Skip to main content

Advertisement

SpringerLink
Log in

Correlates of resistance training in post-treatment breast cancer survivors

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

To explore demographic, health, social-cognitive and behavioural correlates of resistance training among post-treatment breast cancer survivors.

Methods

A sample of 330 post-treatment breast cancer survivors recruited from across Australia completed a mailed questionnaire. A multivariate logistical regression model was used to test associations between independent variables and meeting the resistance training guidelines.

Results

Less than a quarter of the participants were meeting the resistance training guidelines of at least two sessions of resistance training per week. Higher task self-efficacy for resistance training (p < 0.01) and greater goal-setting behaviour (p < 0.05) were identified as significant predictors of meeting the resistance training guidelines, with a one unit increase in task self-efficacy and goal setting, increasing the odds of meeting the resistance training guidelines by a factor of approximately 1.2 (odds ratio (OR) task self-efficacy = 1.23, 95 % confidence interval (CI) = 1.05–1.43; goal-setting OR = 1.20, 95 % CI = 1.04–1.38). No other variables significantly predicted meeting the resistance training guidelines in the multivariate analysis.

Conclusions

Strategies targeting task self-efficacy and goal-setting behaviours are likely to be important intervention components in resistance training interventions for breast cancer survivors.

Implications for cancer survivors

The findings of this study will be useful for informing the development of evidence-based interventions aiming to promote resistance training among this group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cheema B, Gaul CA, Lane K, Fiatarone Singh MA (2008) Progressive resistance training in breast cancer: a systematic review of clinical trials. Breast Cancer Res Treat 109(1):9–26

    Article  PubMed  Google Scholar 

  2. Strasser B, Steindorf K, Wiskemann J, Ulrich CM (2013) Impact of resistance training in cancer survivors: a meta-analysis. Med Sci Sports Exerc 45(11):2080–2090

    Article  PubMed  Google Scholar 

  3. De Backer IC, Schep G, Backx FJ, Vreugdenhil G, Kuipers H (2009) Resistance training in cancer survivors: a systematic review. Int J Sports Med 30(10):703–712

    Article  PubMed  Google Scholar 

  4. Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B, Mctiernan A, Rock CL, Thompson C, Gansler T, Andrews KS (2006) Nutrition and physical activity during and after cancer treatment: an American cancer society guide for informed choices. CA Cancer J Clin 56:323–353

    Article  PubMed  Google Scholar 

  5. Hayes SC, Spence RR, Galvao DA, Newton RU (2009) Australian Association for Exercise and Sport Science position stand: optimising cancer outcomes through exercise. J Sci Med Sport 12(4):428–434

    Article  PubMed  Google Scholar 

  6. Schmitz K, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, von Gruenigen VE, Schwartz AL, American College of Sports Medicine (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 42(7):1409–1426

    Article  PubMed  Google Scholar 

  7. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M, Byers T, Gansler T (2012) Nutrition and physical activity guidelines for cancer survivors. CA: Cancer J Clin: p. n/a-n/a

  8. Harrison S, Hayes SC, Newman B (2009) Level of physical activity and characteristics associated with change following breast cancer diagnosis and treatment. Psycho-Oncology 18(4):387–394

    Article  PubMed  Google Scholar 

  9. Speed-Andrews AE, McGowan EL, Rhodes RE, Blanchard CM, Culos-Reed SN, Friedenreich CM, Courneya KS (2013) Correlates of strength exercise in colorectal cancer survivors. Am J Health Behav 37(2):162–170

    Article  PubMed  Google Scholar 

  10. Short C, James E, Stacey F, Plotnikoff R (2013) A qualitative synthesis of trials promoting physical activity behaviour change among post-treatment breast cancer survivors. J Cancer Surviv 7(4):570–581

    Article  PubMed Central  PubMed  Google Scholar 

  11. Bartholomew L, Parcel GS, Kok G, Gottlieb N (2006) Planning health promotion programs. Jossey-Bass, San Francisco

    Google Scholar 

  12. Noar SM, Grant Harrington N, Van Stee SK, Shemanski Aldrich R (2011) Tailored health communication to change lifestyle behaviors. Am J Lifestyle Med 5(2):112–122

