title: Are Cancer Survivors Physically Active? A Comparison by US States.
abstract: BACKGROUND
  Cancer survivors who engage in physical activity (PA) have improved quality of life, reduced fatigue, and lower mortality rates. We compare the percentage of cancer survivors meeting PA recommendations for US states, stratified by age and gender, to identify the need for PA education and intervention among cancer survivors.
  
  
  METHODS
  Pooled data from the 1997-2010 National Health Interview Survey were used to determine and rank age-adjusted PA by state. American Cancer Society guidelines (≥150 min/wk of PA) were used to compare prevalence by state, stratified by age group (< 65 and ≥65) and gender.
  
  
  RESULTS
  Thirty-three percent of cancer survivors met PA recommendations. The highest age-adjusted compliance to PA recommendations was in Vermont (59.9%, 95% confidence interval [CI], 40.8-76.3) and the lowest was in Louisiana (14.8%, 95% CI, 9.6-22.1) and Mississippi (15.5%, 95% CI, 10.4-22.3). The lowest percentages meeting recommendations were in Arkansas for males (8.6%, 95% CI, 7.0-10.6), Louisiana for females (12.5%, 95% CI, 6.8-21.9), Louisiana for survivors < 65 (15.6%, 95% CI, 10.5-22.6), and West Virginia for those ≥65 years (12.7%, 95% CI, 7.6-20.6).
  
  
  CONCLUSIONS
  Meeting PA recommendations by cancer survivors varies markedly by state of residence. Future efforts should target states with low percentages, tailoring interventions to the special needs of this high-risk population. The importance of PA should be incorporated within cancer survivorship care plans.
authors.affiliation: Sylvester Comprehensive Cancer Center, Miller School of Medicine, University of Miami, Miami, FL.
authors.forename: Stacey L
authors.initials: SL
authors.lastname: Tannenbaum
authors.forename: Laura A
authors.initials: LA
authors.lastname: McClure
authors.forename: Taghrid
authors.initials: T
authors.lastname: Asfar
authors.forename: Recinda L
authors.initials: RL
authors.lastname: Sherman
authors.forename: William G
authors.initials: WG
authors.lastname: LeBlanc
authors.forename: David J
authors.initials: DJ
authors.lastname: Lee
mesh_terms: D000368:Aged; D015444:Exercise; D005221:Fatigue / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010349:Patient Compliance; D015995:Prevalence; D011788:Quality of Life; D017741:Survivors / Q000523:psychology*; D014481:United States; D055815:Young Adult