Health Sciences Program Student Theses, Dissertations and Capstones

Document Type

Dissertation - NSU Access Only

Degree Name

Doctor of Philosophy (PhD) in Health Science

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.

Department

College of Health Care Sciences – Health Science Department

First Advisor

Moya Alfonso

Date of original Performance / Presentation

January 2022

Publication Date / Copyright Date

1-1-2022

Abstract

Problem: Despite the well-known benefits of physical activity, few cancer survivors adhere to physical activity guidelines. A preliminary study indicated that fewer hematologic cancer survivors adhere to physical activity guidelines than other cancer survivors. Purpose: To investigate whether there is a difference in adherence to physical activity guidelines for hematologic cancer survivors compared with other cancer survivors and investigate the role of the type of cancer and other variables in predicting adherence. Methods: The investigator applied secondary analysis to National Health Information Survey data. Logistic regression analyses were performed to answer all the research questions. Participants: The study included 235 hematologic cancer survivors and 5,667 other cancer survivors aged 18 or older. Results: No difference was found in adherence between hematologic cancer survivors and other cancer survivors. For all three guidelines, health-status variables were the most important type of variables. Participants who were older, female, Black, had children at home, had two or more comorbidities, or had a functional limitation were less likely to adhere to the physical activity guidelines. Childhood cancer survivors were less likely to adhere to the aerobic guideline, and survivors who were obese were less likely to adhere to the strengthening or overall guidelines. Conclusions: Hematologic cancer survivor patterns of physical activity are like those of other cancer survivors. Functional limitation is an important and understudied correlate of cancer survivor adherence to physical activity guidelines. Implications: Access to surveillance programs and rehabilitation services may improve cancer survivor adherence to physical activity guidelines.

Disciplines

Medicine and Health Sciences

Keywords

Cancer survivors; Functional limitation; Hematologic cancer; Physical activity; Physical activity guidelines

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