Health and lifestyle behaviors among persons at risk of Lynch syndrome

Burton, Amy L.; Peterson, Susan K.; Marani, Salma K.; Vernon, Sally W.; Amos, Christopher I.; Frazier, Marsha L.; Lynch, Patrick M.; Gritz, Ellen R.

doi:10.1007/s10552-009-9482-0

Cited by 18 publications

(22 citation statements)

References 59 publications

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“…17,23 In our study, women with an FMH of breast or ovarian cancer had health behaviors similar to women without an FMH of cancer. Other studies have found similar results, 24,25 although some studies have found more intense or higher levels of physical activity in women with a family history of breast cancer, [26][27][28] or greater practice of health behaviors was observed, as compared with the general population.…”

Section: Discussionmentioning

confidence: 53%

Health behaviors and cancer screening among Californians with a family history of cancer

Townsend

Steele

Richardson

et al. 2013

Genetics in Medicine

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Purpose: The purpose of this study was to compare health behaviors and cancer screening among Californians with and without a family history of cancer. Methods:We analyzed data from the 2005 California Health Interview Survey to ascertain cancer screening test use and to estimate the prevalence of health behaviors that may reduce the risk of cancer. We used logistic regression to control for demographic factors and health-care access.results: Women with a family history of breast or ovarian cancer were more likely to be up to date with mammography as compared with women with no family history of cancer (odds ratio = 1.69, 95% confidence interval (1.39, 2.04)); their health behaviors were similar to other women. Men and women with a family history of colorectal cancer were more likely to be up to date with colorectal cancer screening as compared with individuals with no family history of cancer (odds ratio = 2.77, 95% confidence interval (2.20, 3.49)) but were less likely to have a body mass index <25 kg/m 2 (odds ratio = 0.80, 95% confidence interval (0.67, 0.94)).conclusion: Innovative methods are needed to encourage those with a moderate-to-strong familial risk for breast cancer and colorectal cancer to increase their physical activity levels, strive to maintain a healthy weight, quit smoking, and reduce alcohol use. 2013:15(3):212-221 Genet Med

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Section: Discussionmentioning

confidence: 53%

Health behaviors and cancer screening among Californians with a family history of cancer

Townsend

Steele

Richardson

et al. 2013

Genetics in Medicine

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“…Some studies reported no association between increased familial or hereditary breast cancer risk and improved lifestyle behaviors [20, 21]. Whereas others reported a positive association between perceived cancer risk and likelihood of adopting a healthy lifestyle in families at risk for hereditary colorectal cancer, including patients and family members [14, 22, 23]. In line with a previous study prior to genetic testing in at-risk families, having a personal history of cancer or having family member(s) who suffer(ed) from cancer were determinants of adherence to lifestyle recommendations [22].…”

Section: Discussionmentioning

confidence: 99%

“…A needs assessment is an important first step in tailoring future interventions to the specific needs of LS mutation carriers, and includes identification of determinants of adherence to the recommendations for cancer prevention. To date, little is known about the determinants of (non-)adherence to the WCRF/AICR recommendations for cancer prevention in LS mutation carriers [14]. …”

Section: Introductionmentioning

confidence: 99%

Determinants of adherence to recommendations for cancer prevention among Lynch Syndrome mutation carriers: A qualitative exploration

Visser¹,

Vrieling²,

Murugesu³

et al. 2017

PLoS ONE

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BackgroundLynch Syndrome (LS) mutation carriers are at high risk for various cancer types, particularly colorectal cancer. Adherence to lifestyle and body weight recommendations for cancer prevention may lower this risk. To promote adherence to these recommendations, knowledge on determinants of adherence in LS mutation carriers is needed. Therefore, this study aimed to identify determinants of adherence to lifestyle recommendations for cancer prevention in LS mutation carriers.MethodsFive focus groups were conducted with DNA confirmed LS mutation carriers (n = 29). Transcripts were analyzed by thematic analysis, using the Health Belief Model (HBM) as a theoretical framework.ResultsTolerance of an unhealthy lifestyle because of the desire to enjoy life and avoidance of LS dominating their life were most frequently reported as important barriers of adherence to the recommendations. Most important facilitators of adherence to the recommendations were enhancement of wellbeing and intolerance of unhealthy foods due to colon surgery.ConclusionsThis study provided a comprehensive overview of determinants of adherence to recommendations for cancer prevention. These determinants, of which some are typically and unique for LS mutation carriers, can be used to design a lifestyle intervention that meets the needs of LS mutation carriers.

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“…Spector and colleagues (16) reported that in 50,844 black and white women who had a sister with breast cancer, there were no indications that they were more likely to engage in healthy lifestyle behaviors than the general population. Likewise, in a study of health and lifestyle behaviors among persons at risk of Lynch syndrome, Burton and colleagues (17) reported that 10% of 319 people with the disease and 20% of 110 unaffected relatives reported 3 or more risk behaviors with 20% and 12%, respectively, reporting zero risk behaviors. Higher risk behavior scores were associated with being male, having less education, and age less than 50 years.…”

Section: Introductionmentioning

confidence: 99%

Promoting Changes in Diet and Physical Activity in Breast and Colorectal Cancer Screening Settings: An Unexplored Opportunity for Endorsing Healthy Behaviors

Anderson

Mackison

Boath

et al. 2013

Cancer Prevention Research

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The importance of diet, physical activity, and weight management in breast and colorectal cancer prevention is widely recognized. While there may be many "teachable moments" that could be used to assess and initiate changes in these behaviors by health professionals (to complement public health campaigns), there is little evidence that lifestyle is discussed within cancer screening settings. The lack of advocacy about lifestyle in these settings may endorse poor health behaviors, in particular the absence of guidance to visibly obese patients. To fully use the teachable moment, patients need to be aware of the relationship between diet and physical activity and the risk of cancer and to be able to relate guidance to personal behaviors. Results from cardiovascular and diabetes prevention programs provide evidence about the components of effective behavior change programs which could be used in the screening setting. Findings from interventions initiated in the colorectal cancer screening setting suggest that such programs can be delivered but it is not clear how acceptable these are in routine health services. Effective interventions delivered in this setting also offer an important opportunity to contribute to the reduction of the overall burden of chronic non-communicable diseases. Cancer Prev Res; 6(3); 165-72. Ó2013 AACR.

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Health and lifestyle behaviors among persons at risk of Lynch syndrome

Cited by 18 publications

References 59 publications

Health behaviors and cancer screening among Californians with a family history of cancer

Health behaviors and cancer screening among Californians with a family history of cancer

Determinants of adherence to recommendations for cancer prevention among Lynch Syndrome mutation carriers: A qualitative exploration

Promoting Changes in Diet and Physical Activity in Breast and Colorectal Cancer Screening Settings: An Unexplored Opportunity for Endorsing Healthy Behaviors

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