Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States.

Tytuł:: Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States.
Autorzy:: Halilova KI; UAB Division of Preventive Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.; UAB Comprehensive Cancer Center, Birmingham, AL, USA.; UAB Department of Nutrition Sciences, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Pisu M; UAB Division of Preventive Medicine, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.; UAB Comprehensive Cancer Center, Birmingham, AL, USA.
Azuero A; UAB School of Nursing, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Williams CP; UAB Division of Hematology & Oncology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Kenzik KM; UAB Division of Hematology & Oncology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Williams GR; UAB Comprehensive Cancer Center, Birmingham, AL, USA.; UAB Division of Hematology & Oncology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Rocque GB; UAB Comprehensive Cancer Center, Birmingham, AL, USA.; UAB Division of Hematology & Oncology, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Martin MY; University of Tennessee Health Science Center, Memphis, TN, USA.
Kvale EA; University of Texas at Austin, Austin, TX, USA.
Demark-Wahnefried W; UAB Comprehensive Cancer Center, Birmingham, AL, USA.; UAB Department of Nutrition Sciences, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Źródło:: Cancer medicine [Cancer Med] 2019 Nov; Vol. 8 (16), pp. 7123-7132. Date of Electronic Publication: 2019 Sep 30.
Typ publikacji:: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: [Malden, MA] : John Wiley & Sons Ltd., c2012-
MeSH Terms:: Cancer Survivors*
Healthy Lifestyle*
Aged ; Aged, 80 and over ; Cancer Care Facilities ; Exercise ; Female ; Health Behavior ; Health Personnel ; Humans ; Male ; Patient Education as Topic ; Smoking Cessation ; Southeastern United States ; Surveys and Questionnaires ; Weight Loss
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Grant Information:: 1C1CMS331023 International Centers for Medicare and Medicaid Services (CMS); P30 CA13148 United States CA NCI NIH HHS; P30 CA013148 United States CA NCI NIH HHS; T32 CA047888 United States CA NCI NIH HHS; P30 DK056336 United States DK NIDDK NIH HHS; CRP-14-111-01-CPPB International American Cancer Society
Contributed Indexing:: Keywords: cancer; cancer survivorship; health promotion; healthy lifestyle counseling; older adults
Entry Date(s):: Date Created: 20191001 Date Completed: 20200924 Latest Revision: 20210110
Update Code:: 20240105
PubMed Central ID:: PMC6853832
DOI:: 10.1002/cam4.2568
PMID:: 31568695
: Czasopismo naukowe

Pełny tekst

Background: Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors.
Methods: We utilized cross-sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013-2015. Data on demographics, time since diagnosis, weight, height, and healthy behaviors were collected. Respondents were asked if providers (oncologists, other physicians, and/or nurses) discussed exercise, healthy diet, weight management, and/or smoking cessation during clinical encounters. Descriptive statistics and bivariate associations between HLS topics and survivor characteristics were calculated.
Results: Among 1460 cancer survivors, mean age was 74 years (SD 6), most were white (81%), and >1 year postdiagnosis (84%). The majority (71%) reported discussing at least one of three HLS topics (exercise 49%, healthy diet 53%, vegetable consumption 28%); 17% received counseling on all three. Weight loss was recommended to 33% of overweight/obese survivors and smoking cessation to 85% of current smokers. Oncologists and nurses discussed HLS less frequently compared to other physicians. Younger survivors (65-74 years) received recommendations for exercise, weight loss, and tobacco cessation more often than older survivors (≥75 years). Compared to white respondents, minorities reported discussions on all topics more often except for tobacco cessation. Excluding tobacco cessation, survivors with recent cancer diagnoses (<1 year) reported HLS discussions more often than survivors >1 year postdiagnosis.
Conclusion: Despite the American Cancer Society's recommendations, older survivors reported a low prevalence of HLS discussions with their providers, with some variation by demographic groups. Strategies are needed to promote these important discussions in this population.
(© 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.)

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