乳腺癌幸存者的饮食和身体活动偏好和障碍：COVID-19如何改变干预格局。

IF 3.8 Q2 NUTRITION & DIETETICS

Current Developments in Nutrition Pub Date : 2025-01-01 DOI:10.1016/j.cdnut.2024.104519

Xin Chen , Chungyi Chiu , Helen Hoi Ting Cheung , Sylvia L Crowder , Xi Chen , Linda Trinh , Anna E Arthur

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引用次数: 0

摘要

背景：对乳腺癌幸存者（BCS）的现有研究主要集中在饮食或运动偏好和障碍的个人方面。我们的研究旨在检验BCS对饮食和运动相结合的看法。鉴于2019冠状病毒病的变革性影响，迫切需要在大流行后时代找到真知灼见，以应对BCS在维护其健康和福祉方面面临的独特挑战。目的：本探索性研究旨在了解BCS对饮食和运动的偏好和障碍，为未来干预措施的制定提供信息。方法：对2019年至2021年诊断为导管原位癌或I-IV期乳腺癌（BC）的成年人进行横断面调查，调查内容包括参与饮食和运动干预的兴趣、偏好和障碍。描述性分析比较了covid -19前（pre-C）和covid -19大流行期间（during-C）的亚群。结果：共纳入受试者224人。超过一半的人表示对卑诗大学有关饮食和运动的研究感兴趣。大多数人更喜欢接受与相关专家面对面的咨询，一对一的教育或咨询，以及来自书面材料、面对面或通过技术获得的信息。障碍是疲劳、家庭和工作。130名参与者在c前完成了调查，94名参与者在c期间完成了调查。与c前相比，在c期间，参与者更倾向于使用视觉交流工具获取营养和运动信息，而不是面对面的方法（P < 0.05）。在大多数类别中，c - c期间发现的障碍百分比大于c前。结论：参与者表示偏好双模式饮食和运动干预。大流行影响了参与偏好和障碍，人们更倾向于使用视觉沟通工具，而不是面对面的服务，并增加了社会心理和与covid - 19相关的障碍。将面对面护理与基于技术的服务相结合的混合护理有望在大流行期间提高营养和运动干预措施的灵活性和可及性。

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Breast Cancer Survivors’ Diet and Physical Activity Preferences and Barriers: How COVID-19 Changed the Intervention Landscape

Background

Existing studies on breast cancer survivors (BCS) have primarily focused on individual aspects of either diet or exercise preferences and barriers. Our study aims to examine BCS’ perceptions toward diet and exercise combined. Given the transformative impact of COVID-19, there is a crucial need for insights in the post-pandemic era to address the distinct challenges faced by BCS in maintaining their health and well-being.

Objectives

This exploratory study aims to understand BCS’ preferences for and barriers to diet and exercise to inform future intervention development.

Methods

A cross-sectional survey was administered to adults diagnosed with ductal carcinoma in situ or stage I–IV breast cancer (BC) from 2019 to 2021 regarding interest, preferences, and barriers to participating in diet and exercise interventions. Descriptive analysis compared pre-COVID-19 (pre-C) and during-COVID-19 pandemic (during-C) subsets.

Results

There were 224 participants. Over half expressed interest in a BC research study related to diet and exercise. Most preferred receiving consultations in-person with relevant specialists, education or counseling in one-on-one sections, and information from written materials, in-person, or via technology. Barriers were fatigue, family, and work. One hundred and thirty participants completed the survey pre-C, and 94 during-C. Compared with pre-C, during-C participants preferred visual communication tools for information on nutrition and exercise over in-person methods (P < 0.05). In most categories, the percentage of barriers noted during-C was greater than pre-C.

Conclusions

Participants indicated preference for dual-modal diet and exercise interventions. The pandemic impacted participation preferences and barriers, with shifts toward favoring visual communication tools over in-person services and increasing psychosocial and COVID-related barriers. Hybrid care, combining in-person with technology-based delivery, shows promise in enhancing flexibility and accessibility in nutrition and exercise interventions amid the pandemic.

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来源期刊