Mari Bratteteig, Corina S. Rueegg, Hanne C. Lie, Lene Thorsen, Elna H. Larsen, Marie H. Larsen, Ingrid K. Torsvik, Miriam Götte, Liisa S. Järvelä, Susi Kriemler, Hanne B. Larsen, Sigmund A. Anderssen, Ellen Ruud, May Grydeland
{"title":"儿童癌症年轻幸存者的体育活动行为和屏幕时间:儿童癌症幸存者体育活动研究","authors":"Mari Bratteteig, Corina S. Rueegg, Hanne C. Lie, Lene Thorsen, Elna H. Larsen, Marie H. Larsen, Ingrid K. Torsvik, Miriam Götte, Liisa S. Järvelä, Susi Kriemler, Hanne B. Larsen, Sigmund A. Anderssen, Ellen Ruud, May Grydeland","doi":"10.1007/s11764-024-01671-7","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>In childhood cancer survivors (CCS), high physical activity (PA) and low sedentary time may reduce risks of late-effects. PA behaviors and screen time, and how they relate to moderate-to-vigorous PA (MVPA) in CCS, are largely unknown. We examined PA behaviors and screen time, and their cross-sectional associations with MVPA.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>CCS from any cancer diagnosis (≥ l year post-treatment), aged 9–16 years at study, were eligible in the international Physical Activity in Childhood Cancer Survivors (PACCS) study. PA behaviors (school transport, intensity-effort in physical education (“PE intensity”), leisure-time PA) and screen time were assessed by self-report, and MVPA by accelerometers (ActiGraph GT3X-BT). Multivariable linear regressions were used to assess associations between PA behaviors and screen time with MVPA.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>We included 481 CCS (48% girls, mean age 12.2 years). Passive school transport (prevalence 42%) was associated with 10% lower MVPA/day (<i>β</i> = 6.6 min, 95% CI 3.3–10.0), low PE intensity (prevalence 21%) with 16% lower MVPA/day (<i>β</i> = 10.2 min, 95% CI 6.0–14.3), and low leisure-time PA (prevalence 34%) with 15% lower MVPA/day (<i>β</i> = 9.4 min, 95% CI 1.0–17.7), compared to active school transport, high PE intensity and high leisure-time PA, respectively. 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引用次数: 0
摘要
目的 在儿童癌症幸存者(CCS)中,大量的体力活动(PA)和较少的久坐时间可以降低晚期效应的风险。儿童癌症幸存者的体力活动行为和屏幕时间,以及它们与中度到剧烈体力活动(MVPA)之间的关系在很大程度上是未知的。我们研究了儿童癌症幸存者的体育锻炼行为和屏幕时间,以及它们与 MVPA 的横断面关系。方法任何癌症诊断(治疗后≥ l 年)的儿童癌症幸存者,研究时年龄为 9-16 岁,均符合国际儿童癌症幸存者体育锻炼(PACCS)研究的资格。体育锻炼行为(学校交通、体育课强度-努力("PE intensity")、闲暇体育锻炼)和屏幕时间通过自我报告进行评估,MVPA通过加速度计(ActiGraph GT3X-BT)进行评估。采用多变量线性回归评估 PA 行为和屏幕时间与 MVPA 之间的关联。被动学校交通(流行率 42%)与每天 MVPA 减少 10% 相关(β = 6.6 分钟,95% CI 3.3-10.0),低体育强度(流行率 21%)与每天 MVPA 减少 16% 相关(β = 10.2 分钟,95% CI 6.0-14.3),与积极的学校交通、高体育强度和高休闲时间 PA 相比,低休闲时间 PA(流行率 34%)的 MVPA/天(β = 9.4 分钟,95% CI 1.0-17.7)分别低 15%。结论旨在增加 PA 行为而不是减少屏幕时间的干预措施,可能更有效地通过增加 MVPA 来促进社区儿童的健康生活方式。鼓励积极的交通、高强度的体育锻炼和高休闲时间的PA在幸存者护理中似乎很重要。对癌症幸存者的启示年轻的癌症幸存者可能会从积极的交通、高强度的体育锻炼和高休闲时间的PA中受益。
Physical activity behaviors and screen time in young childhood cancer survivors: the Physical Activity in Childhood Cancer Survivors Study
Purpose
In childhood cancer survivors (CCS), high physical activity (PA) and low sedentary time may reduce risks of late-effects. PA behaviors and screen time, and how they relate to moderate-to-vigorous PA (MVPA) in CCS, are largely unknown. We examined PA behaviors and screen time, and their cross-sectional associations with MVPA.
Methods
CCS from any cancer diagnosis (≥ l year post-treatment), aged 9–16 years at study, were eligible in the international Physical Activity in Childhood Cancer Survivors (PACCS) study. PA behaviors (school transport, intensity-effort in physical education (“PE intensity”), leisure-time PA) and screen time were assessed by self-report, and MVPA by accelerometers (ActiGraph GT3X-BT). Multivariable linear regressions were used to assess associations between PA behaviors and screen time with MVPA.
Results
We included 481 CCS (48% girls, mean age 12.2 years). Passive school transport (prevalence 42%) was associated with 10% lower MVPA/day (β = 6.6 min, 95% CI 3.3–10.0), low PE intensity (prevalence 21%) with 16% lower MVPA/day (β = 10.2 min, 95% CI 6.0–14.3), and low leisure-time PA (prevalence 34%) with 15% lower MVPA/day (β = 9.4 min, 95% CI 1.0–17.7), compared to active school transport, high PE intensity and high leisure-time PA, respectively. High screen time was not associated with MVPA.
Conclusion
Interventions aiming to increase PA behaviors rather than reducing screen time may be more efficient in promoting a healthy lifestyle in CCS through increased MVPA. Encouraging active transport, high PE intensity, and high leisure-time PA seems important in survivorship care.
Implications for Cancer Survivors
Young CCS may benefit from engaging in active transport, high PE intensity, and high leisure-time PA.
期刊介绍:
Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.