Association of Body Esteem with Fitness and Body Fat Among Colorectal Cancer Survivors: Secondary Analyses from a Random
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Association of Body Esteem with Fitness and Body Fat Among Colorectal Cancer Survivors: Secondary Analyses from a Randomized Trial Madison M. Kindred 1
&
Bernardine M. Pinto 2 & Shira I. Dunsiger 3
# International Society of Behavioral Medicine 2019
Abstract Background Survival rates among cancer survivors have improved; however, treatments affect body esteem. Body esteem can significantly affect quality of life and depression following cancer treatment. The purpose of these secondary analyses was to examine the relationship between changes in fitness and body fat with changes in body esteem among colorectal cancer survivors who participated in a randomized controlled trial that tested the effects of a 12-week physical activity intervention. Method Male and female colorectal cancer survivors (< 5 years since diagnosis) participated in a randomized controlled trial that tested a 12-week moderate-intensity physical activity intervention. Body esteem, fitness (estimated VO2 peak), and body composition (bioelectrical impedance) were assessed at baseline and follow-up visits (3 months, 6 months, and 12 months). Results Forty-six colorectal cancer survivors (57 years old, 57% female) completed the study. Improvements in fitness were associated with improvements in body esteem among males at 6-month and 12-month follow-up visits, while improvements in body fat were associated with increased body esteem at 12-month follow-up among females. Improvements in fitness and body fat among stage 0–2 survivors were associated with significant improvements in body esteem, with no significant changes among stage 3 survivors. Conclusion Results from this study showed that improved fitness and body composition can improve body esteem among these survivors; however, differences exist among gender and disease stage. Trial Registration https://clinicaltrials.gov/ct2/show/NCT00230646?term=Pinto&cond=Colorectal+Cancer&rank=2 Keywords Body esteem . Fitness . Body fat . Colorectal . Cancer survivor
Introduction Currently, there are 15.5 million Americans living with a history of cancer [1]. Over the past two decades, cancer death
* Madison M. Kindred [email protected] Bernardine M. Pinto [email protected] Shira I. Dunsiger [email protected] 1
Department of Kinesiology, Augusta University, 3109 Wrightsboro Road, Augusta, GA, USA
2
College of Nursing, University of South Carolina, 1601 Greene Street, Columbia, SC, USA
3
School of Public Health, Brown University, 121 S Main Street, Providence, RI, USA
rates have dropped approximately 25% due to a reduction in smoking and improvements in early detection and treatment [1]. As survival rates continue to improve, cancer treatments present challenging physical and psychosocial burdens that reduce health-related quality of life [2] and body satisfaction [3, 4]. Body esteem refers to satisfaction of one’s body or appearance [5] and plays a role in general self-esteem [6, 7]. Cancer treatments such as surgery and/or adjuvant treatment, result in worsenin
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