Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas

Demark-Wahnefried, R.D. Wendy; Peterson, Bercedis L.; McBride, Colleen M.; Lipkus, Isaac M.; Clipp, R.N. Elizabeth

doi:10.1002/(sici)1097-0142(20000201)88:3<674::aid-cncr26>3.0.co;2-r

Cited by 466 publications

(177 citation statements)

References 48 publications

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“…Several studies have examined the current prevalence of health behaviors post diagnosis [8,13,18,36]. For example, a study of the current dietary intake found that 31% of the cancer survivors did not meet the fat intake guidelines and 58% did not eat sufficient serves of fruit and vegetables [18].…”

Section: Introductionmentioning

confidence: 99%

“…One study found that 70% did not meet the minimum recommendations for physical activity [8], another found that 42% of the survivors were not routinely exercising [18], another 58% were not exercising regularly [39], another study found that 64% were not exercising regularly [2], and a further study found that only 20.8% of the survivors increased their physical activity levels since diagnosis [34], and one study reported that 30.6% had decreased physical activity levels [9]. This suggests that a cancer diagnosis may have a positive impact on some lifestyle behaviors (e.g., diet), but a negative impact on others (e.g., physical activity levels).…”

Section: Introductionmentioning

confidence: 99%

“…Because cancer survivors seem amenable to making positive changes in their lifestyles to improve their health, it has been suggested that the diagnosis of cancer could serve as a 'teachable moment' for making health behavior changes [25]. In terms of cancer, a 'teachable moment' would provide an opportunity for targeted health programs to take advantage of these moments to improve the health and well-being of cancer survivors [8,18,29,34]. More research is needed, however, examining variables that may be associated with changing health behavior so that more targeted and effective health programs can be developed.…”

Section: Introductionmentioning

confidence: 99%

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The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Humpel

Magee

Jones

2007

Support Care Cancer

125

111

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Goals The aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention. Materials and methods This was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants. Main results Participants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits. Conclusions The results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This field of research is still at an early stage, and further studies are needed to confirm if this situation could be useful as a 'teachable moment' for intervention purposes. Abstract GoalsThe aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention. Materials and methodsThis was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants. Main resultsParticipants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits. ConclusionsThe results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This fi...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Humpel

Magee

Jones

2007

Support Care Cancer

125

111

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“…There also is mounting evidence that unhealthy behaviors tend to cluster (i.e., those who are sedentary also are more likely to eat high amounts of animal fat, low amounts of fruits and vegetables, and vice versa) both within the general population 41,42 and in cancer patients. 43 Therefore, front-line practitioners caring for older patients with a history of colon adenomas should consider targeting general "lifestyle" changes in their recommendations rather than individual CRC risk factors.…”

Section: Discussionmentioning

confidence: 99%

Age‐related vulnerabilities of older adults with colon adenomas

Clipp

Carver

Pollak

et al. 2004

Cancer

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BACKGROUNDThis report addresses the interface between cancer and aging in the context of colorectal carcinoma (CRC), the second leading cause of cancer death in the U.S. overall and the first leading cause among individuals age ≥ 75 years. Because polyp risk increases with age, interventions to prevent recurrent polyps among older adults likely would reduce CRC morbidity and mortality.METHODSData for this study derive from Project Prevent, a multisite, randomized controlled trial designed to reduce behavioral risk factors for CRC among 1247 adults who underwent the removal of ≥ 1 adenomatous colon polyps. Middle‐aged and older patients were compared on key cognitive‐behavioral mechanisms associated with CRC risk and established age‐related factors associated with adverse health outcomes. Relations between cognitive‐behavioral mechanisms and age‐related vulnerability factors identified subgroups of older polyp patients that may have an enhanced risk for CRC.RESULTSCompared with middle‐aged patients, older patients were less concerned about developing CRC, less motivated to reduce their risk, and less confident that their behavior change efforts would succeed. As expected, they also reported more age‐related physical, social, and economic vulnerabilities, as expected. Evidence for enhanced CRC risk was found for older patients with multiple comorbid conditions, low social support for change, and perceptions of income inadequacy.CONCLUSIONSThe presence of age‐related vulnerability factors may enhance the risk of CRC among older cancer patients by creating barriers to behavioral change. Efforts to reduce the cancer burden in older populations will require attention beyond early detection and surveillance to interventions that account for the unique physical and psychosocial characteristics of older adults. Cancer 2004;100:1085–94. © 2004 American Cancer Society.

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“…However, routine availability of this information in population-based cancer registries could enhance the ability of researchers to monitor and further understand the contribution of BMI to cancer incidence or outcomes, depending on the timing of these measurements. It could also provide the ability to assess the impact of programs designed to reduce overweight/obesity in cancer survivors, a group prone to cardiovascular disease, diabetes, arthritis, osteoporosis and second primary cancers (13)(14)(15)(16)(17)(18), and to provide nationwide surveillance of BMI in a large population-representative cohort of cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Availability and utility of body mass index for population-based cancer surveillance

Keegan

McClure

et al. 2007

Cancer Causes Control

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Objective-To evaluate the availability of body height and weight in the hospital medical record of cancer patients and discuss the utility of the findings to population-based cancer research and the surveillance of overweight and obesity in the United States.Methods-Medical records were reviewed for up to three measures of height and weight for a random sample of 1,739 patients diagnosed (2001)(2002)(2003) with one of 12 types of cancer and reported to the population-based Greater Bay Area Cancer Registry of Northern California.Results-84% of cancer patients had at least one value of height, 91% had at least one value of weight, and 83% had both values recorded in the medical record such that body mass index (BMI) could be computed. 60% of height and weight values were recorded within two months of cancer diagnosis, with most values (71%) recorded after cancer diagnosis. The availability of BMI varied somewhat by race/ethnicity, cancer site, initial treatment, and hospital characteristics.Conclusions-BMI may be sufficiently available to be included routinely in population-based cancer registries, and, if so, would be useful for studies of cancer diagnoses and outcomes and permit nationwide surveillance of BMI in a large population-representative cohort of cancer patients.

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Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas

Cited by 466 publications

References 48 publications

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Age‐related vulnerabilities of older adults with colon adenomas

Availability and utility of body mass index for population-based cancer surveillance

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