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@ARTICLE{Depenbusch:176890,
      author       = {J. Depenbusch$^*$ and J. Wiskemann and A. Haussmann$^*$ and
                      A. Tsiouris and L. Schmidt and N. Ungar and M. Sieverding
                      and K. Steindorf$^*$},
      title        = {{I}mpact and {D}eterminants of {S}tructural {B}arriers on
                      {P}hysical {A}ctivity in {P}eople with {C}ancer.},
      journal      = {International journal of behavioral medicine},
      volume       = {29},
      number       = {3},
      issn         = {1070-5503},
      address      = {Boston, MA},
      publisher    = {Springer},
      reportid     = {DKFZ-2021-02132},
      pages        = {308-320},
      year         = {2022},
      note         = {#EA:C110#LA:C110# / 2022 Jun;29(3):308-320},
      abstract     = {A 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.},
      keywords     = {Cancer (Other) / Exercise oncology (Other) / Impediment
                      (Other) / Physical activity (Other) / Structural barriers
                      (Other)},
      cin          = {C110},
      ddc          = {150},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:34550527},
      doi          = {10.1007/s12529-021-10014-0},
      url          = {https://inrepo02.dkfz.de/record/176890},
}