Adherence to multiple health behaviours in cancer survivors: a systematic review and meta-analysis

Tollosa, Daniel Nigusse; Tavener, Meredith; Hure, Alexis; James, Erica L.

doi:10.1007/s11764-019-00754-0

Cited by 94 publications

(93 citation statements)

References 75 publications

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“…This discrepancy might be related to the sample size and the classification of a survivorship period in the studies. Overall, given the low guideline adherence rate on MHB in cancer survivors and the role of health behaviors in reducing medical and psychological effects during the survivorship period, results from the current study suggest that appropriately timed advice and continuous support for survivors' behavior change during the course of the survivorship period are required. Moreover, lifestyle modification needs to be a core component of cancer survivorship care.…”

Section: Discussionmentioning

confidence: 92%

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

et al. 2020

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Background: Cancer diagnosis may be a cue for health behavior change. Previous research that assessed the impact of a cancer diagnosis on multiple health behavior (MHB) change is limited by small sample size, cross-sectional study design, and a focus on individual rather than multiple behaviors. This study investigated the impact of a cancer diagnosis on compliance with MHB recommendations. Methods: Data from Australian Longitudinal Study on Women's Health (ALSWH) were utilized. Compliance with MHB was assessed by cancer survivorship period; 0-3 years pre-diagnosis, 0-3 years postdiagnosis, 4-12 years postdiagnosis, and compared to controls. A MHB score based on the WCRF/AICR guidelines was calculated for six behaviors (physical activity, smoking, alcohol, BMI, fruit, and vegetable intake); scores ranged from 0 to 6, with a higher score indicating higher compliance. Generalized estimating equation (GEE) was used for statistical analysis. Results: Participants comprised 7585 women from the 2001 ALSWH survey, of whom 2285 developed cancer during 15 years of follow-up. Compared to controls, the mean MHB score was slightly lower (Mean Difference (MD) = −0.015, P > .05) in survivors pre-diagnosis, after adjusting for confounders; however, the compliance score increased during postdiagnosis, with the mean difference score being significantly higher in recent survivors (0-3 years post diagnosis; MD = 0.055, P < .01). Likewise, within cancer survivors, the mean compliance score significantly increased 0-3 years postdiagnosis (MD = 0.07, P < .05) compared to pre-diagnosis, but this significant improvement was not maintained over the longer term (MD = 0.037, P > .05). Conclusion: In this sample, survivors had higher MHB score than controls. A cancer diagnosis may provide a teachable moment for health behavior change in the period immediately following diagnosis, but this effect was not sustained during longerterm survivorship. K E Y W O R D S cancer survivors, multiple health behaviors (MHB), survivorship period | 3225 TOLLOSA eT AL.

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Section: Discussionmentioning

confidence: 92%

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

et al. 2020

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“…The combined intervention of nutrition therapy and exercise has been shown to have greater efficacy in relation to cancer fatigue in men with prostate cancer [ 132 ]. In addition, it has proven effective in reducing morbidity and mortality.…”

Section: Cardiac Rehabilitation As a Model Of Cardio-oncology Rehamentioning

confidence: 99%

Oncology and Cardiac Rehabilitation: An Underrated Relationship

Venturini

Iannuzzo

D’Andrea

et al. 2020

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Cancer and cardiovascular diseases are globally the leading causes of mortality and morbidity. These conditions are closely related, beyond that of sharing many risk factors. The term bidirectional relationship indicates that cardiovascular diseases increase the likelihood of getting cancer and vice versa. The biological and biochemical pathways underlying this close relationship will be analyzed. In this new overlapping scenario, physical activity and exercise are proven protective behaviors against both cardiovascular diseases and cancer. Many observational studies link an increase in physical activity to a reduction in either the development or progression of cancer, as well as to a reduction in risk in cardiovascular diseases, a non-negligible cause of death for long-term cancer survivors. Exercise is an effective tool for improving cardio-respiratory fitness, quality of life, psychological wellbeing, reducing fatigue, anxiety and depression. Finally, it can counteract the toxic effects of cancer therapy. The protection obtained from physical activity and exercise will be discussed in the various stages of the cancer continuum, from diagnosis, to adjuvant therapy, and from the metastatic phase to long-term effects. Particular attention will be paid to the shelter against chemotherapy, radiotherapy, cardiovascular risk factors or new onset cardiovascular diseases. Cardio-Oncology Rehabilitation is an exercise-based multi-component intervention, starting from the model of Cardiac Rehabilitation, with few modifications, to improve care and the prognosis of a patient’s cancer. The network of professionals dedicated to Cardiac Rehabilitation is a ready-to-use resource, for implementing Cardio-Oncology Rehabilitation.

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“…Although the recommendations for cancer prevention and survival are broadly consistent with general healthy eating advice, a recent review of 51 studies including 2 620 586 adult cancer survivors indicated that adherence to the WCRF/AICR recommendations is low (Tollosa et al ). Whilst a pooled estimate of 83% had low or no alcohol intake, only 31% achieved ≥21 g/day of fibre or wholegrain.…”

Section: Cancer Survivorship and The Role Of Nutrition And Physical Amentioning

confidence: 99%

Nutrition and physical activity recommendations for cancer survivors in Scotland: Feasibility of a short course to promote behaviour change

2020

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More people are living for longer following a cancer diagnosis; however, long‐term survivors are more likely to experience chronic illnesses. Improving their diet and physical activity behaviours may increase survival and reduce the risk of cancer recurrence and other non‐communicable diseases. The World Cancer Research Fund and American Institute for Cancer Research recommend that cancer survivors aim to be a healthy weight and physically active; eat a diet rich in wholegrains, vegetables, fruits and beans; limit consumption of ‘fast foods’, red and processed meat, sugar‐sweetened drinks and alcohol; and meet nutritional needs through diet alone rather than relying on supplements. Evidence suggests that cancer survivors are receptive to receiving advice and making dietary and physical activity changes, but barriers to improving the diet and being physically active need to be explored and addressed. We collaborated with CLAN Cancer Support (an independent charity) to assess the feasibility of a 2‐day course designed to improve diet and physical activity in cancer survivors in Scotland. Further, it explored the barriers and facilitators that cancer survivors identify in relation to eating a healthy diet and being physically active. The course included presentations, practical activities and group discussions. Initial analysis indicates that factors specific to this population need to be designed into the delivery of the course to enhance recruitment and promote behaviour change. Research then needs to be translated into sustainable support programmes accessible by all cancer survivors. This article describes the rationale behind the study, its design and expected outcomes.

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Adherence to multiple health behaviours in cancer survivors: a systematic review and meta-analysis

Cited by 94 publications

References 75 publications

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross‐sectional analysis over 15 years

Oncology and Cardiac Rehabilitation: An Underrated Relationship

Nutrition and physical activity recommendations for cancer survivors in Scotland: Feasibility of a short course to promote behaviour change

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