{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:38:50Z","timestamp":1790617130693,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000147","name":"Canadian Cancer Society","doi-asserted-by":"publisher","award":["706673"],"award-info":[{"award-number":["706673"]}],"id":[{"id":"10.13039\/501100000147","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Exercise interventions improve quality of life and survival for individuals living with and beyond cancer (ILWBC), yet equitable access remains limited. Evidence on characteristics of who enrolls in exercise oncology programs is scarce, leaving gaps for equity\u2010focused recruitment and scale\u2010up, particularly in rural and underserved settings. The EXercise for Cancer to Enhance Living Well (EXCEL) study offers a unique opportunity to examine these issues across a Canada\u2010wide cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>EXCEL is an 8\u201312\u2010week tailored exercise intervention delivered primarily to ILWBC in rural\/remote communities, with additional enrollment of urban participants lacking exercise oncology resources. Adults with any cancer type or stage were eligible if pre\u2010treatment, receiving treatment, or within 3\u2009years post\u2010treatment. This analysis describes baseline demographic, lifestyle, medical, and fitness factors by rural versus urban residence using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1495 participants enrolled in the EXCEL program (rural\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091085; urban\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009400), baseline characteristics differed modestly by geography. Age did not differ significantly between rural and urban participants. Rural participants were more often male, had lower educational attainment, and demonstrated higher BMI than urban participants. Urban participants exhibited greater ethnic diversity and higher levels of education. Physical activity levels were similar with 78% classified as physically active at baseline.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This Canada\u2010wide baseline analysis reveals rural\u2013urban variations in age, treatment status, disease burden, education, and lifestyle, yet comparable physical activity and functional capacity levels. These findings provide descriptive evidence to inform recruitment strategies and considerations for exercise oncology program delivery across geographic settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71629","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:39:16Z","timestamp":1774053556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Baseline Characteristics of Participants in the\n                    <scp>Exercise<\/scp>\n                    for Cancer to Enhance Living Well (\n                    <scp>EXCEL<\/scp>\n                    ) Study: A Canada\u2010Wide Rural\u2013Urban Analysis"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1964-6237","authenticated-orcid":false,"given":"Jonathan L.","family":"Low","sequence":"first","affiliation":[{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"},{"name":"Riddell Center for Cancer Immunotherapy, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julianna","family":"Dreger","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad W.","family":"Wagoner","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Recreation, and Sport Studies University of Tennessee \u2010 Knoxville  Knoxville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret L.","family":"McNeely","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie R.","family":"Keats","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Health and Human Performance Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Santa","family":"Mina","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Physical Education University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Trinh","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Physical Education University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin L.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine University of British Columbia  Vancouver Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Dor\u00e9","sequence":"additional","affiliation":[{"name":"School of Kinesiology and Physical Activity Sciences, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"School of Public Health Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"Universit\u00e9 de Montr\u00e9al, Hospital Research Centre (CRCHUM)  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heejae","family":"Lee","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"},{"name":"Riddell Center for Cancer Immunotherapy, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0940-2802","authenticated-orcid":false,"given":"Colleen A.","family":"Cuthbert","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren C.","family":"Capozzi","sequence":"additional","affiliation":[{"name":"Rehabilitation Oncology, Physiatry, AE Child Comprehensive Cancer Center, Cancer Care Alberta, Alberta Health Services  Calgary Alberta Canada"},{"name":"Cancer Rehabilitation, BC Cancer  Kelowna British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Sibley","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Physical Education University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas B.","family":"Christensen","sequence":"additional","affiliation":[{"name":"Faculty of Health, School of Health and Human Performance Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexia","family":"Pich\u00e9","sequence":"additional","affiliation":[{"name":"School of Kinesiology and Physical Activity Sciences, Faculty of Medicine Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"Universit\u00e9 de Montr\u00e9al, Hospital Research Centre (CRCHUM)  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Mackenzie","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine University of British Columbia  Vancouver Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Medicine University of British Columbia  Vancouver Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Nicole","family":"Culos\u2010Reed","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology University of Calgary  Calgary Alberta Canada"},{"name":"Department of Oncology, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Department of Psychosocial Resources, AE Child Comprehensive Cancer Centre, Cancer Care, Alberta Health Services  Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010023\u201001363\u20100"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181c22324"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncics\/pkz080"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2021.6590"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2502760"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010011\u20101270\u20101"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/edbk\u201025\u2010472854"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010019\u201000789\u20103"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3138\/ptc\u20102019\u20100015"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.43445"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2020.11.002"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764\u2010022\u201001292\u2010y"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41388\u2010025\u201003424\u2010x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010063953"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2019.00064"},{"key":"e_1_2_11_17_1","unstructured":"Statistics Canada \u201cCensus Metropolitan Area (CMA) and Census Agglomeration (CA) \u201d(2022)."},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs\u2010704646\/v1"},{"key":"e_1_2_11_19_1","unstructured":"Canadian Institute for Health Information \u201cImpact of COVID\u201019 on Canada's Health Care Systems \u201d(2022) https:\/\/www.cihi.ca\/en\/covid\u201019\u2010resources\/impact\u2010of\u2010covid\u201019\u2010on\u2010canadas\u2010health\u2010care\u2010systems?utm_medium=social\u2010organicandutm_source=linkedinandutm_campaign=Impact\u2010of\u2010COVID\u201019\u201011\u201019\u20102020andutm_term=covid\u2010landing_01andutm_content=landing\u2010page."},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsampl.2024.100055"},{"issue":"3","key":"e_1_2_11_21_1","first-page":"273","article-title":"Physical Activity Series PAR\u2010Q+ and ePARmed\u2010X+ New Risk Stratification and Physical Activity Clearance Strategy for Physicians and Patients Alike","volume":"59","author":"Bredin S. S. D.","year":"2013","journal-title":"Canadian Family Physician"},{"issue":"1","key":"e_1_2_11_22_1","first-page":"18","article-title":"The Godin\u2010Shephard Leisure\u2010Time Physical Activity Questionnaire","volume":"4","author":"Godin G.","year":"2011","journal-title":"Health and Fitness Journal of Canada"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097\u20100142(20000501)88:9<2164:AID\u2010CNCR24>3.0.CO;2\u20105"},{"issue":"3","key":"e_1_2_11_26_1","first-page":"306","article-title":"The Reliability and Concurrent Validity of Shoulder Mobility Measurements Using a Digital Inclinometer and Goniometer: A Technical Report","volume":"7","author":"Kolber M. J.","year":"2012","journal-title":"International Journal of Sports Physical Therapy |"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2017.1390803"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1999.10608028"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1998.10607708"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gns071"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03339630"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21719"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2022.102061"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djac030"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2013.12.002"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010020\u201005342\u2010y"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552\u2010013\u20100225\u2010x"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12774"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.70437"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2025.108380"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol28040276"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2013.06.010"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71629","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.71629","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.71629","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:50:56Z","timestamp":1777614656000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.71629"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":41,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/cam4.71629"],"URL":"https:\/\/doi.org\/10.1002\/cam4.71629","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-09-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71629"}}