Factors Influencing Exercise Following Pancreatic Tumor Resection

Background We previously demonstrated associations between exercise during pancreatic cancer treatment and quality of life and physical fitness prior to pancreatectomy. In this study, we quantified exercise among survivors following pancreatic tumor resection and characterized concordance with estab...

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Bibliographic Details
Published in:Annals of surgical oncology 2021-04, Vol.28 (4), p.2299-2309
Main Authors: Parker, Nathan H., Basen-Engquist, Karen, Rubin, M. Laura, Li, Yisheng, Prakash, Laura, Ngo-Huang, An, Gorzelitz, Jessica, Ikoma, Naruhiko, Lee, Jeffrey E., Katz, Matthew H. G.
Format: Article
Language:English
Subjects:
Adenocarcinoma
Aged
Cancer
Cancer Survivors
Exercise
Exercise Therapy
Fatigue
Humans
Medicine
Medicine & Public Health
Motivation
Neuroendocrine tumors
Oncology
Pancreatic cancer
Pancreatic Neoplasms - surgery
Pancreatic Tumors
Physical fitness
Quality of Life
Surgery
Surgical Oncology
Survivors
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Summary:Background We previously demonstrated associations between exercise during pancreatic cancer treatment and quality of life and physical fitness prior to pancreatectomy. In this study, we quantified exercise among survivors following pancreatic tumor resection and characterized concordance with established guidelines. Methods We quantified exercise frequency, duration, and intensity among survivors who underwent pancreatectomy for adenocarcinoma or a neuroendocrine tumor at our center from 2000 to 2017 and compared them with American College of Sports Medicine Guidelines for Cancer Survivors. Additional surveys measured motivation to exercise, barrier self-efficacy, quality of life, and fatigue. Multivariable models were constructed to evaluate associations between clinicodemographic and psychosocial variables and guideline concordance, and between guideline concordance and quality of life and fatigue. Results Of 504 eligible survivors, 262 (52%) returned surveys. Only 62 participants (24%) reported meeting both aerobic and strengthening guidelines; 103 (39%) reported meeting neither. Adjusted analyses demonstrated that higher autonomous motivation was associated with higher aerobic and strengthening guideline concordance (both p  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-020-09062-9