Skip to main content

Advertisement

SpringerLink
Log in

Physical activity preferences of early-stage lung cancer survivors

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

Engagement in physical activity can provide important benefits for cancer patients and survivors, including those diagnosed with lung cancer. Despite this, many survivors do not engage in recommended levels of physical activity and little is known about the obstacles encountered by lung cancer survivors. The current study examines the physical activity preferences of early-stage lung cancer survivors.

Method

As part of a larger survey study, 175 non-small cell lung cancer survivors who were on average 3.6 years from surgical treatment responded to questions regarding their preferences for physical activity and physical activity advice. Demographic and medical characteristics were also collected.

Results

The majority of respondents (62 %) reported a desire to receive advice regarding physical activity, predominantly before treatment (68 %), in face-to-face interactions (95 %) with a physician (80 %), and within the context of a cancer care center (92 %). Approximately half of participants indicated they would be interested in an exercise program tailored to lung cancer survivors and most individuals (73 %) reported feeling capable of engaging in an exercise program. Differences in physical activity preferences emerged based on demographic and disease characteristics.

Conclusions

The majority of participants reported a desire for physical activity advice and a willingness to engage in physical activity. Important differences were found based on demographic and medical characteristics, which may warrant consideration in the development and dissemination of physical activity interventions for this cancer survivor population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893. doi:10.1200/jco.2005.02.2343

    Article  PubMed  Google Scholar 

  2. Conn VS, Hafdahl AR, Brown LM (2009) Meta-analysis of quality-of-life outcomes from physical activity interventions. Nurs Res 58(3):175–183. doi:10.1097/NNR.0b013e318199b53a

    Article  PubMed Central  PubMed  Google Scholar 

  3. Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, Snyder C (2012) Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database Syst Rev 8, CD007566. doi:10.1002/14651858.CD007566.pub2

    PubMed  Google Scholar 

  4. Solberg Nes L, Liu H, Patten CA, Rausch SM, Sloan JA, Garces YI, Cheville AL, Yang P, Clark MM (2012) Physical activity level and quality of life in long term lung cancer survivors. Lung Cancer 77(3):611–616. doi:10.1016/j.lungcan.2012.05.096

    Article  PubMed  Google Scholar 

  5. Speed-Andrews AE, Courneya KS (2009) Effects of exercise on quality of life and prognosis in cancer survivors. Curr Sports Med Rep 8(4):176–181. doi:10.1249/JSR.0b013e3181ae98f3

    Article  PubMed  Google Scholar 

  6. Jones LW (2011) Physical activity and lung cancer survivorship. Recent Results Cancer Res 186:255–274. doi:10.1007/978-3-642-04231-7_11

    Article  PubMed  Google Scholar 

  7. Rogers LQ, Courneya KS, Shah P, Dunnington G, Hopkins-Price P (2007) Exercise stage of change, barriers, expectations, values and preferences among breast cancer patients during treatment: a pilot study. Eur J Cancer Care (Engl) 16(1):55–66. doi:10.1111/j.1365-2354.2006.00705.x

    Article  CAS  Google Scholar 

  8. Coups EJ, Park BJ, Feinstein MB, Steingart RM, Egleston BL, Wilson DJ, Ostroff JS (2009) Correlates of physical activity among lung cancer survivors. Psychooncology 18(4):395–404. doi:10.1002/pon.1520

    Article  PubMed Central  PubMed  Google Scholar 

  9. Van Cauwenberg J, De Bourdeaudhuij I, De Meester F, Van Dyck D, Salmon J, Clarys P, Deforche B (2011) Relationship between the physical environment and physical activity in older adults: a systematic review. Health Place 17(2):458–469. doi:10.1016/j.healthplace.2010.11.010

    Article  PubMed  Google Scholar 

  10. Siegel R, Naishadham D, Jemal A (2013) Cancer statistics, 2013. CA Cancer J Clin 63(1):11–30. doi:10.3322/caac.21166

    Article  PubMed  Google Scholar 

  11. ACS (2012) Cancer Facts and Figures 2012. American Cancer Society, Atlanta

    Google Scholar 

  12. Hung R, Krebs P, Coups EJ, Feinstein MB, Park BJ, Burkhalter J, Ostroff JS (2011) Fatigue and functional impairment in early-stage non-small cell lung cancer survivors. J Pain Symptom Manage 41(2):426–435. doi:10.1016/j.jpainsymman.2010.05.017

    Article  PubMed Central  PubMed  Google Scholar 

  13. Sugimura H, Yang P (2006) Long-term survivorship in lung cancer: a review. Chest 129(4):1088–1097. doi:10.1378/chest.129.4.1088

