Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross-sectional analysis of PROFILES registry data

Purpose Obesity is prevalent in gynecological cancer survivors and is associated with impaired health outcomes. Concerns due to cancer and its treatment may impact changes in lifestyle after cancer. This study aimed to assess the association between cancer-related psychosocial factors and changes in physical activity and diet, 18 months after initial treatment among gynecological cancer survivors. Methods Cross-sectional data from the ROGY Care study were used, including endometrial and ovarian cancer patients treated with curative intent. The Impact of Cancer Scale (IOCv2) was used to assess cancer-related psychosocial factors. Self-reported changes in nutrients/food groups and in physical activity post-diagnosis were classified into change groups (less/equal/more). Multivariable logistic regression models were used to assess associations. Results Data from 229 cancer survivors (59% endometrial, 41% ovarian, mean age 66 ± 9.5, 70% tumor stage I) were analyzed. In total, 20% reported to eat healthier from diagnosis up to 18 months after initial treatment, 17% reported less physical activity and 20% more physical activity. Health awareness (OR 2.79, 95% CI: 1.38; 5.65), body change concerns (OR 3.04 95% CI: 1.71; 5.39), life interferences (OR 4.88 95% 2.29; 10.38) and worry (OR 2.62, 95% CI: 1.42; 4.85) were significantly associated with less physical activity up to 18 months after initial treatment whereby gastrointestinal symptoms were an important confounder. Conclusion(s) This study underlines the need to raise awareness of the benefits of a healthy lifestyle and to provide tailored lifestyle advice, taking into account survivors’ health awareness, body change concerns, life interferences, worry and gastrointestinal symptoms, in order to improve health behavior among gynecological cancer survivors. Trial Registration http://clinicaltrials.gov Identifier: NCT01185626, August 20, 2010

PERCEIVED BODY IMAGE AND ITS RELATIONSHIP WITH BODY MASS INDEX, SELF-ESTEEM, BODY CHANGE STRATEGY, AND SOCIAL NETWORK USAGE AMONG RURAL ADOLESCENTS IN SARAWAK, MALAYSIA

Body image is a complex and multifaceted construct with multiple associated factors determining its perception among adolescents. This study aimed to determine the perceived body image and its relationship with body mass index, self-esteem, body change strategy, and social network usage among rural adolescents. This study was a cross-sectional study design using a multistage random sampling technique to select adolescents aged 10 to 19 years. A total of 318 adolescents’ data were collected using a self-administered questionnaire. Data analysis was done using SPSS version 22.0 with a p-value of <0.05 was considered statistically significant. The mean (SD) age of adolescents was 14.6 (2.7) years with a male and female ratio of 1.09:1. The mean score (SD) of perceived body image was 3.63 (0.87). Multiple linear regression analysis revealed that gender, body mass index, and strategy to increase weight could predict perceived body image among adolescents. However, self-esteem did not correlate with perceived body image. Although, the body image dissatisfaction level was low among rural adolescents compared to other studies in Malaysia. However, it can still pose a threat to adolescents’ health if not addressed accordingly.

Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross sectional analysis of PROFILES registry data

Purpose: Obesity is prevalent in gynecological cancer survivors and is associated with impaired health outcomes. Concerns due to cancer and its treatment may impact changes in lifestyle after cancer. This study aimed to assess the association between cancer-related psychosocial factors and changes in physical activity and diet, 18 months post-diagnosis among gynecological cancer survivors.Methods: Cross-sectional data from the ROGY care study were used, including endometrial and ovarian cancer patients treated with curative intent. The impact of cancer scale (IOCv2) was used to assess cancer-related psychosocial factors. Self-reported changes in nutrients/food groups and in physical activity post-diagnosis were classified into change groups (less/equal/more). Multivariable logistic regression models were used to assess associations.Results: Data from 229 cancer survivors (59% endometrial, 41% ovarian, mean age 66 ±9.5,70% tumor stage I) were analyzed. In total, 20% reported to eat healthier from diagnosis up to 18 months post-diagnosis, 17%reported less physical activity and 20% more physical activity. Health awareness, body change concerns, life interferences and worry were significantly associated with less physical activity up to 18 months post-diagnosis whereby gastrointestinal symptoms were an important confounder.Conclusion(s): This study underlines the need to raise awareness of the benefits of a healthylifestyle and to provide tailored lifestyle advice, taking into account survivors’ health awareness, body change concerns, life interferences, worry and gastrointestinalsymptoms, in order to improve health behavior among gynecological cancer survivors.Trial Registration: clinicaltrials.gov Identifier: NCT01185626, August 20, 2010

