title: Physical activity-related differences in body mass index and patient-reported quality of life in socioculturally diverse endometrial cancer survivors.
abstract: The purpose of this study was to describe physical activity-related differences in body composition, quality of life, and behavioral variables among a socioculturally diverse sample of endometrial cancer survivors.
  
  
  
  Ambulatory, English-speaking endometrial cancer survivors (6 months to 5 years post-treatment), who were residents of Bronx, NY, were recruited to complete questionnaires about physical activity (PA), quality of life (QoL), and psychosocial characteristics. Body weight and height were obtained from medical records to determine body mass index (BMI). ANOVA and independent sample t tests were used to determine differences between racial/ethnic groups and active versus insufficiently active, respectively.
  
  
  
  Sixty-two participants enrolled in the study. Recruitment rate was 7% for mailed questionnaires and 92% in clinic. Mean age was 63 ± 10 years. Sixty-five percent of the sample was obese (mean BMI: 34.2 ± 8.6 kg·m-2). BMI was significantly higher in non-Hispanic black women (37.8 ± 10.2 kg·m-2) than non-Hispanic white women (31.2 ± 7.8 kg·m-2; d = 0.73, p = 0.05). Forty-seven percent reported being physically active, with no differences by race/ethnicity. Physically active endometrial cancer survivors had higher QoL scores (d = 0.57, p = 0.02). There was a moderate effect size for BMI for the active (32.4 ± 5.6 kg·m-2) compared to the insufficiently active group (35.7 ± 10.2 kg·m-2; d = 0.40, p = 0.06). Walking self-efficacy was a significant predictor of physical activity (χ2= 13.5, p = 0.02).
  
  
  
  Physically active endometrial cancer survivors reported higher QoL, lower BMI, and more positive walking self-efficacy. These data suggest that a physically active lifestyle has a benefit in socioculturally diverse endometrial cancer survivors.
authors.affiliation: Division of Athletic Training, Health and Exercise Science, Long Island University Brooklyn, 1 University Plaza, HS 311a, Brooklyn, NY, 11238, USA. amerigo.rossi@liu.edu.|Department of Biobehavioral Sciences, Teachers College Columbia University, 525 West 120th Street, Box 93, New York, NY, 10027, USA. amerigo.rossi@liu.edu.
authors.forename: Amerigo
authors.identifier: 0000-0001-9814-8940
authors.initials: A
authors.lastname: Rossi
authors.affiliation: Department of Biobehavioral Sciences, Teachers College Columbia University, 525 West 120th Street, Box 93, New York, NY, 10027, USA.
authors.forename: Carol Ewing
authors.initials: CE
authors.lastname: Garber
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA.
authors.forename: Gurpreet
authors.initials: G
authors.lastname: Kaur
authors.affiliation: Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
authors.forename: Xiaonan
authors.initials: X
authors.lastname: Xue
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA.|Albert Einstein College of Medicine, Albert Einstein Cancer Center, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
authors.forename: Gary L
authors.initials: GL
authors.lastname: Goldberg
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467, USA.|Albert Einstein College of Medicine, Albert Einstein Cancer Center, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
authors.forename: Nicole S
authors.initials: NS
authors.lastname: Nevadunsky
mesh_terms: D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003469:Culture; D016889:Endometrial Neoplasms / Q000473:pathology / Q000523:psychology*; D015444:Exercise / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life / Q000523:psychology*; D066252:Sociological Factors; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data
keywords: Endometrial cancer; Obesity; Physical activity; Quality of life; Self-efficacy