Are Cancer Survivors/Patients Knowledgeable About Osteoporosis? Results from a Survey of 285 Chemotherapy-treated Cancer Patients and Their Companions

McKean, Heidi; Looker, Sherry; Hartmann, Lynn C.; Hayman, Suzanne R.; Kaur, Judith S.; McWilliams, Robert R.; Peethambaram, Prema P.; Stahl, Jean F.; Jatoi, Aminah

doi:10.1016/j.jneb.2007.08.009

Cited by 20 publications

(10 citation statements)

References 18 publications

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“…The role of vitamin D deficiency in development of osteoporosis is well-recognized in general population [28][29]. However it is still not clear how vitamin D influences depression, as multiple studies showed strong though not consistent associations [30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Vitamin D and its Supplementation Among Students of Northern Poland

Waszak¹,

Mędza²,

Springer³

et al. 2018

Eur J Trans Clin Med

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Introduction: Vitamin D deficiency is a worldwide public health problem. The objective of this survey was to assess the undergraduate students' vitamin D status and knowledge about this vitamin. Materials and methods: An online multi-choice survey was designed and launched in Northern Poland (Gdańsk region). The first part of the survey assessed diet, supplementation, UV radiation exposure (UVE) and general health of respondents. The second part was a vitamin D knowledge test (vitamin D optimal level, deficiency-related diseases). 1766 student volunteers responded to the survey: 369 male and 1397 female. Data was divided according to the respondents' sex and university affiliation. Appropriate parametric or non-parametric statistical tests were used with statistical significance set at p<0.05. Results: Regular consumption of vitamin D-rich food was high, except for fish (only 18; 22%). High number of participants did not declare any type of supplementation (43; 44%) and only occasionally were exposed to UV (77%; 80%). The most frequently recognized disease linked to vitamin D was osteoporosis. Medical University students obtained higher test scores (4,55), however this did not correlate with healthy vitamin D habits. Conclusion: Undergraduate medical and non-medical students have unsatisfactory vitamin D status and poor understanding of its function and impact on health, which implies the need for changes in the educational program.

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Section: Discussionmentioning

confidence: 99%

Knowledge of Vitamin D and its Supplementation Among Students of Northern Poland

Waszak¹,

Mędza²,

Springer³

et al. 2018

Eur J Trans Clin Med

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“…Despite the evidence that cancer treatments increase bone loss and fracture risk in patients with various cancers, there remains debate on how best to define those patients at risk, and how to best treat them 35, 81‐83. Individuals with a history of cancer have been shown to have a poor understanding of osteoporosis and its risk factors,84 underscoring the need for patient education and provider vigilance.…”

Section: Assessment Of Bone Lossmentioning

confidence: 99%

Aging and osteoporosis in breast and prostate cancer

Vanderwalde

Hurria

2011

CA: A Cancer Journal for Clinicians

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As people with cancer survive longer, and as the US population ages, skeletal effects of cancer treatment are becoming more pronounced. This is particularly true for breast and prostate cancer survivors because of the high average age of patients with these malignancies, the propensity of older adults in general toward the development of osteoporosis, and the wide use of therapeutic agents in these cancers that negatively impact bone health. Various therapies used in the treatment and prevention of cancer may cause decreases in bone mineral density and an increased risk of debilitating fracture, even in the absence of bone metastases. Aging is both a baseline risk factor in the development of osteoporosis and bony fracture, as well as a predictor of poor outcome after fracture. A variety of mechanisms may be responsible for the development of bone loss in patients with breast or prostate cancer. Cytotoxic chemotherapy may directly exert long-term toxic effects on bone. Chemotherapy and endocrine therapy can induce hypogonadism, leading to an increased rate of bone loss. The risk of skeletal events in older adults due to cancer therapy should be appreciated by all oncologists, geriatricians, and internists. The following review may serve as a guide to the skeletal side effects of cancer therapy in older adults with breast or prostate cancer, how to screen for treatment-related bone loss, and how to best prevent and/or treat skeletal events. CA Cancer J Clin 2011;61:139-156.

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“…Asian Pacific Journal of Cancer Prevention, Vol 14, 2013 4749 DOI:http://dx.doi.org/10.7314/APJCP.2013.14.8.4743 Factors for Osteoporosis among Korean Cancer Survivors the evidence that cancer survivors have a increased risk of bone loss due to various reasons, the patients with cancer treatment have been shown to have a insufficient knowledge or understanding of osteoporosis and its risk factors (McKean et al, 2008).The need for cancer survivors education and special management also should be required. Consensus guidelines recommend the routine use of calcium, vitamin D, and taking weight-bearing physical activity in patient with high risk factors for the prevention of osteoporosis or osteoporotic fractures (Murray, 1996;Gralow et al, 2009).…”

mentioning

confidence: 99%

Prevalence of and Factors Associated with Osteoporosis among Korean Cancer Survivors: A Cross-Sectional Analysis of the Fourth and Fifth Korea National Health and Nutrition Examination Surveys

Choi

Park

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Identifying and managing osteoporosis among cancer survivors is an important issue, yet little is known about the bone health of cancer survivors in Korea. This study was designed to measure the prevalence of osteoporosis and to assess related factors among Korean cancer survivors. Materials and Methods: This study was designed as a cross-sectional analysis. Data were obtained from dual energy X-ray absorptiometry measurement of the lumbar vertebrae and femoral neck, and from standardized questionnaires among 556 cancer survivors and 17,623 non-cancer controls who participated in the Fourth and Fifth Korea National Health and Nutrition Examination Surveys (2008-2011). We calculated adjusted proportions of osteoporosis in non-cancer controls vs. cancer survivors, and we performed multivariate logistic regression analysis. Results: The prevalence of osteoporosis among cancer survivors was significant higher than that of the non-cancer controls after adjusting for related factors. Furthermore, osteoporosis among cancer survivors was higher in elderly subjects (60-69 years : adjusted odds ratio (aOR) 3.04, 95% CI : 1.16-8.00, ≥70 years : aOR 6.60, 95% CI 2.20-19.79), in female cancer survivors (aOR: 7.03, 95% CI: 1.88-26.28), and in a group with lower monthly income (aOR: 3.38, 95% CI: 1.31-8.71). In male cancer survivors, underweight and lower calcium intake were risk factors. Conclusions: These data suggest that the osteoporosis among cancer survivors varies according to non-oncologic and oncologic factors. Effective screening should be applied, and a sufficient and comprehensive management should be matched to individual cancer survivors early after cancer treatment.

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Are Cancer Survivors/Patients Knowledgeable About Osteoporosis? Results from a Survey of 285 Chemotherapy-treated Cancer Patients and Their Companions

Cited by 20 publications

References 18 publications

Knowledge of Vitamin D and its Supplementation Among Students of Northern Poland

Knowledge of Vitamin D and its Supplementation Among Students of Northern Poland

Aging and osteoporosis in breast and prostate cancer

Prevalence of and Factors Associated with Osteoporosis among Korean Cancer Survivors: A Cross-Sectional Analysis of the Fourth and Fifth Korea National Health and Nutrition Examination Surveys

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