Journal of physical activity & health最新文献

{"title":"Effects of Activity Modification With Weight-Bearing Exercises on Pain, Quality of Life, and Disability in Knee Osteoarthritis Patients-A Pilot Randomized Controlled Trial.","authors":"Shamal Chopade, Sanket Mungikar, Goutami Katage, Kapil Garg, Surendra Wani","doi":"10.1123/jpah.2024-0291","DOIUrl":"10.1123/jpah.2024-0291","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis poses a substantial public health challenge, characterized by escalating pain, physical limitations, and diminished quality of life. This study aimed to explore the feasibility and effects of activity modification paired with weight-bearing exercises on pain, quality of life, and disability in knee osteoarthritis patients. Considering the lack of established guidelines, especially in populations like India, our research seeks to address this gap and potentially enhance patient outcomes.</p><p><strong>Method: </strong>In this pilot randomized controlled trial, participants were randomly assigned to 2 groups. The intervention group received activity modification and weight-bearing exercises alongside conventional physiotherapy, while the control group received conventional physiotherapy alone. We assessed primary outcomes using a numerical pain rating scale for pain and the World Health Organization Quality of Life Brief Version Scale for quality of life. Secondary outcomes included disability, evaluated through the Western Ontario and McMaster Universities Osteoarthritis Index, and physical performance assessed with the 30-second sit-to-stand test.</p><p><strong>Result: </strong>Among the 30 participants, the intervention group exhibited significant improvements in pain during activity (P = .002), pain at rest (P = .010), and all domains of quality of life. Moreover, the intervention group displayed substantial enhancements in disability (P = .001) and physical function (P =< .001).</p><p><strong>Conclusion: </strong>This study showcased the feasibility and beneficial outcomes resulting from the synergistic approach of combined activity modification and weight-bearing exercises, leading to reduced pain and disability, and substantial improvements in both quality of life, and physical performance for individuals with knee osteoarthritis.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"673-688"},"PeriodicalIF":2.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum. Charting a Course: Navigating Rigor and Meaning in Global Health Research.","authors":"","doi":"10.1123/jpah.2025-0121","DOIUrl":"10.1123/jpah.2025-0121","url":null,"abstract":"","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"521"},"PeriodicalIF":2.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Perceptions of Environmental Factors on Preschoolers' Outdoor Play in 19 Low-Income, Middle-Income, and High-Income Countries.","authors":"Claudia I Maddren, Gursimran Dhamrait, Mounir Ghogho, Alejandra Jáuregui, Elina Engberg, Sanne L C Veldman, Dyah Anantalia Widyastari, Asmaa El Hamdouchi, Chalchisa Abdeta, Ankhmaa Byambaa, Mohamed-Souhaiel Chelly, Michael Chia, Fazlollah Ghofranipour, Anna Kontsevaya, Himangi Lubree, Tawonga Mwase-Vuma, Jackline Nusurupia, Amonje Moses Oluchiri, Aoko Oluwayomi, Kuston Sultoni, Wei-Peng Teo, Ali Turab, Edin Užičanin, Najmeh Hamzavi Zarghani, Anthony D Okely","doi":"10.1123/jpah.2024-0615","DOIUrl":"10.1123/jpah.2024-0615","url":null,"abstract":"<p><strong>Background: </strong>Environmental factors influence children's development. However, their impact on outdoor play among children from international settings remains understudied. This study examined associations between parent perceptions of environmental factors and outdoor play among an international sample of preschool-aged children.</p><p><strong>Methods: </strong>Data were sourced from the pilot phases of the SUNRISE International Study of Movement Behaviors in the Early Years. Parents completed a questionnaire about their child's outdoor play and environmental factors that influenced their child's participation in outdoor play in the past 3 days.