Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas
Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas
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DOI：
10.1002/(sici)1097-0142(20000201)88:3
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发表时间：
2000-02-01
期刊：
影响因子：
6.2
通讯作者：
Clipp, E
中科院分区：
文献类型：
--
作者：
Demark-Wahnefried, W;Peterson, B;Clipp, E
背景。癌症幸存者患继发性肿瘤、糖尿病、骨质疏松症和心血管疾病的风险增加，因此使他们成为健康相关干预措施的重要目标人群。然而，人们对癌症幸存者的行为以及他们追求更健康的饮食、锻炼和戒烟的兴趣知之甚少。方法。向 1667 名被诊断患有早期乳腺癌或前列腺癌的患者邮寄了一项包含 65 项的调查，要求提供有关人口统计、健康行为、戒烟准备阶段、锻炼、水果和蔬菜 (F&V) 摄入量增加、脂肪摄入量减少、对特定健康计划的兴趣以及相对于诊断而言何时应提供这些计划的数据。 结果。 978 名癌症幸存者的反馈表明，绝大多数 (85%) 的健康状况为“良好”至“优秀”。大多数受访者 (55%) 每天食用的 F&V 少于 5 份，前列腺癌患者报告的食用量明显少于乳腺癌患者 (P < 0.001)。相比之下，69% 的受访者表示坚持低远饮食，前列腺癌患者的实践率也低于乳腺癌患者 (P = 0.006)。大多数受访者 (58%) 表示经常锻炼，其中 8% 是当前吸烟者。目前吸烟的乳腺癌患者明显多于前列腺癌患者（P = 0.03）。人们对跨行为的健康促进计划、低脂饮食行为和运动以及每天食用五份 F&V5 之间存在相当程度的一致性表现出浓厚的兴趣。大多数患者表示更喜欢可以通过邮寄小册子提供的计划，57% 的受访者表示该计划应在诊断时或诊断后不久（6 个月内）启动。结论。目前的研究结果表明，尽管许多癌症幸存者已经采取了健康的生活方式，但仍有相当一部分人没有这样做。尤其需要采取干预措施来增加每日 F&V 摄入量；然而，考虑到饮食和运动行为之间的相当程度的聚类，多重危险因素干预措施也可能是必要的。癌症幸存者对健康促进计划的接受度很高，尤其是那些可以在诊断后立即通过邮件提供的计划。 (C) 2000 年美国癌症协会。
BACKGROUND. Cancer survivors are at increased risk for developing secondary tumors, diabetes, osteoporosis, and cardiovascular disease, thus making them an important target population for health-related interventions. However, little is known regarding cancer survivors' behaviors and their interest in pursuing healthier diets, exercise, and smoking cessation.METHODS. A 65-item survey was mailed to 1667 patients diagnosed with early stage carcinoma of the breast or prostate that requested data regarding demographics, health behaviors, stage of readiness for smoking cessation, exercise, increased fruit and vegetable (F&V) consumption, and decreased fat intake, as well as interest in specific health programs and when, relative to diagnosis, these programs should be offered.RESULTS. Responses from 978 cancer survivors suggested that the overwhelming majority (85%) reported their health as good to excellent. The majority of respondents (55%) ate fewer than 5 daily servings of F&Vs, with prostate carcinoma patients reporting earing significantly fewer servings than patients with breast carcinoma (P < 0.001). In contrast, 69% of respondents reported adherence to a low far diet, again with lower practice rates among prostate carcinoma patients than patients with breast carcinoma (P = 0.006). The majority of respondents (58%) reported routine exercise and 8% were current smokers. Significantly more breast carcinoma patients than prostate carcinoma patients were current smokers (P = 0.03). There was strong interest in health promotion programs across behaviors, and a fair amount of concordance between low fat dietary behaviors and exercise, as well as consumption of five daily servings of F&V5. The majority of patients expressed a preference for programs that could be delivered via mailed brochure, with 57% of respondents indicating that programs should be initiated at the time of diagnosis or soon after (within 6 months).CONCLUSIONS. The results of the current study suggest that although many cancer survivors already practice healthy life-style behaviors, there is a substantial proportion who do not. Interventions especially are needed to increase daily F&V intake; however, given the fair degree of clustering between dietary and exercise behaviors, multiple risk factor interventions also may be warranted. Among cancer survivors, receptivity is high for health promotion programs, especially those that can be delivered by mail and soon after diagnosis. (C) 2000 American Cancer Society.