Abstract
Purpose: Physical activity (PA) is an effective intervention for improving the quality of life of colorectal cancer survivors (CRC) and may reduce the risk of cancer recurrence and cancer specific and all-cause mortality. However, most CRC survivors are not sufficiently active to receive these benefits. Sedentary behavior (SB) has also been linked to morbidity and mortality risk independent of activity level, thereby presenting an additional opportunity to improve health outcomes of CRC survivors. The built environment is known to influence PA and SB; however, little is known about where CRC survivors engage in PA and SB. The objective of this exploratory study was to objectively identify locations where CRC survivors engage in PA and SB in order to inform health promoting interventions. Method: Activity and location of CRC survivors (n = 31) was monitored for 1 week between January 2014 and April 2015 in Nova Scotia, Canada. Bouts of PA and SB were time-matched with GPS data to attribute bouts to specific geographic locations. Results: Participants’ home environment was the main location for both time spent in PA bouts (73.7 %) and time spent in SB bouts (90.5 %). Conclusion: This study is the first to objectively identify environments where CRC survivors are active and sedentary. These findings highlight the importance of considering the home environment when developing intervention strategies to increase PA and reduce SB in CRC survivors.
Original language | English |
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Pages (from-to) | 120-126 |
Number of pages | 7 |
Journal | International Journal of Behavioral Medicine |
Volume | 24 |
Issue number | 1 |
DOIs | |
Publication status | Published - Feb 1 2017 |
Bibliographical note
Funding Information:The authors thank Dr. Bruce Colwell, Donna Grant, Ostomy Halifax, and the researchers and staff at Atlantic PATH (notably Tyler Kinch and Dr. Louise Parker) for their assistance with recruitment for this study. This study was approved by the Capital Health Research Ethics Board (CDHA-RS/2014-072). This manuscript is the result of LML’s masters thesis, which was supported by the Beatrice Hunter Cancer Research Institute Cancer Research Training Program and the Nova Scotia Health Research Foundation’s Scotia Scholar award. All authors contributed to study design, data analysis, and manuscript preparation. MRK, MRS, and DGR all provided feedback on the final version, prepared by LML. Finally, we would like to thank the reviewers, whose comments clarified and strengthened the final version of the manuscript, as well as the guidance of Kate Rancourt, which was instrumental in addressing the reviewers’ concerns.
Publisher Copyright:
© 2016, International Society of Behavioral Medicine.
ASJC Scopus Subject Areas
- Applied Psychology