</p><p><strong>Results: </strong>1855 children from 19 countries (16 low- and middle-income countries) were examined. Heat (-25.6; 95% CI, -44.6 to -6.6), cold (-26.9; 95% CI, -45.9 to -8.4), and rain (-24.8; 95% CI, -43.3 to -6.6) were negatively associated with weekday outdoor play. Cold (-41.2; 95% CI, -62.4 to -20.0) and social instability (-40.7; 95% CI, -61.5 to -20.3) were negatively associated with weekend outdoor play. Playing at friend's or relative's homes (29.5 [95% CI, 18.6 to 40.5]; 37.9 [25.6 to 50.4]), greenspaces (23.1 [95% CI, 9.6 to 36.6]; 30.4 [95% CI, 15.1 to 45.8]), and on the street (41.4 [95% CI, 26.9 to 55.7]; 34.9 [95% CI, 18.2 to 51.3]) were associated with weekday and weekend day outdoor play, respectively. Playing on the family's property was also associated with weekend day outdoor play (25.5 [95% CI, 18.2 to 51.3]).</p><p><strong>Conclusions: </strong>The environmental context is important to consider when developing interventions to promote outdoor play in young children across diverse international settings. Future research from representative populations is needed to confirm these findings.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"555-565"},"PeriodicalIF":2.9,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Parents to Children: The Intergenerational Transference of Parents' Sport Club Participation From Childhood to Adolescence: The 40-Year Young Finns Study.","authors":"Kaisa Kaseva, Sini Stenbacka, Tuomas Kukko, Katja Pahkala, Suvi Rovio, Mirja Hirvensalo, Olli T Raitakari, Tuija Tammelin, Terho Lehtimäki, Tuuli Suominen, Kasper Salin","doi":"10.1123/jpah.2024-0368","DOIUrl":"10.1123/jpah.2024-0368","url":null,"abstract":"<p><strong>Background: </strong>Physical activity has been shown to transfer across generations, but more information is needed regarding the transference of different physical activity modes. This study examined (1) whether parents' sport club participation at the ages 9-18 was associated with their offspring's sports club participation at the same ages and (2) whether the associations were robust against adjusting for demographic, health-related, and socioeconomic covariates.</p><p><strong>Methods: </strong>The participants (parents, G1, N = 309-539 and children, G2, N = 131-332) were from the ongoing, population-based Young Finns Study. Participants' sports club participation was assessed through self-reports during 1980-1992 (G1) and 2018/2020 (G2). The analyses were conducted using generalized estimation equations controlling for participants' sex, number of children's siblings, children's body mass index, health status, and living area as well as parents' educational status and income.</p><p><strong>Results: </strong>Parents' sports club participation at the age of 9 was favorably associated with their children's participation at the age of 9 (odds ratio = 5.23; 95% CI, 1.59-17.17; Tjur R2 = .27) and 12 (odds ratio = 2.56; 95% CI, 1.06-6.18; Tjur R2 = .14) adjusting for the covariates.</p><p><strong>Conclusions: </strong>Parents' sports club participation at the age of 9 was favorably associated with their offspring's sports club participation at childhood and early adolescence. Childhood might be one of the most essential periods to conduct physical activity interventions or motivational programs to support children's sports club participation.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"619-627"},"PeriodicalIF":2.9,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Conceptual Model for Collective Patterns and Leisure-Time Physical Activity Inequalities Among Adults.","authors":"Sophie Marie Jones, Ruth F Hunter, Leandro Garcia","doi":"10.1123/jpah.2024-0721","DOIUrl":"10.1123/jpah.2024-0721","url":null,"abstract":"<p><strong>Background: </strong>Despite extensive efforts to tackle the unequal levels of leisure-time physical activity (LTPA) among adults, our understanding of how these inequalities are sustained over time is minimal. Existing approaches often overlook the complex dynamic, and typically nonlinear interactions, which shape physical activity patterns. Therefore, this paper aims to capture these dynamic interactions and processes which influence an individual's decision to practice LTPA, with a specific focus on the influence of income.</p><p><strong>Methods: </strong>The conceptual model was developed in 4 main stages: (1) initial draft development, (2) realist reviews, (3) expert consultation, and (4) finalization.