Abstract
This study sought to evaluate physical activity in women at moderate risk for breast cancer, the correlates of engaging in regular physical activity, and whether physical activity relates to psychological well-being. The results revealed that 55% of women were regularly active. Logistic regression models indicated that positive affect was associated with increased and negative affect was associated with decreased overall and leisure activity. Older, married, and employed women were more likely to engage in household/occupational activity, whereas women who perceived their risk for breast cancer as high were less likely. More educated women and those with higher perceived risk were more likely to engage in leisure activity, and married women were less likely. These results suggest a need to increase activity levels in women at moderate risk for breast cancer, provide variables upon which interventions can be tailored to promote activity, and point to psychological benefits of activity in this population.
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REFERENCES
Ainsworth, B. E., Haskell, W. L., Leon, A. S., Jacobs, D. R., Jr., Montoye, H. J., Sallis, J. F., and Paffenbarger, R. S., Jr. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Med. Sci. Sports Exerc. 25: 71–80.
American College of Sports Medicine (1990). American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in health adults. Med. Sci. Sports Exerc. 22: 265–274.
American Cancer Society (2001). Cancer Facts and Figures-2001, American Cancer Society, Atlanta, GA.
Audrain, J., Schwartz, M. D., Lerman, C., Hughes, C., Peshkin, B. N., and Biesecker, B. (1997). Psychological distress in women seeking genetic counseling for breast-ovarian cancer risk: The contribution of personality and appraisal. Ann. Behav. Med. 19: 370–377.
Audrain, J., Rimer, B., Cella, D., Stefanek, M., Garber, J., Pennanen, M., Helzlsouer, K., Vogel, V., Lin, T. H., and Lerman, C. (1999). The impact of a brief coping skills intervention on adherence to breast-self examination among first-degree relatives of newly diagnosed breast cancer patients. Psycho-Oncology 8: 220–229.
Bernstein, L. (2000). Physical activity and the prevention of cancer [keynote address]. American Society of Preventive Oncology, 24th Annual Meeting, Bethesda, MD.
Bernstein, L., and Ross, R. K. (1993). Endogenous hormones and breast cancer risk.Epidemiol. Rev. 15: 48–65.
Bernstein, L., Henderson, B. E., Hanisch, R., Sullivan-Halley, J., and Ross, R. K. (1994). Physical exercise and reduced risk of breast cancer in young women. J. Natl. Cancer Inst. 86: 1403–1408.
Blair, S. N. (1984). How to assess exercise habits and physical fitness. In Matarazzo, J., Weiss, S., Herd, J., and Miller, N. (eds.), Behavioral Health: A Handbook of Health Enhancement and Disease Prevention, JohnWiley & Sons, New York.
Brinton, L. A., Bernstein, L., and Colditz, G. A. (1998). Summary of the workshop. Workshop on Physical Activity and Breast Cancer, November 13–14, 1997. Cancer 83: 595–599.
Broocks, A., Pirke, K. M., Schweiger, U., Tuschl, R. J., Laessle, R. G., Strowitzki, T., Hörl, E., Hörl, T., Haas,W., and Jaeschke, D. (1990). Cyclic ovarian function in recreational athletes. J. Appl. Physiol. 68: 2083–2086.
Brownson, R. C., Eyler, A. A., King, A. C., Brown, D. R., Shyu, Y. L., and Sallis, J. F. (2000). Patterns and correlates of physical activity among US women 40 years and older. Am. J. Public Health 2: 264–270.
Bruning, P. F., Bonfree, J. B., vanNoord, P. A., deJong-Bakker, M., and Nooijen, W. J. (1992). Insulin resistance and breast-cancer risk. Int. J. Cancer 52: 511–516.
Byrne, A., and Byrne, D. G. (1993). The effect of exercise on depression, anxiety and other mood states: A review. J. Psychosom. Res. 37: 565–574.
Calfas, K. J., Long, B. J., Sallis, J. F., Wooten, W. J., Pratt, M., and Patrick, K. (1996). Acontrolled trial of physician counseling to promote the adoption of physical activity. Prev. Med. 25: 225–233.
Carpenter, C. L., Ross, R. K., Paganini-Hill, A., and Bernstein, L. (1999). Lifetime exercise activity and breast cancer risk among post-menopausal women. Br. J. Cancer 80: 1852–1858.
Cramer, S. R., Nieman, D. C., and Lee, J. W. (1991). The effects of moderate exercise training on psychological well-being and mood state in women. J. Psychosom. Res. 35: 437–449.
Darroch, S. E., Dunn, A. L., Barlow, C. E., Becker, L. E., and Blair, S. N. (1995). Reliability of group and telephone administered 7-day physical activity recall. Med. Sci. Sports Exerc. 27: S77.
Dishman, R. K., and Steinhardt, M. (1988). Reliability and concurrent validity for a 7-day recall of physical activity in college students. Med. Sci. Sports Exerc. 20: 14–25.
Dorgan, J. F. (1998). Physical activity and breast cancer: Is there a link? J. Natl. Cancer Inst. 90: 1116–1117.
