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Associations between leisure‐time physical activity and health‐related quality of life among adolescent and adult survivors of childhood cancers
Author(s) -
Paxton Raheem J.,
Jones Lee W.,
Rosoff Philip M.,
Bonner Melanie,
Ater Joann L.,
DemarkWahnefried Wendy
Publication year - 2010
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.1654
Subject(s) - medicine , worry , quality of life (healthcare) , childhood cancer , cancer survivor , gerontology , population , cancer , health related quality of life , physical activity , demography , disease , physical therapy , environmental health , psychiatry , anxiety , nursing , sociology
Objective : Survivors of childhood cancer are at an increased risk for reduced quality of life (QOL), yet few studies have explored factors associated with improving health‐related QOL (HRQOL) in this population. We thus explored the relationship between physical activity (PA) and HRQOL among survivors of childhood cancer. Methods : A total of 215 survivors of childhood lymphoma, leukemia, and central nervous system cancers completed mailed surveys that elicited information regarding leisure‐time PA (LTPA) measured in metabolic equivalents, HRQOL, and diagnostic and demographic factors. Correlations and adjusted regression models were used to explore the relationship between LTPA and HRQOL. Results : In the total sample, modest, yet significant linear associations were observed between LTPA and overall HRQOL ( β =0.17, p <0.01), as well as each of the respective subscales ( β =0.11−0.23 and p 's<0.05 to <0.001). Among adolescent survivors of childhood cancer, LTPA was significantly associated with overall HRQOL ( β =0.27), cancer worry ( β =0.36), cognitive function ( β =0.32), body appearance ( β =0.29), and social function ( β =0.27) (all p 's<0.05). Among adult survivors of childhood cancer, LTPA was only significantly associated with physical function ( β =0.28, p <0.001). Conclusions : Significant associations exist between LTPA and HRQOL; however, the association was stronger and observed in more domains for adolescent survivors of childhood cancer. More research is needed to determine the antecedents and consequences of PA in this population. Copyright © 2010 John Wiley & Sons, Ltd.