Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS). Issue 2 (31st August 2017)

• Record Type: Journal Article
• Authors: Devine, Katie A.; Mertens, Ann C.; Whitton, John A.; Wilson, Carmen L.; Ness, Kirsten K.; Gilleland Marchak, Jordan; Leisenring, Wendy; Oeffinger, Kevin C.; Robison, Leslie L.; Armstrong, Gregory T.; Krull, Kevin R.
• Is Part Of: Psycho-oncology. Volume 27:Issue 2(2018)
• Page Start: 613
• Page End: 619
• Publication Date: 2017-08-31
• Subjects: childhood cancer -- physical activity -- psychological functioning -- survivors; Cancer -- Psychological aspects -- Periodicals; Cancer -- Social aspects -- Periodicals; Neoplasms -- psychology -- Periodicals; 616.9940019
• DOI: 10.1002/pon.4528
• Languages: English
• ISSNs: 1057-9249

Abstract

Abstract: Objective: To evaluate concurrent and longitudinal associations between psychosocial functioning and physical activity in adolescent and young adult survivors of early childhood cancer. Methods: Adolescent survivors of early childhood cancer (diagnosed before age four) participating in the Childhood Cancer Survivor Study completed the Coping Health and Illness Profile–Adolescent Edition (CHIP‐AE; n = 303; mean age at survey: 17.6 years). A subset of these survivors (n = 248) completed a follow‐up survey an average of 6.0 years later (range: 4‐10). Logistic regression identified associations between psychosocial functioning in adolescence and physical activity levels in adolescence and young adulthood. Results: Survivors reported low physical activity as adolescents (46.1% scored below CHIP‐AE cut‐point) and young adults (40.8% below Centers for Disease Control guidelines). Poor physical activity during adolescence was associated with female sex (OR = 2.06, 95% CI, 1.18‐3.68), parents with less than a college education (OR = 1.91, 95% CI, 1.11‐3.32), previous treatment with cranial radiation (OR = 3.35, 95% CI, 1.69‐6.88), TV time (OR = 1.77, 95% CI, 1.00‐3.14), and limitations of activity due to health or mobility restrictions (OR = 8.28, 95% CI, 2.87‐30.34). Poor diet (OR = 1.84, 95% CI, 1.05‐3.26) and low self‐esteem (OR = 1.80, 95% CI, 0.99‐3.31) during adolescence were associated with lower odds of meeting Centers for Disease Control physical activity guidelines in young adulthood. Conclusion: These findings provide targets for future interventional studies to improve physical activity in this high‐risk population.