    Article  Google Scholar 

  13. Petty R, Cacioppo J (1984) The effects of involvement on the responses to argument quantity and quality: central and peripheral routes to persuasion. J Pers Soc Psychol 46:69–81

    Article  Google Scholar 

  14. Kreuter M, Farrell D, Olevitch L, Brennan L (2000) Tailoring health messages: customizing communication with computer technology. Lawrence Erlbaum Associates, Mahwah

    Google Scholar 

  15. Vallance J, Courneya K, Plotnikoff R, Mackey J (2008) Analyzing theoretical mechanisms of physical activity behavior change in breast cancer survivors: results from the activity promotion (ACTION) trial. Ann Behav Med 35:150–158

    Article  PubMed  Google Scholar 

  16. van Stralen M, de Vries H, Mudde A, Bolman C, Lechner L (2009) The working mechanisms of an environmentally tailored physical activity intervention for older adults: a randomized controlled trial. Int J Behav Nutr Phys Act 6(1):83

    Article  PubMed Central  PubMed  Google Scholar 

  17. Lewis BA, Forsyth LH, Pinto BM, Bock BC, Roberts M, Marcus BH (2006) Psychosocial mediators of physical activity in a randomized controlled intervention trial. J Sport Exerc Psychol 28(2):193–204

    Google Scholar 

  18. Michie S, Abraham C (2004) Interventions to change health behaviours: evidence-based or evidence-inspired? Psychol Health 19:29–49

    Article  Google Scholar 

  19. Charlier C, Van Hoof E, Pauwels E, Lechner L, Spittaels H, De Bourdeaudhuij I (2013) The contribution of general and cancer-related variables in explaining physical activity in a breast cancer population 3 weeks to 6 months post-treatment. Psychooncology 22(1):203–211

    Article  PubMed  Google Scholar 

  20. Emery CF, Yang H-C, Frierson GM, Peterson LJ, Suh S (2009) Determinants of physical activity among women treated for breast cancer in a 5-year longitudinal follow-up investigation. Psycho-Oncology 18(4):377–386

    Article  PubMed Central  PubMed  Google Scholar 

  21. Park CL, Gaffey AE (2007) Relationships between psychosocial factors and health behavior change in cancer survivors: an integrative review. Ann Behav Med 34(2):115–134

    Article  PubMed  Google Scholar 

  22. Vallance JK, Lavallee C, Culos-Reed NS, Trudeau MG (2012) Predictors of physical activity among rural and small town breast cancer survivors: an application of the theory of planned behaviour. Psychol Health Med 17(6):685–697

    Article  PubMed  Google Scholar 

  23. Glanz K, Rimer BK, Lewis FM, eds. (2002) Health behaviour and health education: theory, research and practice, 3rd ed. Jossey-Bass: San Franscisco

  24. Bandura A (2004) Health promotion by social cognitive means. Health Educ Behav 31(2):143–164

    Article  PubMed  Google Scholar 

  25. Pinto BM, Floyd A (2008) Theories underlying health promotion interventions among cancer survivors. Semin Oncol Nurs 24(3):153–163

    Article  PubMed  Google Scholar 

  26. Pinto BM, Ciccolo JT (2011) Physical activity motivation and cancer survivorship. Recent Results Cancer Res 186:367–387

    Article  PubMed  Google Scholar 

  27. Short C, James E, Girgis A, Mcelduff P, Plotnikoff R (2012) Move More for Life: the protocol for a randomised efficacy trial of a tailored-print physical activity intervention for post-treatment breast cancer survivors. BMC Cancer 12(1):172

    Article  PubMed Central  PubMed  Google Scholar 

  28. Short CE, James E, Plotnikoff RC (2013) Theory-and evidence-based development and process evaluation of the Move More for Life program: a tailored-print intervention designed to promote physical activity among post-treatment breast cancer survivors. Int J Behav Nutr Phys Act 10:124

    Article  PubMed  Google Scholar 

  29. American College of Sports Medicine (2000) ACSM’s guidelines for exercise testing and prescription, 6th edn. Williams & Wilkins, Baltimore

    Google Scholar 

  30. Courneya KS, Friedenreich CM, Quinney HA, Fields ALA, Jones LW, Fairey AS (2003) A randomized trial of exercise and quality of life in colorectal cancer survivors. Eur J Cancer Care 12(4):347–357

