scholarly journals Impact of the COVID-19 pandemic on exercise habits among cancer patients

2021 ◽  
Author(s):  
Caroline Himbert ◽  
Cassandra A. Hathaway ◽  
Bailee Daniels ◽  
Karen Salas ◽  
Anjelica Ashworth ◽  
...  
Keyword(s):  
Health Status ◽  
Alcohol Consumption ◽  
Health Behaviors ◽  
Cancer Patients ◽  
Psychosocial Factors ◽  
Significant Proportion ◽  
Full Time ◽  
Exercise Habits ◽  
Exercise Behaviors ◽  
The Impact

Abstract Purpose There is limited information on how the COVID-19 pandemic has changed health behaviors among cancer patients. We examined the impact of the pandemic on changes in exercise behaviors and identified characteristics associated with these changes among cancer patients. Methods Cancer patients (n = 1,361) completed a survey from August-September 2020 to assess COVID-19 pandemic-related changes in health behaviors and psychosocial factors. Patients were categorized into 3 groups: exercising less, exercising did not change, and exercising more. Patient characteristics were compared by exercise groups. Results One-third of the patients reported a decreased amount of regular exercise, while 11% reported exercising more during the pandemic. Patients who exercised less were more likely to be unemployed/retired, undergoing active treatment, and had increased pandemic-related alcohol consumption and psychosocial stressors such as loneliness and financial stress (all p < 0.05). In contrast, patients who exercised more were younger, female, full-time employed, did not consume alcohol, and had good health status and more social interactions (all p < 0.05). Patients who were living in rural areas and did not experience changes in daily life, were also more likely not to experience changes in exercise habits (all p < 0.05). Conclusion Our results indicate that a significant proportion of cancer patients experienced changes in exercise habits during the first 6 months of the COVID-19 pandemic. Age, sex, employment status, health status, alcohol consumption, and psychosocial factors were associated with changes in exercise behaviors. Providers should monitor for changes in health behaviors, such as exercise, because of their importance in improving cancer survivorship.

scholarly journals Health literacy, health status and health behaviors of German students– study protocol for the “Healthy Habits” cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Martin Lange ◽  
Alexandra Löwe ◽  
Gerrit Stassen ◽  
Andrea Schaller
Keyword(s):  
Cohort Study ◽  
Health Status ◽  
Health Literacy ◽  
Health Behavior ◽  
Health Behaviors ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
The State ◽  
The Impact ◽  
Study Format

Abstract Background The emerging adulthood is traditionally viewed as a time of optimal health, but also as a critical life span, characterized by changing life circumstances and the establishment of an individual lifestyle. Especially university life seems to hold several challenges impeding the manifestation of a health supporting manner, as many students tend to show a poorer health behavior and a higher amount of health-related problems than comparable age groups. This, along with a steady growth of the higher education sector, brings increased attention to the university setting in the context of prevention. To date, there are few empirical longitudinal and coherent cross-sectional data on the status of students’ health literacy, health status, and health behaviors, and on the impact of the study format on students’ health. The aim of this prospective cohort study is to reduce this research gap. Methods Starting during winter semester 2020/21, the prospective cohort study collects data on health literacy, health status and health behavior on a semester-by-semester basis. All enrolled students of the IST University of Applied Sciences, regardless of study format and discipline, can participate in the study at the beginning of their first semester. The data are collected digitally via a specifically programmed app. A total of 103 items assess the subjectively perceived health status, life and study satisfaction, sleep quality, perceived stress, physical activity, diet, smoking, alcohol consumption, drug addiction and health literacy. Statistical analysis uses (1) multivariate methods to look at changes within the three health dimensions over time and (2) the association between the three health dimensions using multiple regression methods and correlations. Discussion This cohort study collects comprehensive health data from students on the course of study. It is assumed that gathered data will provide information on how the state of health develops over the study period. Also, different degrees of correlations of health behavior and health literacy will reveal different impacts on the state of students’ health. Furthermore, this study will contribute to empirically justified development of target group-specific interventions. Trial registration German Clinical Trials Register: DRKS00023397 (registered on October 26, 2020).

