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Self-reported physical activity behaviors of childhood cancer survivors: comparison to a general adolescent population in Korea

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Abstract

Purpose

Adequate physical activity (PA) can significantly contribute to the prevention of undesirable health outcomes in childhood cancer survivors (CCS). This study aimed to identify the patterns of PA and related factors in Korean CCS.

Methods

Study subjects were 184 adolescents selected from an ongoing cohort study of Korean CCS and 1,840 sex- and school grade-matched controls randomly selected from the participants of the 2019 Korea Youth Risk Behavior Web-based Survey. Information on PA and sedentary behaviors was collected by self-administered questionnaire. We estimated body mass index (BMI)-adjusted odds ratio (OR) and 95% confidence interval (CI) for the advisable healthy behaviors of CCS compared with healthy controls using conditional logistic regression analysis. In addition, the associations of advisable healthy behaviors of CCS with sociodemographic and clinical factors were estimated using multiple logistic regression analysis.

Results

CCS were less likely to be physically active than controls, but this finding was evident only in males. The ORs (95% CIs) for regular exercise, moderate intensity PA, vigorous intensity PA, and walking were 0.42 (0.27–0.65), 0.39 (0.24–0.63), 0.53 (0.33–0.84), and 0.64 (0.42–0.98), respectively, in male CCS compared with same-sex controls. Compared with same-sex controls, male CCS were 4.60 times and female survivors were 15.19 times more likely to sleep longer than 8 h a day. Among CCS, males were 2.92 times and 3.07 times more likely to perform moderate intensity PA and muscle-strengthening exercise, respectively, than female. Higher BMI (OR: 1.16), highest family income (OR: 3.98), and a caregiver who performed regular exercise (OR: 2.08) were positively associated with vigorous intensity PA of CCS. With increasing time after treatment completion, the probability of engaging in sedentary activity for less than 6 h per day decreased (OR = 0.89, 95% CI 0.79–1.00).

Conclusion

Korean adolescent CCS were physically inactive compared with control adolescents. Several sociodemographic factors such as sex, family income, caregiver PA, and obesity level were associated with PA behaviors of CCS.

Implications

Strategic effort would be needed to increase physical activity of childhood cancer survivors in adolescent period with consideration of various sociodemographic factors found in this study.

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Data availability

The datasets generated and/or analyzed during the current study are not publicly available due to information that could compromise research participant privacy or consent.

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Acknowledgements

We thank the National Research and Development Program for Cancer Control and Ministry of Health for their funding (1720270), and the participants of the study for their cooperation. We are grateful to all the involved cancer survivors who participated in this study.

Funding

This study was supported by a grant from the National Research and Development Program for Cancer Control, Ministry of Health and Welfare, Republic of Korea (1720270). The funding body did not have a role in the design of the study; collection, analysis, and interpretation of the data; or in the writing of the manuscript.

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Authors and Affiliations

  1. Department of Family Medicine, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Republic of Korea

    Yohwan Yeo

  2. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

    Ji Won Lee & Ki Woong Sung

  3. Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea

    Dong Wook Shin & Yun-Mi Song

  4. Department of Pediatrics, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Gwangju, Republic of Korea

    Hee Jo Baek

  5. Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea

    Nack-Gyun Chung

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Contributions

YY, HJB, and YMS designed the study and selected the study methodology. NGC, JWL, KWS, HJB, and YMS collected the data. YY and YMS performed the statistical analysis and wrote the manuscript. YY, HJB, and YMS analyzed and interpreted the data. YY, NGC, DWS, JWL, KWS, HJB, and YMS edited the manuscript. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Hee Jo Baek or Yun-Mi Song.

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Ethics approval and consent to participate

This study was performed in line with the principles of the Declaration of Helsinki. This study was approved by the Institutional Review Boards (IRBs) of Samsung Hospital (IRB file no. 2017–08–024), Catholic University of Korea Seoul St. Mary’s Hospital (IRB file no. KC17ONDI0694), and Chonnam National University Hwasun Hospital (IRB file no. CNUHH-2017–159). Written informed consent was obtained from all participants in the study.

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Yeo, Y., Lee, J.W., Shin, D.W. et al. Self-reported physical activity behaviors of childhood cancer survivors: comparison to a general adolescent population in Korea. Support Care Cancer 31, 164 (2023). https://doi.org/10.1007/s00520-023-07612-x

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