    Article  PubMed  Google Scholar 

  14. Feinstein MB, Krebs P, Coups EJ, Park BJ, Steingart RM, Burkhalter J, Logue A, Ostroff JS (2010) Current dyspnea among long-term survivors of early-stage non-small cell lung cancer. J Thorac Oncol 5(8):1221–1226. doi:10.1097/JTO.0b013e3181df61c8

    Article  PubMed  Google Scholar 

  15. Ostroff JS, Krebs P, Coups EJ, Burkhalter JE, Feinstein MB, Steingart RM, Logue AE, Park BJ (2011) Health-related quality of life among early-stage, non-small cell, lung cancer survivors. Lung Cancer 71(1):103–108. doi:10.1016/j.lungcan.2010.04.011

    Article  PubMed Central  PubMed  Google Scholar 

  16. Zabora J, BrintzenhofeSzoc K, Curbow B, Hooker C, Piantadosi S (2001) The prevalence of psychological distress by cancer site. Psychooncology 10(1):19–28

    Article  CAS  PubMed  Google Scholar 

  17. Clark MM, Novotny PJ, Patten CA, Rausch SM, Garces YI, Jatoi A, Sloan JA, Yang P (2008) Motivational readiness for physical activity and quality of life in long-term lung cancer survivors. Lung Cancer 61(1):117–122. doi:10.1016/j.lungcan.2007.12.012

    Article  PubMed Central  PubMed  Google Scholar 

  18. Coups EJ, Park BJ, Feinstein MB, Steingart RM, Egleston BL, Wilson DJ, Ostroff JS (2009) Physical activity among lung cancer survivors: changes across the cancer trajectory and associations with quality of life. Cancer Epidemiol Biomarkers Prev 18(2):664–672. doi:10.1158/1055-9965.epi-08-0589

    Article  PubMed Central  PubMed  Google Scholar 

  19. Krebs P, Coups EJ, Feinstein MB, Burkhalter JE, Steingart RM, Logue A, Park BJ, Ostroff JS (2012) Health behaviors of early-stage non-small cell lung cancer survivors. J Cancer Surviv 6(1):37–44. doi:10.1007/s11764-011-0191-9

    Article  PubMed  Google Scholar 

  20. Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23(24):5814–5830. doi:10.1200/JCO.2005.01.230

    Article  PubMed Central  PubMed  Google Scholar 

  21. Belanger LJ, Plotnikoff RC, Clark A, Courneya KS (2012) A survey of physical activity programming and counseling preferences in young-adult cancer survivors. Cancer Nurs 35(1):48–54. doi:10.1097/NCC.0b013e318210220a

    Article  PubMed  Google Scholar 

  22. Gjerset GM, Fossa SD, Courneya KS, Skovlund E, Jacobsen AB, Thorsen L (2011) Interest and preferences for exercise counselling and programming among Norwegian cancer survivors. Eur J Cancer Care (Engl) 20(1):96–105. doi:10.1111/j.1365-2354.2009.01161.x

    Article  CAS  Google Scholar 

  23. Rogers LQ, Courneya KS, Verhulst S, Markwell SJ, McAuley E (2008) Factors associated with exercise counseling and program preferences among breast cancer survivors. J Phys Act Health 5(5):688–705

    PubMed  Google Scholar 

  24. Rogers LQ, Malone J, Rao K, Courneya KS, Fogleman A, Tippey A, Markwell SJ, Robbins KT (2009) Exercise preferences among patients with head and neck cancer: prevalence and associations with quality of life, symptom severity, depression, and rural residence. Head Neck 31(8):994–1005. doi:10.1002/hed.21053

    Article  PubMed  Google Scholar 

  25. Rogers LQ, Markwell SJ, Verhulst S, McAuley E, Courneya KS (2009) Rural breast cancer survivors: exercise preferences and their determinants. Psychooncology 18(4):412–421. doi:10.1002/pon.1497

    Article  PubMed  Google Scholar 

  26. Stevinson C, Capstick V, Schepansky A, Tonkin K, Vallance JK, Ladha AB, Steed H, Faught W, Courneya KS (2009) Physical activity preferences of ovarian cancer survivors. Psychooncology 18(4):422–428. doi:10.1002/pon.1396

    Article  PubMed  Google Scholar 

  27. Vallance JK, Courneya KS, Jones LW, Reiman T (2006) Exercise preferences among a population-based sample of non-Hodgkin’s lymphoma survivors. Eur J Cancer Care 15(1):34–43. doi:10.1111/j.1365-2354.2005.00617.x

    Article  CAS  Google Scholar 

  28. Whitehead S, Lavelle K (2009) Older breast cancer survivors’ views and preferences for physical activity. Qual Health Res 19(7):894–906. doi:10.1177/1049732309337523

