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PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY

Year 2024, Volume: 33 Issue: 2, 208 - 216, 25.07.2024
https://doi.org/10.34108/eujhs.1369955

Abstract

Since the importance of the benefit of physical activity and exercise has been understood especially for cancer patients, efforts are taken to assess belief in exercise to adapt patients to a more physically active environment to create a sustainable health outcome. Thus, this study aimed to assess exercise beliefs and barriers by using a validated metric tool (Exercise Beliefs/Barriers Scale-EBBS) to evaluate beliefs in exercise in breast cancer survivors (BCS). In addition, it was also aimed to assess the relationships among EBBS, sociodemographic, and clinical variables of BCS. A total of 112 BCS were screened and invited to participate in this study. Clinical (type of surgery, adjuvant treatments, etc.), demographic data (age, medication use, etc.), and total sitting time were collected through a simple data form and 7th of the International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively. All patients were requested to fill out EBBS.96 BCS completed this study. Weak but significant correlations were found between time spent after surgery and perceived belief (r=. -273, p=0.009), and perceived barriers (r=-.239, p=0.022), respectively. Perceived barriers were also significantly correlated with age (r=-.212, p=0.042). No significant effects of the type of breast surgery and axillary procedure as well as medications (Tamoxifen) on perceived beliefs and barriers were found. Factors should be thoroughly investigated to provide a sustainable exercise behavior among BCS. Older BCS should be thoroughly monitored to gain regular exercise behavior. This study also highlighted the emerging need for sensitive, specific, and focused tools to assess beliefs in exercise among the cancer population.

Ethical Statement

All procedures and measurements were performed according to the 1964 Helsinki Declaration and approval was granted by the Ethics Committee of the University of Health Sciences with protocol number 11092019/02

Thanks

The Authors would like to thank patients who voluntarily participated in this study.

