Health behaviors and weight status of childhood cancer survivors and their parents: similarities and opportunities for joint interventions.
Health behaviors and weight status of childhood cancer survivors and their parents: similarities and opportunities for joint interventions.
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DOI：
10.1016/j.jada.2011.09.004
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发表时间：
2011-12
影响因子：
--
通讯作者：
Demark-Wahnefried W
中科院分区：
文献类型：
--
作者：
Badr H;Paxton RJ;Ater JL;Urbauer D;Demark-Wahnefried W
儿童癌症幸存者患慢性健康疾病的风险增加，这可能会受到他们的癌症治疗和不健康的生活方式行为的影响。尽管针对幸存者-父母二人组的干预措施可能会给这一人群带来希望，但需要更清楚地了解家庭因素的作用以及幸存者和父母的生活方式行为。2009年进行了一项邮寄的横断面调查，以评估体重状况(身体质量指数)、生活方式行为(如饮食、体力活动)以及亲子关系的质量，调查对象为170名在M.D.安德森癌症中心接受治疗的儿童癌症幸存者及其114名父母(80%为母亲)。幸存者比他们的父母更活跃，吃更多的水果和蔬菜。然而，只有不到一半的幸存者或父母符合国家饮食和体力活动指南，他们的体重状况和脂肪摄入量之间存在中等程度的相关性(r=.30-.57，p<；.001)。多水平模型显示，与关系好于平均水平的幸存者相比，那些与父母的关系低于平均水平的人更有可能食用高脂肪饮食(p<；0.05)。因此，幸存者及其父母可能受益于针对常见生活方式行为的干预措施，以及可能导致不健康生活方式的家庭环境问题。
Childhood cancer survivors are at increased risk for chronic health conditions that may be influenced by their cancer treatment and unhealthy lifestyle behaviors. Despite the possibility that interventions targeting the survivor-parent dyad may hold promise for this population, a clearer understanding of the role of family factors and the lifestyle behaviors of both survivors and parents is needed. A mailed cross-sectional survey was conducted in 2009 to assess weight status (body mass index), lifestyle behaviors (e.g., diet, physical activity), and the quality of the parent-child relationship among 170 childhood cancer survivors who were treated at M. D. Anderson Cancer Center and 114 of their parents (80% mothers). Survivors were more physically active and consumed more fruits and vegetables than their parents. However, fewer than half of survivors or parents met national guidelines for diet and physical activity, and their weight status and fat intakes were moderately correlated (r=.30–.57, p<.001). Multilevel models showed that, compared with survivors with better-than-average relationships, those with poorer-than-average relationships with their parents were significantly more likely to consume high-fat diets (p<.05). Survivors and their parents may thus benefit from interventions that address common lifestyle behaviors, as well as issues in the family environment that may contribute to an unhealthy lifestyle.
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3.2
作者：
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