Purpose Childhood cancer patients report low physical activity levels despite the risk for long-term complications that may benefit from exercise. Research is lacking regarding exercise barriers, preferences, and beliefs among patients (1) on- and off- therapy and (2) across the age spectrum. Methods Cross-sectional study in the Yale Pediatric Hematology-Oncology Clinic (October 2013–October 2014). Participants were ≥ 4 years old, > 1 month after cancer diagnosis at < 20 years, not acutely ill, expected to live > 6 months, and received chemotherapy and/or radiation. Participants (or parents if < 13 years) completed a survey. Results The 162 patients (99% participated) were 34% children (4.0–12.9 years), 31% adolescents (13.0–17.9 years), and 35% adults (≥ 18 years). Most had leukemia/lymphoma (66%); 32% were on-therapy. On-therapy patients were more likely than off- therapy patients (73 vs. 48%; p = 0.003) to report ≥ 1 barrier related to physical complaints, such as Bjust too tired^ (46 vs. 28%; p = 0.021) or Bafraid^ of injury (22 vs. 9%; p = 0.027). The majority preferred walking (73%), exercising at home (91%), exercising in the afternoon (79%), and a maximum travel time of 10–20 min (54%); preferences did not vary significantly by therapy status or
Supportive Care in Cancer – Springer Journals
Published: Jan 27, 2018
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