Costanza Gavioli, Carla Vlooswijk, Silvie H M Janssen, Suzanne E J Kaal, J Martijn Kerst, Jacqueline M Tromp, Monique E M M Bos, Tom van der Hulle, Winette T A van der Graaf, Roy I Lalisang, Janine Nuver, Rhodé M Bijlsma, Mathilde C M Kouwenhoven, Olga Husson, Sandra Beijer
{"title":"世界癌症研究基金会/美国癌症研究所对青少年癌症幸存者预防癌症建议的遵守情况：SURVAYA 研究的结果。","authors":"Costanza Gavioli, Carla Vlooswijk, Silvie H M Janssen, Suzanne E J Kaal, J Martijn Kerst, Jacqueline M Tromp, Monique E M M Bos, Tom van der Hulle, Winette T A van der Graaf, Roy I Lalisang, Janine Nuver, Rhodé M Bijlsma, Mathilde C M Kouwenhoven, Olga Husson, Sandra Beijer","doi":"10.1007/s11764-023-01529-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>For adolescent and young adult (AYA) cancer survivors with a good prognosis, having a healthy lifestyle prevents morbidity and mortality after treatment. The aim of this study was to investigate the prevalence of (un)healthy lifestyle behaviors and related determinants in AYA cancer survivors.</p><p><strong>Methods: </strong>A population-based, cross-sectional study was performed among long-term (5-20 years) AYA cancer survivors (18-39 years old at diagnosis) registered within the Netherlands Cancer Registry. Self-reported questionnaires data about health behaviors were used to calculate the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) adherence score. Associations between the score and clinical/sociodemographic determinants of (un)healthy behaviors were investigated using logistic regression models.</p><p><strong>Results: </strong>The mean WCRF/AICR score was low to moderate, 3.8 ± 1.2 (0.5-7.0) (n = 3668). Sixty-one percent adhered to \"limit the consumption of sugar sweetened drinks,\" 28% to \"be a healthy weight,\" 25% to \"fruit and vegetable consumption,\" and 31% to \"limit alcohol consumption.\" Moderate and high adherence were associated with being a woman (OR<sub>moderate</sub> = 1.46, 95% CI = 1.14-1.85, and OR<sub>high</sub> = 1.87, 95% CI = 1.46-2.4) and highly educated (OR<sub>moderate</sub> = 1.54, 95% CI = 1.30-1.83, and OR<sub>high</sub> = 1.87, 95% CI = 1.46-2.4). Low adherence was associated with smoking (OR<sub>moderate</sub> = 0.68, 95% CI = 0.50-0.92, and OR<sub>high</sub> = 0.30, 95% CI = 0.21-0.44) and diagnosis of germ cell tumor (OR<sub>moderate</sub> = 0.58, 95% CI = 0.39-0.86, and OR<sub>high</sub> = 0.45, 95% CI = 0.30-0.69).</p><p><strong>Conclusions: </strong>Adherence to the 2018 WCRF/AICR lifestyle recommendations was low to moderate, especially regarding body weight, fruit, vegetables, and alcohol consumption. Men, current smokers, lower-educated participants, and/or those diagnosed with germ cell tumors were less likely to have a healthy lifestyle.</p><p><strong>Implications for cancer survivors: </strong>Health-promotion programs (e.g., age-specific tools) are needed, focusing on high-risk groups.</p>","PeriodicalId":15284,"journal":{"name":"Journal of Cancer Survivorship","volume":" ","pages":"1028-1042"},"PeriodicalIF":3.1000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081526/pdf/","citationCount":"0","resultStr":"{\"title\":\"Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations for cancer prevention in adolescent and young adult (AYA) cancer survivors: results from the SURVAYA study.\",\"authors\":\"Costanza Gavioli, Carla Vlooswijk, Silvie H M Janssen, Suzanne E J Kaal, J Martijn Kerst, Jacqueline M Tromp, Monique E M M Bos, Tom van der Hulle, Winette T A van der Graaf, Roy I Lalisang, Janine Nuver, Rhodé M Bijlsma, Mathilde C M Kouwenhoven, Olga Husson, Sandra Beijer\",\"doi\":\"10.1007/s11764-023-01529-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>For adolescent and young adult (AYA) cancer survivors with a good prognosis, having a healthy lifestyle prevents morbidity and mortality after treatment. The aim of this study was to investigate the prevalence of (un)healthy lifestyle behaviors and related determinants in AYA cancer survivors.</p><p><strong>Methods: </strong>A population-based, cross-sectional study was performed among long-term (5-20 years) AYA cancer survivors (18-39 years old at diagnosis) registered within the Netherlands Cancer Registry. Self-reported questionnaires data about health behaviors were used to calculate the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) adherence score. Associations between the score and clinical/sociodemographic determinants of (un)healthy behaviors were investigated using logistic regression models.</p><p><strong>Results: </strong>The mean WCRF/AICR score was low to moderate, 3.8 ± 1.2 (0.5-7.0) (n = 3668). Sixty-one percent adhered to \\\"limit the consumption of sugar sweetened drinks,\\\" 28% to \\\"be a healthy weight,\\\" 25% to \\\"fruit and vegetable consumption,\\\" and 31% to \\\"limit alcohol consumption.