</p><p><strong>Results: </strong>The conceptual model has intention as its central construct to practice LTPA, and intention is directly influenced by dynamic interrelated processes between individual's economic, psychosocial, and perceived physical environment factors.</p><p><strong>Conclusion: </strong>From the multiple theories, evidence, and expert agreement, we are confident that our conceptual model expresses the dynamic interactions which shape an individual's decision to practice LTPA in a context of socioeconomic inequalities. Going forward, this work will be used to conceptualize and inform the development of an agent-based model to simulate LTPA inequalities among adults and can be expanded or adapted to other uses, such as intervention development.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"628-635"},"PeriodicalIF":2.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Physical Activity Behavior Change Training for Preprofessional Health Students-A Systematic Review.","authors":"Emily Lehman, Genevieve N Healy, Roma Forbes, Mia Phillips, Casey Gilbert, Sjaan R Gomersall","doi":"10.1123/jpah.2024-0399","DOIUrl":"10.1123/jpah.2024-0399","url":null,"abstract":"<p><strong>Background: </strong>Health professionals play a crucial role in promoting physical activity, but the impact of physical activity behavior change training on preprofessional health students is underresearched. This systematic review examined the impact of such training for preprofessional health students.</p><p><strong>Methods: </strong>We searched PubMed, Embase, Web of Science, PsycInfo, and CINAHL up to October 2024. Included studies reported training interventions for preprofessional health students, with outcomes related to changes in knowledge, skills, confidence, and attitudes/intentions toward physical activity promotion. Inclusion criteria were peer-reviewed studies published in English, excluding qualitative studies, reviews, study protocols, and grey literature. The Risk Of Bias In Non-randomized Studies of Interventions tool was used to assess risk of bias. A narrative synthesis was conducted due to study heterogeneity, with meta-analysis not feasible. The review was registered prospectively with PROSPERO (CRD42023428847).</p><p><strong>Results: </strong>Sixteen studies from 8 countries were included (median duration: 23 weeks), featuring training approaches such as theoretical, practical, or mixed learning. Participants included medical, nursing, physiotherapy, pharmacy, or other health-related degree students. All studies reported positive effects on knowledge, skills, confidence, or attitudes. Approaches combining theoretical and practical components yielded higher improvements in knowledge and confidence compared with single-component approaches. Risk of bias was high in 12/16 studies.</p><p><strong>Conclusions: </strong>Training preprofessional health students in physical activity support and behavior change can enhance their knowledge, skills, confidence, or attitudes in this area. Variability in methods and risk of bias in the included studies necessitate caution in interpretation. Assessment of long-term training impacts on both preprofessional health students and patient outcomes is needed.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"531-545"},"PeriodicalIF":2.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity and Ischemic Heart Disease Risk: A Prospective Cohort Study Among Chinese Adults.","authors":"Yuhui Li, Yunhui Chen, Kejia Huang, Dianjianyi Sun, Pei Pei, Canqing Yu, Jun Lv, Haiping Duan, Ruqin Gao, Zengchang Pang, Xiaocao Tian","doi":"10.1123/jpah.2024-0496","DOIUrl":"10.1123/jpah.2024-0496","url":null,"abstract":"<p><strong>Background: </strong>Type-specific physical activity (PA) may be associated with different risks of ischemic heart disease (IHD), but few large studies have examined this. This study aimed to assess the incidence and dose-response relationships between total PA and 4 different types of PA and IHD risk in Chinese adults.