Disparities in physical activity in adolescent and young adult cancer survivors

Purpose There is a growing population of adolescent and young adult (AYA, ages 15–39 at diagnosis) cancer survivors at heightened risk of chronic conditions. Moderate to vigorous physical activity level (MVPA) is an important modifiable factor associated with improved cardiovascular health. Little i...

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Bibliographic Details
Published in:Journal of cancer survivorship 2023-06, Vol.17 (3), p.848-858
Main Authors: Berkman, Amy M., Andersen, Clark R., Tang, Kevin, Gilchrist, Susan C., Roth, Michael E.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Cancer
Cancer Survivors
Cardiovascular disease
Cardiovascular diseases
Chronic conditions
Diabetes
Diabetes mellitus
Diagnosis
Education
Exercise
Health Informatics
Health Promotion and Disease Prevention
Health risks
Heart Diseases
Humans
Income
Medicine
Medicine & Public Health
Minority & ethnic groups
Multivariable control
Neoplasms - epidemiology
Oncology
Physical activity
Primary Care Medicine
Public Health
Quality of Life Research
Regression analysis
Risk factors
Smoking
Smoking - epidemiology
Sociodemographics
Survival
Survivors
Teenagers
Young Adult
Young adults
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Summary:Purpose There is a growing population of adolescent and young adult (AYA, ages 15–39 at diagnosis) cancer survivors at heightened risk of chronic conditions. Moderate to vigorous physical activity level (MVPA) is an important modifiable factor associated with improved cardiovascular health. Little is known about the association of sociodemographic factors with MVPA in AYA survivors. Methods Self-reported data from the National Health Interview Survey (2009–2018) were used to identify AYA cancer survivors (at least 2 years post-diagnosis) and age- and sex-matched controls. MVPA level based on sociodemographic (sex, race and ethnicity, income, education), medical (heart disease, stroke, and diabetes), and cardiovascular risk factors (BMI and smoking) was determined within and between survivors and controls using multivariable linear regression models. Results A total of 4766 AYA cancer survivors and 47,660 controls were included. Less than half of survivors (41.9%) and controls (43.2%) met MVPA guideline recommendations, and one-third of survivors (33.4%) reported no MVPA. Black race was associated with reduced MVPA compared with White race (ratio: 0.58 (95% CI: 0.37–0.90). Household income 
ISSN:1932-2259
1932-2267
DOI:10.1007/s11764-022-01264-2