributions

Chad W. Wagoner and S. Nicole Culos-Reed contributed to material preparation, formal analysis, and main text writing. S. Nicole Culos-Reed, Christine M. Friedenreich, Jeff K. Vallance, Margaret L. McNeely, and Kerry S. Courneya contributed to study conceptualization. S. Nicole Culos-Reed, Christine M. Friedenreich, Jeff K. Vallance, Margaret L. McNeely, Kerry S. Courneya, and Charles E. Matthews contributed to the methodology. Qinggang Wang, Leanne Dickau, and Andria Morielli contributed to project administration and data curation. All authors reviewed and edited the submitted manuscript.

Corresponding author

Correspondence to Chad W. Wagoner.

Ethics declarations

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Health Research Ethics Board of Alberta: Cancer Committee (HREBA.CC-17-05076).

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Informed consent was obtained from all participants included in the study.

Competing interests

The authors declare no competing interests.

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Wagoner, C.W., Friedenreich, C.M., Courneya, K.S. et al. Social-cognitive, demographic, clinical, and health-related correlates of physical activity and sedentary behaviour in newly diagnosed women with breast cancer. Support Care Cancer 31, 537 (2023). https://doi.org/10.1007/s00520-023-08001-0

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