Health behaviors during and after a cancer diagnosis
Health behaviors during and after a cancer diagnosis
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DOI：
10.1002/cncr.21248
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发表时间：
2005-12-01
期刊：
影响因子：
6.2
通讯作者：
Trunzo, JJ
中科院分区：
文献类型：
--
作者：
Pinto, BM;Trunzo, JJ
随着癌症存活率的提高，更多的癌症患者活得更长，因此，癌症被视为需要长期管理的慢性疾病。癌症治疗期间和之后的患者护理的一个重要方面是患者的健康行为。例如，各种癌症治疗（如化疗和放疗（RT））的后遗症可能会以各种方式损害健康，包括免疫功能下降，化疗和/或RT的心脏毒性作用以及体重增加。此外，癌症诊断及其治疗所造成的压力可能会破坏现有的健康行为或加剧不健康的行为。继续吸烟或饮酒会使治疗复杂化，并增加进一步恶性肿瘤的风险。此外，体力活动减少和营养不良会导致体重增加，这可能导致心血管疾病和糖尿病等继发性健康问题。作者回顾了癌症患者和幸存者中四种关键健康行为的现有文献：健康饮食，减少烟草使用，减少酒精使用和增加体力活动。他们描述了这些行为的流行程度，回顾了旨在改变不健康行为的干预措施的效果，并讨论了这一新兴研究领域的影响和未来方向。
With improvements in cancer survival rates, more patients with cancer are living longer, and hence, cancer is becoming viewed as a chronic illness requiring long-term management. An important aspect of patient care during and after cancer treatment is patient health behaviors. For example, sequelae from various cancer treatments, such as chemotherapy and radiotherapy (RT), can compromise health in a variety ways, including decreased immune functioning, cardiotoxic effects of chemotherapy and/or RT, and weight gain. In addition, the stress caused by a cancer diagnosis and its treatment can disrupt existing health behaviors or exacerbate unhealthy behaviors. Continued smoking or alcohol use can complicate treatment and increase risk for further malignancy. Furthermore, decreased physical activity and poor nutrition can cause weight gain, which may contribute to secondary health problems such as cardiovascular disease and diabetes. The authors reviewed the extant literature on four key health behaviors among patients with cancer and survivors: healthy diet, reduced tobacco use, reduced alcohol use, and increased physical activity. They described the prevalence of these behaviors, reviewed the effects of interventions designed to alter unhealthy behaviors, and discussed the implications and future directions for this emerging area of research.