Physical activity assessment among men undergoing genetic counseling for inherited prostate cancer: a teachable moment for improved survivorship
Affiliations
- PMID: 32876733
- DOI: 10.1007/s00520-020-05667-8
Abstract
Background: Genetic counseling (GC) presents an opportunity to address modifiable cancer risk factors, such as obesity, which is impacted by non-adherence to physical activity (PA) guidelines. Adherence to PA guidelines has not been assessed among men undergoing GC for prostate cancer (PCA). We conducted a targeted analysis of men undergoing PCA GC to assess adherence to PA recommendations.
Methods: Using a cross-sectional design, a total of 158 men from the Genetic Evaluation of Men (GEM) study at two academic cancer centers with a diagnosis or at risk for PCA completed a structured lifestyle survey, including questions about the number of days and intensity of PA over the past year. One-sample t tests assessed adherence of participants to PA recommendations. Chi-square analyses compared differences in PA adherence by PCA status, aggressiveness, family history, and body mass index. Logistic regression analyses identified predictors of PA adherence.
Results: High proportions of GEM participants were overweight (44.9%) or obese (38.0%, p = 0.002). Men with PCA engaged in less moderate (p = 0.019) and vigorous (p = 0.005) aerobic activity than men without PCA. Higher education was predictive of adherence to light (p = 0.008), moderate (p = 0.019), and vigorous (p = 0.002) intensity PA. Older age (p = 0.015) and higher education (p = 0.001) were predictive of adherence to strength-based recommendations.
Conclusions: High proportions of men receiving PCA GC were overweight/obese and lacked adherence to PA recommendations. GC represents a teachable moment to address PA to reduce cancer risk and promote cancer survivorship.
Keywords: Genetic testing; Obesity; Physical activity; Prostate cancer.
Similar articles
- Diet assessment among men undergoing genetic counseling and genetic testing for inherited prostate cancer: Exploring a teachable moment to support diet intervention.Prostate. 2019 May;79(7):778-783. doi: 10.1002/pros.23783. Epub 2019 Mar 24.PMID: 30905089
- Physical activity and overweight/obesity among Malaysian adults: findings from the 2015 National Health and morbidity survey (NHMS).BMC Public Health. 2017 Sep 21;17(1):733. doi: 10.1186/s12889-017-4772-z.PMID: 28934939 Free PMC article.
- Understanding of multigene test results among males undergoing germline testing for inherited prostate cancer: Implications for genetic counseling.Prostate. 2018 Sep;78(12):879-888. doi: 10.1002/pros.23535. Epub 2018 Apr 14.PMID: 29655297 Free PMC article.
- Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors: Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Jul. Report No.: 15-05222-EF-1.PMID: 29364620 Free Books & Documents. Review.
- Role of Genetic Testing for Inherited Prostate Cancer Risk: Philadelphia Prostate Cancer Consensus Conference 2017.J Clin Oncol. 2018 Feb 1;36(4):414-424. doi: 10.1200/JCO.2017.74.1173. Epub 2017 Dec 13.PMID: 29236593 Free PMC article. Review.
No hay comentarios:
Publicar un comentario