A prospective study of the impact of the 21-gene recurrence score assay on treatment decisions in N-, ER+ early stage breast cancer patients

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 11008-11008 ◽  
Author(s):  
N. Ben-Baruch ◽  
A. Hammerman ◽  
S. Klang ◽  
N. Liebermann
Keyword(s):  
Breast Cancer ◽  
High Risk ◽  
Cancer Patients ◽  
Early Stage ◽  
Significant Proportion ◽  
Recurrence Score ◽  
Treatment Decision ◽  
Low Risk ◽  
Breast Cancer Patients ◽  
The Impact

11008 Background: The Oncotype DX™ Recurrence Score (RS) assay predicts distant recurrence risk and benefit of chemotherapy (CT) in N-, ER+ breast cancer patients (pts). In February 2006, Clalit Health Services in Israel (CHS) was the first public health insurer to reimburse the assay outside the USA. Methods: CHS requires a pre-authorization form with data on biological parameters and specification of treatment (Rx) recommendation (1) before knowledge of RS and (2) the Rx planned according to each of 3 possible RS risk levels. For the first 200 reimbursed assays, we compared: (1) the Rx offered without RS knowledge, (2) the Rx the patient actually received after RS, and (3) the planned Rx stated on the form to be given according to the RS. Results: 200 pts. Median age: 57 yrs (34–81). RS: Low risk (RS<18), 37.5%; Intermediate (int) risk (RS 18–30), 44.5%; High risk (RS≥31), 18%. In 20 pts, Rx recommendations before RS were not specified. Before the RS, CT was offered in 106/180 (59%) and hormonal therapy (HT) in 74/180 (41%). In 71/180 pts (39%) the actual Rx changed from the recommendation before RS - CT to HT in 62 pts (low risk: 37, int risk: 21, high risk: 4) and HT to CT in 9 pts (int risk: 4, high risk: 5). Suggested therapy by RS was not specified in 19 pts. In 30/181 (17%) actual Rx differed from planned - CT to HT in 20 pts (int risk: 17, high risk: 3) and HT to CT in 10 pts (low risk: 4, int risk: 6). Conclusions: RS changed the treatment decision in a significant proportion of pts (39%), mostly from CT to HT. In 58% of pts originally offered CT, knowledge of RS changed the Rx to HT. 12% of pts originally offered HT were treated with CT. Rx decisions in intermediate RS are sometimes not obvious. In 26% of intermediate RS, final Rx differed from original plan; in these cases, patients’ preferences might have had a major impact on decision making. No significant financial relationships to disclose.

scholarly journals The Impact of Preventive Health Behaviors and Risk Factors on Health Status of Ghanaians

2013 ◽  
Vol 5 (5) ◽  
Author(s):  
Bashiru I.I. Saeed ◽  
A.R Abdul-Aziz ◽  
Samuel Blay Nguah ◽  
Xicang Zhao
Keyword(s):  
Risk Factors ◽  
Health Status ◽  
Health Behaviors ◽  
Preventive Health ◽  
Preventive Health Behaviors ◽  
The Impact

scholarly journals Role of telemedicine in cancer service Republic of Bashkortostan

2021 ◽  
Vol 14 (2) ◽  
pp. 10-13
Author(s):  
M.V Zabelin ◽  
◽  
A.A. Izmailov ◽  
R.T. Ayupov ◽  
R.R. Rakhimov ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Medical Information ◽  
Rapid Development ◽  
Main Task ◽  
Full Time ◽  
Telemedicine Service ◽  
Republic Of Bashkortostan ◽  
Coronavirus Infection ◽  
The Republic ◽  
The Impact

