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Author: Sandahl Hygeia Nelson Publisher: ISBN: Category : Languages : en Pages : 113
Book Description
Background: Physical activity after a diagnosis of breast cancer is associated multiple positive effects. However, the literature indicates that patients' activity decreases during chemotherapy. Little is known about when during chemotherapy activity changes, as existing research has relied on self-reported data. Monitoring devices like accelerometers offer more objective measures, nevertheless, these devices may introduce other sources of measurement error. Methods: Chapters 1 and 2 leverage data from Reach for Health (RFH), a trial that encouraged increased physical activity among breast cancer survivors. At baseline and study completion, participants wore accelerometers and answered the GPAQ. Chapter 1 uses the GPAQ estimates along with accelerometer measures, processed using standard cut-points and a machine learning algorithm, to assess agreement of activity estimates. Comparisons are assessed using mixed effects regression models. Chapter 2 uses a pseudo-simulation to generate missing wear patterns. The simulated and true data is used to compare 6 possible techniques to account for missing accelerometer wear. Chapter 3 analyzed the Activity in Treatment (ACT) study which enrolled 32 women prior to starting chemotherapy for breast cancer, all women were given a Fitbit activity monitor to wear throughout chemotherapy. Restricted cubic splines assessed non-linear patterns of activity. Results: At baseline, self-report and machine learning provided similar activity estimates; while estimates of activity change were only similar between cut-point and machine learning, the magnitude of agreement with self-report was differential by group. Random slope imputation and an accelerometer specific multiple imputation performed best in correcting for missing wear time. MVPA declined linearly at an average of 1.4 min/day (p=0.002) for every 10% of the duration of chemotherapy that passed, while TPA declined linearly at an average of 13.4 min/day (p=0.0007) for every 10% of chemotherapy that passed. This decline occurred until approximately half way through chemotherapy. Additionally, a HER2+ receptor status was associated with a greater rate of decline in MVPA. Discussion: Our findings highlight the importance of targeting physical activity interventions during active treatment for breast cancer and increases our ability to standardize research practices regarding the processing and analysis of physical activity data.
Author: Sandahl Hygeia Nelson Publisher: ISBN: Category : Languages : en Pages : 113
Book Description
Background: Physical activity after a diagnosis of breast cancer is associated multiple positive effects. However, the literature indicates that patients' activity decreases during chemotherapy. Little is known about when during chemotherapy activity changes, as existing research has relied on self-reported data. Monitoring devices like accelerometers offer more objective measures, nevertheless, these devices may introduce other sources of measurement error. Methods: Chapters 1 and 2 leverage data from Reach for Health (RFH), a trial that encouraged increased physical activity among breast cancer survivors. At baseline and study completion, participants wore accelerometers and answered the GPAQ. Chapter 1 uses the GPAQ estimates along with accelerometer measures, processed using standard cut-points and a machine learning algorithm, to assess agreement of activity estimates. Comparisons are assessed using mixed effects regression models. Chapter 2 uses a pseudo-simulation to generate missing wear patterns. The simulated and true data is used to compare 6 possible techniques to account for missing accelerometer wear. Chapter 3 analyzed the Activity in Treatment (ACT) study which enrolled 32 women prior to starting chemotherapy for breast cancer, all women were given a Fitbit activity monitor to wear throughout chemotherapy. Restricted cubic splines assessed non-linear patterns of activity. Results: At baseline, self-report and machine learning provided similar activity estimates; while estimates of activity change were only similar between cut-point and machine learning, the magnitude of agreement with self-report was differential by group. Random slope imputation and an accelerometer specific multiple imputation performed best in correcting for missing wear time. MVPA declined linearly at an average of 1.4 min/day (p=0.002) for every 10% of the duration of chemotherapy that passed, while TPA declined linearly at an average of 13.4 min/day (p=0.0007) for every 10% of chemotherapy that passed. This decline occurred until approximately half way through chemotherapy. Additionally, a HER2+ receptor status was associated with a greater rate of decline in MVPA. Discussion: Our findings highlight the importance of targeting physical activity interventions during active treatment for breast cancer and increases our ability to standardize research practices regarding the processing and analysis of physical activity data.
