Evidence map›Paper›PMID 34550527›Full record

ArticleInternational journal of behavioral medicine2022

Impact and Determinants of Structural Barriers on Physical Activity in People with Cancer.

Johanna Depenbusch, Joachim Wiskemann, Alexander Haussmann, Angeliki Tsiouris, Laura Schmidt, Nadine Ungar, Monika Sieverding, Karen Steindorf

Registry-linked trialAbstract read
In one paragraph

Article in International journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02678832 (Social Cognitions and Norms Towards Physical Exercise Among Cancer Patients and Health Care Professionals), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02678832 completednot on this map

Social Cognitions and Norms Towards Physical Exercise Among Cancer Patients and Health Care Professionals

TypeobservationalSponsorHeidelberg UniversityRan2015 to 2019Enrolled2,200ConditionsColorectal Cancer, Breast Cancer, Prostate Cancer, Physicians
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. A qualitative analysis of cancer patients' views on facilitators and barriers for the implementation of oncological exercise therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. [DNVF Memorandum: Objectives and Methods of Physical Activity-Related Health Services Research].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
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  12. PERSPECTIVEs on supervised exercise programs in people with metastatic breast cancer- a qualitative study in four European countries.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  13. Health care professionals' understanding of contraindications for physical activity advice in the setting of stem cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Johanna DepenbuschDivision of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-3034-9313
Joachim WiskemannDivision of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg and University Clinic Heidelberg, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-5971-5436
Alexander HaussmannDivision of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-8586-3301
Angeliki TsiourisDivision of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg and University Clinic Heidelberg, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany.
Laura SchmidtInstitute of Psychology, Heidelberg University, Hauptstraße 47-51, 69117, Heidelberg, Germany.
Nadine UngarInstitute of Psychology, Heidelberg University, Hauptstraße 47-51, 69117, Heidelberg, Germany.
Monika SieverdingInstitute of Psychology, Heidelberg University, Hauptstraße 47-51, 69117, Heidelberg, Germany.
Karen SteindorfDivision of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120, Heidelberg, Germany. k.steindorf@dkfz.de.ORCID http://orcid.org/0000-0001-5215-5651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA better understanding of the role of structural barriers for physical activity (PA) after a cancer diagnosis could help to increase PA among people with cancer. Thus, the present study aimed to identify determinants of structural barriers to PA in people with cancer and investigate the association between structural barriers and insufficient post-diagnosis PA, taking different PA change patterns into account.

methodsA total of 1299 people with breast, prostate, or colorectal cancer completed a questionnaire assessing their socio-demographic and medical characteristics, pre- and post-diagnosis PA, and perceived PA impediment by seven structural barriers. Regression analyses were used to investigate determinants of the perception of structural barriers and to examine the association between structural barriers and insufficient post-diagnosis PA, also with regard to different pre-diagnosis PA levels.

resultsOverall 30-60% of participants indicated to feel impeded by structural barriers. The analyses revealed a younger age, higher BMI, lower educational level, no current work activity, co-morbidities, and lacking physicians' exercise counseling as significant determinants of the perception of structural barriers. Individuals reporting stronger impediments by structural barriers were significantly less likely to be meeting PA guidelines post-diagnosis, particularly those with sufficient pre-diagnosis PA levels.

conclusionsThe study highlights the need for tailored PA programs for people with cancer as well as for more guidance and support in overcoming structural barriers to improve PA behavior. The study has been registered under NCT02678832 at clinicaltrials.gov on February 10

Indexed as

ExerciseNeoplasmsCounselingHumansMaleMotor ActivitySurveys and QuestionnairesCancerExercise oncologyImpedimentPhysical activityStructural barriers

Identifiers

PMID34550527
PMCPMC9166881

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.