Cindy K Blair1,2, Jean A McDougall3,4, Vi K Chiu3,4, Charles L Wiggins3,4, Ashwani Rajput3,5, Elizabeth M Harding6, Anita Y Kinney7,8. 1. Department of Internal Medicine, University of New Mexico, 1 University of New Mexico, MSC07-4025, Albuquerque, NM, 87131-0001, USA. CiBlair@salud.unm.edu. 2. University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA. CiBlair@salud.unm.edu. 3. Department of Internal Medicine, University of New Mexico, 1 University of New Mexico, MSC07-4025, Albuquerque, NM, 87131-0001, USA. 4. University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA. 5. Department of Surgery, University of New Mexico, Albuquerque, NM, USA. 6. Department of Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM, USA. 7. Department of Epidemiology, School of Public Health, Rutgers University, New Brunswick, NJ, USA. 8. Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Abstract
PURPOSE: Lifestyle factors may have a synergistic effect on health. We evaluated the correlates of poor adherence to a healthy lifestyle among a diverse sample of colorectal cancer (CRC) survivors to inform future lifestyle promotion programs. METHODS: Lifestyle questions from a cross-sectional survey were completed by 283 CRC survivors (41% Hispanic, 40% rural, 33% low income). Adherence to recommendations (yes/no) for physical activity, fruit and vegetable servings/day, avoiding tobacco, and healthy weight was summed to create an overall lifestyle quality score. Polytomous logistic regression was used to evaluate correlates of good (reference group), moderate, and poor overall lifestyle quality. Potential correlates included sociodemographic characteristics, cancer-related factors, and indicators of health and well-being. RESULTS: CRC survivors with poor adherence were 2- to 3.4-fold significantly more likely to report multiple comorbidities, poor physical functioning, fatigue, anxiety/depressive symptoms, and poor social participation. In multivariable analyses, poor physical functioning was the only significant correlate of poor adherence to lifestyle recommendations, compared to good adherence [OR (95% CI) 3.4 (1.8-6.4)]. The majority of survivors, 71% and 78%, indicated interest in receiving information on exercise and eating a healthy diet, respectively. CONCLUSION: Future lifestyle promotion programs for CRC survivors should carefully consider indicators of physical and psychosocial health and well-being, especially poor physical functioning, in the design, recruitment, and implementation of these health programs.
PURPOSE: Lifestyle factors may have a synergistic effect on health. We evaluated the correlates of poor adherence to a healthy lifestyle among a diverse sample of colorectal cancer (CRC) survivors to inform future lifestyle promotion programs. METHODS: Lifestyle questions from a cross-sectional survey were completed by 283 CRC survivors (41% Hispanic, 40% rural, 33% low income). Adherence to recommendations (yes/no) for physical activity, fruit and vegetable servings/day, avoiding tobacco, and healthy weight was summed to create an overall lifestyle quality score. Polytomous logistic regression was used to evaluate correlates of good (reference group), moderate, and poor overall lifestyle quality. Potential correlates included sociodemographic characteristics, cancer-related factors, and indicators of health and well-being. RESULTS:CRC survivors with poor adherence were 2- to 3.4-fold significantly more likely to report multiple comorbidities, poor physical functioning, fatigue, anxiety/depressive symptoms, and poor social participation. In multivariable analyses, poor physical functioning was the only significant correlate of poor adherence to lifestyle recommendations, compared to good adherence [OR (95% CI) 3.4 (1.8-6.4)]. The majority of survivors, 71% and 78%, indicated interest in receiving information on exercise and eating a healthy diet, respectively. CONCLUSION: Future lifestyle promotion programs for CRC survivors should carefully consider indicators of physical and psychosocial health and well-being, especially poor physical functioning, in the design, recruitment, and implementation of these health programs.
Authors: Denalee M O'Malley; Cindy K Blair; Alissa Greenbaum; Charles L Wiggins; Ashwani Rajput; Vi K Chiu; Anita Y Kinney Journal: J Community Genet Date: 2022-01-08
Authors: Cindy K Blair; Elizabeth M Harding; Prajakta Adsul; Sara Moran; Dolores Guest; Kathy Clough; Andrew L Sussman; Dorothy Duff; Linda S Cook; Joseph Rodman; Zoneddy Dayao; Ursa Brown-Glaberman; Towela V King; V Shane Pankratz; Eduardo Servin; Sally Davis; Wendy Demark-Wahnefried Journal: Contemp Clin Trials Commun Date: 2021-02-11