title: Active transportation in adult survivors of childhood cancer and neighborhood controls.
abstract: OBJECTIVE
  Childhood cancer survivors (CCS) are at high risk of treatment-related late effects, including cardiovascular disease and diabetes, which can be exacerbated by inadequate physical activity (PA). Previous PA interventions targeting CCS have focused on the domain of leisure-time/recreational PA. Active transportation, another domain of PA, has not been described in CCS. Therefore, this study aimed to identify active transportation behaviors, barriers, and correlates in adult CCS.
  
  
  METHODS
  We recruited 158 adult CCS and 153 controls matched on age, sex, and neighborhood for a survey regarding active transportation behaviors and perceptions. Linear and logistic regression models accounting for correlation among matched participants were used.
  
  
  RESULTS
  Adult CCS engaged in similar levels of active transportation as controls (2.72 vs. 2.32 h/week, P = 0.40) despite perceiving greater health-related barriers (1.88 vs. 1.65 (measured on four-point Likert scale), P = 0.01). Marital/relationship status (odds ratio (OR) = 0.30, 95 % confidence interval (CI) = 0.11-0.81), planning/psychosocial barriers (OR = 0.15, 95 % CI = 0.04-0.53), and perceived neighborhood walkability (OR = 2.55, 95 % CI = 1.14-5.66) were correlates of active transportation among adult CCS, while objective neighborhood walkability (OR = 1.03, 95 % CI = 1.01-1.05) was a correlate among controls.
  
  
  CONCLUSIONS
  Results suggest adult CCS and controls utilize active transportation at approximately equal levels. Factors other than health, including perceived neighborhood walkability, are related to active transportation behaviors to a greater degree in adult CCS.
  
  
  CONCLUSIONS
  Interventions might consider promoting active transportation as a way to incorporate more PA into the daily lives of adult CCS. Such interventions will not be likely successful, however, without existing or improved neighborhood walkability/bikeability.
authors: Division of Epidemiology and Clinical Research, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Masonic Cancer Center, University of Minnesota, 420 Delaware St SE, Minneapolis, MN, 55455, USA. slate074@umn.edu.
authors: Megan E
authors: ME
authors: Slater
authors: Division of Epidemiology and Clinical Research, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Masonic Cancer Center, University of Minnesota, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
authors: Aaron S
authors: AS
authors: Kelly
authors: Division of Epidemiology and Clinical Research, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Masonic Cancer Center, University of Minnesota, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
authors: Karim T
authors: KT
authors: Sadak
authors: Division of Epidemiology and Clinical Research, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Masonic Cancer Center, University of Minnesota, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
authors: Julie A
authors: JA
authors: Ross
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D004779:Environment Design; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D009369:Neoplasms / Q000401:mortality / Q000534:rehabilitation*; D010465:Perception / Q000502:physiology; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*; D014186:Transportation / Q000379:methods* / Q000706:statistics & numerical data; D016138:Walking / Q000502:physiology; D055815:Young Adult
keywords: Active transportation; Cancer survivorship; Childhood cancer survivors; Neighborhood walkability; Physical activity