Introduction. The topic of telemedicine in Russia is now extremely relevant in connection with the current coronavirus infection in the pandemic. Diagnostics and prevention of the spread of epidemics, as well as remote treatment of patients, is currently the main task of the telemedicine section of the provision of cancer care in the Republic of Bashkortostan. The spread of the coronavirus infection COVID-19 has become a new challenge and a powerful impetus for the rapid development of telemedicine technologies (TMT) in the Republic. Materials and methods. The article describes in detail the algorithm for conducting telemedicine consultations (TMC) at the level  doctor-doctor  in the profile  oncology  upon requests from medical organizations of levels 1, 2, 3 received through the Republican Medical Information and Analytical System of the Republic of Bashkortostan. Results. The results of the work of the Republican clinical oncological dispensary (RСOD) telemedicine service for 2020 are presented. RСOD consultants conducted 32,295 telemedicine consultations on the  oncology  profile directed by medical organizations of the 2nd and 3rd levels of the Republic of Bashkortostan. With the introduction of TMK into the oncological service of the Republic of Bashkortostan, there was a natural shortening of the examination time for cancer patients. The remote appointment of the necessary examinations one day prior to a full-time visit to a specialized RKOD specialist made it possible to shorten the time frame from the time of establishing an oncological diagnosis to the oncological consultation and the beginning of specialized treatment. Conclusions. The widespread introduction of telemedicine in the work of the oncological service of the Republic of Bashkortostan may turn out to be a powerful tool for providing quality care while maintaining patient safety in a pandemic. The impact of the pandemic could turn teleoncology into the main practice of providing outpatient medical care for cancer patients.

Impact of depression and anxiety on cancer patients' perceptions of lifestyle behaviors.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 141-141
Author(s):  
Kathryn Corbett ◽  
Jingyue Huang ◽  
Sophia Liu ◽  
Elliot Charles Smith ◽  
Delaram Farzanfar ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Behavior Change ◽  
Cancer Patients ◽  
Symptom Assessment ◽  
Patient Perceptions ◽  
Anxiety And Depression ◽  
Logistic Regression Models ◽  
The Impact ◽  
Health Comorbidities

141 Background: Health behaviors including tobacco use, alcohol consumption, and physical activity (PA) can impact outcomes in cancer survivors. While the peri-diagnostic period can be a "teachable moment" for behavior change, patients may face barriers including mental health comorbidities. We have previously identified that patient perceptions of behaviors can influence behavior change. Here, we evaluated the impact of anxiety and depression on patient perceptions of these behaviors. Methods: Cancer patients from all disease sites were surveyed (2016-17) on their smoking, alcohol habits, and PA, and perceptions of the impact of these behaviors on fatigue, survival, and quality of life (QofL). Survey data were linked with same day Edmonton Symptom Assessment Symptom (ESAS) anxiety and depression scores. Logistic regression models evaluated the impact of anxiety and depression on patient perceptions. Results: Of 496, 53% were male; median age, 60 years. At diagnosis, 20% were current smokers, 47% were current drinkers, and 67% were not meeting PA guidelines. 30% screened positive for anxiety (ESAS anxiety > 3) and 34% screened positive for depression (ESAS depression > 2); mean [standard deviation] scores were 1.9 [2.3] for anxiety and 1.5 [2.2] for depression. Most current smokers (> 80%) perceived smoking to negatively impact fatigue, survival and QofL. Smokers screening positive for anxiety were more likely to perceive smoking as harmful on survival (OR=9.09, 95% CI (1.15-100), P=0.04); greater ESAS anxiety scores were associated with perceiving smoking to worsen survival (OR=1.51 per point, 95% CI (1.04-2.17), P=0.03). While those less physically active at diagnosis (> 65%) felt that PA improves fatigue, survival and QofL and half of current drinkers (45%-50%) felt that alcohol worsens outcomes, anxiety and depression were not found associated with perceptions (P > 0.10). Conclusions: Among current smokers, greater anxiety scores and those screening positive for anxiety were more likely to perceive continued smoking as harmful to survival. Mental health comorbidities were not found to have an impact on patient perceptions of the effect of alcohol consumption and PA on fatigue, survival, and QofL.

