Keywords

Cancer survivors, Exercise behavior, Exercise guidelines, Korean, Physical Activity

 

Authors

  1. An, Ki-Yong PhD
  2. Kang, Dong-Woo MSc
  3. Courneya, Kerry S. PhD

Abstract

Background: Understanding the prevalence and correlates of exercise in Korean cancer patients is important to improve their health-related fitness and quality of life.

 

Objective: The aim of this study was to examine the prevalence and correlates of aerobic and strength exercise in Korean cancer patients.

 

Methods: Overall, 640 cancer patients from the Korea National Health and Nutrition Examination Survey 2014-2016 were categorized as meeting the exercise guidelines as follows: (a) neither, (b) strength only, (c) aerobic only, or (d) combined. Correlates included demographic, medical, health-related fitness, and quality of life variables. Univariate and stepwise multinomial logistic regression were used for statistical analyses.

 

Results: Over 70% of Korean cancer patients did not meet either exercise guideline. Higher education was associated with being more likely to meet the combined (odds ratio [OR], 4.69; P < .001), aerobic-only (OR, 3.58; P < .001), and strength-only (OR, 1.87; P = .042) guidelines. Higher hand-grip strength (per 10 kg) was associated with being more likely to meet the combined (OR, 1.78; P = .003) and strength-only (OR, 1.73; P < .001) guidelines. Older age (per 10 years) was associated with being less likely to meet the combined (OR, 0.69; P = .009) and aerobic-only (OR, 0.59; P < .001) guidelines and more likely to meet the strength-only guideline (OR, 1.46; P = .004).

 

Conclusions: Exercise levels are very low among Korean cancer patients and are correlated with age, education, and physical strength.

 

Implications for Practice: Oncology nurses in Korea should consider promoting exercise to cancer patients, especially older, less educated, and physically weaker patients.