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Abstract：
BACKGROUND: Regular physical activity improves cancer survivors\' health-related quality of life and physical function. We estimated the proportion of Utah cancer survivors meeting U.S. Department of Health and Human Services guidelines for weekly physical activity (aerobic plus strength exercise) and identify sociodemographic, cancer, and health-related factors associated with meeting guidelines.
METHODS: Survivors randomly sampled from Utah Cancer Registry records were surveyed from 2018 to 2022 to ascertain physical activity. We calculated the percent of survivors meeting guidelines and conducted logistic regression to assess predictors of meeting guidelines. Analyses were weighted to account for complex survey sample design and nonresponse and age adjusted.
RESULTS: Among Utah cancer survivors, 20.7% (95% CI, 18.5%-23.2%) met guidelines for both aerobic activity and strength exercise. 22.4% reported no aerobic exercise in a typical week, and 59.4% reported no strength exercise. Survivors 75 or older were less likely to meet physical activity guidelines than those under 55 (adjusted odds ratio: 0.40; 95% CI, 0.25-0.65). Survivors with a bachelor\'s degree or higher were more likely to meet physical activity guidelines than those without a college degree. Individuals with poorer overall health were less likely to report sufficient physical activity. Individuals treated with both chemotherapy and radiation had decreased odds of meeting guidelines compared to no treatment (adjusted odds ratio: 0.54; 95% CI, 0.29-0.99).
CONCLUSIONS: Most Utah cancer survivors, and particularly those who received multiple modes of adjuvant treatment, are not participating in sufficient physical activity to improve longevity and quality of life after cancer.
METHODS: Survivors randomly sampled from Utah Cancer Registry records were surveyed from 2018 to 2022 to ascertain physical activity. We calculated the percent of survivors meeting guidelines and conducted logistic regression to assess predictors of meeting guidelines. Analyses were weighted to account for complex survey sample design and nonresponse and age adjusted.
RESULTS: Among Utah cancer survivors, 20.7% (95% CI, 18.5%-23.2%) met guidelines for both aerobic activity and strength exercise. 22.4% reported no aerobic exercise in a typical week, and 59.4% reported no strength exercise. Survivors 75 or older were less likely to meet physical activity guidelines than those under 55 (adjusted odds ratio: 0.40; 95% CI, 0.25-0.65). Survivors with a bachelor\'s degree or higher were more likely to meet physical activity guidelines than those without a college degree. Individuals with poorer overall health were less likely to report sufficient physical activity. Individuals treated with both chemotherapy and radiation had decreased odds of meeting guidelines compared to no treatment (adjusted odds ratio: 0.54; 95% CI, 0.29-0.99).
CONCLUSIONS: Most Utah cancer survivors, and particularly those who received multiple modes of adjuvant treatment, are not participating in sufficient physical activity to improve longevity and quality of life after cancer.
摘要：
背景：有规律的体力活动可改善癌症幸存者的健康相关生活质量和身体机能。我们估计犹他州癌症幸存者的比例符合美国卫生与公共服务部每周体力活动指南（有氧运动加力量运动），并确定社会人口统计学，癌症,以及与会议指南相关的健康相关因素。
方法：从2018年至2022年对从犹他州癌症登记记录中随机抽样的幸存者进行了调查，以确定身体活动。我们计算了符合指南的幸存者百分比，并进行了逻辑回归以评估符合指南的预测因素。对分析进行了加权，以考虑复杂的调查样本设计以及无响应和年龄调整。
结果：在犹他州癌症幸存者中，20.7％（95％CI，18.5％-23.2％）符合有氧活动和力量运动的指南。22.4%的人报告说在典型的一周内没有有氧运动，59.4%报告没有力量锻炼。与55岁以下的幸存者相比，75岁或以上的幸存者不太可能符合体育锻炼指南（调整后的比值比：0.40；95％CI，0.25-0.65）。具有学士学位或更高学位的幸存者比没有大学学位的幸存者更有可能符合体育活动指南。整体健康较差的人不太可能报告足够的体力活动。与未接受治疗相比，接受化疗和放疗的个体符合指南的几率降低(调整后的比值比:0.54;95%CI,0.29-0.99)。
结论：大多数犹他州癌症幸存者，特别是那些接受多种辅助治疗的人，没有参加足够的体力活动来改善癌症后的寿命和生活质量。
方法：从2018年至2022年对从犹他州癌症登记记录中随机抽样的幸存者进行了调查，以确定身体活动。我们计算了符合指南的幸存者百分比，并进行了逻辑回归以评估符合指南的预测因素。对分析进行了加权，以考虑复杂的调查样本设计以及无响应和年龄调整。
结果：在犹他州癌症幸存者中，20.7％（95％CI，18.5％-23.2％）符合有氧活动和力量运动的指南。22.4%的人报告说在典型的一周内没有有氧运动，59.4%报告没有力量锻炼。与55岁以下的幸存者相比，75岁或以上的幸存者不太可能符合体育锻炼指南（调整后的比值比：0.40；95％CI，0.25-0.65）。具有学士学位或更高学位的幸存者比没有大学学位的幸存者更有可能符合体育活动指南。整体健康较差的人不太可能报告足够的体力活动。与未接受治疗相比，接受化疗和放疗的个体符合指南的几率降低(调整后的比值比:0.54;95%CI,0.29-0.99)。
结论：大多数犹他州癌症幸存者，特别是那些接受多种辅助治疗的人，没有参加足够的体力活动来改善癌症后的寿命和生活质量。