Epping-Jordan, J. E., Compas, B. E., and Howell, D. C. (1994). Predictors of cancer progression in young adult men and women: Avoidance, intrusive thoughts, and psychological symptoms. Health Psychol. 13: 539–547.
Epstein, S., Lin, T. H., Audrain, J., Stefanek, M., Rimer, B., and Lerman, C. (1997). Excessive breast self-examination among first-degree relatives of newly diagnosed breast cancer patients. High-Risk Breast Cancer Consortium. Psychosomatics 38: 253–261.
Erblich, J., Bovbjerg, D. H., and Valdimarsdottir, H. B. (2000). Looking forward and back: Distress among women at familial risk for breast cancer. Ann. Behav. Med. 22: 53–59.
Friedenreich, C. M., Thune, I., Brinton, L. A., and Albanes, D. (1998). Epidemiologic issues related to the association between physical activity and breast cancer. Cancer 83: 600–610.
Gammon, M. D., John, E. M., and Britton, J. A. (1998). Recreational and occupational physical activities and risk of breast cancer. J. Natl. Cancer Inst. 90: 100–117.
Hankinson, S. E., Willett, W. C., Colditz, G. A., Hunter, D. J., Michaud, D. S., Deroo, B., Rosner, B., Speizer, F. E., and Pollak, M. (1998). Circulating concentrations of insulin-like growth factor-I and risk of breast cancer. Lancet 351: 1393–1396.
Hilton, B. A. (1989). The relationship of uncertainty, control, commitment, and threat of recurrence to coping strategies used by women diagnosed with breast cancer. J. Behav. Med. 12: 39–54.
Hoffman-Goetz, L. (1998). Influence of physical activity and exercise on innate immunity. Nutr. Rev. 56: S126-S130.
Hoffman-Goetz, L., Apter, D., Demark-Wahnefried, W., Goran, M. I., McTiernan, A., and Reichman, M. E. (1998). Possible mechanisms mediating an association between physical activity and breast cancer. Cancer 83: 621–628.
Horowitz, M., Wilner, N., and Alvarez, W. (1979). Impact of Event Scale:Ameasure of subjective stress. Psychosom. Med. 41: 209–218.
Huang, Z., Hankinson, S. E., Colditz, G. A., Stampfer, M. J., Hunter, D. J., Manson, J. E., Hennekens, C. H., Rosner, B., Speizer, F. E., and Willett, W. C. (1997). Dual effects of weight and weight gain on breast cancer risk. JAMA 278: 1407–1411.
Johnson, C. A., Corrigan, S. A., Dubbert, P. M., and Gramling, S. E. (1990). Perceived barriers to exercise and weight control practices in community women. Women Health 16: 177–191.
Jones, D. A., Ainsworth, B. E., Croft, J. B., Macera, C. A., Lloyd, E. E., and Yusuf, H. R. (1998). Moderate leisure-time physical activity. Who is meeting the public health recommendations? A national cross-sectional study. Arch. Fam. Med. 7: 285–289.
Kash, K. M., Holland, J. C., Halper, M. S., and Miller, D. G. (1992). Psychological distress and surveillance behaviors of women with a family history of breast cancer. J. Natl. Cancer Inst. 84: 24–30.
King, A. C., Castro, C., Wilcox, S., Eyler, A. A., Sallis, J. F., and Brownson, R. C. (2000). Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. Health Psychol. 4: 354–364.
Kramer, M. M., and Wells, C. L. (1996). Does physical activity reduce risk of estrogen-dependent cancer in women? Med. Sci. Sports Exerc. 28: 322–334.
LaPorte, R. E., Montoye, H. J., and Caspersen, C. J. (1985). Assessment of physical activity in epidemiologic research: Problems and prospects. Public Health Rep. 100: 131–146.
Lerman, C., and Schwartz, M. (1993). Adherence and psychological adjustment among women at high risk for breast cancer. Breast Cancer Res. Treat. 28: 145–155.
Lerman, C., Daly, M., Sands, C., Balshem, A., Lustbader, E., Heggan, T., Goldstein, L., James, J., and Engstrom, P. (1993). Mammography adherence and psychological distress among women at risk for breast cancer. J. Natl. Cancer Inst. 85: 1074–1080.
Lerman, C., Kash, K., and Stefanek, M. (1994). Younger women at increased risk for breast cancer: Perceived risk, psychological well-being, and surveillance behavior. J. Natl. Cancer Inst. Monogr. 16: 171–176.
Lerman, C., Schwartz, M. D., Miller, S. M., Daly, M., Sands, C., and Rimer, B. K. (1996). A randomized trial of breast cancer risk counseling: Interacting effects of counseling, educational level, and coping style. Health Psychol. 15: 75–83.
Leventhal, H. (1989). Emotional and behavioural processes. In Johnston, M., and Wallace, L. (eds.), Stress and Medical Procedures, Oxford Sciences and Medical, Oxford, pp.3–35.
Marcus, B. H., Pinto, B. M., Simkin, L. R., Audrain, J. E., and Taylor, E. R. (1994). Application of theoretical models to exercise behavior among employed women. Am. J. Health Promot. 1: 49–55.
