Associations between physical activity and comorbidities in Korean cancer survivors

Dong Woo Kang, Eun Young Lee, Ki Yong An, Jihee Min, Justin Y. Jeon, Kerry S. Courneya

Research output: Contribution to journalArticle

Abstract

Purpose: To examine the associations between physical activity, metabolic risk factors, and comorbidities in Korean cancer survivors. Methods: We used multiple cross-sectional data sets from the 2007–2013 Korean National Health and Nutrition Examination Surveys (KNHANES) that included 1225 cancer survivors. Physical activity and comorbidities were self-reported. Metabolic risk factors were measured via blood analyses and included fasting glucose, insulin, total cholesterol, triglycerides, and blood pressure. Results: The sample was 38.4% male with a mean age of 59.9 ± 12.4 years. The most common cancers were stomach (22.5%), cervical (14.6%), breast (14.4%), and colorectal (11.8%). Cancer survivors meeting aerobic physical activity guidelines, compared to those completely inactive, had significantly lower fasting glucose (p =.001), HbA1c (p =.006), and systolic blood pressure (p =.001), and significantly lower risks of hypertension (odds ratio [OR] = 0.55, 95% confidential interval [CI] = 0.32 to 0.93), diabetes (OR = 0.64, 95% CI = 0.43 to 0.95), and arthritis (OR = 0.64, 95% CI = 0.41 to 0.99). Moreover, cancer survivors meeting strength exercise guidelines, compared to those not meeting guidelines, had significantly lower levels of fasting glucose (p =.001), HbA1c (p <.001), and total cholesterol (p =.031), and significantly lower risks of arthritis (OR = 0.42, 95% CI = 0.25 to 0.85) and back pain (OR = 0.50, 95% CI = 0.30 to 0.83). Conclusion: Aerobic physical activity and strength exercise were significantly associated with lower risks of metabolic disturbances and comorbidities in Korean cancer survivors. Implications for Cancer Survivors: Cancer survivors should engage in at least 150 min/week of aerobic exercise and at least 2 days/week of strength exercise to lower their risk of metabolic disturbances and comorbidities.

Original languageEnglish
Pages (from-to)441-449
Number of pages9
JournalJournal of Cancer Survivorship
Volume12
Issue number4
DOIs
Publication statusPublished - 2018 Aug 1

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Comorbidity
Odds Ratio
Neoplasms
Fasting
Guidelines
Blood Pressure
Glucose
Arthritis
Cholesterol
Nutrition Surveys
Back Pain
Stomach Neoplasms
Triglycerides
Breast
Exercise
Insulin
Hypertension

All Science Journal Classification (ASJC) codes

  • Oncology
  • Oncology(nursing)

Cite this

Kang, Dong Woo ; Lee, Eun Young ; An, Ki Yong ; Min, Jihee ; Jeon, Justin Y. ; Courneya, Kerry S. / Associations between physical activity and comorbidities in Korean cancer survivors. In: Journal of Cancer Survivorship. 2018 ; Vol. 12, No. 4. pp. 441-449.
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title = "Associations between physical activity and comorbidities in Korean cancer survivors",
abstract = "Purpose: To examine the associations between physical activity, metabolic risk factors, and comorbidities in Korean cancer survivors. Methods: We used multiple cross-sectional data sets from the 2007–2013 Korean National Health and Nutrition Examination Surveys (KNHANES) that included 1225 cancer survivors. Physical activity and comorbidities were self-reported. Metabolic risk factors were measured via blood analyses and included fasting glucose, insulin, total cholesterol, triglycerides, and blood pressure. Results: The sample was 38.4{\%} male with a mean age of 59.9 ± 12.4 years. The most common cancers were stomach (22.5{\%}), cervical (14.6{\%}), breast (14.4{\%}), and colorectal (11.8{\%}). Cancer survivors meeting aerobic physical activity guidelines, compared to those completely inactive, had significantly lower fasting glucose (p =.001), HbA1c (p =.006), and systolic blood pressure (p =.001), and significantly lower risks of hypertension (odds ratio [OR] = 0.55, 95{\%} confidential interval [CI] = 0.32 to 0.93), diabetes (OR = 0.64, 95{\%} CI = 0.43 to 0.95), and arthritis (OR = 0.64, 95{\%} CI = 0.41 to 0.99). Moreover, cancer survivors meeting strength exercise guidelines, compared to those not meeting guidelines, had significantly lower levels of fasting glucose (p =.001), HbA1c (p <.001), and total cholesterol (p =.031), and significantly lower risks of arthritis (OR = 0.42, 95{\%} CI = 0.25 to 0.85) and back pain (OR = 0.50, 95{\%} CI = 0.30 to 0.83). Conclusion: Aerobic physical activity and strength exercise were significantly associated with lower risks of metabolic disturbances and comorbidities in Korean cancer survivors. Implications for Cancer Survivors: Cancer survivors should engage in at least 150 min/week of aerobic exercise and at least 2 days/week of strength exercise to lower their risk of metabolic disturbances and comorbidities.",
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Associations between physical activity and comorbidities in Korean cancer survivors. / Kang, Dong Woo; Lee, Eun Young; An, Ki Yong; Min, Jihee; Jeon, Justin Y.; Courneya, Kerry S.

