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000176890 037__ $$aDKFZ-2021-02132
000176890 041__ $$aEnglish
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000176890 1001_ $$0P:(DE-He78)02b45d03ea9bc2c222c7aebf546803c5$$aDepenbusch, Johanna$$b0$$eFirst author$$udkfz
000176890 245__ $$aImpact and Determinants of Structural Barriers on Physical Activity in People with Cancer.
000176890 260__ $$aBoston, MA$$bSpringer$$c2022
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000176890 500__ $$a#EA:C110#LA:C110# / 2022 Jun;29(3):308-320
000176890 520__ $$aA better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the association between structural barriers and insufficient post-diagnosis PA, taking different PA change patterns into account.A total of 1299 people with breast, prostate, or colorectal cancer completed a questionnaire assessing their socio-demographic and medical characteristics, pre- and post-diagnosis PA, and perceived PA impediment by seven structural barriers. Regression analyses were used to investigate determinants of the perception of structural barriers and to examine the association between structural barriers and insufficient post-diagnosis PA, also with regard to different pre-diagnosis PA levels.Overall 30-60% of participants indicated to feel impeded by structural barriers. The analyses revealed a younger age, higher BMI, lower educational level, no current work activity, co-morbidities, and lacking physicians' exercise counseling as significant determinants of the perception of structural barriers. Individuals reporting stronger impediments by structural barriers were significantly less likely to be meeting PA guidelines post-diagnosis, particularly those with sufficient pre-diagnosis PA levels.The study highlights the need for tailored PA programs for people with cancer as well as for more guidance and support in overcoming structural barriers to improve PA behavior. The study has been registered under NCT02678832 at clinicaltrials.gov on February 10th 2016.
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000176890 650_7 $$2Other$$aCancer
000176890 650_7 $$2Other$$aExercise oncology
000176890 650_7 $$2Other$$aImpediment
000176890 650_7 $$2Other$$aPhysical activity
000176890 650_7 $$2Other$$aStructural barriers
000176890 7001_ $$aWiskemann, Joachim$$b1
000176890 7001_ $$0P:(DE-He78)6911b891e4f82e142d099f0aa249c37d$$aHaussmann, Alexander$$b2$$udkfz
000176890 7001_ $$aTsiouris, Angeliki$$b3
000176890 7001_ $$aSchmidt, Laura$$b4
000176890 7001_ $$aUngar, Nadine$$b5
000176890 7001_ $$aSieverding, Monika$$b6
000176890 7001_ $$0P:(DE-He78)a0c2037d9054be26907a05ae520d5756$$aSteindorf, Karen$$b7$$eLast author$$udkfz
000176890 773__ $$0PERI:(DE-600)2027575-4$$a10.1007/s12529-021-10014-0$$n3$$p308-320$$tInternational journal of behavioral medicine$$v29$$x1070-5503$$y2022
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