</p><p><strong>Methods: </strong>The prospective China Kadoorie Biobank enrolled 35,508 adults from Qingdao from 2004 to 2008, including 33,342 IHD-free participants in this analysis. PA was collected through a self-report questionnaire, calculating metabolic equivalents of task-hours per day based on duration and frequency. Cox regression analysis was used to assess the association between PA and IHD risk.</p><p><strong>Results: </strong>During a median 9.2 years of follow-up, 2712 incident IHD cases were recorded. Total, occupational, commuting, and leisure-time PAs were inversely associated with IHD risk. Compared with the participants in the bottom quintiles of PA, the participants in the top quintiles of total PA, occupational PA, commuting PA, and leisure-time PA had 43% (hazard ratio [HR] = 0.57; 95% CI, 0.49-0.66), 38% (HR = 0.62; 95% CI, 0.50-0.75), 38% (HR = 0.62; 95% CI, 0.44-0.87), and 21% (HR = 0.79; 95% CI, 0.67-0.95) lower IHD risk, respectively. A negative association between household PA and IHD risk was found only in males (HR = 0.83; 95% CI, 0.70-0.98). The restricted cubic spline  regression analysis revealed a linear relationship between total PA and IHD risk (P for nonlinear = .5687).</p><p><strong>Conclusion: </strong>Among Chinese adults, higher total, occupational, commuting, and leisure-time PA was associated with significantly lower risks of IHD, and increased household PA could reduce IHD risk in males.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"546-554"},"PeriodicalIF":2.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Path Between Life-Course Trajectories of Physical Activity Levels and Cardiometabolic Disease Incidence: Insights From the ATTICA Cohort Study (2002-2022).","authors":"Nikos Dimitriadis, Giannis Arnaoutis, Konstantinos D Tambalis, Christina Chrysohoou, Fotios Barkas, Evangelos Liberopoulos, Petros P Sfikakis, Christos Pitsavos, Costas Tsioufis, Demosthenes Panagiotakos","doi":"10.1123/jpah.2024-0537","DOIUrl":"10.1123/jpah.2024-0537","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the paths between lifelong physical activity levels and the development of cardiometabolic disease.</p><p><strong>Methods: </strong>The ATTICA is a population-based cohort study with a 20-year follow-up conducted in the Attica region, Greece and included, 3042 adult males and females (45 [11] y). Participants physical activity levels' tracking together with data regarding cardiovascular disease, obesity, hypertension, hypercholesterolemia, and diabetes incidence, were available in 1988 participants (45 [12] y old, 987 males and 1001 females), at 20-year follow-up. Physical activity levels were evaluated using the validated International Physical Activity Questionnaire, in all examinations (2001-2002, 2006, 2012, and 2022). Four physical activity trajectories were defined, that is, consistently active/inactive and changed from active/inactive. Path analysis was applied using structure equation models.</p><p><strong>Results: </strong>54% of participants were classified as always inactive, 5% classified as became inactive from physically active, 38% as became active and, only 3% sustained physical activity levels. Participants who reported being consistently physically active throughout the 20-year period were 6% (OR, 0.94, 95% CI, 0.89-0.99) less likely to develop cardiovascular disease as compared with those who remained consistently physically inactive, had 21% lower risk of developing hypercholesterolemia (OR, 0.79, 95% CI, 0.59-1.04), 33% lower risk of obesity (OR, 0.67, 95% CI, 0.44-1.02), and 30% lower risk of diabetes (OR, 0.70, 95% CI, 0.48-1.03).</p><p><strong>Conclusions: </strong>Lifelong physical activity was strongly associated with reduced fatal or nonfatal cardiovascular disease events, as well as reduced risk of developing other cardiometabolic disorders, hypercholesterolemia, obesity, and diabetes.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"599-607"},"PeriodicalIF":2.