    Article  CAS  Google Scholar 

  31. United States Department of Health and Human Services (2008) 2008 Physical Activity Guidelines for Americans, U.S.D.o.H.a.H. Services., Editor

  32. Plotnikoff RC, Karunamuni N, Courneya KS, Sigal RJ, Johnson JA, Johnson ST (2012) The Alberta Diabetes and Physical Activity Trial (ADAPT): a randomized trial evaluating theory-based interventions to increase physical activity in adults with Type 2 Diabetes. Ann Behav Med: 1–12

  33. Jacobs D, Ainsworth B, Hartman T, Leon A (1993) A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc 25(1):81–91

    Article  PubMed  Google Scholar 

  34. Godin G, Jobin J, Bouillon J (1986) Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health 77:359–362

    CAS  PubMed  Google Scholar 

  35. Godin G, Shepard R (1997) Godin leisure-time exercise questionnaire. Med Sci Sports Exerc 29(6):36–38

    Google Scholar 

  36. Godin G, Shephard RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10(3):141–146

    CAS  PubMed  Google Scholar 

  37. Marshall AL, Miller YD, Burton NW, Brown WJ (2010) Measuring total and domain-specific sitting: a study of reliability and validity. Med Sci Sports Exerc 42(6):1094–1102

    PubMed  Google Scholar 

  38. George E, Rosenkranz R, Kolt G (2013) Chronic disease and sitting time in middle-aged Australian males: findings from the 45 and Up Study. Int J Behav Nutr Phys Act 10(1):20

    Article  PubMed Central  PubMed  Google Scholar 

  39. Yellen SB, Cella DF, Webster K, Blendowski C, Kaplan E (1997) Measuring fatigue and other anemia-related symptoms with the Functional Assessment of Cancer Therapy (FACT) measurement system. J Pain Symptom Manag 13(2):63–74

    Article  CAS  Google Scholar 

  40. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, Silberman M, Yellen SB, Winicour P, Brannon J et al (1993) The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol 11(3):570–579

    CAS  PubMed  Google Scholar 

  41. Short C, James E, Plotnikoff R (2012) How Social Cognitive Theory can help oncology-based health professionals promote physical activity among breast cancer survivors. Eur J Oncol Nurs

  42. Robinson DW Jr, Eisenberg DF, Cella D, Zhao N, de Boer C, DeWitte M (2008) The prognostic significance of patient-reported outcomes in pancreatic cancer cachexia. J Support Oncol 6(6):283–290

    PubMed  Google Scholar 

  43. Plotnikoff RC, Blanchard CM, Hotz SB, Rhodes R (2001) Validation of the decisional balance scales in the exercise domain from the transtheoretical model: a longitudinal Test. Meas Phys Educ Exerc Sci 5(4):191

    Article  Google Scholar 

  44. Rogers LQ, Matevey C, Hopkins-Price P, Shah P, Dunnington G, Courneya KS (2004) Exploring social cognitive theory constructs for promoting exercise among breast cancer patients. Cancer Nurs 27(6):462–473

    Article  PubMed  Google Scholar 

  45. Rogers LQ, Shah P, Dunnington G, Greive A, Shanmugham A, Dawson B, Courneya K (2005) Social cognitive theory and physical activity during breast cancer treatment. Oncol Nurs Forum 32:807–815

    Article  PubMed  Google Scholar 

  46. Rogers L, Courneya K, Verhulst S, Markwell S, Lanzotti V, Shah P (2006) Exercise barrier and task self-efficacy in breast cancer patients during treatment. Support Care Cancer 14(1):84–90

    Article  PubMed  Google Scholar 

  47. Plotnikoff RC, Lippke S, Courneya KS, Birkett N, Sigal RJ (2008) Physical activity and social cognitive theory: a test in a population sample of adults with type 1 or type 2 diabetes. Appl Psychol 57(4):628–643

    Article  Google Scholar 

  48. Sallis J, Grossman R, Pinski R, Patterson T, Nadder P (1988) The development of scales to measure social support for diet and exercise behaviors. Prev Med 16:825–836

    Article  Google Scholar 

  49. Umstattd MR, Motl R, Wilcox S, Saunders R, Watford M (2009) Measuring physical activity self-regulation strategies in older adults. J Phys Act Health 6:S105–S112

