Jiil Chung1, Girish S Kulkarni2, Jackie Bender1, Rodney H Breau3, David Guttman4, Manjula Maganti1, Andrew Matthew5, Robin Morash6, Janet Papadakos7, Jennifer M Jones1. 1. Cancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, Toronto, ON, Canada. 2. Division of Urology, Departments of Surgery and Surgical Oncology, University Health Network and University of Toronto, Toronto, ON, Canada. 3. Division of Urology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada. 4. Bladder Cancer Canada, Toronto, ON, Canada. 5. Psychosocial Oncology Program, Princess Margaret Cancer Centre, Toronto, ON, Canada. 6. Wellness Beyond Cancer Program, The Ottawa Hospital, Ottawa, ON, Canada. 7. Oncology Education Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.
Abstract
OBJECTIVE: To examine health behaviours in bladder cancer survivors including physical activity (PA), body mass index, diet quality, smoking and alcohol consumption, and to explore their relationship with health-related quality of life (HRQoL). SUBJECTS/PATIENTS AND METHODS: Cross-sectional questionnaire packages were distributed to bladder cancer survivors (muscle-invasive bladder cancer [MIBC] and non-muscle-invasive bladder cancer [NMIBC]) aged >18 years, and proficient in English. Lifestyle behaviours were measured using established measures/questions, and reported using descriptive statistics. HRQoL was assessed using the validated Bladder Utility Symptom Scale, and its association with lifestyle behaviours was evaluated using analysis of covariance (ancova) and multivariate regression analyses. RESULTS: A total of 586 participants completed the questionnaire (52% response rate). The mean (SD) age was 67.3 (10.2) years, and 68% were male. PA guidelines were met by 20% (n = 117) and 22.7% (n = 133) met dietary guidelines. In all, 60.9% (n = 357) were overweight/obese, and the vast majority met alcohol recommendations (n = 521, 92.5%) and were current non-smokers (n = 535, 91.0%). Health behaviours did not differ between MIBC and NMIBC, and cancer treatment stages. Sufficient PA, healthy diet, and non-smoking were significantly associated with HRQoL, and the number of health behaviours participants engaged in was positively associated with HRQoL (P < 0.001). CONCLUSION: Bladder cancer survivors are not meeting guidelines for important lifestyle behaviours that may improve their overall HRQoL. Future research should investigate the impact of behavioural and educational interventions for health behaviours on HRQoL in this population.
OBJECTIVE: To examine health behaviours in bladder cancer survivors including physical activity (PA), body mass index, diet quality, smoking and alcohol consumption, and to explore their relationship with health-related quality of life (HRQoL). SUBJECTS/PATIENTS AND METHODS: Cross-sectional questionnaire packages were distributed to bladder cancer survivors (muscle-invasive bladder cancer [MIBC] and non-muscle-invasive bladder cancer [NMIBC]) aged >18 years, and proficient in English. Lifestyle behaviours were measured using established measures/questions, and reported using descriptive statistics. HRQoL was assessed using the validated Bladder Utility Symptom Scale, and its association with lifestyle behaviours was evaluated using analysis of covariance (ancova) and multivariate regression analyses. RESULTS: A total of 586 participants completed the questionnaire (52% response rate). The mean (SD) age was 67.3 (10.2) years, and 68% were male. PA guidelines were met by 20% (n = 117) and 22.7% (n = 133) met dietary guidelines. In all, 60.9% (n = 357) were overweight/obese, and the vast majority met alcohol recommendations (n = 521, 92.5%) and were current non-smokers (n = 535, 91.0%). Health behaviours did not differ between MIBC and NMIBC, and cancer treatment stages. Sufficient PA, healthy diet, and non-smoking were significantly associated with HRQoL, and the number of health behaviours participants engaged in was positively associated with HRQoL (P < 0.001). CONCLUSION:Bladder cancer survivors are not meeting guidelines for important lifestyle behaviours that may improve their overall HRQoL. Future research should investigate the impact of behavioural and educational interventions for health behaviours on HRQoL in this population.
Authors: Helena Furberg; Stacey Petruzella; Karissa Whiting; Emily Stein; Irene Orlow; Jessica Kenney; Sergio Corrales-Guerrero; Nicole Benfante; Eugene K Cha; Timothy F Donahue; Sherri M Donat; Harry W Herr; Richard S Matulewicz; Eugene Pietzak; Guido Dalbagni; Jamie Ostroff; Bernard H Bochner Journal: J Urol Date: 2022-01-27 Impact factor: 7.600
Authors: Ivy Beeren; Liesbeth de Goeij; Rana Dandis; Nikoletta Vidra; Moniek van Zutphen; J Alfred Witjes; Ellen Kampman; Lambertus A L M Kiemeney; Alina Vrieling Journal: Cancers (Basel) Date: 2022-02-15 Impact factor: 6.639