References

  • Society AC. How common is breast cancer? Breast Cancer Statistics 20190. 2020. https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html
  • Sung H, Ferlay J, Siegel RL, et al.Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3): 209-249. doi:10.3322/caac.21660.
  • Abraham HG, Xla Y, Mukherjee B, Merajver SD. Incidence and survival of inflammatory breast cancer between 1973 and 2015 in the SEER database. Breast Cancer Res Treat.2021;185(1):229-238. doi:10.1007/s10549-020-05938-2.
  • Kikuuchi M, Akezaki Y, Nakata E, et al. Risk factors of impairment of shoulder function after axillary dissection for breast cancer. Support Care Cancer. 2021;29(2):771-778. doi:10.1007/s00520-020-05533-7.
  • Chrischilles EA, Riley D, Letuchy E, et al. Upper extremity disability and quality of life after breast cancer treatment in the Greater Plains Collaborative clinical research network. Breast Cancer Res Treat. 2019;175(3):675-689. doi:10.1007/s10549-019-05184-1.
  • Charlier C, Van Hoof E, Pauwels E, Lechner L, Spittaels H, De Bourdeaudhuij I. The contribution of general and cancerrelated variables in explaining physical activity in a breast cancer population 3 weeks to 6 months posttreatment. Psychooncology. 2013;22(1):203-211.doi:10.1002/pon.2079.
  • Perry CK, Ali W, Solanki E, Winters-Stone K. Attitudes and beliefs of older female breast cancer survivors and providers about exercise in cancer care. Oncol Nurs Forum. 2020; 47(1):56-69. doi:10.1188/20.ONF.56-69.
  • Mariotto A, Yabroff KR, Shao Y, Feuer EJ, Brown ML. Projections of the cost of cancer care in the United States: 2010-2020. J Natl Cancer Inst. 2011;103(2):117-128. doi:10.1093/jnci/djq495.
  • Rashid N, Koh HA, Baca HC, Lin KJ, Malecha SE, Masaquel A. Economic burden related to chemotherapy-related adverse events in patients with metastatic breast cancer in an integrated health care system. Breast Cancer (Dove Med Press). 2016;(8):173-181.doi: 10.2147/BCTT.S105618.
  • Winters-Stone, K, Dobek J, Nail LM et al. Impact+ resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors: a randomized controlled trial. Osteoporos Int. 2013;24(5):1637-1646. doi:10.1007/s00198-012-2143-2.
  • Winters-Stone K, Dobek J, Nail L, et al. Strength training stops bone loss and builds muscle in postmenopausal breast cancer survivors: a randomized, controlled trial. Breast Cancer Res Treat. 2011;127(2):447-56. doi:10.1007/s10549-011-1444-z.
  • Kang DW, Fairey AS, Boulé NG, Field CJ, Wharton SA, Courneya KS. A randomized trial of the effects of exercise on anxiety, fear of cancer progression and quality of life in prostate cancer patients on active surveillance. J Urol.2022;207(4):814-22. doi:10.1097/JU.0000000000002334.
  • Steindorf K, Wiskemann J, Ulrich CM, Schmidt ME. Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial. Breast Cancer Res Treat. 2017;162(3):489-499. doi:10.1007/s10549-017-4141-8.
  • Kreutz C, Schmidt ME, Steindorf K. Effects of physical and mind–body exercise on sleep problems during and after breast cancer treatment: a systematic review and meta-analysis. Breast Cancer Res Treat. 2019;176(1):1-15. doi:10.1007/s10549-019-05217-9.
  • Ribeiro FE, Palma MR, Silva DTC, et al. Relationship of anxiety and depression symptoms with the different domains of physical activity in breast cancer survivors. J Affect Disord. 2020;1(273):210-214. doi:10.1016/j.jad.2020.03.110.
  • Clifford BK, Mizrahi D, Sandler CX, et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer. 2018;26(3):685-700. doi:10.1007/s00520-017-3964-5.
  • Hsu HT, Dodd MJ, Guo SE, Lee KA, Hwang SL, Lai YH. Predictors of exercise frequency in breast cancer survivors in Taiwan. J Clin Nurs. 2011;20(13-14):1923-1935. doi:10.1111/j.1365-2702.2010.03690.x.
  • Bulmer SM, Howell J, Ackerman L, Fedric R. Women's perceived benefits of exercise during and after breast cancer treatment. Women Health. 2012;52(8):771-787. doi:10.1080/03630242.2012.725707.
  • Gho SA, Munro BJ, Jones SC, Steele JR. Perceived exercise barriers explain exercise participation in Australian women treated for breast cancer better than perceived exercise benefits. Phys Ther. 2014;94(12):1765-1774. doi:10.2522/ptj.20130473.
  • von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573-577. doi:10.7326/0003-4819-147-8-200710160-00010.
  • Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284. doi:10.2466/06.08.PMS.111.4.278-284.
  • Sechrist KR, Walker SN, Pender NJ. Development and psychometric evaluation of the exercise benefits/barriers scale. Res Nurs Health. 1987;10(6):357-365. doi:10.1002/nur.4770100603.
  • Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126(5):1763-1768. doi:10.1213/ANE.0000000000002864.
  • Miedema B, Hamilton R, Tatemichi S, et al. Predicting recreational difficulties and decreased leisure activities in women 6–12 months post breast cancer surgery. J Cancer Surviv. 2008;2(4):262-268. doi:10.1007/s11764-008-0068-8.
  • Ehlers DK, DuBois K, Salerno EA. The effects of exercise on cancer-related fatigue in breast cancer patients during primary treatment: a meta-analysis and systematic review. Expert Rev Anticancer Ther. 2020;20(10):865-877. doi:10.1080/14737140.2020.1813028.
  • Belloni S, Arrigoni C, Caruso R. Effects from physical exercise on reduced cancer-related fatigue: a systematic review of systematic reviews and meta-analysis. Acta Oncol.2021;60(12):1678-1687. doi:10.1080/0284186X.2021.1962543
  • Campbell KL, Zadravec K, Bland KA, Chesley E, Wolf F, Janelsins MC. The effect of exercise on cancer-related cognitive impairment and applications for physical therapy: systematic review of randomized controlled trials. Phys Ther. 2020;100(3):523-542. doi:10.1093/ptj/pzz090.
  • D’Ascenzi F, Anselmi F, Fiorentini C, Mannucci R, Bonifazi M, Mondillo S. The benefits of exercise in cancer patients and the criteria for exercise prescription in cardio-oncology. Eur J Prev Cardiol. 2021;28(7):725-735. doi:10.1177/2047487319874900.
  • Schmitz KH, Courneya KS, Matthews C, et al. American college of sports medicine roundtable on exercise guidelines for cancer survivors. J Med Sci Sports Exerc. 2010;42(7):1409-1426. doi:10.1249/MSS.0b013e3181e0c112.
  • Chan A, Ports K, Neo P, et al. Barriers and facilitators to exercise among adult cancer survivors in Singapore. Support Care Cancer. 2022;30(6):4867-4878. doi:10.1007/s00520-022-06893-y.
  • Eakin EG, Youlden DR, Baade PD, et al.Health behaviors of cancer survivors: data from an Australian population-based survey. Cancer Causes Control. 2007;18(8):881-894. doi:10.1007/s10552-007-9033-5.
  • Bakar Y, Tuğral A, Özel A, Altuntas YD, Yakut Y. Reliability and validity of sedentary behavior questionnaire in Turkish population: Evaluation of psychometric properties. Middle East J Rehabil Health Stud.2018;5(2): e63576.doi:10.5812/mejrh.63576.
  • Ottenbacher AJ, Day RS, Taylor WC, et al. Exercise among breast and prostate cancer survivors—what are their barriers? J Cancer Surviv. 2011;5(4):413-419. doi:10.1007/s11764-011-0184-8.
  • Thraen-Borowski KM, Gennuso KP., Cadmus-Bertram L. Accelerometer-derived physical activity and sedentary time by cancer type in the United States. PLoS One. 2017; 12(8):e0182554. doi:10.1371/journal.pone.0182554.
  • Boyle T, Vallance JF, Ransom EK, Lynch BM. How sedentary and physically active are breast cancer survivors, and which population subgroups have higher or lower levels of these behaviors? Support Care Cancer. 2016;24(5):2181-2190. doi:10.1007/s00520-015-3011-3.
  • Cormie P, Zopf EM, Zhang X, Schmitz KH. The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev. 2017;39(1):71-92. doi:10.1093/epirev/mxx007.
  • Honma N, Makita M, Saji S, et al. Characteristics of adverse events of endocrine therapies among older patients with breast cancer. Support Care Cancer. 2019;27(10):3813-3822. doi:10.1007/s00520-019-04674-8.
  • Rogers, LQ, Courneya KS, Oster RA, et al. Physical activity intervention benefits persist months post-intervention: Randomized trial in breast cancer survivors. J Cancer Surviv. 2023; 17(6):1834-1846. doi:10.1007/s11764-022-01329-2.
  • Goldschmidt S, Schmidt ME, Steindorf K. Long-term effects of exercise interventions on physical activity in breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Support Care Cancer. 2023;31(2):130. doi:10.1007/s00520-022-07485-6.
  • Stonerock GL, Blumenthal JA. Role of counseling to promote adherence in healthy lifestyle medicine: strategies to improve exercise adherence and enhance physical activity. Prog Cardiovasc Dis. 2017;59(5):455-462. doi:10.1016/j.pcad.2016.09.003.
  • Gjerset G, Fossa SD, Courneya KS, Skovlund E, Jacobsen AB, Thorsen L. Interest and preferences for exercise counselling and programming among Norwegian cancer survivors. Eur J Cancer Care (Engl). 2011;20(1):96-105. doi:10.1111/j.1365-2354.2009.01161.x.
  • Gho SA, Munro BG, Jones SC, Steele JR. Exercise bra discomfort is associated with insufficient exercise levels among Australian women treated for breast cancer. Support Care Cancer. 2014;22(3):721-729. doi:10.1007/s00520-013-2027-9.
  • Wagoner CW, Choi SK, Deal AM, et al. Establishing physical activity in breast cancer: self-report versus activity tracker. Breast Cancer Res Treat. 2019;176(2):395-400. doi:10.1007/s10549-019-05263-3.

