AJTR Copyright © 2009-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
Am J Transl Res 2011;3(4):342-350

Original Article
Physical activity among cancer survivors and those with no history of
cancer--- a report from the National Health and Nutrition Examination
Survey 2003-2006

Webb A. Smith, Vikki G. Nolan, Leslie L. Robison, Melissa M. Hudson, Kirsten K. Ness

Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA;
School of Public Health, University of Memphis, Memphis, TN, USA; Department of Oncology, St. Jude Children's
Research Hospital, Memphis, TN, USA.

Received May 17, 2011; Accepted June 29, 2011; Epub July 10, 2011; Published August 15, 2011

Abstract: Cancer survivors are at greater risk for chronic diseases that make regular physical activity a
challenge.  The purpose of this manuscript was to compare physical activity levels among five-year cancer
survivors and those with no history of cancer, and to determine risk factors for physical inactivity. Methods:
Participants who completed the physical activity monitoring portion of the National Health and Nutrition
Examination Survey (NHANES) in 2003-04 and 2005-06 were included in these analyses.  Physical activity
collected via accelerometer was used to determine who completed recommended amounts of physical activity
according to Centers for Disease Control (CDC) guidelines. Associations between physical activity and cancer
status were evaluated with multiple logistic regressions. Results: 95.5% of five-year cancer survivors and 87.3%
of those with no cancer history did not meet the CDC guidelines. After adjusting for sex, age, race, education and
chronic conditions, cancer survivors were 1.7 (95% CI: 1.0, 2.9) times more likely than those with no cancer
history to fail to meet CDC guidelines for physical activity. Conclusions: Neither the general population nor cancer
survivors met the CDC guidelines for physical activity. Cancer survivors were less likely to meet
recommendations and may need tailored interventions designed to take into account comorbid conditions to
increase their physical activity levels. (AJTR1106001).

Keywords: Physical activity, cancer survivors, NHANES, accelerometer

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Address all correspondence to:
Webb A. Smith, PhD
Epidemiology and Cancer Control
St. Jude Children's Hospital
262 Danny Thomas Place, MS735
Memphis, TN 38105-2794, USA.
Tel: (901) 595-6359, Fax: (901) 595-5845
E-mail:
webb.smith@stjude.org