Promoting Health and Physical Function Among Cancer Survivors: Potential for Prevention and Questions That Remain

2006 ◽  
Vol 24 (32) ◽  
pp. 5125-5131 ◽  
Author(s):  
Wendy Demark-Wahnefried ◽  
Bernardine M. Pinto ◽  
Ellen R. Gritz
Keyword(s):  
Physical Activity ◽  
Smoking Cessation ◽  
Cancer Survivors ◽  
Physical Function ◽  
Behavioral Change ◽  
Exercise Interventions ◽  
Increased Risk ◽  
Health Related ◽  
The Impact

Cancer survivors are at increased risk, not only for progressive and recurrent disease, but also other cancers, cardiovascular disease, diabetes, osteoporosis, and functional decline. Lifestyle interventions to improve dietary and physical activity behaviors, and smoking cessation, have the potential to improve the overall health and quality of life of this vulnerable population. Studies on overall health and physical function from 1966 and beyond regarding the impact of behavioral interventions that used randomized and controlled designs were identified through MEDLINE and PubMed searches. Published reports currently exist for 22 exercise interventions, 11 diet-related interventions (excluding those limited to dietary supplements or single nutrients), two diet and exercise interventions, and 10 behavioral-based smoking cessation interventions. Although many interventions have been successful in promoting behavioral change and have resulted in improvements in various health-related outcomes, more research is needed to determine the key components of interventions that are able to produce the greatest behavioral change and the most favorable health-related benefits. The oncology care provider can play a pivotal role in improving the long-term health of cancer survivors by (1) being aware of opportunities to encourage healthful behaviors (ie, smoking cessation, weight control, and increased physical activity); (2) vigilantly tracking long-term effects among cancer survivors and exploring whether they are amenable to intervention; (3) staying abreast of current health behavior guidelines for cancer survivors and existing resources for professional and patient education; and (4) supporting and contributing to efforts aimed at primary and tertiary prevention research.

Health-Related Quality of Life in Former National Collegiate Athletic Association Division I Collegiate Athletes Compared With Noncollegiate Athletes: A 5-Year Follow-Up

2021 ◽  
Author(s):  
Janet E. Simon ◽  
Mallory Lorence ◽  
Carrie L. Docherty
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
National Collegiate Athletic Association ◽  
Division I ◽  
Related Quality ◽  
Health Related ◽  
Division I Athletes

Context The effect of athletic participation on lifelong health among elite athletes has received increasing attention, as sport-related injuries can have a substantial influence on long-term health. Objective To determine the current health-related quality of life (HRQoL) of former National Collegiate Athletic Association Division I athletes compared with noncollegiate athletes 5 years after an initial assessment. Design Cohort study. Setting Online survey. Patients or Other Participants From the former Division I athletes, 193 responses were received (response rate = 83.2%; 128 men, 65 women; age = 58.47 ± 6.17 years), and from the noncollegiate athletes, 169 surveys were returned (response rate = 75.1%; 80 men, 89 women; age = 58.44 ± 7.28 years). Main Outcome Measure(s) The independent variables were time (baseline, 5 years later) and group (former Division I athlete, noncollegiate athlete). Participants completed 7 Patient-Reported Outcomes Measurement Information System scales: sleep disturbance, anxiety, depression, fatigue, pain interference, physical function, and satisfaction with participation in social roles. Results Sleep disturbance, depression, fatigue, pain, and physical function were significant for a time × group interaction (P < .05), with the largest differences seen in pain and physical function between groups at time point 2 (22.19 and 13.99 points, respectively). Former Division I athletes had worse scores for depression, fatigue, pain, and physical function at follow-up (P < .05), with the largest differences seen on the depression, fatigue, and physical function scales (8.33, 6.23, and 6.61 points, respectively). Conclusions Because of the competitive nature of sport, the long-term risks of diminished HRQoL need to become a priority for health care providers and athletes during their athletic careers. Additionally, physical activity transition programs need to be explored to help senior student-athletes transition from highly structured and competitive collegiate athletics to lifestyle physical activity, as it appears that individuals in the noncollegiate athlete cohort engaged in more physical activity, weighed less, and had increased HRQoL.

