Biologically based complementary and alternative medicine use among breast cancer survivors: relationship to dietary fat consumption and exercise.
Biologically based complementary and alternative medicine use among breast cancer survivors: relationship to dietary fat consumption and exercise.
复制标题
乳腺癌幸存者中基于生物学的补充和替代医学的使用：与膳食脂肪消耗和运动的关系。
DOI：
10.1007/s00520-006-0039-4
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Pinto,Bernardine
中科院分区：
文献类型：
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作者：
Politi,MaryC;Rabin,Carolyn;Pinto,Bernardine
先前的文献表明，超过一半的女性癌症幸存者使用某种形式的补充和替代医学（CAM）。尽管 CAM 在这一人群中的使用越来越普遍，但很少有研究人员研究过 CAM 的使用与可能影响患者健康的生活方式因素之间的关系。本研究调查了使用基于生物学的 CAM 的乳腺癌幸存者是否比未使用 CAM 的乳腺癌幸存者更有可能遵循低脂饮食并保持适度或剧烈的运动。招募了 65 名在完成初级治疗后 3 个月内的女性乳腺癌幸存者。 CAM 使用情况是通过自我报告使用 15 种补充剂中的一种或多种来衡量的。膳食脂肪通过 23 项自我报告测量来测量，估计过去一个月的脂肪消耗量。使用基于行为改变跨理论模型的措施评估膳食脂肪变化阶段以及适度和剧烈运动变化阶段。结果显示，基于生物的 CAM 使用者在饮食中保持较低的脂肪热量百分比 (t=2.12，p<0.05)，并且存在 CAM 用户比 CAM 非使用者更有可能处于膳食脂肪消耗的行动或维持阶段的趋势 (p<0.09)。然而，这项研究并没有发现 CAM 用户更有可能处于中等或剧烈运动改变的行动或维持阶段。这些发现表明，乳腺癌幸存者中基于生物学的 CAM 使用与部分（但不是全部）健康生活方式行为相关。
Previous literature has shown that more than half of all female cancer survivors use some form of complementary and alternative medicine (CAM). Although the prevalence of CAM use in this population is becoming apparent, few researchers have examined the relationship between CAM use and lifestyle factors that could influence patients’ well-being. The present study examined whether breast cancer survivors who use biologically based CAM are more likely than CAM nonusers to follow a low-fat diet and maintain moderate or vigorous exercise. Sixty-five female breast cancer survivors who were within 3 months of completing primary treatment were recruited. CAM use was measured by self-reported use of one or more of a list of 15 supplements. Dietary fat was measured by a 23-item self-report measure estimating fat consumption in the past month. Dietary fat stage of change and moderate and vigorous exercise stage of change were assessed using measures based on the Transtheoretical Model of Behavior Change. Results showed that biologically based CAM users maintained a lower percentage of calories from fat in their diet (t=2.12,p<0.05), and there was a trend for CAM users to be more likely than CAM nonusers to be in the action or maintenance stage for dietary fat consumption (p<0.09). However, this study did not find that CAM users were more likely to be in the action or maintenance stage of change for moderate or vigorous exercise. These findings suggest that biologically based CAM use among breast cancer survivors is associated with some, but not all, healthy lifestyle behaviors.