MEME KANSERİ SAĞKALIMLARINDA ALGILANAN EGZERSİZ İNANIŞLARI VE ENGELLERİ: TANIMLAYICI KESİTSEL BİR ARAŞTIRMA

Year 2024, Volume: 33 Issue: 2, 208 - 216, 25.07.2024
https://doi.org/10.34108/eujhs.1369955

Abstract

Özellikle kanser hastaları için fiziksel aktivite ve egzersizin faydasının önemi anlaşıldığından, sürdürülebilir bir sağlık sonucu yaratmak için hastaları fiziksel olarak daha aktif bir ortama adapte etmek amacıyla egzersize olan inancı değerlendirmek için çaba gösterilmektedir. Bu nedenle, bu çalışma meme kanserinden kurtulanlarda egzersize olan inancı değerlendirmek için geçerliliği kanıtlanmış bir ölçme aracı (Egzersiz İnançları/Engelleri Ölçeği-EBBS) kullanarak egzersizin faydalarını ve engellerini değerlendirmeyi amaçlamıştır. Ayrıca, EBBS ile hastaların sosyodemografik ve klinik değişkenleri arasındaki ilişkilerin değerlendirilmesi de amaçlanmıştır. Toplam 112 hasta taranmış ve bu çalışmaya katılmaya davet edilmiştir. Klinik (ameliyat tipi, adjuvan tedaviler, vb.), demografik veriler (yaş, ilaç kullanımı, vb.) ve toplam oturma süresi sırasıyla basit bir veri formu ve Uluslararası Fiziksel Aktivite Anketi-Kısa Formunun (IPAQ-SF) 7. maddesi aracılığıyla toplanmıştır.Tüm hastalardan EBBS'yi doldurmaları istenmiştir. 96 hasta bu çalışmayı tamamlamıştır. Ameliyat sonrası geçirilen süre ile algılanan inanç (r=.-273, p=0.009) ve algılanan engeller (r=-.239, p=0.022) arasında anlamlı korelasyonlar bulunmuştur. Algılanan engeller yaş ile de anlamlı şekilde ilişkiliydi (r=-.212, p=0.042). Meme cerrahisi tipi ve aksiller prosedür tipinin yanı sıra ilaçların (Tamoksifen) algılanan inançlar ve engeller üzerinde anlamlı bir etkisi bulunmamıştır. Hastalararasında sürdürülebilir bir egzersiz davranışı sağlamak için faktörler kapsamlı bir şekilde araştırılmalıdır. Yaşlı hastalar düzenli egzersiz davranışı kazanmak için kapsamlı bir şekilde izlenmelidir. Bu çalışma aynı zamanda kanser popülasyonu arasında egzersize yönelik inançları değerlendirmek için hassas, spesifik ve odaklanmış araçlara duyulan ihtiyacın altını çizmiştir.