Author: Kerry S. Courneya Publisher: Springer Science & Business Media ISBN: 3642042317 Category : Medical Languages : en Pages : 389
Book Description
This book explores in depth the relation between physical activity and cancer control, including primary prevention, coping with treatments, recovery after treatments, long-term survivorship, secondary prevention, and survival. The first part of the book presents the most recent research on the impact of physical activity in preventing a range of cancers. In the second part, the association between physical activity and cancer survivorship is addressed. The effects of physical activity on supportive care endpoints (e.g., quality of life, fatigue, physical functioning) and disease endpoints (e.g., biomarkers, recurrence, survival) are carefully analyzed. In addition, the determinants of physical activity in cancer survivors are discussed, and behavior change strategies for increasing physical activity in cancer survivors are appraised. The final part of the book is devoted to special topics, including the relation of physical activity to pediatric cancer survivorship and to palliative cancer care.
Author: Kathryn H. Schmitz Publisher: Springer Nature ISBN: 3030420116 Category : Medical Languages : en Pages : 438
Book Description
This groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics. Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.
Author: American College of Sports Medicine Publisher: Human Kinetics ISBN: 1492581933 Category : Health & Fitness Languages : en Pages : 338
Book Description
ACSM’s Guide to Exercise and Cancer Survivorship presents the science behind the benefits of exercise for cancer survival and survivorship as well as the application of that science to the design or adaptation of exercise programs for cancer patients and survivors. Developed by the American College of Sports Medicine (ACSM), this authoritative reference offers the most current information for health and fitness professionals working with survivors of many types of cancers. Dr. Melinda L. Irwin has assembled a team of the most respected experts in the field of exercise and cancer survivorship. With an emphasis on practical application, the text discusses the following: • Incidence and prevalence of the most common cancers • Common cancer treatments and side effects • Benefits of exercise after a diagnosis of cancer • Exercise testing, prescription, and programming • Nutrition and weight management • Counseling for health behavior change • Injury prevention • Program administration This guide presents evidence-based information to assist health, fitness, and medical professionals in using exercise to help cancer survivors with recovery, rehabilitation, and reducing the risk of recurrence. Throughout the text, readers will find quick-reference Take-Home Messages that highlight key information and how it can be applied in practice. Chapters also include reproducible forms and questionnaires to facilitate the implementation of an exercise program with a new client or patient, such as physician’s permission forms, medical and cancer treatment history forms, weekly logs of exercise and energy levels, medication listings, and nutrition and goal-setting questionnaires. In addition, ACSM’s Guide to Exercise and Cancer Survivorship discusses all of the job task analysis points tested in the ACSM/ACS Certified Cancer Exercise Trainer (CET) exam, making this the most complete resource available for health and fitness professionals studying to attain CET certification. Each chapter begins with a list of the CET exam points discussed in that chapter. A complete listing is also included in the appendix. As both an essential preparation text for certification and a practical reference, ACSM’s Guide to Exercise and Cancer Survivorship will increase health and fitness professionals’ knowledge of the benefits of exercise after a cancer diagnosis as well as the specifics of developing and adapting exercise programs to meet the unique needs of cancer survivors. Evidence has shown that physical activity has numerous health benefits for cancer patients and survivors. More clinicians and oncologists are recommending exercise as a strategy for reducing the side effects of treatment, speeding recovery, and improving overall quality of life. In turn, cancer survivors are seeking health and fitness professionals with knowledge and experience to help them learn how to exercise safely within their capabilities. With ACSM’s Guide to Exercise and Cancer Survivorship, health and fitness professionals can provide safe exercise programs to help cancer survivors improve their health, take proactive steps toward preventing recurrences, and enhance their quality of life.
Author: International Agency for Research on Cancer Publisher: International Agency for Research on Cancer ISBN: Category : Medical Languages : en Pages : 520
Book Description
"The World Cancer Report 2008" provides a comprehensive overview of cancer for all those working in the field of health-care and research, and the general reader as well. It presents information on cancer patterns, diagnosis, causes and prevention concisely, clearly outlining the growing public health crisis. Simultaneously, there is a clear message of hope: although cancer is a great and growing devastating disease, it is largely preventable.
