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Exercise Levels and Preferences in Cancer Patients: A Cross-Sectional Study

Author

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  • Alice Avancini

    (Department of Medicine, Biomedical, Clinical and Experimental Sciences, University of Verona, 37134 Verona, Italy)

  • Valeria Pala

    (Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy)

  • Ilaria Trestini

    (Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy)

  • Daniela Tregnago

    (Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy)

  • Luigi Mariani

    (Department of Medical Statistics, Biometry and Bioinformatics, Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, 20133 Milan, Italy)

  • Sabina Sieri

    (Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy)

  • Vittorio Krogh

    (Department of Research, Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy)

  • Marco Boresta

    (Department of Computer, Control and Management Engineering Antonio Ruberti, Sapienza University of Rome, 00185 Rome, Italy)

  • Michele Milella

    (Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy)

  • Sara Pilotto

    (Medical Oncology Unit, University of Verona, Azienda Ospedaliera Universitaria Integrata, 37134 Verona, Italy)

  • Massimo Lanza

    (Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy)

Abstract

Background: Despite the benefits related to physical exercise, large numbers of cancer patients are not sufficiently active. Methods: To investigate exercise levels and preferences in cancer patients, a cross-sectional study was conducted on a random sample of 392 cancer outpatients who anonymously completed a questionnaire investigating general and medical characteristics, and expressed willingness to participate in exercise programs. Current exercise levels were estimated with the Leisure Score Index (LSI). Results: Most patients (93%) were insufficiently active but 80% declared an interest in exercise programs. Patients preferred oncologist-instructed programs and specified particular exercise needs. Multivariate logistic regression showed that willingness to exercise was associated with education (OR: 1.87; 95% CI: 1.15–3.04 beyond age 14 years vs. up to 14 years) and current physical activity (OR: 1.92; 95% CI: 1.92–3.63 for sweat-inducing activity >2 times/week vs. <1 time/week). Patients given chemotherapy were less inclined to exercise (OR: 0.45; 95% CI: 0.23–0.86) than those who did not. LSI was lower if cancer stage was advanced (β: -0.36; 95% CI: −0.75 to −0.02) than if it was in remission. High LSI was also associated with longer education, lower BMI, and longer time after diagnosis. Conclusion: Cancer patients are insufficiently active but are willing to participate in personalized exercise programs. Information from this survey may help in designing personalized interventions so these patients will achieve sufficient exercise.

Suggested Citation

  • Alice Avancini & Valeria Pala & Ilaria Trestini & Daniela Tregnago & Luigi Mariani & Sabina Sieri & Vittorio Krogh & Marco Boresta & Michele Milella & Sara Pilotto & Massimo Lanza, 2020. "Exercise Levels and Preferences in Cancer Patients: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(15), pages 1-22, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5351-:d:389519
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    References listed on IDEAS

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    1. Siegel, P.Z. & Brackbill, R.M. & Heath, G.W., 1995. "The epidemiology of walking for exercise: Implications for promoting activity among sedentary groups," American Journal of Public Health, American Public Health Association, vol. 85(5), pages 706-710.
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    1. Anna Lewandowska & Grzegorz Rudzki & Tomasz Lewandowski & Sławomir Rudzki, 2020. "The Problems and Needs of Patients Diagnosed with Cancer and Their Caregivers," IJERPH, MDPI, vol. 18(1), pages 1-19, December.
    2. Muluken Azage & Serkalem Zewudie & Martha H. Goedert & Engda G. Hagos, 2023. "Epidemiological Characteristics of Cancer Patients Attending at Felege Hiwot Referral Hospital, Northwest Ethiopia," IJERPH, MDPI, vol. 20(6), pages 1-13, March.
    3. Alice Avancini & Carlo Ferri Marini & Isabella Sperduti & Valentina Natalucci & Anita Borsati & Sara Pilotto & Claudia Cerulli & Elena Barbieri & Francesco Lucertini & Massimo Lanza & Attilio Parisi &, 2022. "Kinesiology Students’ Perception Regarding Exercise Oncology: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(13), pages 1-10, June.

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