Survivors of childhood cancer and their guardians - Current health behaviors and receptivity to health promotion programs
Survivors of childhood cancer and their guardians - Current health behaviors and receptivity to health promotion programs
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DOI：
10.1002/cncr.21009
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发表时间：
2005-05-15
期刊：
影响因子：
6.2
通讯作者：
Rosoff, PM
中科院分区：
文献类型：
--
作者：
Demark-Wahnefried, W;Werner, C;Rosoff, PM
背景资料。儿童癌症的幸存者患骨质疏松症、心血管疾病和第二种恶性肿瘤的风险增加--在这些情况下，可改变的危险因素被认识到，生活方式干预已显示出好处。虽然存在一些关于这一人群健康行为的数据，但对健康促进的接受度在很大程度上是未知的。方法：对380名儿童白血病、淋巴瘤或中枢神经系统癌幸存者(以及幸存者的监护人)进行了邮寄的调查。结果：209名幸存者(55%的应答率)的回答表明，大多数人不符合水果和蔬菜的摄入量(79%)、钙的摄入量(68%)或锻炼(52%)，42%的人超重/肥胖，84%的卡路里从脂肪中摄取。年龄较大(>；18岁)与年轻(<；18岁)相比，幸存者更有可能吸烟(17%比1%)，肥胖(21.6%比14.6%)，钙摄入量低于最佳水平(75.6%比57.6%)。在癌症组之间没有观察到生活方式行为的差异。与旨在控制体重、提高自尊或戒烟的干预措施相比，旨在保持身材和健康饮食的干预措施一直被发现具有最高的兴趣水平。幸存者更喜欢邮寄的干预措施，而不是面对面、电话咨询师或计算机提供的干预措施。结论：儿童癌症的幸存者实践了几种不太理想的健康行为。针对感兴趣领域并通过可接受的渠道提供的健康促进干预措施有可能改善这一弱势群体的长期健康和功能。(C)2005年美国癌症协会。
BACKGROUND. Survivors of childhood cancer are at increased risk for osteoporosis, cardiovascular disease, and second malignancies-conditions for which modifiable risk factors are recognized and lifestyle interventions have shown benefit. Although some data regarding health behaviors of this population exist, receptivity to health promotion is largely unknown.METHODS. A survey was mailed to 380 survivors (age range, 11-33 years) of childhood leukemia, lymphoma, or central nervous system carcinomas (and guardians of survivors < 18 years old) to elicit data on exercise, dietary intake of calcium, fat, and fruits and vegetables, smoking status, readiness to pursue lifestyle change, quality of life, and interest in various health interventions.RESULTS. Responses from 209 survivors (a 55% response rate) suggested that most did not meet guidelines for fruit and vegetable consumption (79%), calcium intake (68%), or exercise (52%), 42% were overweight/obese, and 84% consumed > 30% of calories from fat. Older (> 18 years) compared with younger (< 18 years) survivors were more likely to smoke (17% vs. 1%), to be obese (21.6% vs. 14.6%), and to have suboptimal calcium intakes (75.6% vs. 57.6%). No differences in lifestyle behaviors were observed between cancer groups. Compared with interventions aimed at weight control, improving self-esteem, or smoking cessation, the highest levels of interest were found consistently for interventions aimed at getting in shape and eating healthy. Survivors preferred mailed interventions to those delivered in-person, by telephone counselors, or via computers.CONCLUSIONS. Survivors of childhood cancer practiced several suboptimal health behaviors. Health promotion interventions aimed at areas of interest and delivered through acceptable channels have the potential to improve long-term health and function of this vulnerable population. (c) 2005 American Cancer Society.