Bruna de Lima Melo1, Dayara Cristina Amaro Vieira1, Gabriela Coelho de Oliveira1, Juliana Valente2, Zila Sanchez3, Gerson Ferrari4,5, Lidiane Pereira Magalhães6, Leandro F M Rezende7. 1. Multiprofessional Internship Program in Oncology, Department of Clinical and Experimental Oncology, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil. 2. Department of Psychiatry, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil. 3. Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil. 4. Universidad de Santiago de Chile (USACH), Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Santiago, Chile. 5. Laboratorio de Rendimiento Humano, Grupo de Estudio en Educación, Actividad Física Y Salud (GEEAFyS), Universidad Católica del Maule, Talca, Chile. 6. Department of Clinical and Experimental Oncology, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil. 7. Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil. leandro.rezende@unifesp.br.
Abstract
PURPOSE: We aimed to describe the adherence to healthy lifestyle recommendations (regular consumption of fruits, vegetables, and salad greens; limit the consumption of red and processed meat, fast food, sugary and alcoholic beverages; keeping a healthy body weight, being physically activity, and not smoking) of 2314 cancer survivors and 86,517 adults without cancer diagnosis (general population) from the Brazilian National Health Survey, 2019. METHODS: We developed a score including eight healthy lifestyle recommendations proposed by the World Cancer Research Fund (i.e., the score ranged from 0 to 8; being 0 did not follow any recommendation and 8 followed all recommendations). RESULTS: Cancer survivors had higher healthy lifestyle score than the general population. In contrast, they presented similar adherence to the recommendations of physical activity, healthy body weight, and quitting smoking. Among cancer survivors, women (OR 1.52; 95%CI 1.12 to 2.06) and widows (OR 1.49; 95%CI 1.02 to 2.18) had greater odds of adherence to healthy lifestyle recommendations, adjusted for other sociodemographic characteristics. However, cancer survivors with complete primary education (OR 0.64; 95%CI 0.44 to 0.94) and higher education (OR 0.58; 95%CI 0.40 to 0.83) had lower adherence to the recommendations. CONCLUSION: Our findings may be useful to support counseling and interventions aimed at promoting healthy lifestyles for Brazilian cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: Healthy lifestyle may reduce mortality and cancer recurrence, and improve quality of life in cancer survivors. Identifying factors associated with the adherence to healthy lifestyle in cancer survivors may be useful to support actions and interventions.
PURPOSE: We aimed to describe the adherence to healthy lifestyle recommendations (regular consumption of fruits, vegetables, and salad greens; limit the consumption of red and processed meat, fast food, sugary and alcoholic beverages; keeping a healthy body weight, being physically activity, and not smoking) of 2314 cancer survivors and 86,517 adults without cancer diagnosis (general population) from the Brazilian National Health Survey, 2019. METHODS: We developed a score including eight healthy lifestyle recommendations proposed by the World Cancer Research Fund (i.e., the score ranged from 0 to 8; being 0 did not follow any recommendation and 8 followed all recommendations). RESULTS: Cancer survivors had higher healthy lifestyle score than the general population. In contrast, they presented similar adherence to the recommendations of physical activity, healthy body weight, and quitting smoking. Among cancer survivors, women (OR 1.52; 95%CI 1.12 to 2.06) and widows (OR 1.49; 95%CI 1.02 to 2.18) had greater odds of adherence to healthy lifestyle recommendations, adjusted for other sociodemographic characteristics. However, cancer survivors with complete primary education (OR 0.64; 95%CI 0.44 to 0.94) and higher education (OR 0.58; 95%CI 0.40 to 0.83) had lower adherence to the recommendations. CONCLUSION: Our findings may be useful to support counseling and interventions aimed at promoting healthy lifestyles for Brazilian cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS: Healthy lifestyle may reduce mortality and cancer recurrence, and improve quality of life in cancer survivors. Identifying factors associated with the adherence to healthy lifestyle in cancer survivors may be useful to support actions and interventions.
Authors: Melissa A Little; Robert C Klesges; Zoran Bursac; Jennifer P Halbert; Jon Ebbert; Gerald W Talcott; Benny Weksler Journal: J Cancer Surviv Date: 2018-10-20 Impact factor: 4.442
Authors: Leandro Fórnias Machado de Rezende; Dong Hoon Lee; Maria Laura da Costa Louzada; Mingyang Song; Edward Giovannucci; José Eluf-Neto Journal: Cancer Epidemiol Date: 2019-02-14 Impact factor: 2.984
Authors: Jiil Chung; Girish S Kulkarni; Jackie Bender; Rodney H Breau; David Guttman; Manjula Maganti; Andrew Matthew; Robin Morash; Janet Papadakos; Jennifer M Jones Journal: BJU Int Date: 2020-03-03 Impact factor: 5.588