The impact of psychosocial characteristics in predicting smoking cessation in long-term cancer survivors: A time-to-event analysis

2018 ◽  
Vol 27 (10) ◽  
pp. 2458-2465 ◽  
Author(s):  
Yael R. Symes ◽  
J. Lee Westmaas ◽  
Deborah K. Mayer ◽  
Marcella H. Boynton ◽  
Kurt M. Ribisl ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cancer Survivors ◽  
Event Analysis ◽  
Time To Event ◽  
Psychosocial Characteristics ◽  
The Impact

scholarly journals Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer

2005 ◽  
Vol 23 (24) ◽  
pp. 5814-5830 ◽  
Author(s):  
Wendy Demark-Wahnefried ◽  
Noreen M. Aziz ◽  
Julia H. Rowland ◽  
Bernardine M. Pinto
Keyword(s):  
Cancer Survivors ◽  
Behavioral Interventions ◽  
Fruits And Vegetables ◽  
Functional Decline ◽  
Adult Survivors ◽  
Lifestyle Changes ◽  
Prostate Cancer Survivors ◽  
Increased Risk ◽  
The Impact

Purpose Cancer survivors are at increased risk for several comorbid conditions, and many seek lifestyle change to reduce dysfunction and improve long-term health. To better understand the impact of cancer on adult survivors' health and health behaviors, a review was conducted to determine (1) prevalent physical health conditions, (2) persistent lifestyle changes, and (3) outcomes of previous lifestyle interventions aimed at improving health within this population. Methods Relevant studies from 1966 and beyond were identified through MEDLINE and PubMed searches. Results Cancer survivors are at increased risk for progressive disease but also for second primaries, osteoporosis, obesity, cardiovascular disease, diabetes, and functional decline. To improve overall health, survivors frequently initiate diet, exercise, and other lifestyle changes after diagnosis. However, those who are male, older, and less educated are less likely to adopt these changes. There also is selective uptake of messages, as evidenced by findings that only 25% to 42% of survivors consume adequate amounts of fruits and vegetables, and approximately 70% of breast and prostate cancer survivors are overweight or obese. Several behavioral interventions show promise for improving survivors' health-related outcomes. Oncologists can play a pivotal role in health promotion, yet only 20% provide such guidance. Conclusion With 64% of cancer patients surviving > 5 years beyond diagnosis, oncologists are challenged to expand their focus from acute care to managing the long-term health consequences of cancer. Although more research is needed, opportunities exist for oncologists to promote lifestyle changes that may improve the length and quality of life of their patients.

scholarly journals Health-related Quality of Life in Former Division I Collegiate Athletes Compared to Non-Athletes: A 5-Year Follow-up

2020 ◽  
Author(s):  
Janet E. Simon ◽  
Mallory Lorence ◽  
Carrie L. Docherty
Keyword(s):  
Physical Activity ◽  
Physical Function ◽  
Response Rate ◽  
Collegiate Athletes ◽  
Division I ◽  
Related Quality ◽  
Health Related ◽  
Division I Athletes

Abstract Context: The effect of athletic participation on lifelong health among elite athletes has received increasing attention as sports-related injuries can have a substantial impact on long-term health. Objective: Determine the current health-related quality of life (HRQoL) in former Division I athletes compared with non-collegiate athletes five-years following an initial assessment. Study Design: Prospective cohort Setting: Online survey Participants: For the former Division I athletes, 193 responses were received (response rate, 83.2%, 128 males, 65 females, 58.47±6.17years) and for the non-collegiate athletes, 169 surveys were returned (response rate, 75.1%, 80 males, 89 females; 58.44 ± 7.28years). Interventions: The independent variables were time (baseline, five years post) and group (former Division I athlete and non-collegiate athlete). Main Outcome Measures: Participants completed seven Patient-Reported Outcomes Measurement Information System (PROMIS) scales: sleep, anxiety, depression, fatigue, pain interference, physical function, and satisfaction with participation in social roles. Results: Physical function, depression, fatigue, sleep, and pain were significant for time × group (p<0.05) with the largest differences seen on physical function and pain between groups at time point 2 (22.19 and 13.99 points, respectively). Former Division I athletes had worse scores on physical function, depression, fatigue, and pain between the two points (p<0.05) with the largest differences seen on the depression, physical function, and fatigue scales (8.33, 6.61, and 6.23 points, respectively). Conclusion: Due to the competitive nature of sport, long term risks of diminished HRQoL need to become a priority for healthcare providers and athletes during their athletic career. Additionally, physical activity transition programs need to be explored to help senior student-athletes transition from highly structured and competitive collegiate athletics to lifestyle physical activity as it appears that individuals in the non-collegiate athlete cohort engage in more physical activity, weigh less, and have increased HRQoL.

