A1 Refereed original research article in a scientific journal

Physical Activity Among Adolescent Cancer Survivors: The PACCS Study




AuthorsGrydeland May, Bratteteig Mari, Rueegg Corina S., Lie Hanne C., Thorsen Lene, Larsen Elna H., Brügmann-Pieper Sabine, Torsvik Ingrid K., Götte Miriam, Lähteenmäki Päivi M., Kriemler Susi, Fridh Martin K., Anderssen Sigmund A., Ruud Ellen

PublisherNLM (Medline)

Publication year2023

JournalPediatrics

Journal name in sourcePediatrics

Article numbere2023061778

Volume152

Issue3

ISSN1098-4275

eISSN1098-4275

DOIhttps://doi.org/10.1542/peds.2023-061778

Web address https://publications.aap.org/pediatrics/article/152/3/e2023061778/193791/Physical-Activity-Among-Adolescent-Cancer?autologincheck=redirected

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/181290660


Abstract
OBJECTIVES

Physical activity (PA) may modify risks of late effects after cancer. We aimed to examine levels of PA and sedentary time (ST) in a large, international sample of adolescent childhood cancer survivors in relation to sociodemographic and cancer-related factors and compare levels of PA and ST to reference cohorts.

METHODS

Survivors from any cancer diagnosis who had completed cancer treatment ≥1 year ago, aged 9 to 16 years, were eligible for the multicenter Physical Activity in Childhood Cancer Survivors study. PA and ST were measured by ActiGraph GT3X+ accelerometers. We performed linear regression analyses to assess factors associated with moderate-to-vigorous PA (MVPA) and ST, and compared marginal means of total PA, MVPA, and ST in 432 survivors to sex- and age-stratified references (2-year intervals) using immediate t-tests for aggregated data.

RESULTS

Among survivors, 34% fulfilled the World Health Organization’s PA recommendation of ≥60 min of daily MVPA on average and their ST was 8.7 hours per day. Being female, older, overweight, a survivor of central nervous system tumor, or having experienced relapse were associated with lower MVPA and/or higher ST. Generally, male survivors spent less time in MVPA compared with references, whereas female survivors had similar levels. Both male and female survivors had higher ST than references in nearly all age groups.

CONCLUSIONS

The low PA and high ST in this large sample of adolescent childhood cancer survivors is worrisome. Combined, our results call for targeted interventions addressing both PA and ST in follow-up care after childhood cancer.


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Last updated on 2025-27-03 at 22:05