Selina R van den Oever, Leontien C M Kremer, Helena J H van der Pal, Mieke Rijken, Gisela Michel, Andrea Beccaria, Eline Bouwman, Jeroen Te Dorsthorst, Samira Essiaf, Elizabeth Lieke A M Feijen, Cecilia Follin, Line Elmerdahl Frederiksen, Hannah Gsell, Maria van Helvoirt, Rosella P M G Hermens, Lars Hjorth, Tomas Kepak, Katerina Kepakova, Anita Kienesberger, Marietta Kokla, Monica Muraca, Kylie O'Brien, Marleen Renard, Katharina Roser, Carina Schneider, Roderick Skinner, Ramona Tallone, Anne Uyttebroeck, Deveny Vanrusselt, Sabine Verschueren, Jeanette Falck Winther, Jacqueline Loonen, Saskia M F Pluijm
{"title":"Prevalence and associated factors of poor lifestyle behaviours in survivors of childhood cancer: a PanCareFollowUp substudy.","authors":"Selina R van den Oever, Leontien C M Kremer, Helena J H van der Pal, Mieke Rijken, Gisela Michel, Andrea Beccaria, Eline Bouwman, Jeroen Te Dorsthorst, Samira Essiaf, Elizabeth Lieke A M Feijen, Cecilia Follin, Line Elmerdahl Frederiksen, Hannah Gsell, Maria van Helvoirt, Rosella P M G Hermens, Lars Hjorth, Tomas Kepak, Katerina Kepakova, Anita Kienesberger, Marietta Kokla, Monica Muraca, Kylie O'Brien, Marleen Renard, Katharina Roser, Carina Schneider, Roderick Skinner, Ramona Tallone, Anne Uyttebroeck, Deveny Vanrusselt, Sabine Verschueren, Jeanette Falck Winther, Jacqueline Loonen, Saskia M F Pluijm","doi":"10.1007/s11764-026-02099-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Poor lifestyle behaviours may contribute to the development or worsening of late effects after childhood cancer. The aims of this study were to determine the baseline prevalence and associated factors of poor lifestyle behaviours among childhood cancer survivors of the European PanCareFollowUp study cohort.</p><p><strong>Methods: </strong>In Belgium, Sweden, Czechia, and Italy, 812 childhood cancer survivors were recruited. Outcomes were self-reported poor lifestyle behaviours, defined as low physical activity (<75 min of vigorous or <150 min of moderate to vigorous physical activity per week), current smoking (yes/no), alcohol consumption (≥3 units of alcohol per week), and drug use in the past year (yes/no). The prevalence of poor lifestyle behaviours was calculated and associations with sociodemographic characteristics, cancer history, physical health, pain, fatigue, and survivors' level of empowerment were estimated using multivariable logistic regression analyses.</p><p><strong>Results: </strong>For these analyses, 777 participants were included, of whom 27% of survivors reported low physical activity, 15% smoked, 19% consumed ≥3 units of alcohol per week, and 9% used drugs in the past year. The smoking prevalence differed per country and was highest among survivors from Czechia (23%) and Italy (22%) and lowest in Belgium (10%) and Sweden (5%). Associated factors with any of the four poor lifestyle behaviours included male sex, lower educational attainment, reduced physical health, pain, and fatigue.</p><p><strong>Conclusions: </strong>Study results show that survivors in each of the four countries may benefit from personalised interventions to promote healthier behaviours, and that reduced physical health, pain, and fatigue may present modifiable targets.</p><p><strong>Implications for cancer survivors: </strong>These findings can be used to develop targeted lifestyle interventions, thereby optimising survivors' lifestyle behaviours, health outcomes, and quality of life.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cancer Survivorship","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11764-026-02099-x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Poor lifestyle behaviours may contribute to the development or worsening of late effects after childhood cancer. The aims of this study were to determine the baseline prevalence and associated factors of poor lifestyle behaviours among childhood cancer survivors of the European PanCareFollowUp study cohort.
Methods: In Belgium, Sweden, Czechia, and Italy, 812 childhood cancer survivors were recruited. Outcomes were self-reported poor lifestyle behaviours, defined as low physical activity (<75 min of vigorous or <150 min of moderate to vigorous physical activity per week), current smoking (yes/no), alcohol consumption (≥3 units of alcohol per week), and drug use in the past year (yes/no). The prevalence of poor lifestyle behaviours was calculated and associations with sociodemographic characteristics, cancer history, physical health, pain, fatigue, and survivors' level of empowerment were estimated using multivariable logistic regression analyses.
Results: For these analyses, 777 participants were included, of whom 27% of survivors reported low physical activity, 15% smoked, 19% consumed ≥3 units of alcohol per week, and 9% used drugs in the past year. The smoking prevalence differed per country and was highest among survivors from Czechia (23%) and Italy (22%) and lowest in Belgium (10%) and Sweden (5%). Associated factors with any of the four poor lifestyle behaviours included male sex, lower educational attainment, reduced physical health, pain, and fatigue.
Conclusions: Study results show that survivors in each of the four countries may benefit from personalised interventions to promote healthier behaviours, and that reduced physical health, pain, and fatigue may present modifiable targets.
Implications for cancer survivors: These findings can be used to develop targeted lifestyle interventions, thereby optimising survivors' lifestyle behaviours, health outcomes, and quality of life.
期刊介绍：
Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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