In: Journal of Cancer Survivorship, Vol. 12, No. 4, 01.08.2018, p. 441-449.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Associations between physical activity and comorbidities in Korean cancer survivors

AU - Kang, Dong Woo

AU - Lee, Eun Young

AU - An, Ki Yong

AU - Min, Jihee

AU - Jeon, Justin Y.

AU - Courneya, Kerry S.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Purpose: To examine the associations between physical activity, metabolic risk factors, and comorbidities in Korean cancer survivors. Methods: We used multiple cross-sectional data sets from the 2007–2013 Korean National Health and Nutrition Examination Surveys (KNHANES) that included 1225 cancer survivors. Physical activity and comorbidities were self-reported. Metabolic risk factors were measured via blood analyses and included fasting glucose, insulin, total cholesterol, triglycerides, and blood pressure. Results: The sample was 38.4% male with a mean age of 59.9 ± 12.4 years. The most common cancers were stomach (22.5%), cervical (14.6%), breast (14.4%), and colorectal (11.8%). Cancer survivors meeting aerobic physical activity guidelines, compared to those completely inactive, had significantly lower fasting glucose (p =.001), HbA1c (p =.006), and systolic blood pressure (p =.001), and significantly lower risks of hypertension (odds ratio [OR] = 0.55, 95% confidential interval [CI] = 0.32 to 0.93), diabetes (OR = 0.64, 95% CI = 0.43 to 0.95), and arthritis (OR = 0.64, 95% CI = 0.41 to 0.99). Moreover, cancer survivors meeting strength exercise guidelines, compared to those not meeting guidelines, had significantly lower levels of fasting glucose (p =.001), HbA1c (p <.001), and total cholesterol (p =.031), and significantly lower risks of arthritis (OR = 0.42, 95% CI = 0.25 to 0.85) and back pain (OR = 0.50, 95% CI = 0.30 to 0.83). Conclusion: Aerobic physical activity and strength exercise were significantly associated with lower risks of metabolic disturbances and comorbidities in Korean cancer survivors. Implications for Cancer Survivors: Cancer survivors should engage in at least 150 min/week of aerobic exercise and at least 2 days/week of strength exercise to lower their risk of metabolic disturbances and comorbidities.

AB - Purpose: To examine the associations between physical activity, metabolic risk factors, and comorbidities in Korean cancer survivors. Methods: We used multiple cross-sectional data sets from the 2007–2013 Korean National Health and Nutrition Examination Surveys (KNHANES) that included 1225 cancer survivors. Physical activity and comorbidities were self-reported. Metabolic risk factors were measured via blood analyses and included fasting glucose, insulin, total cholesterol, triglycerides, and blood pressure. Results: The sample was 38.4% male with a mean age of 59.9 ± 12.4 years. The most common cancers were stomach (22.5%), cervical (14.6%), breast (14.4%), and colorectal (11.8%). Cancer survivors meeting aerobic physical activity guidelines, compared to those completely inactive, had significantly lower fasting glucose (p =.001), HbA1c (p =.006), and systolic blood pressure (p =.001), and significantly lower risks of hypertension (odds ratio [OR] = 0.55, 95% confidential interval [CI] = 0.32 to 0.93), diabetes (OR = 0.64, 95% CI = 0.43 to 0.95), and arthritis (OR = 0.64, 95% CI = 0.41 to 0.99). Moreover, cancer survivors meeting strength exercise guidelines, compared to those not meeting guidelines, had significantly lower levels of fasting glucose (p =.001), HbA1c (p <.001), and total cholesterol (p =.031), and significantly lower risks of arthritis (OR = 0.42, 95% CI = 0.25 to 0.85) and back pain (OR = 0.50, 95% CI = 0.30 to 0.83). Conclusion: Aerobic physical activity and strength exercise were significantly associated with lower risks of metabolic disturbances and comorbidities in Korean cancer survivors. Implications for Cancer Survivors: Cancer survivors should engage in at least 150 min/week of aerobic exercise and at least 2 days/week of strength exercise to lower their risk of metabolic disturbances and comorbidities.

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