FORMATION OF PHYSICAL CHARACTERISTICS OF CHILDREN OF PRESCHOOL EDUCATION THROUGH MOVING GAMES

This article provides practical guidelines for the development of physical qualities of preschool children through movement games, a new approach to the process of preschool education, national traditions, values ​​of the Uzbek people in the upbringing of children, the uniqueness of folk art, Extensive experience and peculiarities of pedagogy, regional-climatic conditions, gender of the child, age, their anatomical-physiological, psychological-hygienic aspects, education of general physical fitness and endurance of the child and harmonization of all positive features 'rin takes over. Children are more likely to be able to distinguish how moving objects are in the air, including the position of a person moving from one place to another. Describes the specifics of how a child's body behaves when running with a partner, how the proportions of the body change as children perform balance exercises, ride a bicycle, and so on. The importance of movement games in healthy development is also highlighted, as well as scientific and methodological work aimed at improving the physical qualities of preschool children to increase physical activity.

Three Premodern Concepts of Disease

The concepts of health and disease have an impact on the efficiency of the medical system. Currently, there are no unanimously accepted definitions of health and disease, despite the fact that many investigations have attempted to capture their essence. Most of the available research about the concept of disease relies on the evidence-based disease concept of the modern medicine. That concept differs from the lay concept of disease or illness. In this research we use the cognitive linguistic approach to concepts, taking into consideration the way in which human mind processes the surrounding reality. Those processes are based on the universal principles because of the embodiment of cognition. Consequently, concepts are to some extent independent of time and culture. We have selected three premodern sources with sufficient information about disease to ascertain whether they have similarities in the comprehension of the disease. The first source is “Huangdi Neijing” “Suwen” part, from Chinese ancient medicine, the second one is “Hippocratic Corpus” from ancient Greece, and the third is “Otok” by Josip Lovretić from 19th century eastern Croatia. They are products of very different cultures and historical periods. Conducting comparison of features related to disease in the three sources, we have recognized that body, change, process and control are related to the common shared attributes critical for the concept of disease.

16p microtriplication case report associated with autistic spectrum disorder

Context: The literature on interstitial microtriplications at the 16p11.2 locus is scarce and unclear. We bring a rare case of microtriplications in the 16p11.2 locus associated with Syndromic Autistic Spectrum Disorder (ASD) and Intellectual Disability (ID) to stimulate discussion about this rare and complex condition. Case report: A.M.C., female, 10 years old, with history of agitation and aggression. Referred to neuropediatrician at 6 years old for behavioral change, socialization difficulties, agitation, heteroaggressiveness, developmental delay and school difficulty. She is not literate, has motor stereotypes when agitated, preferably plays with younger children, has tactile (water), taste (food) and sound sensory dysfunction, a low frustration threshold, difficulty in accepting routine changes and BMI of 14. Genetic evaluation showed interstitial triplication of 610Kb in the short arm of chromosome 16, raising diagnostic hypotheses of ASD and ID. Conclusions: Changes in microduplication in this locus are predisposing genetic factors for neurodevelopmental delays, ASD and ID. Changes in the number of 16p11.2 copies are believed to promote BMI index body change and brain changes in a dose-dependent manner on the phenotype. Brain changes include areas associated with reward, language and cognition. We bring this case to bring attention and discussion about to this rare condition.

Disordered eating and body change behaviours: support for the Tripartite Influence Model among Brazilian male university students

The Tripartite Influence Model posits that sociocultural influences mediated by internalization and social comparison are predictors of disordered eating and body change behaviours. This study aimed to test the Tripartite Influence Model among Brazilian male university students, which has not been tested yet. 707 undergraduate students of the five Brazilian regions, completed measures of sociocultural influences, internalization, social comparison, body and muscularity dissatisfaction, disordered eating and body change behaviours. Structural equation modelling analyses showed good model-fitting. Parental influence was related to internalization, while peer influence with social comparison. Media influences were related to both internalization and social comparison. Internalization and social comparison are mediating variables that are related to body dissatisfaction and muscularity dissatisfaction. Finally, muscularity dissatisfaction was associated with body change behaviours.