Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?
Pragmatic lifestyle intervention in patients recovering from colon cancer: a randomized controlled pilot study.
OBJECTIVE To investigate the feasibility of a pragmatic lifestyle intervention in patients who had recently completed surgery and chemotherapy for colon cancer and to obtain preliminary data of its impact on important health outcomes . DESIGN A prospect i ve , r and omized , controlled pilot trial . SETTING University rehabilitation facility . PARTICIPANTS Eighteen ( N=18 ) colon cancer survivors ( mean age=69y ; range , 52 - 80y ) , Dukes stage A to C. INTERVENTIONS Participants were r and omized 6 to 24 months postoperatively to either a 12-week program of combined exercise and dietary advice or st and ard treatment . MAIN OUTCOME MEASURES Exercise and dietary behavior , fatigue , health-related quality of life ( QOL ) , aerobic exercise tolerance , functional capacity , muscle strength , and anthropometery were assessed at baseline and immediately after the intervention . RESULTS Adherences to supervised and independent exercise during the intervention were 90 % and 94 % , respectively , and there was low attrition ( 6 % ) . The lifestyle intervention elicited improvements in exercise behavior ( P=.068 ) , fatigue ( P=.005 ) , aerobic exercise tolerance ( P=.010 ) , chair sit-to-st and performance ( P=.003 ) , and waist-to-hip ratio ( P=.002 ) . A positive change in dietary fiber intake ( P=.044 ) was also observed in the intervention group . No change in QOL was observed ( P=.795 ) . CONCLUSIONS These preliminary results suggest that a pragmatic lifestyle intervention implemented 6 to 24 months after primary treatment for colon cancer was feasible . We observed a significant impact on dietary behavior , fatigue , aerobic exercise tolerance , functional capacity , and waist-to-hip ratio . These findings need to be confirmed with a larger-scale definitive r and omized controlled trial
Interventions to promote exercise in cancer survivors who report better levels of adherence share some common behaviour change techniques .
These involve setting programme goals , prompting practise and self-monitoring and encouraging participants to attempt to generalise behaviours learned in supervised exercise environments to other , non-supervised context s. However , expecting most sedentary survivors to achieve current guideline recommendations of at least 150 minutes per week of aerobic exercise is likely to be unrealistic .
BACKGROUND The beneficial effects of regular exercise for people living with or beyond cancer are becoming apparent .
However , how to promote exercise behaviour in sedentary cancer cohorts is not as well understood .
A large majority of people living with or recovering from cancer do not meet exercise recommendations .
Hence , review ing the evidence on how to promote and sustain exercise behaviour is important .
OBJECTIVES To assess the effects of interventions to promote exercise behaviour in sedentary people living with and beyond cancer and to address the following questions : Which interventions are most effective in improving aerobic fitness and skeletal muscle strength and endurance ?
What adverse effects are attributed to different exercise interventions ?
Which interventions are most effective in improving exercise behaviour amongst patients with different cancers ?
Which interventions are most likely to promote long-term ( 12 months or longer ) exercise behaviour ?
What frequency of contact with exercise professionals is associated with increased exercise behaviour ?
What theoretical basis is most often associated with increased exercise behaviour ?
What behaviour change techniques are most often associated with increased exercise behaviour ?