Changes in Physical Activity and Diet in Colorectal Cancer Survivors

描述(由申请人提供)：据估计，美国有110万结直肠癌幸存者。包括缺乏运动和不良饮食习惯在内的生活方式是结直肠癌发病率、复发和死亡率的危险因素，也增加了其他慢性病的风险。大多数结直肠癌幸存者没有进行定期的体力活动，也没有达到健康饮食的建议，包括足够的水果和蔬菜摄入量和低脂肪饮食。然而，癌症诊断可能会刺激一些癌症幸存者积极的健康行为改变。此前的研究主要集中在了解乳腺癌幸存者的健康行为变化。相比之下，这项拟议的研究使用了一种全面的、理论驱动的方法来了解结直肠癌幸存者的体力活动和饮食变化的程度、预测因素以及情感和认知影响，他们代表了一个庞大但相对研究较少的幸存者群体。拟议研究的概念框架借鉴了社会认知理论和健康和疾病自我调节的常识模型。最近完成局部或区域性结直肠癌治疗的个人将完成一项全面的基线调查，包括对他们目前的体力活动和饮食习惯的评估，以及相关的社会认知和自我调节预测因素。参与者将在3个月和6个月后完成后续评估，这些评估将提供有关体力活动和饮食变化的数据，以及此类行为变化对情感和认知的潜在影响。此外，我们将调查幸存者对健康促进计划的偏好。了解健康行为变化的自然过程和预测因素是指导有效干预的行之有效的方法。提高对结直肠癌幸存者体力活动和饮食变化的社会认知和自我调节原因，以及情感和认知影响的理解，将有助于为这一人群制定健康行为干预措施。开发和传播有效的健康行为干预措施已被强调为未来癌症生存研究的关键领域。公共卫生相关性：在美国癌症幸存者人口增加的同时，人们对帮助癌症幸存者做出积极的健康行为改变的兴趣也越来越大。这项拟议的研究考察了结直肠癌幸存者的体力活动和饮食变化的程度、预测因素和情感/认知影响。这项研究的结果将为开发一种旨在增加结直肠癌幸存者体力活动和促进健康饮食习惯的行为干预措施提供参考。

DESCRIPTION (provided by applicant): There are an estimated 1.1 million survivors of colorectal cancer in the United States. Lifestyle practices including physical inactivity and poor dietary habits are risk factors for colorectal cancer incidence, recurrence, and mortality, and also increase the risk for other chronic illnesses. Most colorectal cancer survivors fail to engage in regular physical activity and do not meet recommendations for eating a healthy diet, including sufficient intake of fruits and vegetables and consumption of a low fat diet. However, cancer diagnosis may spur positive health behavior changes for some cancer survivors. Previous research has focused primarily on understanding health behavior changes made by breast cancer survivors. In contrast, the proposed research uses a comprehensive, theory-driven approach to understand the degree, predictors, and affective and cognitive effects of physical activity and dietary changes made by survivors of colorectal cancer, who represent a large but relatively understudied survivor population. The conceptual framework for the proposed research draws from social cognitive theory and the common-sense model of health and illness self-regulation. Individuals who recently finished treatment for localized or regional stage colorectal cancer will complete a comprehensive baseline survey, including assessments of their current physical activity and dietary practices, as well as relevant social cognitive and self-regulatory predictors. Participants will complete follow-up assessments 3 months and 6 months later, which will provide data on changes in physical activity and diet, as well as potential affective and cognitive effects of such behavior changes. Additionally, we will examine survivors' preferences regarding health promotion programs. Understanding the natural course and predictors of health behavior change is a proven approach for guiding effective interventions. An enhanced understanding of the social cognitive and self-regulatory causes, and affective and cognitive effects, of physical activity and dietary changes made by colorectal cancer survivors will inform the development of health behaviors interventions for this population. The development and dissemination of effective health behavior interventions has been highlighted as a key area for future cancer survivorship research. PUBLIC HEALTH RELEVANCE: In parallel with the increase in the cancer survivor population in the United States, there has been growing interest in helping cancer survivors to make positive health behavior changes. The proposed research examines the degree, predictors, and affective/cognitive effects of physical activity and dietary changes made by colorectal cancer survivors. The results of this research will inform the development of a behavioral intervention designed to increase physical activity and promote healthy dietary practices among colorectal cancer survivors.