    Article  PubMed  Google Scholar 

  29. Jones LW, Courneya KS (2002) Exercise counseling and programming preferences of cancer survivors. Cancer Pract 10(4):208–215

    Article  PubMed  Google Scholar 

  30. Lin YY, Lai YF, Lu HI, Lai YL, Lin CC (2013) Physical activity preferences among patients with lung cancer in Taiwan. Cancer Nurs 36(2):155–162. doi:10.1097/NCC.0b013e31825f4db1

    Article  PubMed  Google Scholar 

  31. Buist AS, Connett JE, Miller RD, Kanner RE, Owens GR, Voelker HT (1993) Chronic Obstructive Pulmonary Disease Early Intervention Trial (Lung Health Study). Baseline characteristics of randomized participants. Chest 103(6):1863–1872

    Article  CAS  PubMed  Google Scholar 

  32. Godin G, Shephard RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10(3):141–146

    CAS  PubMed  Google Scholar 

  33. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M, Byers T, Gansler T (2012) Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin 62(4):243–274. doi:10.3322/caac.21142

    Article  PubMed  Google Scholar 

  34. Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, von Gruenigen VE, Schwartz AL, American College of Sports M (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 42(7):1409–1426. doi:10.1249/MSS.0b013e3181e0c112

    Article  PubMed  Google Scholar 

  35. Sallis JF, Saelens BE (2000) Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport 71(2 Suppl):S1–S14

    CAS  PubMed  Google Scholar 

  36. Jones LW, Guill B, Keir ST, Carter BSK, Friedman HS, Bigner DD, Reardon DA (2006) Patterns of exercise across the cancer trajectory in brain tumor patients. Cancer 106(10):2224–2232. doi:10.1002/cncr.21858

    Article  PubMed  Google Scholar 

  37. Karvinen KH, Courneya KS, North S, Venner P (2007) Associations between exercise and quality of life in bladder cancer survivors: a population-based study. Cancer Epidemiol Biomarkers Prev 16(5):984–990. doi:10.1158/1055-9965.EPI-06-0680

    Article  PubMed  Google Scholar 

  38. Stevinson C, Faught W, Steed H, Tonkin K, Ladha AB, Vallance JK, Capstick V, Schepansky A, Courneya KS (2007) Associations between physical activity and quality of life in ovarian cancer survivors. Gynecol Oncol 106(1):244–250. doi:10.1016/j.ygyno.2007.03.033

    Article  PubMed  Google Scholar 

  39. Karvinen KH, Courneya KS, Campbell KL, Pearcey RG, Dundas G, Capstick V, Tonkin KS (2006) Exercise preferences of endometrial cancer survivors: a population-based study. Cancer Nurs 29(4):259–265

    Article  PubMed  Google Scholar 

  40. Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS (2012) Physical activity preferences in a population-based sample of kidney cancer survivors. Support Care Cancer 20(8):1709–1717. doi:10.1007/s00520-011-1264-z

    Article  PubMed  Google Scholar 

  41. Zon RT, Goss E, Vogel VG, Chlebowski RT, Jatoi I, Robson ME, Wollins DS, Garber JE, Brown P, Kramer BS (2009) American Society of Clinical Oncology policy statement: the role of the oncologist in cancer prevention and risk assessment. J Clin Oncol 27(6):986–993. doi:10.1200/JCO.2008.16.3691

    Article  PubMed  Google Scholar 

  42. Jones LW, Eves ND, Waner E, Joy AA (2009) Exercise therapy across the lung cancer continuum. Curr Onc Rep 11(4):255–262

    Article  Google Scholar 

Download references

Conflict of interest statement

All authors confirm no financial relationship with the sponsoring organization. The authors possess control of all primary data and agree for data to be reviewed by the journal if requested.

Financial support

Support for this research was provided by the Byrne Foundation and grants from the National Cancer Institute (R03CA115212, R25CA057708, and T32CA009461).

Author information

Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY, 10022, USA

    Errol J. Philip & Jamie S. Ostroff

  2. The Cancer Institute of New Jersey, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Elliot J. Coups

  3. Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Marc B. Feinstein & Donna J. Wilson

  4. Department of Surgery, Hackensack University Medical Center, Hackensack, NJ, USA

    Bernard J. Park

Authors
  1. Errol J. Philip
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Elliot J. Coups
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Marc B. Feinstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Bernard J. Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Donna J. Wilson
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jamie S. Ostroff
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Errol J. Philip.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Philip, E.J., Coups, E.J., Feinstein, M.B. et al. Physical activity preferences of early-stage lung cancer survivors. Support Care Cancer 22, 495–502 (2014). https://doi.org/10.1007/s00520-013-2002-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-013-2002-5

Keywords

Search

Navigation