Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: Results from the American Cancer Society's SCS-II
Cancer survivors' adherence to lifestyle behavior recommendations and associations with health-related quality of life: Results from the American Cancer Society's SCS-II
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DOI：
10.1200/jco.2007.14.6217
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发表时间：
2008-05-01
影响因子：
45.3
通讯作者：
Stein, Kevin
中科院分区：
文献类型：
--
作者：
Blanchard, Christopher M.;Courneya, Kerry S.;Stein, Kevin
目的研究六个主要癌症幸存者群体中身体活动（PA）、水果和蔬菜消费（5-A-Day）和吸烟的流行率和聚集性，并确定与健康相关生活质量（HRQoL）的任何关联。105名六种不同癌症的幸存者完成了一项全国横断面调查，其中包括生活方式行为问题和兰德-结果只有少数癌症幸存者符合每日5次（14.8%至19.1%）或PA（29.6%至47.3%）的建议，而大多数人符合吸烟建议（82.6%至91.6%）。在生活方式行为集群方面，只有5%的癌症幸存者符合所有三项建议。协方差分析通常显示，符合与不符合每种生活方式行为建议的幸存者的HRQoL较高，与PA的相关性最强。趋势分析显示，满足生活方式行为建议的数量与乳腺HRQoL之间存在显著正相关，（P < .001），前列腺（P < .001），结直肠（P < .001），膀胱（P < .001），子宫（P < .001），皮肤黑素瘤（P < .001）癌症幸存者。结论很少有癌症幸存者符合PA或5-A-Day的建议，更少的人符合所有三种生活方式的建议。目前的生活方式建议和癌症幸存者的HRQoL之间的关联似乎是累积的。增加PA、水果和蔬菜消费以及减少吸烟的干预措施是必要的，可能对癌症幸存者的HRQoL产生叠加效应。
PurposeTo examine the prevalence and clustering of physical activity (PA), fruit and vegetable consumption (5-A-Day), and smoking across six major cancer survivor groups and to identify any associations with health-related quality of life (HRQoL).MethodsA total of 9,105 survivors of six different cancers completed a national cross-sectional survey that included the lifestyle behavior questions and the RAND-36 Health Status Inventory.ResultsOnly a minority of cancer survivors were meeting the 5-A-Day (14.8% to 19.1%) or PA (29.6% to 47.3%) recommendations, whereas most were meeting the smoking recommendation (82.6% to 91.6%). In terms of the lifestyle behavior clusters, only 5% of cancer survivors were meeting all three recommendations. Analyses of covariance generally showed higher HRQoL in survivors who were meeting versus not meeting each lifestyle behavior recommendation with the strongest associations emerging for PA. Trend analyses showed a steep positive association between the number of lifestyle behavior recommendations being met and HRQoL for breast ( P < .001), prostate ( P < .001), colorectal ( P < .001), bladder ( P < .001), uterine ( P < .001), and skin melanoma ( P < .001) cancer survivors.ConclusionFew cancer survivors are meeting the PA or 5-A-Day recommendations, and even fewer are meeting all three lifestyle recommendations. The association between the current lifestyle recommendations and HRQoL in cancer survivors appears to be cumulative. Interventions to increase PA and fruit and vegetable consumption and reduce smoking are warranted and may have additive effects on the HRQoL of cancer survivors.