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Joint Association of Physical Activity and Sleep Quality With Blood Pressure Control in Patients With Hypertension in Douala, Cameroon.","authors":"Elysée Claude Bika Léle, Audrey Liza Tadjoua Nenoh, Jerson Mekoulou Ndongo, Marie Solange Ndom Ebongue, Hermann Tsague Kengni, Siddick Mouliom, Wiliam Richard Guessogo, Viché Lade, Xavier Kuelang, Manuela Kamdem, Djibrilla Siddikatou, Valérie Ndobo, Samuel Honoré Mandengue, Félicité Kamdem","doi":"10.1123/jpah.2024-0558","DOIUrl":"10.1123/jpah.2024-0558","url":null,"abstract":"<p><strong>Introduction: </strong>Blood pressure (BP) control is necessary to prevent fatal events in patients with hypertension. Although physical activity (PA) and sleep quality (SQ) are known to reduce BP, their joint association is yet to be demonstrated. This study aimed to assess the joint association of PA and SQ on BP control among patients with hypertension in Cameroon.</p><p><strong>Methods: </strong>This was a hospital-based cross-sectional study carried out among outpatients attending Douala General Hospital in Cameroon diagnosed with hypertension. BP was considered to be controlled if it was lower than 140/90 mm Hg. PA and SQ have been assessed using the International Physical Activity Questionnaire and the Pittsburg Sleep Quality Index. Odds ratio and 95% CI have been calculated, and differences were considered significant at P < .05.</p><p><strong>Results: </strong>A total of 415 participants were recruited, the mean age was 61 (11) years, and 67% were women. Around 66.3% of participants had their BP uncontrolled. Patients with uncontrolled BP had a significantly higher proportion of overweight/obesity (87.3% vs 73.6, P = .001), sedentary time ≥ 2 hours per day (37.1% vs 27.1, P = .043), and low leisure-time PA level (39.6% vs 52.9%, P = .014). After adjustment for confounders, a poor SQ associated with a low PA level significantly increased the odds of having an uncontrolled BP (odds ratio: 2.66; 95% CI, 1.13-6.24; P = .025).</p><p><strong>Conclusion: </strong>Cameroonian patients with hypertension exhibit a high rate of poor BP control which is significantly associated with poor SQ and low PA level. These 2 parameters should be considered simultaneously for a better prevention of cardiovascular complications.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"582-589"},"PeriodicalIF":2.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Swaying Pendulum: Factors Influencing Physical Activity Participation in Women With Recurrent Ovarian Cancer.","authors":"Gabrielle C Gildea, Rosalind R Spence, Tamara L Jones, Carolina X Sandler, Nicole M McDonald, Sandra C Hayes, Melanie L Plinsinga","doi":"10.1123/jpah.2024-0449","DOIUrl":"10.1123/jpah.2024-0449","url":null,"abstract":"<p><strong>Background: </strong>Physical activity levels decline following diagnosis of ovarian cancer, and there is limited research investigating the factors that influence participation across the cancer continuum. The objective of this study is to explore barriers, facilitators, perceptions, and preferences of physical activity for women with recurrent ovarian cancer and to explore whether these factors change across the cancer continuum.</p><p><strong>Methods: </strong>Women enrolled in the Exercise During Chemotherapy for Recurrent Ovarian Cancer trial were invited to participate. Semistructured interviews, guided by social cognitive theory, were conducted by 2 interviewers via video conferencing. All interviews were recorded and transcribed verbatim. Data were analyzed using an adaptive thematic approach.</p><p><strong>Results: </strong>An overarching theme, \"The swaying pendulum,\" emerged following 13 participant interviews, representing the instability of physical activity participation in women with recurrent ovarian cancer. Five themes captured factors swaying the \"pendulum\": (1) the \"priority ladder\" of physical activity and the importance of social support and the physical environment, (2) the \"hurdles\" of treatment- and disease-related side effects, (3) the power of physical activity support and advice from health professionals in the face of uncertainty and fear, (4) a \"yearning\" for the outdoors, and (5) resorting to walking.</p><p><strong>Conclusions: </strong>Physical activity participation in women with recurrent ovarian cancer is swayed by a complex combination of internal and external factors, unique to each individual, and continually changing circumstances across the cancer continuum.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"590-598"},"PeriodicalIF":2.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}