Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors
Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors
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DOI：
10.1188/08.onf.121-130
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发表时间：
2008-01-01
影响因子：
1.9
通讯作者：
Demark-Wahnefried, Wendy
中科院分区：
文献类型：
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作者：
Arroyave, Whitney D.;Clipp, Elizabeth C.;Demark-Wahnefried, Wendy
目的/目标：为了确定儿童癌症幸存者增加锻炼和减少脂肪摄入，多吃水果和蔬菜，全谷物和富含钙的食物的障碍。设计：邮寄调查。设置：来自综合癌症中心的病例。样本：通过以前的研究确定的144名13-35岁的儿童癌症幸存者的便利样本。方法：采用卡方检验对118名受试者进行描述性统计，并按年龄（< 18 years and >≥ 18岁）和诊断进行分组（白血病、淋巴瘤和中枢神经系统癌症）。主要研究变量：运动障碍、少吃脂肪、多吃水果和蔬菜、全谷物和富含钙的食物。更多的儿童癌症幸存者报告了运动和遵循低脂饮食的障碍，而不是消耗更多的水果和蔬菜，全谷物和富含钙的食物。运动的主要障碍包括太累（57%），太忙碌（53%）和不属于健身房（48%），而限制高脂肪食物的障碍是使高脂肪食物看起来很吸引人的广告（58%）和有吃很多高脂肪食物的朋友（50%）。外出就餐时难以订购健康食品也是遵循低脂饮食的主要障碍（50%），以及吃更多的全谷物（31%），水果和蔬菜（30%）和富含钙的食物（15%）。儿童癌症幸存者报告说，锻炼和食用含更多水果和蔬菜的低脂饮食，全谷物，对护理的启示：这项研究的发现可能有助于护士，健康教育工作者和专职医疗人员制定有效的干预措施，促进儿童癌症幸存者健康的生活方式的改变。
Purpose/Objectives: To determine childhood cancer survivors' barriers to increasing exercise and consuming less fat and more fruits and vegetables, whole grains, and calcium-rich foods.Design: Mailed survey.Setting: Cases from a comprehensive cancer center.Sample: Convenience sample of 144 childhood cancer survivors aged 13-35 years identified through previous research. Surveys were returned by 118 participants (82% response rate).Methods: Descriptive statistics with chi-square tests were performed between subgroups defined by age (< 18 years and >= 18 years) and diagnosis (leukemia, lymphoma, and central nervous system cancers).Main Research Variables: Barriers to exercise, consuming less fat, and eating more fruits and vegetables, whole grains, and calcium-rich foods.Findings: Proportionately more childhood cancer survivors reported barriers to exercise and following a low-fat diet than to consuming more fruits and vegetables, whole grains, and calcium-rich foods. Primary barriers to exercise included being too tired (57%),being too busy (53%), and not belonging to a gym (48%), whereas barriers for restricting high-fat foods were commercials that make high-fat foods look so appealing (58%) and having friends who eat a lot of high-fat foods (50%). Difficulty associated with ordering healthy foods when dining out also was a leading barrier to following a low-fat diet (50%), as well as eating more whole grains (31%), fruits and vegetables (30%), and calcium-rich foods (15%).Conclusions: Childhood cancer survivors report several barriers to exercise and consuming a low-fat diet with more fruits and vegetables, whole grains, and calcium-rich foods.Implications for Nursing: This study's findings may be helpful to nurses, health educators, and allied health professionals in developing effective interventions that promote healthful lifestyle change among childhood cancer survivors.