scholarly journals Improving Lifestyle Behaviors After Breast Cancer Treatment Among African American Women With and Without Diabetes: Role of Health Care Professionals

2020 ◽  
Author(s):  
Soghra Jarvandi ◽  
Maria Pérez ◽  
Julie Margenthaler ◽  
Graham A Colditz ◽  
Matthew W Kreuter ◽  
...  
Keyword(s):  
Breast Cancer ◽  
African American ◽  
Health Professionals ◽  
Healthy Lifestyle ◽  
Dietary Advice ◽  
Lifestyle Behaviors ◽  
Breast Cancer Patients ◽  
Diet And Exercise ◽  
Healthy Lifestyle Behaviors

Abstract Background Little is known about the effect of health professionals’ advice on promoting healthy lifestyle behaviors (diet and exercise) among breast cancer patients. Purpose To identify predictors of receiving lifestyle advice from health professionals and its impact on healthy lifestyle behaviors. Methods We used data from a randomized controlled trial of an interactive, cancer-communication video program using African American breast cancer survivor stories for newly diagnosed African American breast cancer patients (Stages 0–III). Participants completed five interviews over 2 years. This intervention did not significantly affect changes in quality-of-life outcomes. In secondary analysis, we examined differences in baseline variables between women with and without diabetes. Logistic regression models identified independent predictors of receiving advice from “a doctor or other health professional” to improve diet and exercise and of self-reported change in diet and exercise habits at 2 year follow-up. Results Of 193 patients included (85% of 228 enrolled), 53 (28%) had diabetes. At 2 year follow-up, a greater proportion of women with (vs. without) diabetes reported receiving advice by a doctor/health professional to improve their diet (73% vs. 57%, p = .04,). Predictors of receiving dietary advice were obesity, diabetes, and breast-conserving surgery (each p < .05). Women receiving dietary advice were 2.75 times more likely to report improving their diet (95% confidence interval: 1.17, 6.46) at follow-up, but receiving physical activity advice was not significantly associated with patients reporting an increase in exercise. Conclusions Although receiving dietary advice predicted dietary improvements, receiving exercise advice did not lead to an increase in physical activity. Clinical Trial Registration Trial Number NCT00929084.

scholarly journals When Diet and Exercise Aren’t Enough: The Added Benefits of Connection, Community, and Psychosocial Support in Navigating Breast Cancer Treatment

2017 ◽  
Vol 11 (6) ◽  
pp. 436-439
Author(s):  
Cindy Geyer
Keyword(s):  
Breast Cancer ◽  
Cancer Diagnosis ◽  
Psychosocial Support ◽  
Healthy Lifestyle ◽  
Breast Cancer Treatment ◽  
Elevated Risk ◽  
Lifestyle Behaviors ◽  
Common Cancer ◽  
Diet And Exercise ◽  
Healthy Lifestyle Behaviors

Breast cancer is the most common cancer diagnosis in women, and many lifestyle factors have been linked to an elevated risk for development of the disease. This case provides an example of how breast cancer can occur even in people who engage in healthy lifestyle behaviors, yet underscores the importance of exercise, healthy dietary patterns, and addressing psychological distress in supporting women through their treatment and beyond.

Healthy Lifestyle Behaviors of Breast Cancer Survivors

2014 ◽  
Vol 24 (5) ◽  
pp. 504-525 ◽  
Author(s):  
Carol DeNysschen ◽  
Jean K. Brown ◽  
Mark Baker ◽  
Gregory Wilding ◽  
Sheldon Tetewsky ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Healthy Lifestyle Behaviors

Breast cancer survivors’ motivation to perform preventive health behaviors: An application of the protection motivation theory.

2011 ◽  
Vol 29 (27_suppl) ◽  
pp. 251-251
Author(s):  
I. Mohamed ◽  
T. Jordan ◽  
M. Coman
Keyword(s):  
Breast Cancer ◽  
Health Behaviors ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Healthy Lifestyle ◽  
Preventive Health ◽  
Fear Of Recurrence ◽  
Lifestyle Behaviors ◽  
Preventive Health Behaviors ◽  
Healthy Lifestyle Behaviors

251 Background: Little is known about what motivates breast cancer survivors to engage in preventive health behaviors to prevent recurrence of breast cancer. The primary objective was to assess how survivors’ fear of recurrence, spirituality, and perceptions of risk and coping appraisal were associated with their motivation to perform healthy lifestyle and cancer screening behaviors. Methods: A reliable and valid questionnaire was developed. An a priori power analysis indicated that a minimum of 386 completed surveys were needed for adequate statistical power. Based on an estimated 50% return rate, the investigators randomly selected a state-wide sample of 800 survivors from Ohio. A 3-wave mailing was used to increase response rate. Results: 559 surveys were completed (72%). Respondents with higher perceived risks of recurrence were more motivated to perform healthy lifestyle behaviors than those with lower perceived risks (t=2.51, df=521, p=.039). Most (>70%) agreed that healthy lifestyle behaviors such as regular exercise reduce one’s risk of recurrence. Only 43% exercised regularly. Only 54% reported their doctor discussed how to reduce the risk of recurrence. Survivors who were satisfied with their physician’s communication exercised more regularly than those who were not satisfied (chi-square =13.09, p=.016, df=5). Cancer survivors with a high level of motivation and high level of behavioral intentions were more likely to be engaging in preventive health and cancer screening behaviors. Higher levels of spirituality were positively correlated with a higher level of motivation to engage in preventive health behaviors (r=.345, n=468, p<0.001). Conclusions: This study provides strong evidence that the Protection-Motivation Theory (PMT) helps to explain certain factors that impact survivors’ motivation and behavioral intentions to engage in healthy lifestyle behaviors and follow up screening tests. When developing programs for breast cancer survivors, health professionals should consider incorporating spirituality, fear of recurrence, and the constructs of the PMT.

Effecting Healthy Lifestyle Changes in Overweight and Obese Young Adults With Intellectual Disability

2013 ◽  
Vol 118 (3) ◽  
pp. 224-243 ◽  
Author(s):  
Marjorie Pett ◽  
Lauren Clark ◽  
Alison Eldredge ◽  
Beth Cardell ◽  
Kristine Jordan ◽  
...  
Keyword(s):  
Young Adults ◽  
Exercise Intervention ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Hip Circumference ◽  
Exercise Barriers ◽  
Healthy Lifestyle Behaviors ◽  
Fitness Measures

Abstract We evaluated a 12-week recreation center–based healthy lifestyle intervention for 30 obese home-dwelling young adults (YA) with intellectual disabilities. Three cohorts participated: YA only, YA and parents, and parents only. The YA cohorts received a nutrition/exercise intervention; parents focused on modeling healthy lifestyle behaviors. Outcomes included YA blood, nutrition, anthropometric, and fitness measures at pre, post, and 3-month follow-up. Compared with wait-list controls, the YA-only cohort improved immediately postintervention in blood pressure (BP), weight, and balance (p &lt; .05). At 3-month follow-up, no intervention was consistently superior; overall reductions in weight, BP, hip circumference, and exercise barriers were obtained (p &lt; .05). Linear and curvilinear changes from baseline to 3 months after the intervention varied by outcome and participant. Participants with Down syndrome lost less weight.

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