title: Feasibility of a physical activity intervention for obese, socioculturally diverse endometrial cancer survivors.
abstract: OBJECTIVE
  Determine the feasibility of a 12-week physical activity intervention for obese, socioculturally diverse endometrial cancer survivors and to evaluate whether the intervention improves physical activity behavior, physical function, waist circumference, and quality of life.
  
  
  METHODS
  Obese endometrial cancer survivors from Bronx, NY were assigned to either a 12-week physical activity intervention of behavioral counseling, physical activity and home-based walking (n=25), or wait-list control group (n=15). Mixed-design ANOVA (2 groups×2 time points) were analyzed to determine differences between the intervention and the control for the Yale Physical Activity Survey, six-minute walk test, 30-second chair stand test, waist circumference, and Functional Assessment of Cancer Therapy-Endometrial questionnaire. Data are presented as mean±standard deviation.
  
  
  RESULTS
  The sample was diverse (38% non-Hispanic black, 38% Hispanic, 19% non-Hispanic white). Mean Body Mass Index was 37.3±6.5kg·m(-2). Although recruitment rate was low (20% of 140 contacted), 15 of 25 participants in the intervention group attended 75-100% of scheduled sessions. Participants reported walking 118±79min/week at home. There were large effect sizes for the improvements in the six-minute walk test (22±17m vs. 1±22m, d=1.10), waist circumference (-5.3±5.3cm vs. 2.6±6.7cm, d=-1.32), quality of life (10±12 vs. -1±11, d=0.86) and walking self-efficacy (24±30% vs. 1±55%, d=0.87) compared to the control group.
  
  
  CONCLUSIONS
  The intervention appeared feasible in this population. The results show promising effects on several outcomes that should be confirmed in a larger randomized control trial, with more robust recruitment strategies.
authors.affiliation: Division of Athletic Training, Health and Exercise Science, Long Island University Brooklyn, 1 University Plaza, HS 311a, Brooklyn, NY 11238, USA; Department of Biobehavioral Sciences, Teachers College Columbia University, 525 West 120(th) Street, Box 93, New York, NY 10027, USA. Electronic address: amerigo.rossi@liu.edu.
authors.forename: Amerigo
authors.initials: A
authors.lastname: Rossi
authors.affiliation: Department of Biobehavioral Sciences, Teachers College Columbia University, 525 West 120(th) Street, Box 93, New York, NY 10027, USA. Electronic address: garber@tc.columbia.edu.
authors.forename: Carol Ewing
authors.initials: CE
authors.lastname: Garber
authors.affiliation: Department of Health & Nutrition Sciences, Brooklyn College, 2900 Bedford Avenue, Brooklyn, NY 11210, USA. Electronic address: mrossi@health.nyc.gov.
authors.forename: Monica
authors.initials: M
authors.lastname: Ortiz
authors.affiliation: Department of Epidemiology & Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue Bronx, NY 10461, USA. Electronic address: shankar.viswanathan@einstein.yu.edu.
authors.forename: Viswanathan
authors.initials: V
authors.lastname: Shankar
authors.affiliation: Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA; Albert Einstein Cancer Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue Bronx, NY 10461, USA. Electronic address: ggoldber@mentefiore.org.
authors.forename: Gary L
authors.initials: GL
authors.lastname: Goldberg
authors.affiliation: Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA; Albert Einstein Cancer Center, Albert Einstein College of Medicine, 1300 Morris Park Avenue Bronx, NY 10461, USA. Electronic address: nnevadun@montefiore.org.
authors.forename: Nicole S
authors.initials: NS
authors.lastname: Nevadunsky
mesh_terms: D000368:Aged; D016889:Endometrial Neoplasms / Q000150:complications / Q000473:pathology / Q000523:psychology / Q000534:rehabilitation*; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D009765:Obesity / Q000150:complications / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D012959:Socioeconomic Factors; D017741:Survivors; D014850:Waiting Lists
keywords: Endometrial cancer; Ethnicity; Obesity; Physical activity; Quality of life