J Gynecol Oncol.  2015 Apr;26(2):141-147. 10.3802/jgo.2015.26.2.141.

Physical activity for an ethnically diverse sample of endometrial cancer survivors: a needs assessment and pilot intervention

Affiliations
  • 1Department of Biobehavioral Sciences, Columbia University Teachers College, New York, NY, USA.
  • 2Division of Athletic Training, Health and Exercise Science, Long Island University, Brooklyn, NY, USA.
  • 3Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, USA.
  • 4Division of Gynecologic Oncology, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. nnevadun@montefiore.org

Abstract


OBJECTIVE
To determine the physical activity (PA) behavior, needs and preferences for underserved, ethnically diverse women with a history of endometrial cancer (EC).
METHODS
Women with a history of EC (41 non-Hispanic black, 40 non-Hispanic white, and 18 Hispanic) completed a needs assessment during their regular follow-up appointments at Montefiore Medical Center in Bronx, NY, USA. An 8-week pilot PA intervention based on the results of the needs assessment was conducted with 5 EC survivors.
RESULTS
Mean body mass index (BMI) among the 99 respondents was 34.1+/-7.6 kg/m2, and 66% did not exercise regularly. Self-described weight status was significantly lower than actual BMI category (p<0.001). Of the 86% who were interested in joining an exercise program, 95% were willing to attend at least once weekly. The primary motivations were improving health, losing weight, and feeling better physically. Despite the high interest in participation, volunteer rate was very low (8%). However, adherence to the 8-week pilot PA intervention was high (83%), and there were no adverse events. Body weight decreased in all pilot participants.
CONCLUSION
These data show that ethnically diverse EC survivors have a great need for, and are highly interested in, PA interventions. However, greater care needs to be taken to assess and identify barriers to increase participation in such programs.

Keyword

Endometrial Neoplasms; Exercise; Health Behavior; Obesity; Needs Assessment; Survivors

MeSH Terms

Aged
Body Mass Index
Endometrial Neoplasms/epidemiology/*ethnology/*rehabilitation
Ethnic Groups
Exercise/physiology
Female
Health Behavior/ethnology
Humans
Middle Aged
*Motor Activity
*Needs Assessment/statistics & numerical data
Obesity/complications/therapy
Pilot Projects
Surveys and Questionnaires
*Survivors/statistics & numerical data

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