Marcus, B. H., Dubbert, P. M., King, A. C., and Pinto, B. M. (1995). Physical activity in women: Current status and future directions. In Stanton, A. L., and Gallant, S. J. (eds.), The Psychology of Women's Health, American Psychological Association, Washington, DC, pp. 349–379.
McTiernan, A., Stanford, J. L., Weiss, N. S., Daling, J. R., and Voigt, L. F. (1996). Occurrence of breast cancer in relation to recreational exercise in women age 50–64 year. Epidemiology 7: 598–604.
McTiernan, A., Schwartz, R. S., Potter, J., and Bowen,D. (1999). Exercise clinical trials in cancer prevention research: A call to action. Cancer Epidemiol. Biomarkers Prev. 8: 201–207.
Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., Buchner, D., Ettinger, W., Heath, G. W., King, A. C., Kriska, A., Leon, A. S., Marcus, B. H., Morris, J., Paffenbarger, R. S., Patrick, K., Pollock, M. L., Rippe, J. M., Sallis, J., and Wilmore, J. H. (1995). Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 273: 402–407.
Pinto, B. M., Marcus, B. H., and Clark, M. M. (1996). Promoting physical activity in women: The new challenges. Am. J. Prev. Med. 12(5): 395–400.
Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., Blair, S.N., and Paffenbarger, R. S. (1985). Physical activity assessment methodology in the five-city project. Am. J. Epidemiol. 121: 91–106.
Scharff, D. P., Homan, S., Kreuter, M., and Brennan, L. (1999). Factors associated with physical activity in women across the life span: Implications for program development. Women Health 29(2): 115–134.
Schwartz, M. D., Lerman, C., Miller, S. M., Daly, M., and Masny, A. (1995). Coping disposition, perceived risk, and psychological distressamongwomenat increased risk for ovarian cancer. Health Psychol. 14: 232–235.
Schwartz, M. D., Lerman, C., Audrain, J., Cella, D., Rimer, B., Stefanek, M., Garber, J., Lin, T. H., and Vogel, V. (1998). The impact of a brief problem-solving training intervention for relatives of recently diagnosed breast cancer patients. Ann. Behav. Med. 20: 7–12.
Stephens, T. (1988). Physical activity and mental health in the United States and Canada: Evidence from four population surveys. Prev. Med. 17: 35–47.
Taylor, C. B., Coffey,T., Berra, K., Iaffaldano, R., Casey, K., and Haskell, W. L. (1984). Seven-day activity and self-report compared to a direct measure of physical activity. Am. J. Epidemiol. 120: 818–824.
Taylor, C. B., Sallis, J. F., and Needle, R. (1985). The relation of physical activity and exercise to mental health. Public Health Rep. 100: 195–202.
Taylor, S. E., Lichtman, R. R., and Wood, J. V. (1984). Attributions, beliefs about control, and adjustment to breast cancer. J. Pers. Soc. Psychol. 4: 489–502.
Taylor, S. E., Helgeson, V. S., Reed, G. M., and Skokan, L. A. (1991). Self-generated feelings of control and adjustment to physical illness. J. Soc. Issues 47: 91–109.
Taylor, S. E., Kemeny, M. E., Aspinwall, L. G., Schneider, S. G., Rodriguez, R., and Herbert, M. (1992). Optimism, coping, psychological distress, and high-risk sexual behavior among men at risk for acquired immunodeficiency syndrome (AIDS). J. Pers. Soc. Psychol. 63: 460–473.
Taylor, W. C., Baranowski, T., and Young, D. R. (1998). Physical activity interventions in low-income, ethnic minority, and populations with disability. Am. J. Prev. Med. 15: 334–343.
Thune, I., Brenn, T., Lund, E., and Gaard, M. (1997). Physical activity and the risk of breast cancer. N. Engl. J. Med. 336: 1269–1275.
U.S. Department of Health and Human Services (1996). Physical Activity and Health: A Report of the Surgeon General, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA.
Verloop, J., Rookus, M. A., van der Kooy, K., and van Leeuwen, F. E. (2000). Physical activity and breast cancer risk in women aged 20–54 years. J. Natl. Cancer Inst. 92: 128–135.
Washburn, R. A., Kline, G., Lackland, D. T., and Wheeler, F. C. (1992). Leisure time physical activity: Are there black/white differences? Prev. Med. 21: 127–135.
Watson, D., Clark, L. E., and Tellegen, A. (1988). Development and validation of brief measure of positive and negative affect: The PANAS scales. J. Pers. Soc. Psychol. 54: 1063–1070.
Wilcox, S., and Storandt, M. (1996). Relations among age, exercise, and psychological variables in a community sample of women. Health Psychol. 15: 110–113.
Ziegler, R. G. (1997). Anthropometry and breast cancer. J. Nutr. 127: 924S-928S.
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Audrain, J., Schwartz, M., Herrera, J. et al. Physical Activity in First-Degree Relatives of Breast Cancer Patients. J Behav Med 24, 587–603 (2001). https://doi.org/10.1023/A:1012943411367
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DOI: https://doi.org/10.1023/A:1012943411367