Effects of COVID-19 on Physical Activity and Barriers Among Breast Cancer Survivors

Purpose This study aimed to examine the impact of the COVID-19 pandemic on the frequency and duration of physical activity among breast cancer survivors in the United States. Specifically, it addressed whether differences existed in exercise routines across pre-COVID-19, during COVID-19, and post-COVID-19 periods, and identified persistent barriers affecting these survivors’ physical activity habits. Methods A cross-sectional survey was administered online to breast cancer survivors recruited via social media and word of mouth. The survey, which incorporated a modified International Physical Activity Questionnaire (IPAQ) short form, collected self-reported data on the frequency and duration of vigorous, moderate, and walking activities across three distinct time periods. Data were analyzed using one-way repeated measures ANOVAs and Friedman tests, with a significance level of p < 0.05. Results Findings revealed a significant reduction in physical activity days during COVID-19 compared to pre-COVID-19, with partial recovery post-COVID-19. However, the duration of moderate physical activity significantly declined post-COVID-19. Common barriers identified included lack of self-motivation, restricted access to exercise facilities, and injury concerns. Conclusions The COVID-19 pandemic has had a lasting negative impact on the exercise routines of breast cancer survivors, with persistent barriers continuing into the post-pandemic period. Implications for Cancer Survivors: Tailored interventions and ongoing support are needed to overcome barriers and promote increased physical activity, ultimately enhancing quality of life for breast cancer survivors.