\\\" Moderate and high adherence were associated with being a woman (OR<sub>moderate</sub> = 1.46, 95% CI = 1.14-1.85, and OR<sub>high</sub> = 1.87, 95% CI = 1.46-2.4) and highly educated (OR<sub>moderate</sub> = 1.54, 95% CI = 1.30-1.83, and OR<sub>high</sub> = 1.87, 95% CI = 1.46-2.4). Low adherence was associated with smoking (OR<sub>moderate</sub> = 0.68, 95% CI = 0.50-0.92, and OR<sub>high</sub> = 0.30, 95% CI = 0.21-0.44) and diagnosis of germ cell tumor (OR<sub>moderate</sub> = 0.58, 95% CI = 0.39-0.86, and OR<sub>high</sub> = 0.45, 95% CI = 0.30-0.69).</p><p><strong>Conclusions: </strong>Adherence to the 2018 WCRF/AICR lifestyle recommendations was low to moderate, especially regarding body weight, fruit, vegetables, and alcohol consumption. Men, current smokers, lower-educated participants, and/or those diagnosed with germ cell tumors were less likely to have a healthy lifestyle.</p><p><strong>Implications for cancer survivors: </strong>Health-promotion programs (e.g., age-specific tools) are needed, focusing on high-risk groups.</p>\",\"PeriodicalId\":15284,\"journal\":{\"name\":\"Journal of Cancer Survivorship\",\"volume\":\" \",\"pages\":\"1028-1042\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081526/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Cancer Survivorship\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11764-023-01529-4\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cancer Survivorship","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11764-023-01529-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/15 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：对于预后良好的青少年癌症幸存者来说，健康的生活方式可以预防治疗后的发病率和死亡率。本研究旨在调查青少年和青年癌症幸存者中（不）健康生活方式行为的发生率及相关决定因素：在荷兰癌症登记处登记的长期（5-20 年）青壮年癌症幸存者（确诊时年龄为 18-39 岁）中开展了一项基于人群的横断面研究。有关健康行为的自我报告问卷数据用于计算2018年世界癌症研究基金会/美国癌症研究所（WCRF/AICR）依从性评分。采用逻辑回归模型研究了该评分与（不）健康行为的临床/社会人口学决定因素之间的关联：结果：WCRF/AICR 的平均得分处于中低水平，为 3.8 ± 1.2 (0.5-7.0)（n = 3668）。61%的人坚持 "限制饮用含糖饮料"，28%的人坚持 "保持健康体重"，25%的人坚持 "食用水果和蔬菜"，31%的人坚持 "限制饮酒"。中度和高度坚持与女性（ORmoderate = 1.46，95% CI = 1.14-1.85；ORhigh = 1.87，95% CI = 1.46-2.4）和高学历（ORmoderate = 1.54，95% CI = 1.30-1.83；ORhigh = 1.87，95% CI = 1.46-2.4）有关。低依从性与吸烟（ORmoderate = 0.68，95% CI = 0.50-0.92；ORhigh = 0.30，95% CI = 0.21-0.44）和生殖细胞肿瘤诊断（ORmoderate = 0.58，95% CI = 0.39-0.86；ORhigh = 0.45，95% CI = 0.30-0.69）有关：2018年WCRF/AICR生活方式建议的依从性为中低，尤其是体重、水果、蔬菜和饮酒方面。男性、当前吸烟者、受教育程度较低的参与者和/或那些被诊断患有生殖细胞肿瘤的人不太可能拥有健康的生活方式.对癌症幸存者的影响：需要开展健康促进计划（如针对特定年龄段的工具），重点关注高风险人群。
Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations for cancer prevention in adolescent and young adult (AYA) cancer survivors: results from the SURVAYA study.
Purpose: For adolescent and young adult (AYA) cancer survivors with a good prognosis, having a healthy lifestyle prevents morbidity and mortality after treatment. The aim of this study was to investigate the prevalence of (un)healthy lifestyle behaviors and related determinants in AYA cancer survivors.
Methods: A population-based, cross-sectional study was performed among long-term (5-20 years) AYA cancer survivors (18-39 years old at diagnosis) registered within the Netherlands Cancer Registry. Self-reported questionnaires data about health behaviors were used to calculate the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) adherence score. Associations between the score and clinical/sociodemographic determinants of (un)healthy behaviors were investigated using logistic regression models.
Results: The mean WCRF/AICR score was low to moderate, 3.8 ± 1.2 (0.5-7.0) (n = 3668). Sixty-one percent adhered to "limit the consumption of sugar sweetened drinks," 28% to "be a healthy weight," 25% to "fruit and vegetable consumption," and 31% to "limit alcohol consumption." Moderate and high adherence were associated with being a woman (ORmoderate = 1.46, 95% CI = 1.14-1.85, and ORhigh = 1.87, 95% CI = 1.46-2.4) and highly educated (ORmoderate = 1.54, 95% CI = 1.30-1.83, and ORhigh = 1.87, 95% CI = 1.46-2.4). Low adherence was associated with smoking (ORmoderate = 0.68, 95% CI = 0.50-0.92, and ORhigh = 0.30, 95% CI = 0.21-0.44) and diagnosis of germ cell tumor (ORmoderate = 0.58, 95% CI = 0.39-0.86, and ORhigh = 0.45, 95% CI = 0.30-0.69).
Conclusions: Adherence to the 2018 WCRF/AICR lifestyle recommendations was low to moderate, especially regarding body weight, fruit, vegetables, and alcohol consumption. Men, current smokers, lower-educated participants, and/or those diagnosed with germ cell tumors were less likely to have a healthy lifestyle.
Implications for cancer survivors: Health-promotion programs (e.g., age-specific tools) are needed, focusing on high-risk groups.
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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