Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence
Identifieur interne : 002352 ( Pmc/Checkpoint ); précédent : 002351; suivant : 002353Engaging 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
Affiliations:
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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. 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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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23326466</idno><idno type="pmc">3543271</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3543271</idno><idno type="RBID">PMC:3543271</idno><idno type="doi">10.1371/journal.pone.0053607</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">004465</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004465</idno><idno type="wicri:Area/Pmc/Curation">004464</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004464</idno><idno type="wicri:Area/Pmc/Checkpoint">002352</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002352</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence</title><author><name sortKey="O Neill, Suzanne C" sort="O Neill, Suzanne C" uniqKey="O Neill S" first="Suzanne C." last="O'Neill">Suzanne C. 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. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23326466</article-id><article-id pub-id-type="pmc">3543271</article-id><article-id pub-id-type="publisher-id">PONE-D-12-25687</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0053607</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine</subject><subj-group><subject>Clinical Research Design</subject><subj-group><subject>Cross-Sectional Studies</subject><subject>Survey Research</subject></subj-group></subj-group><subj-group><subject>Obstetrics and Gynecology</subject><subj-group><subject>Breast Cancer</subject></subj-group></subj-group><subj-group><subject>Oncology</subject><subj-group><subject>Cancers and Neoplasms</subject><subj-group><subject>Breast Tumors</subject></subj-group></subj-group><subj-group><subject>Cancer Prevention</subject></subj-group></subj-group><subj-group><subject>Public Health</subject><subj-group><subject>Behavioral and Social Aspects of Health</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Social and Behavioral Sciences</subject><subj-group><subject>Psychology</subject><subj-group><subject>Behavior</subject></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence</article-title><alt-title alt-title-type="running-head">Engaging in Health Behaviors</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>O'Neill</surname><given-names>Suzanne C.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>DeFrank</surname><given-names>Jessica T.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Vegella</surname><given-names>Patti</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Richman</surname><given-names>Alice R.</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Henry</surname><given-names>Leonard R.</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Carey</surname><given-names>Lisa A.</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Brewer</surname><given-names>Noel T.</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, United States of America</addr-line></aff><aff id="aff2"><label>2</label><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></aff><aff id="aff3"><label>3</label><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></aff><aff id="aff4"><label>4</label><addr-line>Indiana University Health, Goshen Center for Cancer Care, Goshen, Indiana, United States of America</addr-line></aff><aff id="aff5"><label>5</label><addr-line>UNC Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States of America</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Aziz</surname><given-names>Syed A.</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Health Canada, Canada</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>sco4@georgetown.edu</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: SCO JDF AR LAC NTB. Performed the experiments: PV. Analyzed the data: PV. Contributed reagents/materials/analysis tools: LRH LAC. Wrote the paper: SCO JDF PV AR LRH LAC NTB.</p></fn></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>11</day><month>1</month><year>2013</year></pub-date><volume>8</volume><issue>1</issue><elocation-id>e53607</elocation-id><history><date date-type="received"><day>24</day><month>8</month><year>2012</year></date><date date-type="accepted"><day>30</day><month>11</month><year>2012</year></date></history><permissions><copyright-year>2013</copyright-year><copyright-holder>O'Neill et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><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></abstract><funding-group><funding-statement>Financial support was provided by grants MSRG-06-259-01-CPPB (NTB), MSRG-10-110-01-CPPB (SCO), and 97-152-04 (Georgetown University) from the American Cancer Society. The project was also supported, in part, by Award Number P30CA051008 from the National Cancer Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health. At the time of this research, Jessica T. DeFrank was funded by the UNC Cancer Care and Quality Training Program (NCI R25 Grant, CA116339). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts><page-count count="7"></page-count></counts></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Caroline du Nord</li><li>Indiana</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="O Neill, Suzanne C" sort="O Neill, Suzanne C" uniqKey="O Neill S" first="Suzanne C." last="O'Neill">Suzanne C. O'Neill</name></noRegion><name sortKey="Brewer, Noel T" sort="Brewer, Noel T" uniqKey="Brewer N" first="Noel T." last="Brewer">Noel T. Brewer</name><name sortKey="Brewer, Noel T" sort="Brewer, Noel T" uniqKey="Brewer N" first="Noel T." last="Brewer">Noel T. Brewer</name><name sortKey="Carey, Lisa A" sort="Carey, Lisa A" uniqKey="Carey L" first="Lisa A." last="Carey">Lisa A. Carey</name><name sortKey="Defrank, Jessica T" sort="Defrank, Jessica T" uniqKey="Defrank J" first="Jessica T." last="Defrank">Jessica T. Defrank</name><name sortKey="Henry, Leonard R" sort="Henry, Leonard R" uniqKey="Henry L" first="Leonard R." last="Henry">Leonard R. Henry</name><name sortKey="Richman, Alice R" sort="Richman, Alice R" uniqKey="Richman A" first="Alice R." last="Richman">Alice R. Richman</name><name sortKey="Vegella, Patti" sort="Vegella, Patti" uniqKey="Vegella P" first="Patti" last="Vegella">Patti Vegella</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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