{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T22:00:39Z","timestamp":1771020039292,"version":"3.50.1"},"reference-count":22,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>People with multiple myeloma (MM) often experience disease symptoms and treatment toxicities that can be alleviated through physical activity (PA). However, the majority of people with MM are insufficiently active. This study explored PA among people with MM, including differences by treatment stage, symptoms and demographics, and programming preferences. Overall, 126 people with MM (77% response rate) completed the survey. Pre-diagnosis, 25.4% were sufficiently active, with 12.0% remaining active after treatment. Respondents who were physically active pre-diagnosis were 46.7 times (95% confidence intervals CI: 2.03, 1072.1) more likely to meet PA guidelines following an MM diagnosis compared to people not meeting guidelines pre-diagnosis. Experiencing MM symptoms and receiving PA advice from healthcare professionals were not associated with meeting PA guidelines. People with MM were interested in exercise programs (55%) that are low-cost (77%), offered at flexible times (74%), and at locations close to home (69%), both during active treatment and remission (57%), and supervised by an exercise oncology specialist (48%). People with MM, particularly those insufficiently active prior to diagnosis, should be offered convenient, low-cost exercise programs supervised by an exercise oncology specialist to increase PA participation.<\/jats:p>","DOI":"10.3390\/jcm9103277","type":"journal-article","created":{"date-parts":[[2020,10,17]],"date-time":"2020-10-17T05:45:51Z","timestamp":1602913551000},"page":"3277","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Physical Activity in People with Multiple Myeloma: Associated Factors and Exercise Program Preferences"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5049-8685","authenticated-orcid":false,"given":"Jennifer L.","family":"Nicol","sequence":"first","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmel","family":"Woodrow","sequence":"additional","affiliation":[{"name":"Department of Haematology, Division of Cancer, Princess Alexandra Hospital, Brisbane 4102, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3221-2265","authenticated-orcid":false,"given":"Nicola W.","family":"Burton","sequence":"additional","affiliation":[{"name":"School of Applied Psychology, Griffith University, Brisbane 4111, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Mollee","sequence":"additional","affiliation":[{"name":"Department of Haematology, Division of Cancer, Princess Alexandra Hospital, Brisbane 4102, Australia"},{"name":"Faculty of Medicine, The University of Queensland, Brisbane 4006, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Nicol","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia"},{"name":"Brisbane Clinic for Lymphoma, Myeloma and Leukaemia, Greenslopes Private Hospital, Brisbane 4120, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1134-0951","authenticated-orcid":false,"given":"Michelle M.","family":"Hill","sequence":"additional","affiliation":[{"name":"Precision and Systems Biomedicine Laboratory, QIMR Berghofer Medical Research Institute, Brisbane 4006, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5704-2741","authenticated-orcid":false,"given":"Tina L.","family":"Skinner","sequence":"additional","affiliation":[{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane 4072, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1111\/ejh.12790","article-title":"Prevalence of symptoms in patients with multiple myeloma: A systematic review and meta-analysis","volume":"97","author":"Ramsenthaler","year":"2016","journal-title":"Eur. J. Haematol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1056\/NEJMra1011442","article-title":"Multiple myeloma","volume":"364","author":"Palumbo","year":"2011","journal-title":"N. Engl. J. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1111\/bjh.14514","article-title":"Guidelines for screening and management of late and long-term consequences of myeloma and its treatment","volume":"176","author":"Snowden","year":"2017","journal-title":"Br. J. Haematol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1002\/cncr.29119","article-title":"Health-related quality of life in older adult survivors of selected cancers: Data from the SEER-MHOS linkage","volume":"121","author":"Kent","year":"2015","journal-title":"Cancer"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Groeneveldt, L., Mein, G., Garrod, R., Jewell, A.P., Someren, K.V., Stephens, R., D\u2019Sa, S.P., and Yong, K.L. (2013). A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors. BMC Cancer, 13.","DOI":"10.1186\/1471-2407-13-31"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1007\/s00520-004-0668-4","article-title":"Association between exercise and quality of life in multiple myeloma cancer