Comprehensive Lifestyle Modification Intervention to Improve Chronic Disease Risk Factors and Quality of Life in Cancer Survivors

Golubić, Mladen; Schneeberger, Dana; Kirkpatrick, Kristin; Bar, Judi; Bernstein, Adam; Weems, Fredina; Ehrman, Jane Pernotto; Perko, Jim; Doyle, Jonathan; Roizen, Michael F.

doi:10.1089/acm.2018.0193

Cited by 29 publications

(31 citation statements)

References 51 publications

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“…The metabolic impact of ADT was minimal during the intervention.Joly [50]Individual counsellingDiet and exercisePre-postTo assess the impact of a nutrition and exercise intervention on body composition and physical function in frail men with PC on ADT.After 3 months of ADT participants had improved timed-up-and-go test while other measures of physical function and body composition remained stable.Focht [51]Individual counsellingDiet and exerciseRCTTo assess the feasibility and preliminary efficacy of implementing a group-mediated cognitive behavioural lifestyle intervention for men with PC undergoing ADT.N/AChan [46]OtherDiet and exerciseProgram summaryThe purpose of TrueNTH is to create an international partnership and develop interventions to improve the physical and mental well being of PC survivors.Canada, the U.S.A, Australia and the U.K. are developing lifestyle interventions and programs for men with PC and will evaluate implementation approaches.Cosby [52]Group educationDietPre-postTo evaluate the effectiveness and satisfaction of a weekly diet and PC group education session on meeting information needs in promoting healthy body weights.Significantly improved nutrition knowledge post session. Participants reported high satisfaction rates, usefulness of information, the importance of information and the value of group learning.Golubić [53]Group educationComprehensive programPre-postTo evaluate the effectiveness of Lifestyle 180, a comprehensive, lifestyle program, on chronic disease risk factors and QOL in cancer survivors.Significant improvements in weight loss and WC, BMI and measured biomarker. Reported reduction in lipid lowering and BP medication.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies (63%) used a randomized controlled study design [16, 18, 19, 33, 35, 36, 39, 40, 42, 45, 47–49, 51, 55–59] while the remaining studies (22%) used pre-post [43, 44, 49, 50, 52, 53], longitudinal (4%) [38], implementation (4%) [46], a program summary design (4%) [60] and non-randomized control trial (4%) [54]. The length of study interventions ranged from a single time point to 24 months.…”

Section: Resultsmentioning

confidence: 99%

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Assessing the nutritional needs of men with prostate cancer

McLaughlin

Hedden

Pollock³

et al. 2019

Nutr J

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BackgroundNutrition is important for prostate cancer (PC) survivorship care to help achieve a healthy weight, reduce treatment side effects and reduce the risk of developing other chronic diseases. We aimed to advance the understanding of the nutritional needs of men with PC and services that could be potentially implemented to address them.MethodsWe conducted a needs assessment of nutrition services for men with PC drawing on four perspectives; 1) patient evaluation of a nutrition education session in British Columbia (BC), 2) survey of BC health professionals, 3) an environmental scan of existing nutrition services across Canada and 4) a scoping literature review.ResultsPatients expressed a need for more nutrition information and a desire for additional nutrition services. More than 60% of health professionals believed there is a need for more nutrition services for men with PC, and reported the focus should be on weight management or management of PC progression. The environmental scan revealed few existing services for men with PC across Canada, most were inclusive of multiple cancers and not tailored for men with PC. Eighteen completed studies were identified in the scoping literature review. The majority provided combined diet and exercise programs with various formats of delivery such as individual, group and home-based. Overall, 78% of studies reported improvements in one or more of the following measures: dietary intake/ diet quality, body composition, self-efficacy, quality of life, fatigue, practicing health behavior goals and physical function/ exercise. Four studies assessed feasibility, adherence or satisfaction with all reporting positive findings.ConclusionDespite the high prevalence of PC in Canada, and the perceived need for more support by patients and health professionals, there are limited nutrition services for men with PC. Evidence from the literature suggests nutrition services are effective and well-accepted by men with PC. Our findings define a need for standardized nutrition services for men with PC that assess and meet long term nutritional needs. Our findings also provide insight into the type and delivery of nutrition services that may help close the gap in care for men with PC.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Assessing the nutritional needs of men with prostate cancer

McLaughlin

Hedden

Pollock³

et al. 2019

Nutr J

View full text Add to dashboard Cite

show abstract

“…17 Previous dietary interventions for adult cancer survivors have demonstrated favorable modulation of weight, metabolic biomarkers, and quality of life. [18][19][20] Rigorous epidemiological evidence of adherence to cancer preventive dietary patterns in AYA is limited. Approximately 80% of adult survivors of AYA cancer report low fruit and vegetable intake.…”