References

  • Society AC. How common is breast cancer? Breast Cancer Statistics 20190. 2020. https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html
  • Sung H, Ferlay J, Siegel RL, et al.Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3): 209-249. doi:10.3322/caac.21660.
  • Abraham HG, Xla Y, Mukherjee B, Merajver SD. Incidence and survival of inflammatory breast cancer between 1973 and 2015 in the SEER database. Breast Cancer Res Treat.2021;185(1):229-238. doi:10.1007/s10549-020-05938-2.
  • Kikuuchi M, Akezaki Y, Nakata E, et al. Risk factors of impairment of shoulder function after axillary dissection for breast cancer. Support Care Cancer. 2021;29(2):771-778. doi:10.1007/s00520-020-05533-7.
  • Chrischilles EA, Riley D, Letuchy E, et al. Upper extremity disability and quality of life after breast cancer treatment in the Greater Plains Collaborative clinical research network. Breast Cancer Res Treat. 2019;175(3):675-689. doi:10.1007/s10549-019-05184-1.
  • Charlier C, Van Hoof E, Pauwels E, Lechner L, Spittaels H, De Bourdeaudhuij I. The contribution of general and cancerrelated variables in explaining physical activity in a breast cancer population 3 weeks to 6 months posttreatment. Psychooncology. 2013;22(1):203-211.doi:10.1002/pon.2079.
  • Perry CK, Ali W, Solanki E, Winters-Stone K. Attitudes and beliefs of older female breast cancer survivors and providers about exercise in cancer care. Oncol Nurs Forum. 2020; 47(1):56-69. doi:10.1188/20.ONF.56-69.
  • Mariotto A, Yabroff KR, Shao Y, Feuer EJ, Brown ML. Projections of the cost of cancer care in the United States: 2010-2020. J Natl Cancer Inst. 2011;103(2):117-128. doi:10.1093/jnci/djq495.
  • Rashid N, Koh HA, Baca HC, Lin KJ, Malecha SE, Masaquel A. Economic burden related to chemotherapy-related adverse events in patients with metastatic breast cancer in an integrated health care system. Breast Cancer (Dove Med Press). 2016;(8):173-181.doi: 10.2147/BCTT.S105618.
  • Winters-Stone, K, Dobek J, Nail LM et al. Impact+ resistance training improves bone health and body composition in prematurely menopausal breast cancer survivors: a randomized controlled trial. Osteoporos Int. 2013;24(5):1637-1646. doi:10.1007/s00198-012-2143-2.
  • Winters-Stone K, Dobek J, Nail L, et al. Strength training stops bone loss and builds muscle in postmenopausal breast cancer survivors: a randomized, controlled trial. Breast Cancer Res Treat. 2011;127(2):447-56. doi:10.1007/s10549-011-1444-z.
  • Kang DW, Fairey AS, Boulé NG, Field CJ, Wharton SA, Courneya KS. A randomized trial of the effects of exercise on anxiety, fear of cancer progression and quality of life in prostate cancer patients on active surveillance. J Urol.2022;207(4):814-22. doi:10.1097/JU.0000000000002334.
  • Steindorf K, Wiskemann J, Ulrich CM, Schmidt ME. Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial. Breast Cancer Res Treat. 2017;162(3):489-499. doi:10.1007/s10549-017-4141-8.
  • Kreutz C, Schmidt ME, Steindorf K. Effects of physical and mind–body exercise on sleep problems during and after breast cancer treatment: a systematic review and meta-analysis. Breast Cancer Res Treat. 2019;176(1):1-15. doi:10.1007/s10549-019-05217-9.
  • Ribeiro FE, Palma MR, Silva DTC, et al. Relationship of anxiety and depression symptoms with the different domains of physical activity in breast cancer survivors. J Affect Disord. 2020;1(273):210-214. doi:10.1016/j.jad.2020.03.110.
  • Clifford BK, Mizrahi D, Sandler CX, et al. Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer. 2018;26(3):685-700. doi:10.1007/s00520-017-3964-5.
  • Hsu HT, Dodd MJ, Guo SE, Lee KA, Hwang SL, Lai YH. Predictors of exercise frequency in breast cancer survivors in Taiwan. J Clin Nurs. 2011;20(13-14):1923-1935. doi:10.1111/j.1365-2702.2010.03690.x.
  • Bulmer SM, Howell J, Ackerman L, Fedric R. Women's perceived benefits of exercise during and after breast cancer treatment. Women Health. 2012;52(8):771-787. doi:10.1080/03630242.2012.725707.
  • Gho SA, Munro BJ, Jones SC, Steele JR. Perceived exercise barriers explain exercise participation in Australian women treated for breast cancer better than perceived exercise benefits. Phys Ther. 2014;94(12):1765-1774. doi:10.2522/ptj.20130473.
  • von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med. 2007;147(8):573-577. doi:10.7326/0003-4819-147-8-200710160-00010.
  • Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284. doi:10.2466/06.08.PMS.111.4.278-284.
  • Sechrist KR, Walker SN, Pender NJ. Development and psychometric evaluation of the exercise benefits/barriers scale. Res Nurs Health. 1987;10(6):357-365. doi:10.1002/nur.4770100603.
  • Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126(5):1763-1768. doi:10.1213/ANE.0000000000002864.
  • Miedema B, Hamilton R, Tatemichi S, et al. Predicting recreational difficulties and decreased leisure activities in women 6–12 months post breast cancer surgery. J Cancer Surviv. 2008;2(4):262-268. doi:10.1007/s11764-008-0068-8.
  • Ehlers DK, DuBois K, Salerno EA. The effects of exercise on cancer-related fatigue in breast cancer patients during primary treatment: a meta-analysis and systematic review. Expert Rev Anticancer Ther. 2020;20(10):865-877. doi:10.1080/14737140.2020.1813028.
  • Belloni S, Arrigoni C, Caruso R. Effects from physical exercise on reduced cancer-related fatigue: a systematic review of systematic reviews and meta-analysis. Acta Oncol.2021;60(12):1678-1687. doi:10.1080/0284186X.2021.1962543
  • Campbell KL, Zadravec K, Bland KA, Chesley E, Wolf F, Janelsins MC. The effect of exercise on cancer-related cognitive impairment and applications for physical therapy: systematic review of randomized controlled trials. Phys Ther. 2020;100(3):523-542. doi:10.1093/ptj/pzz090.
  • D’Ascenzi F, Anselmi F, Fiorentini C, Mannucci R, Bonifazi M, Mondillo S. The benefits of exercise in cancer patients and the criteria for exercise prescription in cardio-oncology. Eur J Prev Cardiol. 2021;28(7):725-735. doi:10.1177/2047487319874900.
  • Schmitz KH, Courneya KS, Matthews C, et al. American college of sports medicine roundtable on exercise guidelines for cancer survivors. J Med Sci Sports Exerc. 2010;42(7):1409-1426. doi:10.1249/MSS.0b013e3181e0c112.
  • Chan A, Ports K, Neo P, et al. Barriers and facilitators to exercise among adult cancer survivors in Singapore. Support Care Cancer. 2022;30(6):4867-4878. doi:10.1007/s00520-022-06893-y.
  • Eakin EG, Youlden DR, Baade PD, et al.Health behaviors of cancer survivors: data from an Australian population-based survey. Cancer Causes Control. 2007;18(8):881-894. doi:10.1007/s10552-007-9033-5.
  • Bakar Y, Tuğral A, Özel A, Altuntas YD, Yakut Y. Reliability and validity of sedentary behavior questionnaire in Turkish population: Evaluation of psychometric properties. Middle East J Rehabil Health Stud.2018;5(2): e63576.doi:10.5812/mejrh.63576.
  • Ottenbacher AJ, Day RS, Taylor WC, et al. Exercise among breast and prostate cancer survivors—what are their barriers? J Cancer Surviv. 2011;5(4):413-419. doi:10.1007/s11764-011-0184-8.
  • Thraen-Borowski KM, Gennuso KP., Cadmus-Bertram L. Accelerometer-derived physical activity and sedentary time by cancer type in the United States. PLoS One. 2017; 12(8):e0182554. doi:10.1371/journal.pone.0182554.
  • Boyle T, Vallance JF, Ransom EK, Lynch BM. How sedentary and physically active are breast cancer survivors, and which population subgroups have higher or lower levels of these behaviors? Support Care Cancer. 2016;24(5):2181-2190. doi:10.1007/s00520-015-3011-3.
  • Cormie P, Zopf EM, Zhang X, Schmitz KH. The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev. 2017;39(1):71-92. doi:10.1093/epirev/mxx007.
  • Honma N, Makita M, Saji S, et al. Characteristics of adverse events of endocrine therapies among older patients with breast cancer. Support Care Cancer. 2019;27(10):3813-3822. doi:10.1007/s00520-019-04674-8.
  • Rogers, LQ, Courneya KS, Oster RA, et al. Physical activity intervention benefits persist months post-intervention: Randomized trial in breast cancer survivors. J Cancer Surviv. 2023; 17(6):1834-1846. doi:10.1007/s11764-022-01329-2.
  • Goldschmidt S, Schmidt ME, Steindorf K. Long-term effects of exercise interventions on physical activity in breast cancer patients: A systematic review and meta-analysis of randomized controlled trials. Support Care Cancer. 2023;31(2):130. doi:10.1007/s00520-022-07485-6.
  • Stonerock GL, Blumenthal JA. Role of counseling to promote adherence in healthy lifestyle medicine: strategies to improve exercise adherence and enhance physical activity. Prog Cardiovasc Dis. 2017;59(5):455-462. doi:10.1016/j.pcad.2016.09.003.
  • Gjerset G, Fossa SD, Courneya KS, Skovlund E, Jacobsen AB, Thorsen L. Interest and preferences for exercise counselling and programming among Norwegian cancer survivors. Eur J Cancer Care (Engl). 2011;20(1):96-105. doi:10.1111/j.1365-2354.2009.01161.x.
  • Gho SA, Munro BG, Jones SC, Steele JR. Exercise bra discomfort is associated with insufficient exercise levels among Australian women treated for breast cancer. Support Care Cancer. 2014;22(3):721-729. doi:10.1007/s00520-013-2027-9.
  • Wagoner CW, Choi SK, Deal AM, et al. Establishing physical activity in breast cancer: self-report versus activity tracker. Breast Cancer Res Treat. 2019;176(2):395-400. doi:10.1007/s10549-019-05263-3.
There are 43 citations in total.

