Childhood cancer survivors and adherence to the American Cancer Society Guidelines on Nutrition and Physical Activity
Childhood cancer survivors and adherence to the American Cancer Society Guidelines on Nutrition and Physical Activity
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DOI：
10.1007/s11764-014-0376-0
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发表时间：
2014-12-01
影响因子：
3.7
通讯作者：
Stolley, Melinda
中科院分区：
文献类型：
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作者：
Berdan, Chloe A.;Tangney, Christy C.;Stolley, Melinda
本研究的目的是评估儿童癌症幸存者与年龄和性别相当的无癌症成年人的依从性（或“对照”）到2012年美国癌症协会（ACS）营养和身体活动指南。作为芝加哥健康生活研究的一部分，431名儿童癌症幸存者（诊断后18.5 +/- 8.1年）和361名对照者完成了一项结构化的、以健康为重点的访谈，包括块简短食物频率问卷和可调整活动问卷。根据这些数据，根据ACS指南计算改良的依从性评分（最高评分为8，反映完全依从性）。比较存活者和对照组以及存活者和对照组的种族-种族组，存活者和对照组的ACS依从性评分没有差异（4.3 +/- 1.5 vs. 4.2 +/- 1.5，p = 0.54）。与对照组相比，幸存者的平均体重指数或BMI较低（27.9 +/- 7.0 vs. 29.3 +/- 7.8 kg/m2，p = 0.01），纤维摄入量较少（9.2 +/- 3.5 vs. 9.7 +/- 3.8 g/1,000 kcal，p = 0.05）。在幸存者组中，ACS依从性评分在不同种族之间没有差异，但在组成行为方面观察到差异。与白人相比，西班牙裔幸存者的BMI更高（29.2 +/- 7.4 vs. 26.2 +/- 5.3 kg/m2，p = 0.001）。与其他种族相比，幸存者和对照组中白人的每日饮酒量更大（所有比较p < 0.017）。在少数族裔幸存者中，体重过重，特别是西班牙裔，是一个主要问题。对这些行为的评估应纳入幸存者的后续护理中，在教育和鼓励幸存者遵循更健康的饮食和生活方式以预防肥胖和进一步发病方面还有很大的改进余地。
The objective of this study was to assess adherence of childhood cancer survivors in comparison to cancer-free adults of comparable age and sex (or "controls") to the 2012 American Cancer Society (ACS) Guidelines on Nutrition and Physical Activity.As part of the Chicago Healthy Living Study, 431 childhood cancer survivors (18.5 +/- 8.1 years from diagnosis) and 361 controls completed a structured, health-focused interview including the Block Brief Food Frequency Questionnaire and Modifiable Activity Questionnaire. From these data, modified adherence scores were computed based on ACS guidelines (maximum score of 8 reflecting complete adherence). Comparisons were made between survivors and controls and among racial-ethnic groups of survivors and controls.There was no difference in overall ACS adherence scores between survivors and controls (4.3 +/- 1.5 vs. 4.2 +/- 1.5, p = 0.54). As compared to controls, survivors, on average, had a lower body mass index or BMI (27.9 +/- 7.0 vs. 29.3 +/- 7.8 kg/m(2), p = 0.01) and consumed less fiber (9.2 +/- 3.5 vs. 9.7 +/- 3.8 g/1,000 kcal, p = 0.05). Within the survivor group, ACS adherence scores did not differ across racial-ethnic groups, but differences were observed with respect to component behaviors. Hispanic survivors had a higher BMI when compared to those of whites (29.2 +/- 7.4 vs. 26.2 +/- 5.3 kg/m(2), p = 0.001). Daily alcohol consumption was greater for whites among both survivors and controls as compared to other racial-ethnic groups (p < 0.017 for all comparisons).Compared to controls, survivors were not practicing healthier behaviors. Among minority survivors, excess body weight, particularly among Hispanics, is a major concern. Assessment of these behaviors should be incorporated into survivor follow-up care.There is much room for improvement in educating and encouraging survivors to follow healthier diet and lifestyle routines to prevent obesity and further morbidity.