Clinical and sociodemographic determinants of older breast cancer survivors’ reports of receiving advice about exercise

• Published in: Breast cancer research and treatment 2024-12, Vol.208 (3), p.643-655
• Main Authors: Wojcik, Kaitlyn M., Wilson, Oliver W. A., Kamil, Dalya, Rajagopal, Padma Sheila, Schonberg, Mara A., Jayasekera, Jinani
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Body mass index; Breast cancer; Breast Neoplasms - epidemiology; Breast Neoplasms - therapy; Cancer Survivors - statistics & numerical data; Diabetes mellitus; Epidemiology; Exercise; Female; Health care; Humans; Medicine; Medicine & Public Health; Musculoskeletal diseases; Older people; Oncology; SEER Program; Sociodemographic Factors; Sociodemographics; Socioeconomic Factors; Surveys; United States - epidemiology
• ISSN: 0167-6806; 1573-7217; 1573-7217
• DOI: 10.1007/s10549-024-07460-1

Purpose Exercise offers various clinical benefits to older breast cancer survivors. However, studies report that healthcare providers may not regularly discuss exercise with their patients. We evaluated clinical and sociodemographic determinants of receiving advice about exercise from healthcare providers among older breast cancer survivors (aged ≥65 years). Methods We used data from the Surveillance, Epidemiology, and End Results cancer registries linked to the Medicare Health Outcomes Survey (MHOS) from 2008 to 2015. We included female breast cancer survivors, aged ≥65 years, who completed the MHOS survey ≥2 years after a breast cancer diagnosis in a modified Poisson regression to identify clinical and sociodemographic determinants of reportedly receiving advice about exercise from healthcare providers. Results The sample included 1,836 breast cancer survivors. The median age of the sample was 76 years (range: 72–81). Overall, 10.7% of the survivors were non-Hispanic Black, 10.1% were Hispanic, and 69.3% were non-Hispanic White. Only 52.3% reported receiving advice about exercise from a healthcare provider. Higher body mass index (BMI) and comorbid medical history that included diabetes, cardiovascular, or musculoskeletal disease were each associated with a higher likelihood of receiving exercise advice. Lower education levels, lower BMI, and never having been married were each associated with a lower likelihood of receiving exercise advice. Conclusions Nearly half of breast cancer survivors aged ≥65 years did not report receiving exercise advice from a healthcare provider, suggesting interventions are needed to improve exercise counseling between providers and survivors, especially with women with lower educational attainment who have never been married.