Health behaviors in breast cancer survivors experiencing bone loss
Identifieur interne : 000279 ( Istex/Corpus ); précédent : 000278; suivant : 000280Health behaviors in breast cancer survivors experiencing bone loss
Auteurs : Janice J. Twiss ; Gloria J. Gross ; Nancy L. Waltman ; Carol D. Ott ; Ada M. LindseySource :
- Journal of the American Academy of Nurse Practitioners [ 1041-2972 ] ; 2006-10.
Abstract
Purpose: To describe the baseline healthy lifestyle behaviors (dietary, calcium, vitamin D, caffeine and alcohol intake, smoking history, and physical activity) of postmenopausal breast cancer survivors (BCS); and to identify any relationship of healthy lifestyle behaviors with bone mineral density (BMD) at the forearm, total hip and spine, L1‐L4.
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DOI: 10.1111/j.1745-7599.2006.00165.x
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Twiss, PhD, APRN, Omaha Division, University of Nebraska Medical Center College of Nursing, 985330 Nebraska Medical Center, Omaha, NE 68198‐5330. Tel: 402 559 6571; E‐mail: jtwiss@unmc.edu</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Gloria J.</forename><surname>Gross</surname><roleName type="degree">RN, PhD</roleName></persName><affiliation>Scottsbluff Division, University of Nebraska Medical Center College of Nursing, Scottsbluff, Nebraska<address><country key="US"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Nancy L.</forename><surname>Waltman</surname><roleName type="degree">PhD, APRN</roleName></persName><affiliation>Lincoln Division, University of Nebraska Medical Center College of Nursing, Lincoln, Nebraska<address><country key="US"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Carol D.</forename><surname>Ott</surname><roleName type="degree">RN, OCN, PhD</roleName></persName><affiliation>Kearney Division, University of Nebraska Medical Center College of Nursing, Kearney, Nebraska<address><country key="US"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">Ada M.</forename><surname>Lindsey</surname><roleName type="degree">RN, PhD, FAAN</roleName></persName><affiliation>University of Nebraska Medical Center College of Nursing, Omaha, Nebraska<address><country key="US"></country></address></affiliation></author><idno type="istex">05F1773835802085C7BAC628D4010EFEDE1120AC</idno><idno type="DOI">10.1111/j.1745-7599.2006.00165.x</idno><idno type="unit">JAAN165</idno><idno type="toTypesetVersion">file:JAAN.JAAN165.pdf</idno></analytic><monogr><title level="j" type="main">Journal of the American Academy of Nurse Practitioners</title><title level="j" type="alt">JOURNAL OF AMERICAN ACADEMY NURSE PRACTITIONERS</title><idno type="pISSN">1041-2972</idno><idno type="eISSN">1745-7599</idno><idno type="book-DOI">10.1111/(ISSN)1745-7599</idno><idno type="book-part-DOI">10.1111/jaan.2006.18.issue-10</idno><idno type="product">JAAN</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">18</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="471">471</biblScope><biblScope unit="page" to="481">481</biblScope><biblScope unit="page-count">11</biblScope><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2006-10"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p><hi rend="bold">Purpose: </hi> To describe the baseline healthy lifestyle behaviors (dietary, calcium, vitamin D, caffeine and alcohol intake, smoking history, and physical activity) of postmenopausal breast cancer survivors (BCS); and to identify any relationship of healthy lifestyle behaviors with bone mineral density (BMD) at the forearm, total hip and spine, L1‐L4.</p><p><hi rend="bold">Data sources: </hi> Self‐reported responses to a demographic and health status questionnaire, to a 3‐day Diet Record, and to the 7‐Day Physical Activity Questionnaire‐Adapted provided data for the lifestyle behaviors. Baseline BMD (g/cm<hi rend="superscript">2</hi>) was determined with dual‐energy x‐ray absorptiometry (DEXA). Height, weight, and body mass index (BMI) were also measured in each of the 249 postmenopausal BCS.</p><p><hi rend="bold">Conclusions: </hi> There was an imbalance between consumed kilocalories and expenditure of energy. The majority of BCS were overweight or obese. They consumed less fruit and vegetable servings than recommended by the new 2005 U.S. Department of Agriculture’s dietary guidelines, less dairy products, below average recommended grains and fiber, less protein and carbohydrate intake, and a slightly higher fat gram intake. Approximately, 43% did not take any supplemental calcium, with 46% taking less than 1000 mg a day. Likewise, 52.59% consumed less than 400 IU of vitamin D with both supplemental and dietary intake. This group of BCS consumed below accepted levels of caffeine and alcohol. Only 18 BCS continued to smoke. This group spent an average of 10.36 h in light (sedentary) activities on a daily basis. There were significant negative relationships with bone mass (g/cm<hi rend="superscript">2</hi>) at the total hip and daily intake of caffeine/mg and daily grams of alcohol. Weight and BMI both demonstrated a significant relationship with bone mass (g/cm<hi rend="superscript">2</hi>) at the total hip, spine L1‐L4, and the forearm.