Feasibility of a physical activity intervention for ethnically diverse endometrial cancer survivors.

Authors

null

Amerigo Rossi

Long Island University - Brooklyn, Brooklyn, NY

Amerigo Rossi , Carol Garber , Monica Ortiz , Alyson Moadel-Robblee , Gurpreet Kaur , Shankar Viswanathan , Mark H. Einstein , Gary L. Goldberg , Nicole Nevadunsky

Organizations

Long Island University - Brooklyn, Brooklyn, NY, Teachers College, New York, NY, Brooklyn College, Brooklyn, NY, Albert Einstein College of Medicine, Bronx, NY, Montefiore Medical Center, Bronx, NY, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, Albert Einstein Coll of Med, White Plains, NY, Montefiore Medical Center/Albert Einstein Coll of Medicine, Bronx, NY, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY

Research Funding

Other

Background: To determine the feasibility of a 12-week physical activity (PA) intervention guided by social cognitive theory for ethnically diverse endometrial cancer (EC) survivors and to evaluate whether such an intervention might improve PA behavior, physical function, waist circumference, and quality of life. Methods: Out of 119 potential participants contacted via telephone, 54 did not respond, 29 declined, and 6 expressed interest but did not complete baseline testing. 30 obese EC survivors (40% non-Hispanic black, 33% Hispanic, 17% non-Hispanic white) were placed into a PA intervention (INT, n = 15) or wait-list control (CON, n = 15). Group classes consisted of 30 min of behavioral counseling and a 60 min exercise program. CON was assigned to usual care. Participants attended classes 1-2x/week and were provided with a 90 min/week at-home exercise program. The intervention data from each group were pooled and the change scores were compared to CON using independent samples t-tests. Data are presented as mean ± sd. Statistical significance was p ≤ 0.05. Results: Mean age was 64 ± 8 years and Body Mass Index was 36.5 ± 6.9 kg·m-2. Three control participants did not attend follow-up. For the INT groups (n = 27), 16 attended 75-100% of the weeks, 4 attended 50-67%, 4 never attended, and 3 dropped out due to unrelated illness/injury. Additionally, 13 participants regularly attended twice per week with 85% attendance. Participants reported walking 117 ± 77 minutes per week at home. There were no reported differences in PA (Yale Physical Activity Survey). However, waist circumference (-5.1 cm vs: 2.6 cm, p < 0.001), 6-min walk test (22m vs. 0.3m, p = 0.007) and quality of life (FACT-En: 7.9 vs. -0.5, p = 0.048) all improved significantly following the intervention compared to the control. Conclusions: About 25% of potential participants entered into the study, demonstrating the challenges of working with this population. However, once enrolled, the drop out rate was modest and adherence was high, demonstrating the acceptability and feasibility of this PA intervention in a diverse urban population of EC survivors. Furthermore, the results show promising effects that will need to be confirmed in a larger randomized control trial.

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Abstract Details

Meeting

2015 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Gynecologic Cancer

Track

Gynecologic Cancer

Sub Track

Uterine Cancer

Citation

J Clin Oncol 33, 2015 (suppl; abstr 5598)

DOI

10.1200/jco.2015.33.15_suppl.5598

Abstract #

5598

Poster Bd #

156

Abstract Disclosures

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