survivors","volume":"12","author":"Jones","year":"2004","journal-title":"Supportive Care Cancer"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"3081","DOI":"10.1007\/s00520-015-2680-2","article-title":"Exercise compliance among patients with multiple myeloma undergoing chemotherapy: A retrospective study","volume":"23","author":"Shallwani","year":"2015","journal-title":"Supportive Care Cancer"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Servadio, M., Cottone, F., Sommer, K., Oerlemans, S., van de Poll-Franse, L., and Efficace, F. (2019). Physical activity and health-related quality of life in multiple myeloma survivors: The PROFILES registry. BMJ Supportive Palliat. Care.","DOI":"10.1136\/bmjspcare-2018-001755"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/s00520-012-1607-4","article-title":"Physical activity participation and barriers for people with multiple myeloma","volume":"21","author":"Craike","year":"2013","journal-title":"Supportive Care Cancer"},{"key":"ref_10","first-page":"18","article-title":"The Godin\u2013Shephard Leisure\u2013Time Physical Activity Questionnaire","volume":"4","author":"Godin","year":"2011","journal-title":"Health Fit. J. Can."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1007\/s00520-014-2453-3","article-title":"Agreement between accelerometer-assessed and self-reported physical activity and sedentary time in colon cancer survivors","volume":"23","author":"Boyle","year":"2015","journal-title":"Supportive Care Cancer"},{"key":"ref_12","unstructured":"Australian Institute of Health and Welfare 2019 (2020, May 30). Insufficient Physical Activity, Available online: https:\/\/www.aihw.gov.au\/reports\/risk-factors\/insufficient-physical-activity."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1097\/NCC.0000000000000425","article-title":"Physical activity preferences for people living with multiple myeloma: A qualitative study","volume":"40","author":"Craike","year":"2017","journal-title":"Cancer Nurs."},{"key":"ref_14","unstructured":"Australian Institute of Health and Welfare 2017 (2018, June 05). Cancer in Australia 2017, Available online: https:\/\/www.aihw.gov.au\/getmedia\/3da1f3c2-30f0-4475-8aed-1f19f8e16d48\/20066-cancer-2017.pdf.aspx?inline=true."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1111\/j.1600-0609.2009.01250.x","article-title":"Health related quality of life in a nationally representative sample of haematological patients","volume":"83","author":"Johnsen","year":"2009","journal-title":"Eur. J. Haematol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e12853","DOI":"10.1111\/ecc.12853","article-title":"What hinders healthcare professionals in promoting physical activity towards cancer patients? The influencing role of healthcare professionals\u2019 concerns, perceived patient characteristics and perceived structural factors","volume":"27","author":"Haussmann","year":"2018","journal-title":"Eur. J. Cancer Care"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1038\/leu.2008.336","article-title":"Pathogenesis of myeloma bone disease","volume":"23","author":"Roodman","year":"2009","journal-title":"Leukemia"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"3031","DOI":"10.1007\/s00520-017-3827-0","article-title":"Safety and feasibility of exercise interventions in patients with advanced cancer: A systematic review","volume":"25","author":"Heywood","year":"2017","journal-title":"Supportive Care Cancer"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1249\/MSS.0000000000001454","article-title":"Exercise preserves physical function in prostate cancer patients with bone metastases","volume":"50","author":"Galvao","year":"2018","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1188\/04.ONF.1127-1135","article-title":"Keep moving: Patients with myeloma talk about exercise and fatigue","volume":"31","author":"Coon","year":"2004","journal-title":"Oncol. Nurs. Forum"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s11764-015-0473-8","article-title":"Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?","volume":"10","author":"Kenzik","year":"2016","journal-title":"J. Cancer Surviv."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Ramsenthaler, C., Osborne, T.R., Gao, W., Siegert, R.J., Edmonds, P.M., Schey, S.A., and Higginson, I.J. (2016). The impact of disease-related symptoms and palliative care concerns on health-related quality of life in multiple myeloma: A multi-centre study. BMC Cancer, 16.","DOI":"10.1186\/s12885-016-2410-2"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/10\/3277\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:20:26Z","timestamp":1760178026000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/10\/3277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,13]]},"references-count":22,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2020,10]]}},"alternative-id":["jcm9103277"],"URL":"https:\/\/doi.org\/10.3390\/jcm9103277","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,13]]}}}