scholarly journals Relationship Between Cancer Related Fatigue, Physical Activity Related Health Competence, and Leisure Time Physical Activity in Cancer Patients and Survivors

2021 ◽  
Vol 3 ◽  
Author(s):  
Maximilian Koeppel ◽  
Carlotta Körbi ◽  
Renate M. Winkels ◽  
Kathryn H. Schmitz ◽  
Joachim Wiskemann
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Measurement Model ◽  
Equation Modeling ◽  
Mediation Model ◽  
Health Competence ◽  
Positive Effects ◽  
Cancer Related Fatigue

Background: A large body of evidence supports the positive effects of leisure time physical activity (LTPA) and exercise on cancer survivors. However, only a fraction of survivors manages to attain international PA recommendations. This can be attributed to several external and internal barriers toward PA those patients seem to encounter, with cancer related fatigue (CRF) being the most reported internal barrier. Nevertheless, self-efficacy and knowledge about the utilization of LTPA can serve as facilitators of PA, which also correspond to certain constituents of physical activity related health competence (PAHCO). Since PAHCO is not investigated in cancer survivors we investigated if PAHCO can mediate the negative relationship between CRF and LTPA.Methods: We surveyed 398 cancer survivors with different cancer types and therapy status. The patients completed the EORTC QLQ-FA12 (EORTC FA12) to assess CRF, the PAHCO questionnaire to assess PAHCO and the SQUASH to assess LTPA. We followed a two-step structural equation modeling approach. The first step established the measurement model, in the second step we fitted the mediation model. Since 163 patients chose not to answer the SQUASH, the mediation model was only fitted to the data of the remaining 235 participants.Results: The proposed measurement model of the PAHCO offered an excellent fit. We found small to moderate positive associations between the PAHCO dimensions and the LTPA, and negative moderate relationships between the PAHCO and the EORTC FA12 dimensions. We did not observe a relationship between the EORTC FA12 dimensions and the LTPA (p > 0.05). The hypothesized mediation models did not display an appropriate fit.Conclusion: The PAHCO confirmed its factorial validity; furthermore, it appears to have a positive relationship to LTPA. Therefore, integrating psycho-educational aspects can be beneficial in order to increase the PAHCO in exercise interventions. Because of the cross-sectional character of this study, causal conclusions are not suitable, therefore the longitudinal relationships of LTPA, CRF, and PAHCO require further investigation.

Exploring Self-Perceptions and Social Influences as Correlates of Adolescent Leisure-Time Physical Activity

2008 ◽  
Vol 30 (1) ◽  
pp. 3-22 ◽  
Author(s):  
Catherine M. Sabiston ◽  
Peter R.E. Crocker
Keyword(s):  
Physical Activity ◽  
Indirect Effects ◽  
Structural Equation ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Social Influences ◽  
Equation Modeling ◽  
Measurement Models ◽  
Self Perceptions ◽  
Ev Model

This study examined adolescent leisure-time physical activity correlates using the expectancy-value (EV) model. Adolescents (N = 857) completed questionnaires to assess competence and value self-perceptions, social influences, and physical activity. Direct and indirect effects of self-perceptions and parent and best friend influences on physical activity were explored using structural equation modeling. Measurement models were a good ft to the data and gender invariance was supported. The structural mediation model was a reasonable ft to the data, whereby the indirect effects of parents and peers and the direct effects of competence beliefs and values together accounted for 49% of the variance in physical activity. In this model, the pattern of relationships was similar for adolescent males and females. Findings supporting the EV model provide theoretical and practical implications for understanding adolescent physical activity.

scholarly journals DETERMINANTS OF LEISURE-TIME PHYSICAL ACTIVITY IN OLDER, RURAL CANCER SURVIVORS IN CENTRAL PENNSYLVANIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S388-S388
Author(s):  
Scherezade K Mama ◽  
Nishat Bhuiyan ◽  
Eugene Lengerich ◽  
Kathryn Schmitz
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Rural Areas ◽  
Regression Models ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Future Research ◽  
Environmental Support ◽  
Logistic Regression Models ◽  
Central Pennsylvania

Abstract This study explored social and environmental determinants of leisure-time physical activity (LTPA) in cancer survivors (CS) residing in Central Pennsylvania, a largely rural region. Rural CS completed questionnaires assessing LTPA, social support (SS) for LTPA, home and neighborhood environments for LTPA. Logistic regression models were used to assess associations with being active/inactive. Participants (n=219) were categorized as mature survivors (<75 years, 80.7%) or elderly survivors (>=75 years, 19.3%). Only 28.2% of elderly survivors reported meeting LTPA guidelines compared to 45.6% of mature survivors. Survivors reporting SS for LTPA were 10% more likely to active than those who did not have SS (OR=1.1, CI 1-1.1). Mature survivors that reported environmental support (home: OR=1.2: CI 1-1.3; neighborhood: OR=1.8, CI: 1-3.2) were more likely to be active than those without strong environmental support. Creating more supportive environments to foster LTPA in elderly survivors in rural areas is a key priority for future research.