Section: Introductionmentioning

confidence: 99%

Dietary Interventions for Adult Survivors of Adolescent and Young Adult Cancers: A Systematic Review and Narrative Synthesis

Skiba

McElfresh

Howe

et al. 2020

Journal of Adolescent and Young Adult Oncology

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Adolescent and young adult (AYA) cancer survivors, here defined as individuals diagnosed with cancer between 15 and 39 years of age, are at high risk for adverse late-term metabolic effects of treatment through adulthood. Diet is a modifiable lifestyle behavior that may improve metabolic health outcomes in AYA cancer survivors. However, the details of dietary interventions for this unique population remain largely undescribed. In this systematic review, we aim to synthesize the results of dietary interventions for adult AYA cancer survivors. Seven databases and clinical trial registries were searched in March 2019 for interventions targeting dietary behaviors in AYA cancer survivors (PROPSERO systematic review number: CRD42019126376). Descriptive statistics and a narrative synthesis were completed to detail intervention participants and components. After full text review of 233 studies, four studies met all inclusion criteria. All studies were heterogeneous for participant age, cancer type, and duration, and were designed for feasibility and preliminary efficacy. Included studies followed different dietary guidance; however, each resulted in a significant change on a primary outcome of either dietary quality or body composition. Three of the four studies included a theoretical framework, where self-efficacy was a central construct. Counseling, in person, telephone, or electronic, provided behavioral support. Results of this systematic review suggest high potential to change dietary behaviors in AYA, but interventions remain limited. AYA cancer survivors demonstrate unique physiological and psychosocial needs, and future interventions designed to address this care gap should be targeted for this population with consideration of social support, delivery mode, and individual tailoring.

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“…Furthermore, several intervention studies support that healthy lifestyle behaviors (maintaining a healthy body weight, engaging in exercise, or consuming a healthy diet) improved cancer survivors' quality of life [6,8,[37][38][39]. The Programme of Accompanying women after breast Cancer treatment completion in Thermal resorts (PACThe) trial also showed that SF-36 physical and mental subscores improved among breast cancer survivors in France who participated in group physical training and nutritional education, yet this improvement was not significant after a year [6].…”

Section: Discussionmentioning

confidence: 99%

“…A randomized controlled trial of 12-month home-based diet and exercise found that physical activity and dietary intervention moderated the rate of decline in SF-36 social functioning and increased mental health among survivors of colorectal, breast, and prostate cancer [37]. In the U.S. intervention study, lifestyle modification interventions regarding nutrition, physical activity, and stress management in cancer survivors (mostly breast, prostate, or skin cancer) improved quality of life [38]. Likewise, the Adapted Physical Activity and Diet (APAD) intervention in patients with early breast cancer improved fatigue and quality of life at the 1 year follow-up [39].…”

Section: Discussionmentioning

confidence: 99%

Adherence to the American Cancer Society Guidelines for Cancer Survivors and Health-Related Quality of Life among Breast Cancer Survivors

et al. 2019

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The development and validation of guidelines for breast cancer survivors are of importance due to the increased survival rate for breast cancer. In this cross-sectional study, we aimed to examine the association between adherence to the American Cancer Society (ACS) guidelines for cancer survivors and health-related quality of life (HRQoL). A total of 618 breast cancer survivors aged 30 to 81 years who had been diagnosed with stage I to III primary breast cancer and had surgery at least a year before enrollment were included. The participants completed the 36 Item Short-Form Health Survey (SF-36) to evaluate HRQoL, and adherence scores were calculated based on the Nutrition and Physical Activity Guidelines for Cancer Survivors, which were released by the ACS. Increasing adherence scores were associated with increasing scores on the physical component summary (PCS) and the physical functioning (PF), bodily pain (BP), and vitality (VT) domains (p for trend <0.001 for PCS and PF, 0.01 for BP, and 0.02 for VT); these scores were mainly driven by the associations among survivors with stage II–III cancer. Further prospective studies are needed to evaluate whether adherence to these guidelines improves HRQoL scores among breast cancer survivors.

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Comprehensive Lifestyle Modification Intervention to Improve Chronic Disease Risk Factors and Quality of Life in Cancer Survivors

Cited by 29 publications

References 51 publications

Assessing the nutritional needs of men with prostate cancer

Assessing the nutritional needs of men with prostate cancer

Dietary Interventions for Adult Survivors of Adolescent and Young Adult Cancers: A Systematic Review and Narrative Synthesis

Adherence to the American Cancer Society Guidelines for Cancer Survivors and Health-Related Quality of Life among Breast Cancer Survivors

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