Breast cancer survivors: Taking charge of lifestyle choices after treatment

Muraca, Linda; Leung, Doris; Clark, Andrea; Beduz, Mary Agnes; Goodwin, Pamela J.

doi:10.1016/j.ejon.2009.12.001

Cited by 14 publications

(9 citation statements)

References 13 publications

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“…Several studies reported that chemotherapy is associated with weight gain [7][8][9][10][11]. Weight gain may have long-term consequences because it can lead to a higher risk of developing cardiovascular disease, diabetes and disease recurrence in survivors of breast cancer [12][13][14][15], and at least half of the patients experience unhappiness concerning their body changes and altered physical appearance, which negatively affected their quality of life [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Dutch health care professionals on weight gain during chemotherapy in women with breast cancer

Kruif

Scholtens

Rijt

et al. 2018

Support Care Cancer

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Purpose Dutch Health care professionals (HCPs) provide little information concerning health risks associated with weight gain during chemotherapy for breast cancer. Women with breast cancer have specified the need for more information on nutrition and physical activity to deal with weight gain. The aims of this study were to assess the perceptions of Dutch HCPs on weight gain during chemotherapy and in addition evaluate whether and what kind of information on dietary intake and physical activity HCPs provide to prevent/treat weight gain during (neo)adjuvant chemotherapy. Methods A qualitative study was conducted using semi-structured interviews with 34 HCPs involved in breast cancer care: general practitioners, oncologists, specialized nurses, and dieticians. Results To date, little information about nutrition, physical activity, and weight gain is given during chemotherapy because it is not part of most HCPs' training, it is not included in the guidelines and it is not the best time to bring up information in the opinion of HCPs. Weight gain was perceived as just a matter of a few kilos and not an important health issue during treatment. All HCPs felt it is better that women themselves addressed their weight gain after chemotherapy. Conclusion More knowledge about health risks associated with chemotherapy-induced weight gain and how to combat these issues needs to be made readily available to the HCPs and should become part of their training. Existing patient guidelines should include information on how to prevent and/or reduce weight gain through self-management of nutrition intake and physical activity during and post chemotherapy.

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Section: Introductionmentioning

confidence: 99%

Perceptions of Dutch health care professionals on weight gain during chemotherapy in women with breast cancer

Kruif

Scholtens

Rijt

et al. 2018

Support Care Cancer

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“…Survivors may self-advocate in a wide range of issues, including both physical and emotional needs or even in larger social and political arenas. This model is not limited to a single phase of survivorship and should accommodate a wide range of experiences and challenges (Miller et al 2008, Muraca et al 2011). The elements in this model are similar to key elements of a model of self-advocacy in the disabilities literature that successfully guided intervention research to improve patient outcomes (Test et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Self‐advocacy and cancer: a concept analysis

Hagan

Donovan

2013

Journal of Advanced Nursing

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Aim This paper is a report of an analysis of the concept of self-advocacy among individuals with cancer to clarify its meaning, to differentiate this meaning with related concepts and to unify understanding of the concept in cancer research and practice. Background Cancer survivors are increasingly required to assume an active role in their healthcare. A thorough analysis of how survivors advocate for themselves is a crucial aspect in supporting survivors’ ability to engage and manage their care throughout all stages of cancer survivorship. Design Walker and Avant’s eight-step process of conducting a concept analysis was used. Data Sources PubMed, PsycINFO and CINAHL databases were searched for articles, reviews, editorials and gray literature directly addressing self-advocacy. Review Methods A broad inquiry into the literature from 1960 – 2012 that produces a definition of self-advocacy. Model and contrary cases of self-advocacy demonstrate the concept’s application and intricacies. Results Antecedents to self-advocacy include particular personal characteristics, learned skills and attainable support. The essential element of self-advocacy and what differentiates it from related concepts, is the internalization of these antecedent resources into self-advocacy thoughts and actions while incorporating personal values and priorities in a way that upholds the survivors’ goals and beliefs. A full realization of self-advocacy facilitates a cancer survivor attaining a strong self-concept, sense of control and adaptation to a life with cancer. Conclusions Self-advocacy is a process of internalizing skills and resources to act in a way that supports survivors’ needs and goals.

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“…Only a few trials have investigated diet and exercise as an intervention for weight loss in breast cancer survivors [114-117]. Data from one trial [114] has supported the translation to an institutional clinical program [118] but randomized controlled trials are needed that combine physical activity and diet, if we are to influence the chronic illness risks of overweight and obesity on morbidity and mortality for women with breast cancer [74, 119]. …”

Section: Physical Activity and Breast Cancer Survivorsmentioning

confidence: 99%

Lifestyle Interventions for Cardiovascular Risk Reduction in Women with Breast Cancer

Coviello¹

2012

CCR

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PurposeThe purpose of this paper is to identify risk factors for cardiovascular disease in women with breast cancer and review healthy lifestyle behaviors as essential risk reduction strategies.FindingsWomen with breast cancer account for 22% of the 12 million cancer survivors. Women diagnosed with breast cancer often present with modifiable and non-modifiable cardiovascular risk factors and/or pre-existing co-morbid illness. Any one or a combination of these factors may increase the risk of cardiovascular disease. There is strong evidence that healthy eating and routine physical activity can reduce cardiovascular disease. Exercise improves cardiovascular fitness, body composition and quality of life in breast cancer survivors and observational studies suggest a survival benefit.Clinical Implications:Lifestyle interventions including a healthy diet, regular physical activity, weight management and smoking cessation should be integrated into a survivorship care plan to reduce cardiovascular disease risk and promote better health for women with breast cancer.

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Breast cancer survivors: Taking charge of lifestyle choices after treatment

Cited by 14 publications

References 13 publications

Perceptions of Dutch health care professionals on weight gain during chemotherapy in women with breast cancer

Perceptions of Dutch health care professionals on weight gain during chemotherapy in women with breast cancer

Self‐advocacy and cancer: a concept analysis

Lifestyle Interventions for Cardiovascular Risk Reduction in Women with Breast Cancer

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