</p><p><hi rend="bold">Implications for practice: </hi> The healthcare provider must incorporate appropriate teaching strategies, intensive counseling, and coaching, along with a support mechanism, to enable BCS to understand the importance of a healthy diet, calcium, and vitamin D supplement, and a regular strength/weight program that will be integrated into their daily lifestyle. Early DEXA screens should be part of the protocol with BCS, and there is a particular need for forearm DEXA screens to be included in the treatment protocol for BCS.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">Breast cancer survivors</term><term xml:id="k2">osteoporosis</term><term xml:id="k3">health behaviors</term></keywords><classCode scheme="tocHeading1">RESEARCH</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/05F1773835802085C7BAC628D4010EFEDE1120AC/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1745-7599</doi><issn type="print">1041-2972</issn><issn type="electronic">1745-7599</issn><idGroup><id type="product" value="JAAN"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF AMERICAN ACADEMY NURSE PRACTITIONERS">Journal of the American Academy of Nurse Practitioners</title></titleGroup></publicationMeta><publicationMeta level="part" position="10010"><doi origin="wiley">10.1111/jaan.2006.18.issue-10</doi><numberingGroup><numbering type="journalVolume" number="18">18</numbering><numbering type="journalIssue" number="10">10</numbering></numberingGroup><coverDate startDate="2006-10">October 2006</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="5" status="forIssue"><doi origin="wiley">10.1111/j.1745-7599.2006.00165.x</doi><idGroup><id type="unit" value="JAAN165"></id></idGroup><countGroup><count type="pageTotal" number="11"></count></countGroup><titleGroup><title type="tocHeading1">RESEARCH</title></titleGroup><copyright>2006 American Academy of Nurse Practitioners</copyright><eventGroup><event type="firstOnline" date="2006-09-25"></event><event type="publishedOnlineFinalForm" date="2006-09-25"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-16"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-28"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="471">471</numbering><numbering type="pageLast" number="481">481</numbering></numberingGroup><correspondenceTo>Janice J. Twiss, PhD, APRN, Omaha Division, University of Nebraska Medical Center College of Nursing, 985330 Nebraska Medical Center, Omaha, NE 68198‐5330. Tel: 402 559 6571; E‐mail: <email>jtwiss@unmc.edu</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JAAN.JAAN165.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received: October 2005; accepted: April 2006</unparsedEditorialHistory><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="5"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="40"></count><count type="wordTotal" number="0"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Health behaviors in breast cancer survivors experiencing bone loss</title><title type="shortAuthors">J.J. Twiss et al.</title><title type="short">Health behaviors in breast cancer survivors</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Janice J.</givenNames><familyName>Twiss</familyName><degrees>PhD, APRN</degrees></personName><jobTitle>(Associate Professor)</jobTitle></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Gloria J.</givenNames><familyName>Gross</familyName><degrees>RN, PhD</degrees></personName><jobTitle>(Associate Professor)</jobTitle></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>Nancy L.</givenNames><familyName>Waltman</familyName><degrees>PhD, APRN</degrees></personName><jobTitle>(Associate Professor)</jobTitle></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4"><personName><givenNames>Carol D.</givenNames><familyName>Ott</familyName><degrees>RN, OCN, PhD</degrees></personName><jobTitle>(Associate Professor)</jobTitle></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a5"><personName><givenNames>Ada M.