    PubMed  Google Scholar 

  50. Hosmer DW, Lemeshow S (2000) Applied logistical regression, 2nd edn. John Wiley and Sons, USA

    Book  Google Scholar 

  51. Dutton G, Tan F, Provost B, Sorenson J, Allen B, Smith D (2009) Relationship between self-efficacy and physical activity among patients with type 2 diabetes. J Behav Med 32(3):270–277

    Article  PubMed  Google Scholar 

  52. Mosher CE, Fuemmeler BF, Sloane R, Kraus WE, Lobach DF, Snyder DC, Demark-Wahnefried W (2008) Change in self-efficacy partially mediates the effects of the FRESH START intervention on cancer survivors’ dietary outcomes. Psycho-Oncology 17(10):1014–1023

    Article  PubMed Central  PubMed  Google Scholar 

  53. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380(9838):258–271

    Article  PubMed  Google Scholar 

  54. Rhodes R, Pfaeffli L (2010) Mediators of physical activity behaviour change among adult non-clinical populations: a review update. Int J Behav Nutr Phys Act 7(1):37

    Article  PubMed Central  PubMed  Google Scholar 

  55. Ashford S, Edmunds J, French DP (2010) What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. Br J Health Psychol 15(2):265–288

    Article  PubMed  Google Scholar 

  56. Williams SL, French DP (2011) What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour and are they the same? Health Educ Res 26(2):308–322

    Article  CAS  PubMed  Google Scholar 

  57. Higgins TJ, Middleton KR, Winner L, Janelle CM (2013) Physical activity interventions differentially affect exercise task and barrier self-efficacy: a meta-analysis. Health Psychol 19:19

    Google Scholar 

  58. Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev: 191–215

  59. Blanchard CM, Fortier M, Sweet S, O'Sullivan T, Hogg W, Reid RD, Sigal RJ (2007) Explaining physical activity levels from a self-efficacy perspective: the physical activity counseling trial. Ann Behav Med 34(3):323–328

    Article  PubMed  Google Scholar 

  60. Humphries B, Duncan MJ, Mummery WK (2010) Prevalence and correlates of resistance training in a regional Australian population. Br J Sports Med 44(9):653–656

    Article  CAS  PubMed  Google Scholar 

  61. Plotnikoff RC, Trinh L, Courneya KS, Karunamuni N, Sigal RJ (2009) Predictors of aerobic physical activity and resistance training among Canadian adults with type 2 diabetes: an application of the protection motivation theory. Psychol Sport Exerc 10(3):320–328

    Article  Google Scholar 

  62. Chevan J (2008) Demographic determinants of participation in strength training activities among U.S. adults. J Strength Cond Res 22(2):553–558

    Article  PubMed  Google Scholar 

  63. Webster K, Cella D, Yost K (2003) The functional assessment of chronic illness therapy (facit) measurement system: properties, applications, and interpretation. Health Qual Life Outcome 1(1):79

    Article  Google Scholar 

Download references

Conflicts of interest

There are no conflicts of interest. The authors have full control of all data and agree to allow the journal to review data if requested.

Author information

Authors and Affiliations

  1. Centre for Physical Activity Studies, School of Human Health and Social Sciences, Central Queensland University, Rockhampton, Australia

    Camille E. Short, Corneel Vandelanotte, Mitch J. Duncan & Amanda Rebar

  2. Priority Research Centre for Health Behaviour, School of Medicine and Public Health, University of Newcastle, Callaghan, Australia

    Erica L. James

  3. Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada

    Kerry S. Courneya

  4. Priority Research Centre for Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan, Australia

    Ronald C. Plotnikoff

Authors
  1. Camille E. Short
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Erica L. James
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Corneel Vandelanotte
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kerry S. Courneya
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mitch J. Duncan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Amanda Rebar
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ronald C. Plotnikoff
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Camille E. Short.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Short, C.E., James, E.L., Vandelanotte, C. et al. Correlates of resistance training in post-treatment breast cancer survivors. Support Care Cancer 22, 2757–2766 (2014). https://doi.org/10.1007/s00520-014-2273-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-014-2273-5

Keywords

Search

Navigation