WED 028 One person can make a difference: our experience in a busy london dgh

2018 ◽  
Vol 89 (10) ◽  
pp. A5.1-A5
Author(s):  
Aadila Lalloo ◽  
Bazo Raheem ◽  
Giovanni Cocco ◽  
Ana Guzman ◽  
Michael Rose ◽  
...  
Keyword(s):  
Significant Proportion ◽  
District General Hospital ◽  
Full Time ◽  
Consultation Service ◽  
Number Of Patients ◽  
Before And After ◽  
Specialist Nurses ◽  
Working Day ◽  
Junior Colleague ◽  
The Impact

Our Neurology unit is in a busy district general hospital; serving a deprived inner London community, providing a ward consultation service 5 days a week. The unit consists of 5 consultant Neurologists, a consultant Neuroradiologist and 2 specialist nurses. In 2016, a junior doctor was appointed. By analysing data from 10 months in 2015 and 2017; we assessed the impact on the delivery of Neurological care, before and after the appointment. The unit saw a 157% increase in number of patients seen, including a significant proportion now seen in ED and ambulatory care. This is equivalent to a minimum of 2 more patients each working day (n=872 vs. 1317). The percentage of patients seen on same day of referral (<12 hours) increased from 47% to 77%. The proportion of inpatients reviewed who were then followed up on the ward during their stay, increased from 13.9% to 35.5%, representing increased availability of continuing Neurology advice. The percentage of patients who waited more than 24 hours for Neurology input decreased from 14.9% to 5.83%. Our results support the appointment of a full time junior colleague to allow rapid, safe and ongoing Neurological input to patients and to support ED and admitting colleagues.

scholarly journals Health Behaviors in Austrian Apprentices and School Students During the COVID-19 Pandemic

2021 ◽  
Author(s):  
Teresa O´Rourke ◽  
Rachel Dale ◽  
Elke Humer ◽  
Thomas Probst ◽  
Paul Plener ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Health Status ◽  
Alcohol Consumption ◽  
Health Behaviors ◽  
School Students ◽  
Daily Lives ◽  
Education Group ◽  
Two Samples ◽  
And Gender

Abstract Background: The COVID-19 pandemic has disrupted our daily lives, which in turn has impacted health behaviors. Young people have been particularly affected. This study aimed to assess health behaviors in Austrian apprentices and high school students during the COVID-19 pandemic and whether vaccination willingness is affected by health behaviors. Methods: Two online surveys were conducted via REDCap with 1442 apprentices (female: 53.5%, male: 45.4%) from March 29th to May 18th, 2021 and 563 school students (female: 79.6%, male: 18.6%) from June 19th to July 2nd, 2021. The two samples were matched to account for sociodemographic differences and analyses were run on the matched sample. Besides the health behaviors smoking, alcohol consumption, cannabis consumption and exercise, health status and vaccination willingness were also assessed. Results: Health behaviors were affected by both education group and gender. Apprentices reported significantly more smoking than high school students and this difference was more pronounced in women (all p<0.01). Alcohol consumption was higher in apprentices than school students, but only in women (p<0.01). There was a trend for the two education groups to differ in their cannabis use as well (p=0.05). Apprentices took part in more weekly exercise (p<0.0001), but high school students reported better average health status (p<0.001). When included in the same model, health behaviors did not affect vaccine willingness, but education group did, with high school students showing a higher willingness to receive the COVD-19 vaccine than apprentices. Conclusions: These findings support the argument that education type is an important factor for health behaviors, but this is also mediated by gender. Appropriate interventions for adolescents are needed to prevent adverse health behavior changes following the COVID-19 pandemic.

Sign in / Sign up

Export Citation Format

Share Document