The Influence of Self-rated Health on the Development of Change in the Level of Physical Activity for Participants in Prescribed Exercise

2011 ◽  
Vol 20 (5-6) ◽  
pp. 73-94
Author(s):  
Thomas Bredahl ◽  
John Singhammer
Keyword(s):  
Physical Activity ◽  
Drop Out ◽  
Long Term Effects ◽  
National Guidelines ◽  
Exercise Interventions ◽  
Self Rated Health ◽  
Metabolic Equivalents ◽  
Significant Difference ◽  
The Impact

The Influence of Self-rated Health on the Development of Change in the Level of Physical Activity for Participants in Prescribed Exercise Background: Knowledge is needed concerning whether intense prescribed exercise interventions are effective in regards to long term effects on physical activity levels. A successful and lasting outcome of a behaviour-change intervention is believed to be contingent on the inclusion of psychological issues such as self-rated quality of life and self-rated health. This study extends previous research conducted on the long-term influence of prescribed exercise on psychosocial issues. Specifically, it was hypothesized that participants' level of self-rated health (good or poor) at baseline was decisive for level of physical activity in the long term. Methods: This study is based on a secondary analysis of a quasi-experimental study of the impact of counseling on level of physical activity. The study included a baseline analysis of participants in a treatment group (TG) and follow-up after 4, 10 and 16 months. The TG included individuals with lifestyle diseases who followed supervised group-based training and received motivational counselling. The TG was divided into "good" and "poor" self-rated health at baseline. Linear growth curve analyses (multilevel linear regression) were used to examine the data. Results: The results yielded a statistical significant difference of 1.71 metabolic equivalents (MET) between participants with good versus poor health at baseline. Also, a difference of MET was observed at 10 months. MET increased by 0.85 units for participants with good self-rated health (SE = 0.094) from baseline to 16 months, though the increase between subsequent points in time was small and non-significant. In contrast, considerably more variation in the development of MET over time was observed among participants with poor self-rated health. Overall, MET increased by 2.53 units across the whole time span. Results were influenced by the overall proportion of drop-out for participants with good and poor self-rated health with values of 28% and 79%, respectively. Conclusions: Exercise on Prescription (EoP) improves levels of physical activity (MET) of participants with good and poor self-rated health in the long term enough to accommodate national guidelines of levels of physical activity. Participants with poor self-rated health will improve their level of physical activity to a clinical relevant level in the long term, if they manage to stay compliant during the observation period. An assessment of good and poor self-rated health supplemented by a discussion of psychical and physical domains of self-rated health as barriers by the general practitioner (GP), could possibly enhance compliance and thereby long-term adherence to physical activity.

Cardiovascular risk and the impact of self-reported physical activity in long-term testicular cancer survivors: A longitudinal study.

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. e16048-e16048 ◽  
Author(s):  
Hege Sagstuen Haugnes ◽  
Lene Thorsen ◽  
Roy M. Bremnes ◽  
Marianne Brydoy ◽  
Carl Wilhelm Langberg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Risk ◽  
Longitudinal Study ◽  
Testicular Cancer ◽  
Cancer Survivors ◽  
Testicular Cancer Survivors ◽  
The Impact

scholarly journals Changes in healthcare seeking and lifestyle in old aged individuals during COVID-19 lockdown in Germany: the population-based AugUR study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Caroline Brandl ◽  
Martina E. Zimmermann ◽  
Felix Günther ◽  
Alexander Dietl ◽  
Helmut Küchenhoff ◽  
...  
Keyword(s):  
Physical Activity ◽  
Population Based ◽  
Medical Conditions ◽  
Healthcare Seeking ◽  
Increased Risk ◽  
Containment Measures ◽  
Health Related ◽  
The Impact ◽  
Study Center

Abstract Background Containment measures in the COVID-19 pandemic protected individuals at high risk, particularly individuals at old age, but little is known about how these measures affected health-related behavior of old aged individuals. We aimed to investigate the impact of the spring 2020 lockdown in Germany on healthcare-seeking and health-related lifestyle in the old aged and to identify susceptible subgroups. Methods We conducted a follow-up survey among the pre-pandemically well-characterized participants of our AugUR cohort study, residents in/around Regensburg aged 70+ years and relatively mobile. A self-completion questionnaire on current behavior, perceived changes, and SARS-Cov-2 infection was mailed in May 2020, shortly before contact restrictions ended. Pre-pandemic lifestyle and medical conditions were derived from previous study center visits. Results Among 1850 survey participants (73–98 years; net-response 89%), 74% were at increased risk for severe COVID-19 according to medical conditions; four participants reported SARS-CoV-2 infection (0.2%). Participants reported changes in behavior: 29% refrained from medical appointments, 14% increased TV consumption, 26% reported less physical activity, but no systematic increase of smoking or alcohol consumption. When comparing during- and pre-lockdown reports of lifestyle within participant, we found the same pattern as for the reported perceived changes. Women and the more educated were more susceptible to changes. Worse QOL was perceived by 38%. Conclusions Our data suggest that the spring 2020 lockdown did not affect the lifestyle of a majority of the mobile old aged individuals, but the substantial proportions with decreased physical activity and healthcare-seeking are markers of collateral damage.

