| Title | Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: results from the American Cancer Society's SCS-II. | | Author(s) | Blanchard CM, Courneya KS, Stein K, American Cancer Society's SCS-II | | Institution | Dalhousie University, Department of Medicine, QEII Health Sciences Centre, Centre for Clinical Research, 5790 University Ave, Halifax, Nova Scotia, B3H 1V7, Canada. chris.blanchard@dal.ca | | Source | J Clin Oncol 2008 May 1; 26(13):2198-204. | | MeSH | Aged
Aged, 80 and over
American Cancer Society
Breast Neoplasms
Cluster Analysis
Colorectal Neoplasms
Cross-Sectional Studies
Diet
Exercise
Female
Fruit
Health Behavior
Humans
Life Style
Male
Melanoma
Middle Aged
Neoplasms
Nutrition Policy
Patient Compliance
Prostatic Neoplasms
Quality of Life
Questionnaires
Registries
Skin Neoplasms
Smoking Cessation
Survivors
United States
Urinary Bladder Neoplasms
Uterine Neoplasms
Vegetables
| | Abstract | PURPOSE: To examine the prevalence and clustering of physical activity (PA), fruit and vegetable consumption (5-A-Day), and smoking across six major cancer survivor groups and to identify any associations with health-related quality of life (HRQoL).
METHODS: A total of 9,105 survivors of six different cancers completed a national cross-sectional survey that included the lifestyle behavior questions and the RAND-36 Health Status Inventory.
RESULTS: Only a minority of cancer survivors were meeting the 5-A-Day (14.8% to 19.1%) or PA (29.6% to 47.3%) recommendations, whereas most were meeting the smoking recommendation (82.6% to 91.6%). In terms of the lifestyle behavior clusters, only 5% of cancer survivors were meeting all three recommendations. Analyses of covariance generally showed higher HRQoL in survivors who were meeting versus not meeting each lifestyle behavior recommendation with the strongest associations emerging for PA. Trend analyses showed a steep positive association between the number of lifestyle behavior recommendations being met and HRQoL for breast (P < .001), prostate (P < .001), colorectal (P < .001), bladder (P < .001), uterine (P < .001), and skin melanoma (P < .001) cancer survivors.
CONCLUSION: Few cancer survivors are meeting the PA or 5-A-Day recommendations, and even fewer are meeting all three lifestyle recommendations. The association between the current lifestyle recommendations and HRQoL in cancer survivors appears to be cumulative. Interventions to increase PA and fruit and vegetable consumption and reduce smoking are warranted and may have additive effects on the HRQoL of cancer survivors. | | Language | eng | | Pub Type(s) | Journal Article
Research Support, Non-U.S. Gov't
| | PubMed ID | 18445845 |
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