Cancer survivors participating in supervised exercise programs learn toexercise safely with oversight from care providers who monitor and facilitatetheir progress. This study investigated the long-term exerciseparticipation levels and identified exercise barriers for graduates from aspecialized cancer exercise and education program. Subjects weregraduates from a 12-week supervised exercise program (www.canwellprogram. ca) who participated in a, prospective, long-term evaluation. Measures included: six-min walk test (6-MWT), STEEP treadmilltest, Functional Assessment Cancer Therapy-General (FACT-G), EdmontonSymptom Assessment System (ESAS), Godin Leisure-Time ExerciseQuestionnaire, and exercise barriers survey. Analysis was performedusing the paired t -test. Fifty-seven (55% of eligible cohort) CanWell participants(mean age= 60; 74% females) were included in this study. Postprogram changes included statistically significant reductions in totalmin on the treadmill and a trend towards improvements in 6-MWT distance. No significant changes were recorded in total FACT-G or ESASscore, however functional well-being approached statistical significantimprovements. The most commonly reported exercise barriers includedfatigue, cost, and return to work. While most participants (86%) believedthey were able to exercise, only 63% reported being able to progresstheir exercise. These finding demonstrated that although CanWell graduateshave substantial support from exercise specialists and most haveearly success with exercise, environment-related factors diminish longtermindependent adherence to exercise. Providing cancer survivorswith the skills needed to monitor and progress their exercise routines,or access to “tune-ups” may increase exercise adherence and maximizebenefits.
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Abstract INTRODUCTION MATERIALS AND METHODS Participants Study design Physical performance measures Self-reported quality of life measures Self-reported exercise participation measure Exercise barriers measure Statistical analysis RESULTS DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES