Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence
Identifieur interne : 003669 ( Main/Curation ); précédent : 003668; suivant : 003670Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence
Auteurs : Suzanne C. O'Neill [États-Unis] ; Jessica T. Defrank [États-Unis] ; Patti Vegella [États-Unis] ; Alice R. Richman [États-Unis] ; Leonard R. Henry [États-Unis] ; Lisa A. Carey [États-Unis] ; Noel T. Brewer [États-Unis]Source :
- PLoS ONE [ 1932-6203 ] ; 2013.
Abstract
While post-treatment breast cancer survivors face up to twice the cancer risk of the general population, modifiable health behaviors may somewhat reduce this risk. We sought to better understand health behaviors that early stage breast cancer survivors engage in to reduce recurrence risk.
Data came from a cross-sectional multi-site survey of 186 early-stage breast cancer survivors who received genomic testing for breast cancer recurrence risk (Onco
Approximately three-quarters of survivors we surveyed believed the 3 behaviors might reduce their cancer risk but many did not engage in these behaviors for this purpose: 62% for BMI, 36% for fruit and vegetable consumption, and 37% for physical activity. Survivors with higher recurrence risk, as indicated by their genomic test results, were no more likely to meet any of the three health behavior recommendations. Adherence to health behavior recommendations was higher for women who were white, college-educated, and had higher incomes.
Many nonadherent breast cancer survivors wish to use these behavioral strategies to reduce their risk for recurrence, suggesting an important opportunity for intervention. Improving BMI, which has the largest association with cancer risk, is an especially promising target.
Url:
DOI: 10.1371/journal.pone.0053607
PubMed: 23326466
PubMed Central: 3543271
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O'Neill</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author><author><name sortKey="Defrank, Jessica T" sort="Defrank, Jessica T" uniqKey="Defrank J" first="Jessica T." last="Defrank">Jessica T. Defrank</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Vegella, Patti" sort="Vegella, Patti" uniqKey="Vegella P" first="Patti" last="Vegella">Patti Vegella</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC</wicri:regionArea><wicri:noRegion>DC</wicri:noRegion></affiliation></author><author><name sortKey="Richman, Alice R" sort="Richman, Alice R" uniqKey="Richman A" first="Alice R." last="Richman">Alice R. Richman</name><affiliation wicri:level="2"><nlm:aff id="aff3"><addr-line>East Carolina University, College of Health and Human Performance, Department of Health Education and Promotion, Greenville, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>East Carolina University, College of Health and Human Performance, Department of Health Education and Promotion, Greenville, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Henry, Leonard R" sort="Henry, Leonard R" uniqKey="Henry L" first="Leonard R." last="Henry">Leonard R. Henry</name><affiliation wicri:level="2"><nlm:aff id="aff4"><addr-line>Indiana University Health, Goshen Center for Cancer Care, Goshen, Indiana, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Indiana University Health, Goshen Center for Cancer Care, Goshen, Indiana</wicri:regionArea><placeName><region type="state">Indiana</region></placeName></affiliation></author><author><name sortKey="Carey, Lisa A" sort="Carey, Lisa A" uniqKey="Carey L" first="Lisa A." last="Carey">Lisa A. Carey</name><affiliation wicri:level="2"><nlm:aff id="aff5"><addr-line>UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author><author><name sortKey="Brewer, Noel T" sort="Brewer, Noel T" uniqKey="Brewer N" first="Noel T." last="Brewer">Noel T. Brewer</name><affiliation wicri:level="2"><nlm:aff id="aff2"><addr-line>Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff5"><addr-line>UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina</wicri:regionArea><placeName><region type="state">Caroline du Nord</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>While post-treatment breast cancer survivors face up to twice the cancer risk of the general population, modifiable health behaviors may somewhat reduce this risk. We sought to better understand health behaviors that early stage breast cancer survivors engage in to reduce recurrence risk.</p></sec><sec><title>Methods</title><p>Data came from a cross-sectional multi-site survey of 186 early-stage breast cancer survivors who received genomic testing for breast cancer recurrence risk (Onco<italic>type</italic> DX) during their clinical care. Study outcomes were meeting health behavior recommendations (daily fruit and vegetable intake, regular physical activity, and having a healthy body mass index (BMI)).</p></sec><sec><title>Results</title><p>Approximately three-quarters of survivors we surveyed believed the 3 behaviors might reduce their cancer risk but many did not engage in these behaviors for this purpose: 62% for BMI, 36% for fruit and vegetable consumption, and 37% for physical activity. Survivors with higher recurrence risk, as indicated by their genomic test results, were no more likely to meet any of the three health behavior recommendations. Adherence to health behavior recommendations was higher for women who were white, college-educated, and had higher incomes.</p></sec><sec><title>Conclusions</title><p>Many nonadherent breast cancer survivors wish to use these behavioral strategies to reduce their risk for recurrence, suggesting an important opportunity for intervention. Improving BMI, which has the largest association with cancer risk, is an especially promising target.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Forouzanfar, Mh" uniqKey="Forouzanfar M">MH Forouzanfar</name></author><author><name sortKey="Foreman, Kj" uniqKey="Foreman K">KJ Foreman</name></author><author><name sortKey="Delossantos, Am" uniqKey="Delossantos A">AM Delossantos</name></author><author><name sortKey="Lozano, R" uniqKey="Lozano R">R Lozano</name></author><author><name sortKey="Lopez, Ad" uniqKey="Lopez A">AD Lopez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Desantis, C" uniqKey="Desantis C">C Desantis</name></author><author><name sortKey="Siegel, R" uniqKey="Siegel R">R Siegel</name></author><author><name sortKey="Bandi, P" uniqKey="Bandi P">P Bandi</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A 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Stolley</name></author><author><name sortKey="Sharp, Lk" uniqKey="Sharp L">LK Sharp</name></author><author><name sortKey="Arroyo, C" uniqKey="Arroyo C">C Arroyo</name></author><author><name sortKey="Ruffin, C" uniqKey="Ruffin C">C Ruffin</name></author><author><name sortKey="Restrepo, J" uniqKey="Restrepo J">J Restrepo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Darga, Ll" uniqKey="Darga L">LL Darga</name></author><author><name sortKey="Magnan, M" uniqKey="Magnan M">M Magnan</name></author><author><name sortKey="Mood, D" uniqKey="Mood D">D Mood</name></author><author><name sortKey="Hryniuk, Wm" uniqKey="Hryniuk W">WM Hryniuk</name></author><author><name sortKey="Dilaura, Nm" uniqKey="Dilaura N">NM DiLaura</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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