Daniel P. O’Connor
Daniel P. O'Connor and Joe W. King
Amanda E. Paluch, Robin P. Shook, Gregory A. Hand, Daniel P. O’Connor, Sara Wilcox, Clemens Drenowatz, Meghan Baruth, Stephanie Burgess and Steven N. Blair
Background: This study examined how life event occurrences and stressfulness influence objectively measured light through vigorous physical activity (PA) among young adults. Methods: Every 3 months over a 12-month period, 404 healthy young adults completed questionnaires on the occurrence and stress of 16 life events and wore an accelerometer for 10 days. Results: A modest positive relationship was seen between cumulative life event occurrences [between effect: β = 22.2 (9.7) min/d, P = .02] and cumulative stress [between effect: β = 7.6 (2.9) min/d, P = .01] with light through vigorous PA among men. When considering events individually, job change, starting a first job, beginning a mortgage, and changes in a relationship influenced men’s PA. For women, mortgage, starting a first job, job change, and engagement had significant associations. Life event stressfulness influenced PA in women more than in men. For men, stress from changes in a relationship or job positively influenced PA. Stress of a mortgage, quitting a job, changing jobs or a first job influenced women’s PA. Conclusion: Considering each life event individually was more informative than the summation of life events or summation of stress. Specific life events substantially altered PA, and this change varied by gender, direction of association, and PA intensity and duration.
Nathan H. Parker, Rebecca E. Lee, Daniel P. O’Connor, An Ngo-Huang, Maria Q.B. Petzel, Keri Schadler, Xuemei Wang, Lianchun Xiao, David Fogelman, Richard Simpson, Jason B. Fleming, Jeffrey E. Lee, Ching-Wei D. Tzeng, Sunil K. Sahai, Karen Basen-Engquist and Matthew H.G. Katz
Background: Physical activity and exercise appear to benefit patients receiving preoperative treatment for cancer. Supports and barriers must be considered to increase compliance with home-based exercise prescriptions in this setting. Such influences have not been previously examined. Methods: The authors used quantitative and qualitative methods to examine potential physical activity influences among patients who were prescribed home-based aerobic and strengthening exercises concurrent with preoperative chemotherapy or chemoradiation for pancreatic cancer. Physical activity was measured using exercise logs and accelerometers. Social support for exercise and perceived neighborhood walkability were measured using validated surveys. Relationships between influences and physical activity were evaluated using linear regression analyses and qualitative interviews. Results: Fifty patients received treatment for a mean of 16 (9) weeks prior to planned surgical resection. Social support from friends and neighborhood esthetics were positively associated with physical activity (P < .05). In interviews, patients confirmed the importance of these influences and cited encouragement from health care providers and desire to complete and recover from treatment as additional motivators. Conclusions: Interpersonal and environmental motivators of exercise and physical activity must be considered in the design of future home-based exercise interventions designed for patients receiving preoperative therapy for cancer.