Exercise Level and Its Related Factors in Patients with Colorectal Cancer Comorbid Diabetes Mellitus undergoing Chemotherapy（a cross-sectional study）

Abstract

Abstract Aim To investigate the status quo of exercise management as well as its related factors among patients with colorectal cancer comorbid diabetes mellitus to provide reference for clinical exercise intervention programs. Methods A cross-sectional study of 124 patients with colorectal cancer comorbid diabetes mellitus who were undergoing chemotherapy in Shanghai from December, 2022 to April, 2023, was undertaken. Two self-made questionnaires were used to investigate the exercise management and its related factors, and multiple linear regression analysis was used to explore the potential related factors. Results The mean amount of exercise per week was 3.70 ± 3.50 MET-h/week. The stepwise regression results revealed that exercise level was positively correlated with motor function (r = 0.305, p = 0.001), self-efficacy (r = 0.582, p = 0.000), social support (r = 0.434, p = 0.000), and health behavior change techniques (r = 0.419, p = 0.000). Conclusion The current status of exercise management in patients with colorectal cancer comorbid diabetes mellitus during chemotherapy is pessimistic and contradictory. It is urgent to pay attention to the influence of comorbidity on exercise. Sex, adverse reactions of chemotherapy, self-efficacy, motor function and social support have the greatest influence on their level of exercise.