scholarly journals Multicomponent Physical Exercise in Older Adults after Hospitalization: A Randomized Controlled Trial Comparing Short- vs. Long-Term Group-Based Interventions

2020 ◽  
Vol 17 (2) ◽  
pp. 666 ◽  
Author(s):  
Iñaki Echeverria ◽  
Maria Amasene ◽  
Miriam Urquiza ◽  
Idoia Labayen ◽  
Pilar Anaut ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Exercise ◽  
Nutritional Status ◽  
Physical Function ◽  
Mixed Model ◽  
Exercise Intervention ◽  
Exercise Interventions ◽  
Positive Effects

Multicomponent physical exercise is effective in curbing the effect of hospitalization in older adults. However, it is not well established which characteristics of the exercise interventions would optimize intervention sustainability and efficacy. This study compared the effects of two group-based multicomponent exercise interventions of different lengths in older adults after hospitalization. Fifty-five participants were randomly assigned to a short-term group-based branch (SGB, n = 27) or to a long-term group-based branch (LGB, n = 28). The SGB participated in a six-week multicomponent group-based exercise-training program followed by 18 weeks of home-based exercise. The LGB completed 12 weeks of each phase. Physical function, physical activity, quality of life, anthropometrics, and nutritional status were assessed at baseline, after 12 weeks, and after 24 weeks of intervention. Both groups improved physical function and nutritional status and increased physical activity after 12 weeks of intervention (paired student’s t-test, p < 0.01), and maintained the positive effects during the following 12 weeks. No group-by-time interaction was observed in any of the studied variables using mixed-model ANOVA. Based on these findings, we determined that 6 weeks of a group-based exercise intervention caused similar functional and nutritional benefits to a longer group-based intervention of 12 weeks when both are continued at home until 24 weeks.

scholarly journals A randomized trial of a clinic-based weight loss intervention in cancer survivors.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 167-167
Author(s):  
Rachel Lynn Yung ◽  
Anita Giobbie-Hurder ◽  
Laura Shockro ◽  
Keelin O'Connor ◽  
Nancy Campbell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Cancer Survivors ◽  
Physical Functioning ◽  
Intervention Group ◽  
Cancer Recurrence ◽  
Weight Loss Intervention ◽  
Increased Risk ◽  
Risk Of Cancer ◽  
The Impact

167 Background: Evidence increasingly links obesity to increased risk of cancer recurrence and mortality in breast and other cancers, but few studies have evaluated weight loss interventions in cancer patients. We evaluated the impact of a group-based weight loss intervention implemented through an oncology clinic on weight and other outcomes in a mixed population of cancer survivors. Methods: Overweight and obese cancer survivors were randomized 1:1 to immediate or delayed participation in a 15-week group-based weight loss program focused on calorie restriction and increased physical activity. Weight, body composition, physical activity, fitness and quality of life were assessed at baseline and 15 weeks. Changes in measurements between baseline and 15 weeks were compared using Wilcoxon rank sum tests. The primary outcome was change in weight between baseline and 15 weeks between groups. Results: 60 participants were randomized; 30 to intervention and 30 to control. Median age was 52, average BMI was 31.8 kg/m2, 97% of participants were women, and 80% had breast cancer. Intervention participants lost 5.3% of baseline weight at 15 weeks vs 0.2% weight gain in controls (P < 0.001) (Table). Improvements in fitness (6-minute walk test) and physical functioning (EORTC QLQ C30) were also observed in the intervention group vs. controls. Conclusions: We found thatparticipation in a 15-week group-based intervention resulted in weight loss and improvements in fitness and physical functioning in overweight and obese cancer survivors. More work is needed to evaluate the feasibility and sustainability of weight loss programs implemented through oncology practices. Clinical trial information: NCT01978899. [Table: see text]

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