</givenNames><familyName>Lindsey</familyName><degrees>RN, PhD, FAAN</degrees></personName><jobTitle>(Emeritus Professor and Dean)</jobTitle></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="US"><unparsedAffiliation>Omaha Division, University of Nebraska Medical Center College of Nursing, Omaha, Nebraska</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="US"><unparsedAffiliation>Scottsbluff Division, University of Nebraska Medical Center College of Nursing, Scottsbluff, Nebraska</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="US"><unparsedAffiliation>Lincoln Division, University of Nebraska Medical Center College of Nursing, Lincoln, Nebraska</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="US"><unparsedAffiliation>Kearney Division, University of Nebraska Medical Center College of Nursing, Kearney, Nebraska</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="US"><unparsedAffiliation>University of Nebraska Medical Center College of Nursing, Omaha, Nebraska</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Breast cancer survivors</keyword><keyword xml:id="k2">osteoporosis</keyword><keyword xml:id="k3">health behaviors</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Purpose: </b> To describe the baseline healthy lifestyle behaviors (dietary, calcium, vitamin D, caffeine and alcohol intake, smoking history, and physical activity) of postmenopausal breast cancer survivors (BCS); and to identify any relationship of healthy lifestyle behaviors with bone mineral density (BMD) at the forearm, total hip and spine, L1‐L4.</p><p><b>Data sources: </b> Self‐reported responses to a demographic and health status questionnaire, to a 3‐day Diet Record, and to the 7‐Day Physical Activity Questionnaire‐Adapted provided data for the lifestyle behaviors. Baseline BMD (g/cm<sup>2</sup>) was determined with dual‐energy x‐ray absorptiometry (DEXA). Height, weight, and body mass index (BMI) were also measured in each of the 249 postmenopausal BCS.</p><p><b>Conclusions: </b> There was an imbalance between consumed kilocalories and expenditure of energy. The majority of BCS were overweight or obese. They consumed less fruit and vegetable servings than recommended by the new 2005 U.S. Department of Agriculture’s dietary guidelines, less dairy products, below average recommended grains and fiber, less protein and carbohydrate intake, and a slightly higher fat gram intake. Approximately, 43% did not take any supplemental calcium, with 46% taking less than 1000 mg a day. Likewise, 52.59% consumed less than 400 IU of vitamin D with both supplemental and dietary intake. This group of BCS consumed below accepted levels of caffeine and alcohol. Only 18 BCS continued to smoke. This group spent an average of 10.36 h in light (sedentary) activities on a daily basis. There were significant negative relationships with bone mass (g/cm<sup>2</sup>) at the total hip and daily intake of caffeine/mg and daily grams of alcohol. Weight and BMI both demonstrated a significant relationship with bone mass (g/cm<sup>2</sup>) at the total hip, spine L1‐L4, and the forearm.</p><p><b>Implications for practice: </b> The healthcare provider must incorporate appropriate teaching strategies, intensive counseling, and coaching, along with a support mechanism, to enable BCS to understand the importance of a healthy diet, calcium, and vitamin D supplement, and a regular strength/weight program that will be integrated into their daily lifestyle. Early DEXA screens should be part of the protocol with BCS, and there is a particular need for forearm DEXA screens to be included in the treatment protocol for BCS.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Health behaviors in breast cancer survivors experiencing bone loss</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Health behaviors in breast cancer survivors</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Health behaviors in breast cancer survivors experiencing bone loss</title></titleInfo><name type="personal"><namePart type="given">Janice J.</namePart><namePart type="family">Twiss</namePart><namePart type="termsOfAddress">PhD, APRN</namePart><affiliation>Omaha Division, University of Nebraska Medical Center College of Nursing, Omaha, Nebraska</affiliation><affiliation>E-mail: jtwiss@unmc.edu</affiliation><role><roleTerm type="text">author</roleTerm></role><description>(Associate Professor)</description></name><name type="personal"><namePart type="given">Gloria J.</namePart><namePart type="family">Gross</namePart><namePart type="termsOfAddress">RN, PhD</namePart><affiliation>Scottsbluff Division, University of Nebraska Medical Center College of Nursing, Scottsbluff, Nebraska</affiliation><role><roleTerm type="text">author</roleTerm></role><description>(Associate Professor)</description></name><name type="personal"><namePart type="given">Nancy L.</namePart><namePart type="family">Waltman</namePart><namePart type="termsOfAddress">PhD, APRN</namePart><affiliation>Lincoln Division, University of Nebraska Medical Center College of Nursing, Lincoln, Nebraska</affiliation><role><roleTerm type="text">author</roleTerm></role><description>(Associate Professor)</description></name><name type="personal"><namePart type="given">Carol D.