Self-Reported Changes and Perceived Barriers to Healthy Eating and Physical Activity among Global Breast Cancer Survivors: Results from an Exploratory Online Novel Survey

Keaver, Laura; McGough, Aisling M.; Du, Mengxi; Chang, Winnie; Chomitz, Virginia R.; Allen, Jennifer D.; Attai, Deanna J.; Gualtieri, Lisa; Zhang, Fang Fang

doi:10.1016/j.jand.2020.09.031

Cited by 32 publications

(42 citation statements)

References 29 publications

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“…Also, we wanted to identify the main sources of information accessed, which may have affected the referred changes and inspect whether those modifications have been reported to the physician. Breast cancer survivors are known to describe positive changes in nutrition behavior after cancer diagnosis (29,30,33). In agreement with this, we observed that, after BC diagnosis, survivors made some changes, which respected, in part, the WCRF recommendations (5,14,15).…”

Section: Discussionsupporting

confidence: 87%

“…Breast cancer survivors are known to describe positive changes in nutrition behavior after cancer diagnosis ( 29 , 30 , 33 ). In agreement with this, we observed that, after BC diagnosis, survivors made some changes, which respected, in part, the WCRF recommendations ( 5 , 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…In summary, diet and nutrition tasks are recognized as common concern of cancer survivors, which frequently express both the need to obtain health-related information and the will to change their diet and lifestyle to prevent tumor recurrence ( 30 , 31 ). Therefore, healthcare professionals need to be informed about both patients behavioral changes and where they collect information, in order to guide them toward optimal lifestyle choices, in line with proper recommendations ( 32 , 33 ).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors

et al. 2021

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The role of a healthy diet in cancer prevention is well recognized. Recent data indicate that following the same advices can also improve cancer survivors’ quality of life. Breast cancer (BC) patients are commonly concerned about diet and nutrition and frequently express the need to obtain health-related information and the will to change their diet and lifestyle. Hence, be aware of survivors’ dietary changes and information needs is crucial for healthcare professionals to guide them toward optimal lifestyle choices. In order to investigate eating habits changes in a BC survivors’ population, we conceived the cross-sectional multicentric study ECHO (Eating habits CHanges in Oncologic patients) Survey. Data were collected from 684 patients, diagnosed with invasive breast cancer, in order to investigate their changes in food consumption, use of supplements, or the beginning of a specific diet, after BC diagnosis. We also examined the sources of information used and if any modification in their diets was reported to the oncologist. We primarily observed that patients increased their consumption of vegetables, pulses, nuts, fruits, wholemeal bread/pasta, grains and fish; while decreasing red and processed meat, refined bread/pasta, baked good and animal fat consumption. Survivors also reported the use of dietary supplements, mainly vitamins, aimed at counteracting therapies’ side effects. Changes in nutritional habits were often adopted without asking or informing the oncologist. Despite BC survivors made some positive changes in their nutritional habits, those modifications were mostly pursued by less than half of them, while the majority of patients consumed nutritional supplements after diagnosis. These results, as well as the failure to communicate with the physicians, reinforce the need to both improve the patient-healthcare professional relationship and to develop tailored nutrition counselling and intervention programs for cancer survivors.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors

et al. 2021

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“…However, the late and long-term effects of cancer themselves may function as barriers to adopting healthy behaviors and be underrecognized in the cancer survivor population. A recent survey found that late and long-term effects of cancer treatment may overshadow other barriers, 96 and this may be especially true for the implementation of physical activity recommendations. [96][97][98][99] Peripheral neuropathy, sequelae of avascular necrosis, cardiomyopathy, or other functional impairments, such as partial limb amputations or lymphedema, may provide unique risks for certain types of physical activity.…”

Section: Late and Long-term Effects Can Serve As Barriers To Guidelin...mentioning

confidence: 99%

American Cancer Society nutrition and physical activity guideline for cancer survivors

Rock

Thomson

Sullivan

et al. 2022

CA A Cancer J Clinicians

346

243

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The overall 5‐year relative survival rate for all cancers combined is now 68%, and there are over 16.9 million survivors in the United States. Evidence from laboratory and observational studies suggests that factors such as diet, physical activity, and obesity may affect risk for recurrence and overall survival after a cancer diagnosis. The purpose of this American Cancer Society guideline is to provide evidence‐based, cancer‐specific recommendations for anthropometric parameters, physical activity, diet, and alcohol intake for reducing recurrence and cancer‐specific and overall mortality. The audiences for this guideline are health care providers caring for cancer survivors as well as cancer survivors and their families. The guideline is intended to serve as a resource for informing American Cancer Society programs, health policy, and the media. Sources of evidence that form the basis of this guideline are systematic literature reviews, meta‐analyses, pooled analyses of cohort studies, and large randomized clinical trials published since 2012. Recommendations for nutrition and physical activity during cancer treatment, informed by current practice, large cancer care organizations, and reviews of other expert bodies, are also presented. To provide additional context for the guidelines, the authors also include information on the relationship between health‐related behaviors and comorbidities, long‐term sequelae and patient‐reported outcomes, and health disparities, with attention to enabling survivors' ability to adhere to recommendations. Approaches to meet survivors' needs are addressed as well as clinical care coordination and resources for nutrition and physical activity counseling after a cancer diagnosis.

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“…Culture and social environment can also be a perceived barrier for a person [32]. Intervention development programs are needed to lower the perceived barrier [33].…”

Section: Perceivedmentioning

confidence: 99%

Health Belief Associated with Adherence to Health Protocol in Preventing Coronavirus Diseases on Patients’ Family

Fikriana¹,

Fahrany²,

Rusli³

2021

Open Access Maced J Med Sci

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BACKGROUND: Adherence with health protocols during the Coronavirus disease (COVID-19) pandemic is very important to prevent transmission. However, it is obtained that adherence with health protocols is still not optimal. The hospital environment is an area that is at high risk of transmission. AIM: The purpose of this study is to analyze the relationship between health belief and adherence with the health protocol in the patient’s family. METHODS: Quantitative research is correlated with a cross-sectional approach. The sample is the family of patients at the hospital, which was taken with simple random sampling technique as many as 100 people. Research variables include perceived susceptibility, perceived severity, perceived benefits, perceived barrier, self-efficacy, and adherence with health protocols. Data collection was using questionnaire instruments. Data analysis was using Fisher test with a significance level of 95%. RESULTS AND DISCUSSION: Fisher’s test results obtained data that there is a relationship between health belief in the dimensions of perceived susceptibility (p = 0.007), perceived severity (p = 0.027), perceived benefits (p = 0.003), perceived barriers (p = 0.021), and self-efficacy (p = 0.002) with adherence with health protocols in an effort to prevent the transmission of COVID-19. The patient’s family will be willing to implement health protocols if they have a high health belief in efforts to prevent the transmission of COVID-19. This health belief includes the belief that COVID-19 disease is easily contagious and serious; adherence will provide benefits for health. CONCLUSION: Health beliefs are significantly related to adherence with health protocols in the prevention of COVID-19 transmission in the patient’s family.

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Self-Reported Changes and Perceived Barriers to Healthy Eating and Physical Activity among Global Breast Cancer Survivors: Results from an Exploratory Online Novel Survey

Cited by 32 publications

References 29 publications

Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors

Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors

American Cancer Society nutrition and physical activity guideline for cancer survivors

Health Belief Associated with Adherence to Health Protocol in Preventing Coronavirus Diseases on Patients’ Family

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