1
|
Beebe-Dimmer JL, Finlay DG, Ruterbusch JJ, Baird T, Simon MS, Abrams J, Harper FW, Podgorski I, Heath EI. The impact of high intensity interval training in a diverse group of cancer survivors: CAPABLE, a pilot study. Prev Med Rep 2023; 35:102288. [PMID: 37449003 PMCID: PMC10336780 DOI: 10.1016/j.pmedr.2023.102288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 05/15/2023] [Accepted: 06/16/2023] [Indexed: 07/18/2023] Open
Abstract
Purpose Given the well-documented benefits of regular exercise to cancer survivors, current American Cancer Society guidelines recommend that patients engage in a minimum of 150 min per week of moderate-to-vigorous physical activity with a minimum of two days of strength training. However, few survivors meet this goal, particularly among minorities. Methods The CAPABLE study is a single-arm, pilot exercise intervention that introduced 48 cancer survivors to a high intensity interval and strength training program three days a week for 12 weeks. We evaluated the impact of this unique training method on bodyweight, % body fat, serum markers correlated with an adverse cardiometabolic profile and health-related quality of life (HRQoL). Measures were summarized at baseline and program exit. Paired t-tests were used to assess change in each of these measures over time. Results We observed losses in weight, body mass index, and % body fat, and glycosylated hemoglobin (HbA1c) levels over 12-weeks. There were also clinically meaningful improvements in reported overall HRQoL (FACTG total change +9.5 (95% CI, 4.6, 14.4)) and in each one of the individual domains (physical, social, emotional, and functional well-being). Conclusions We observed meaningful improvements in body composition, HbA1c and quality of life over 12 weeks among cancer survivors participating in a high-intensity interval training program. Future work will include a control arm for comparison and address barriers to participation and adherence which will be important in using this intervention and others like it to improve outcomes and reduce cancer health disparities.
Collapse
Affiliation(s)
- Jennifer L. Beebe-Dimmer
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - David G. Finlay
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Julie J. Ruterbusch
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Tara Baird
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Michael S. Simon
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Judith Abrams
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Felicity W.K. Harper
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Izabela Podgorski
- Wayne State University, School of Medicine Departments of Pathology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| | - Elisabeth I. Heath
- Wayne State University, School of Medicine Departments of Oncology, Detroit, MI 48201, United States
- Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, United States
| |
Collapse
|
2
|
Beebe-Dimmer JL, Ruterbusch JJ, Harper FWK, Baird TM, Finlay DG, Rundle AG, Pandolfi SS, Hastert TA, Schwartz KL, Bepler G, Simon MS, Mantey J, Abrams J, Albrecht TL, Schwartz AG. Physical activity and quality of life in African American cancer survivors: The Detroit Research on Cancer Survivors study. Cancer 2020; 126:1987-1994. [PMID: 32090322 DOI: 10.1002/cncr.32725] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 12/21/2019] [Accepted: 12/23/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND The benefit of regular exercise in improving cancer outcomes is well established. The American Cancer Society (ACS) released a recommendation that cancer survivors should engage in at least 150 minutes of moderate to vigorous physical activity (PA) per week; however, few report meeting this recommendation. This study examined the patterns and correlates of meeting ACS PA recommendations in the Detroit Research on Cancer Survivors (ROCS) cohort of African American cancer survivors. METHODS Detroit ROCS participants completed baseline and yearly follow-up surveys to update their health and health behaviors, including PA. This study examined participation in PA by select characteristics and reported health-related quality of life (HRQOL) as measured with the Functional Assessment of Cancer Therapy and Patient-Reported Outcomes Measurement Information System instruments. RESULTS Among the first 1500 ROCS participants, 60% reported participating in regular PA, with 24% reporting ≥150 min/wk. Although there were no differences by sex, prostate cancer survivors were the most likely to report participating in regular PA, whereas lung cancer survivors were the least likely (P = .022). Survivors who reported participating in regular PA reported higher HRQOL (P < .001) and lower depression (P = .040). CONCLUSIONS Just 24% of African American cancer survivors reported meeting the ACS guidelines for PA at the baseline, but it was encouraging to see increases in activity over time. Because of the established benefits of regular exercise observed in this study and others, identifying and reducing barriers to regular PA among African American cancer survivors are critical for improving outcomes and minimizing disparities.
Collapse
Affiliation(s)
- Jennifer L Beebe-Dimmer
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Julie J Ruterbusch
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Felicity W K Harper
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Tara M Baird
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - David G Finlay
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan
| | - Andrew G Rundle
- Columbia University Mailman School of Public Health, New York, New York
| | - Stephanie S Pandolfi
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Theresa A Hastert
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Kendra L Schwartz
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Gerold Bepler
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Michael S Simon
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Julia Mantey
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Judy Abrams
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Teri L Albrecht
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| | - Ann G Schwartz
- Barbara Ann Karmanos Cancer Institute, Detroit, Michigan.,Department of Oncology, Wayne State School of Medicine, Detroit, Michigan
| |
Collapse
|
3
|
Abstract
A considerable body of research evidence has accumulated in the alcoholism field with respect to when persons who overly rely on alcohol modify their behavior and seek alternate ways of dealing with life. It is the purpose of this paper to identify a number of these factors and relate them to a theoretical perspective that, while not new, is of relatively recent vintage for alcoholism specialists. That perspective is General Behavior Systems Theory (GBST), and it will be contended that its basic postulates comprise a framework that is especially congruent with the findings related to when alcohol-dependent persons change. As such, it provides a set of ideas which offer more fruitful guidelines for assessment and intervention than those resulting from exclusive reliance on other extant models (see Siegler et al., 1968; Miller and Barlow, 1973), in particular, the traditional and predominant illness conception.
Collapse
|