scholarly journals Transformational Teaching in Physical Education and Students’ Leisure-Time Physical Activity: The Mediating Role of Learning Climate, Passion and Self-Determined Motivation

2020 ◽  
Vol 17 (13) ◽  
pp. 4844 ◽  
Author(s):  
Isabel Castillo ◽  
Javier Molina-García ◽  
Isaac Estevan ◽  
Ana Queralt ◽  
Octavio Álvarez
Keyword(s):  
Physical Activity ◽  
Physical Education ◽  
Structural Equation ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Teaching Style ◽  
Equation Modeling ◽  
Learning Climate ◽  
Transformational Teaching

In the context of education, this study examined the relationship between perceiving a transformational physical education (PE) teacher and student’s leisure-time physical activity (PA). Furthermore, we tested the potential mediation role of motivational learning climate, passion and self-determined motivation in this relationship. The sample was composed of 2210 high-school PE students (1145 males, 1065 females) between 16 and 20 years of age. Results of structural equation modeling revealed that the perceived transformational PE teacher–PA outcomes relationship was stronger when students perceived a task-involving climate, when they were harmoniously passionate, and when they were self-determined. We conclude that students’ health-enhancing behaviours could be improved if their PE teachers use transformational teaching style and created a task-oriented learning climate.

scholarly journals The Role of Physical Activity-Related Health Competence and Leisure-Time Physical Activity for Physical Health and Metabolic Syndrome: A Structural Equation Modeling Approach for German Office Workers

2021 ◽  
Vol 18 (19) ◽  
pp. 10153
Author(s):  
Simon Blaschke ◽  
Johannes Carl ◽  
Jan Ellinger ◽  
Ulrich Birner ◽  
Filip Mess
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
Structural Equation Modeling ◽  
Physical Health ◽  
Structural Equation ◽  
Leisure Time ◽  
Positive Association ◽  
Office Workers ◽  
Equation Modeling ◽  
Health Competence

Office workers (OWs) are prone to insufficient physical activity (PA), which increases their risk of metabolic syndrome (MetS) and impaired physical health. The Physical Activity-related Health Competence (PAHCO) model holds the potential to facilitate a healthy physically active lifestyle. Therefore, in this study, we investigate the interplay between PAHCO, leisure-time PA, physical health, and MetS in OWs in Germany. In a cross-sectional study, OWs (N = 316, 25% female) completed self-report questionnaires along with an occupational health checkup to examine their Metabolic Syndrome Severity Score (MetSSS) values. Structural equation modeling indicated a strong positive association between PAHCO and leisure-time PA and a small positive association with physical health. PAHCO showed a considerable negative association with the MetSSS. Leisure-time PA was a positive mediator for the PAHCO–physical health association but was not a significant mediator for the association between PAHCO and the MetSSS. These findings underscore the importance of PAHCO in the context of leisure-time PA, physical health, and MetS in OWs. Furthermore, our findings highlight the health-enhancing value of the qualitative aspects of PA, such as motivational and volitional components in PA participation, with respect to physical health and MetS.

A Conceptual Model of Leisure Time Physical Activity, Neighborhood Environment, and Sense of Community

2018 ◽  
Vol 51 (6) ◽  
pp. 749-781 ◽  
Author(s):  
Allison Ross ◽  
Mark Searle
Keyword(s):  
Physical Activity ◽  
Conceptual Model ◽  
Sense Of Community ◽  
Structural Equation ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Neighborhood Environment ◽  
Equation Modeling ◽  
Future Research ◽  
Using Data

The relationship between leisure time physical activity (LTPA) behaviors and the neighborhood environment (NE) has become a prominent research topic. This research investigates the complex relationship between LTPA and NE while also investigating their association with sense of community (SOC). Using data from a sample of 625 adults in the Greater Phoenix Metro area (AZ), a conceptual model is introduced to examine the relationships between LTPA, NE, and SOC while controlling for demographic, sociocultural, and community characteristics. Results of a structural equation modeling analysis indicate that LTPA was positively associated with SOC, NE was positively associated with LTPA, and NE was positively associated with SOC. These findings support future interventions that focus on features of NE when promoting LTPA behaviors and building SOC within the neighborhood. Furthermore, the simultaneous measurement of these constructs offers insight into the dynamic relationships that exist, informing future research and programming efforts.

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