Marlou E C L van Broekhoven1, Belle H de Rooij2, Johanna M A Pijnenborg3, M Caroline Vos3, Dorry Boll4, Roy F P M Kruitwagen5, Lonneke V van de Poll-Franse6, Nicole P M Ezendam7. 1. Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands. 2. Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands; CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands. 3. Department of Obstetrics and Gynaecology, Elisabeth-TweeSteden Hospital, Tilburg and Waalwijk, The Netherlands. 4. Department of Gynecology, Catharina Hospital, Eindhoven, The Netherlands. 5. Department of Gynecology and GROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands. 6. Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands; CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands; Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands. 7. Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands; CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands. Electronic address: N.Ezendam@iknl.nl.
Abstract
OBJECTIVE: This study explores patterns of lifestyle change and whether more threatening illness perceptions are associated with lifestyle changes post-treatment for smoking, alcohol consumption and Body Mass Index (BMI) among gynecological cancer patients. METHODS: In total, 395 cancer patients (N=221 endometrial; N=174 ovarian) were included in this secondary analysis of longitudinal data. Lifestyle outcomes were assessed through self-reported questionnaires after initial treatment and 6, 12, and 18months of follow-up. Illness perceptions were assessed with the Brief Illness Perception Questionnaire (BIPQ). Latent class growth curve analyses were conducted to identify patterns of lifestyle change and linear mixed models using between-subject and within-subject effects to explore the association between BIPQ items and alcohol consumption (glasses/week) and BMI (kg/m2). RESULTS: After initial treatment, 15% (N=57) of the patients smoked, 53% (N=203) drank alcohol, and 60% (N=236) were overweight or obese. Overall, smokers made no considerable changes, but one subgroup of low level smokers reported positive decline. A slight decrease was observed for alcohol consumption among low and moderate level alcohol drinker subgroups, whereas BMI remained stable among endometrial cancer patients and increased for ovarian cancer patients. Moreover, patients with lower trust in their treatment to cure the disease drank more alcohol (β=0.32 glasses/week [95% CI 0.09; 0.56]). CONCLUSIONS: Change in lifestyle after a gynecological cancer treatment is not self-evident. Moreover, more threatening illness perceptions were not related to a healthier lifestyle. This study underlines the need for lifestyle-promoting activities to facilitate lifestyle improvement among gynecological cancer patients.
RCT Entities:
OBJECTIVE: This study explores patterns of lifestyle change and whether more threatening illness perceptions are associated with lifestyle changes post-treatment for smoking, alcohol consumption and Body Mass Index (BMI) among gynecological cancerpatients. METHODS: In total, 395 cancerpatients (N=221 endometrial; N=174 ovarian) were included in this secondary analysis of longitudinal data. Lifestyle outcomes were assessed through self-reported questionnaires after initial treatment and 6, 12, and 18months of follow-up. Illness perceptions were assessed with the Brief Illness Perception Questionnaire (BIPQ). Latent class growth curve analyses were conducted to identify patterns of lifestyle change and linear mixed models using between-subject and within-subject effects to explore the association between BIPQ items and alcohol consumption (glasses/week) and BMI (kg/m2). RESULTS: After initial treatment, 15% (N=57) of the patients smoked, 53% (N=203) drank alcohol, and 60% (N=236) were overweight or obese. Overall, smokers made no considerable changes, but one subgroup of low level smokers reported positive decline. A slight decrease was observed for alcohol consumption among low and moderate level alcohol drinker subgroups, whereas BMI remained stable among endometrial cancerpatients and increased for ovarian cancerpatients. Moreover, patients with lower trust in their treatment to cure the disease drank more alcohol (β=0.32 glasses/week [95% CI 0.09; 0.56]). CONCLUSIONS: Change in lifestyle after a gynecological cancer treatment is not self-evident. Moreover, more threatening illness perceptions were not related to a healthier lifestyle. This study underlines the need for lifestyle-promoting activities to facilitate lifestyle improvement among gynecological cancerpatients.
Authors: Masoumeh Pourfallahi; Mohammad Gholami; Mohammad Javad Tarrahi; Tahereh Toulabi; Parastou Kordestani Moghadam Journal: Support Care Cancer Date: 2019-05-07 Impact factor: 3.603
Authors: Karin A J Driessen; Belle H de Rooij; M Caroline Vos; Dorry Boll; Johanna M A Pijnenborg; Meeke Hoedjes; Sandra Beijer; Nicole P M Ezendam Journal: Support Care Cancer Date: 2021-08-28 Impact factor: 3.359
Authors: Nicole P M Ezendam; Belle H de Rooij; Roy F P M Kruitwagen; Carien L Creutzberg; Ingrid van Loon; Dorry Boll; M Caroline Vos; Lonneke V van de Poll-Franse Journal: Trials Date: 2018-04-16 Impact factor: 2.279