Author: Michael Feuerstein Publisher: ISBN: 9783319774312 Category : Cancer Languages : en Pages : 419
Book Description
"The timely revision of this authoritative handbook gives a wide range of health care providers practical insights and strategies for treating cancer survivors' long-term physical and mental health issues and promoting healthy lifestyle habits. Details of new and emerging trends in research and practice enhance readers' awareness of issues faced by survivors so they may better detect, monitor, intervene in, and if possible prevent distressing conditions and potentially harmful outcomes. Of particular emphasis are different models of care that may be applicable to diverse clinical settings around the world. New or updated chapters cover major challenges to survivors' quality of life and options for health care delivery across key life domains, including: Adaptation and coping post-treatment. Problems of aging in survivorship, including disparities and financial hardship. Well-being concerns including physical activity, weight loss, nutrition, and smoking cessation. Core functional areas such as work, sleep, relationships, and cognition. Large-scale symptoms including pain, distress, and fatigue. Models of care including primary care and comprehensive cancer center. International perspectives. PLUS, insights about lessons learned and challenges ahead"--Publisher's description
Author: Meagan Nicole Piland Publisher: ISBN: Category : Breast Languages : en Pages : 75
Book Description
The purpose of this study was to examine the effectiveness of a cancer center-based physical activity counseling program compared to an attention control condition for (a) improving quality of life and (b) increasing physical activity levels in a rural population of breast cancer survivors. Twenty post-treatment breast cancer survivors were recruited through primarily post-treatment follow-up clinics as well as through a fitness center or university listserv, and were randomized to a cancer center based physical activity counseling program (CCB) condition or an attention control (AC) condition. Participants randomized to the CCB condition received a 20-30 minutes face-to-face physical activity counseling session using Motivational Interviewing with a trained fitness consultant at the site of recruitment. The intervention lasted four weeks and included weekly telephone calls aimed at providing motivation and exploring topics such as goal setting and overcoming barriers to physical activity. AC condition participants were also telephoned weekly to match the attention that the participants of the CCB group received. Participants in both conditions received a pedometer, weekly step logs, and a package of print materials tailored for breast cancer survivors outlining many physical activity topics (e.g., benefits and barriers of exercise, setting goals, support from others, and planning an exercise program). Participants in both conditions were instructed to record their steps every day for four weeks, and again during the eighth week after the start of the intervention during the follow-up phase. Physical activity was assessed by pedometer steps and the International Physical Activity Questionnaire (IPAQ). Quality of life was assessed using the Functional Assessment of Cancer Therapy-Breast (FACT-B). Both the IPAQ and FACT-B questionnaires were administered at the time of recruitment, immediately at the end of the four week intervention, and after the follow-up phase. Significant improvements in self-reported moderate and moderate-to-vigorous physical activity were noted in both conditions across the course of the intervention, while no significant improvements were seen in quality of life scores. Participants in the CCB condition had significant improvements in change scores in pedometer steps from pre-intervention to follow-up as compared with the AC condition. Based on these findings, the CCB condition was successful in increasing objectively measured physical activity in post-treatment breast cancer survivors compared to the AC condition, however it did not improve quality of life. Future efforts should include a larger sample size that better represents the general population of breast cancer survivors and a longer intervention to better determine the effectiveness of this particular intervention.
Author: Steven N. Blair Publisher: Human Kinetics ISBN: 1492597155 Category : Health & Fitness Languages : en Pages : 193
Book Description
Regular physical activity is an important key to a healthy, happy lifestyle. The many benefits of daily physical activity include more energy; less stress; better sleep; reduced risk of chronic diseases such as heart disease and diabetes; stronger bones, joints, and muscles; and an overall healthier and longer independent life. If you're ready to become active, fit, and healthy, Active Living Every Day, Third Edition With Web Resource, provides all the tools you need to get moving and make physical activity part of your everyday life. More than a book, Active Living Every Day presents a scientifically tested step-by-step program with evidence-based behavior change strategies for becoming more physically active. Designed to make active lifestyles available to people everywhere, it offers updated research showing the need to be physically active and demonstrates the proven effectiveness of this program. Practical and accessible, this third edition offers streamlined delivery for a clear, focused read. Learn simple and enjoyable ways to fit physical activity into your life, concentrating on activities you can easily add into your daily routine. Create your own personalized activity plan unique to your individual preferences and lifestyle. With an emphasis on moderate-intensity activities, you'll also learn how everyday activities, like housecleaning and gardening, can count toward your weekly physical activity goals. Develop confidence by gaining problem-solving skills, overcoming obstacles, and learning how to increase intensity when desired. The tips and participants' stories in this book, plus a web resource offering activities for practice, offer the support and guidance you need to make healthy changes in your life. With Active Living Every Day, Third Edition, join thousands of people just like you who have used this program to achieve lifelong success in becoming active every day. Earn continuing education credits/units! A continuing education course and exam that uses this book is also available. It may be purchased separately or as part of a package that includes all the course materials and exam.
Author: Sandahl Hygeia Nelson
Author: Sandahl Hygeia Nelson
Author: Kerry S. Courneya
Author: Kathryn H. Schmitz
Author: Lisa Sanborn
Author: American College of Sports Medicine
Author: International Agency for Research on Cancer
Author: Michael Feuerstein
Author: Meagan Nicole Piland
Author: Steven N. Blair
Author: Julio de la Torre