</namePart><namePart type="family">Ott</namePart><namePart type="termsOfAddress">RN, OCN, PhD</namePart><affiliation>Kearney Division, University of Nebraska Medical Center College of Nursing, Kearney, Nebraska</affiliation><role><roleTerm type="text">author</roleTerm></role><description>(Associate Professor)</description></name><name type="personal"><namePart type="given">Ada M.</namePart><namePart type="family">Lindsey</namePart><namePart type="termsOfAddress">RN, PhD, FAAN</namePart><affiliation>University of Nebraska Medical Center College of Nursing, Omaha, Nebraska</affiliation><role><roleTerm type="text">author</roleTerm></role><description>(Emeritus Professor and Dean)</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2006-10</dateIssued><edition>Received: October 2005; accepted: April 2006</edition><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">3</extent><extent unit="tables">5</extent><extent unit="references">40</extent></physicalDescription><abstract>Purpose: To describe the baseline healthy lifestyle behaviors (dietary, calcium, vitamin D, caffeine and alcohol intake, smoking history, and physical activity) of postmenopausal breast cancer survivors (BCS); and to identify any relationship of healthy lifestyle behaviors with bone mineral density (BMD) at the forearm, total hip and spine, L1‐L4.</abstract><abstract>Data sources: Self‐reported responses to a demographic and health status questionnaire, to a 3‐day Diet Record, and to the 7‐Day Physical Activity Questionnaire‐Adapted provided data for the lifestyle behaviors. Baseline BMD (g/cm2) was determined with dual‐energy x‐ray absorptiometry (DEXA). Height, weight, and body mass index (BMI) were also measured in each of the 249 postmenopausal BCS.</abstract><abstract>Conclusions: There was an imbalance between consumed kilocalories and expenditure of energy. The majority of BCS were overweight or obese. They consumed less fruit and vegetable servings than recommended by the new 2005 U.S. Department of Agriculture’s dietary guidelines, less dairy products, below average recommended grains and fiber, less protein and carbohydrate intake, and a slightly higher fat gram intake. Approximately, 43% did not take any supplemental calcium, with 46% taking less than 1000 mg a day. Likewise, 52.59% consumed less than 400 IU of vitamin D with both supplemental and dietary intake. This group of BCS consumed below accepted levels of caffeine and alcohol. Only 18 BCS continued to smoke. This group spent an average of 10.36 h in light (sedentary) activities on a daily basis. There were significant negative relationships with bone mass (g/cm2) at the total hip and daily intake of caffeine/mg and daily grams of alcohol. Weight and BMI both demonstrated a significant relationship with bone mass (g/cm2) at the total hip, spine L1‐L4, and the forearm.</abstract><abstract>Implications for practice: The healthcare provider must incorporate appropriate teaching strategies, intensive counseling, and coaching, along with a support mechanism, to enable BCS to understand the importance of a healthy diet, calcium, and vitamin D supplement, and a regular strength/weight program that will be integrated into their daily lifestyle. Early DEXA screens should be part of the protocol with BCS, and there is a particular need for forearm DEXA screens to be included in the treatment protocol for BCS.</abstract><subject lang="en"><genre>keywords</genre><topic>Breast cancer survivors</topic><topic>osteoporosis</topic><topic>health behaviors</topic></subject><relatedItem type="host"><titleInfo><title>Journal of the American Academy of Nurse Practitioners</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1041-2972</identifier><identifier type="eISSN">1745-7599</identifier><identifier type="DOI">10.1111/(ISSN)1745-7599</identifier><identifier type="PublisherID">JAAN</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>18</number></detail><detail type="issue"><caption>no.</caption><number>10</number></detail><extent unit="pages"><start>471</start><end>481</end><total>11</total></extent></part></relatedItem><identifier type="istex">05F1773835802085C7BAC628D4010EFEDE1120AC</identifier><identifier type="DOI">10.1111/j.1745-7599.2006.00165.x</identifier><identifier type="ArticleID">JAAN165</identifier><accessCondition type="use and reproduction" contentType="copyright">2006 American Academy of Nurse Practitioners</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Inc</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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