Details

Primary Language English
Subjects Cancer Therapy (Excl. Chemotherapy and Radiation Therapy), Physiotherapy
Journal Section Research Article
Authors

Alper Tuğral 0000-0002-8017-2384

Yeşim Bakar 0000-0002-5603-2891

Murat Akyol 0000-0003-0886-3559

Early Pub Date July 22, 2024
Publication Date July 25, 2024
Submission Date October 2, 2023
Published in Issue Year 2024 Volume: 33 Issue: 2

Cite

APA Tuğral, A., Bakar, Y., & Akyol, M. (2024). PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY. Sağlık Bilimleri Dergisi, 33(2), 208-216. https://doi.org/10.34108/eujhs.1369955
AMA Tuğral A, Bakar Y, Akyol M. PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY. JHS. July 2024;33(2):208-216. doi:10.34108/eujhs.1369955
Chicago Tuğral, Alper, Yeşim Bakar, and Murat Akyol. “PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY”. Sağlık Bilimleri Dergisi 33, no. 2 (July 2024): 208-16. https://doi.org/10.34108/eujhs.1369955.
EndNote Tuğral A, Bakar Y, Akyol M (July 1, 2024) PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY. Sağlık Bilimleri Dergisi 33 2 208–216.
IEEE A. Tuğral, Y. Bakar, and M. Akyol, “PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY”, JHS, vol. 33, no. 2, pp. 208–216, 2024, doi: 10.34108/eujhs.1369955.
ISNAD Tuğral, Alper et al. “PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY”. Sağlık Bilimleri Dergisi 33/2 (July 2024), 208-216. https://doi.org/10.34108/eujhs.1369955.
JAMA Tuğral A, Bakar Y, Akyol M. PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY. JHS. 2024;33:208–216.
MLA Tuğral, Alper et al. “PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY”. Sağlık Bilimleri Dergisi, vol. 33, no. 2, 2024, pp. 208-16, doi:10.34108/eujhs.1369955.
Vancouver Tuğral A, Bakar Y, Akyol M. PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY. JHS. 2024;33(2):208-16.