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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer</title><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name></author><author><name sortKey="Aziz, Noreen M" sort="Aziz, Noreen M" uniqKey="Aziz N" first="Noreen M." last="Aziz">Noreen M. Aziz</name></author><author><name sortKey="Rowland, Julia H" sort="Rowland, Julia H" uniqKey="Rowland J" first="Julia H." last="Rowland">Julia H. Rowland</name></author><author><name sortKey="Pinto, Bernardine M" sort="Pinto, Bernardine M" uniqKey="Pinto B" first="Bernardine M." last="Pinto">Bernardine M. Pinto</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16043830</idno><idno type="pmc">1550285</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550285</idno><idno type="RBID">PMC:1550285</idno><idno type="doi">10.1200/JCO.2005.01.230</idno><date when="2005">2005</date><idno type="wicri:Area/Pmc/Corpus">003788</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003788</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer</title><author><name sortKey="Demark Wahnefried, Wendy" sort="Demark Wahnefried, Wendy" uniqKey="Demark Wahnefried W" first="Wendy" last="Demark-Wahnefried">Wendy Demark-Wahnefried</name></author><author><name sortKey="Aziz, Noreen M" sort="Aziz, Noreen M" uniqKey="Aziz N" first="Noreen M." last="Aziz">Noreen M. Aziz</name></author><author><name sortKey="Rowland, Julia H" sort="Rowland, Julia H" uniqKey="Rowland J" first="Julia H." last="Rowland">Julia H. Rowland</name></author><author><name sortKey="Pinto, Bernardine M" sort="Pinto, Bernardine M" uniqKey="Pinto B" first="Bernardine M." last="Pinto">Bernardine M. Pinto</name></author></analytic><series><title level="j">Journal of clinical oncology : official journal of the American Society of Clinical Oncology</title><idno type="ISSN">0732-183X</idno><idno type="eISSN">1527-7755</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">Cancer survivors are at increased risk for several comorbid conditions, and many seek lifestyle change to reduce dysfunction and improve long-term health. To better understand the impact of cancer on adult survivors' health and health behaviors, a review was conducted to determine (1) prevalent physical health conditions, (2) persistent lifestyle changes, and (3) outcomes of previous lifestyle interventions aimed at improving health within this population.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Relevant studies from 1966 and beyond were identified through MEDLINE and PubMed searches.</p></sec><sec id="S3"><title>Results</title><p id="P3">Cancer survivors are at increased risk for progressive disease but also for second primaries, osteoporosis, obesity, cardiovascular disease, diabetes, and functional decline. To improve overall health, survivors frequently initiate diet, exercise, and other lifestyle changes after diagnosis. However, those who are male, older, and less educated are less likely to adopt these changes. There also is selective uptake of messages, as evidenced by findings that only 25% to 42% of survivors consume adequate amounts of fruits and vegetables, and approximately 70% of breast and prostate cancer survivors are overweight or obese. Several behavioral interventions show promise for improving survivors' health-related outcomes. Oncologists can play a pivotal role in health promotion, yet only 20% provide such guidance.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">With 64% of cancer patients surviving > 5 years beyond diagnosis, oncologists are challenged to expand their focus from acute care to managing the long-term health consequences of cancer. Although more research is needed, opportunities exist for oncologists to promote lifestyle changes that may improve the length and quality of life of their patients.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8309333</journal-id><journal-id journal-id-type="pubmed-jr-id">5023</journal-id><journal-id journal-id-type="nlm-ta">J Clin Oncol</journal-id><journal-title>Journal of clinical oncology : official journal of the American Society of Clinical Oncology</journal-title><issn pub-type="ppub">0732-183X</issn><issn pub-type="epub">1527-7755</issn></journal-meta><article-meta><article-id pub-id-type="pmid">16043830</article-id><article-id pub-id-type="pmc">1550285</article-id><article-id pub-id-type="doi">10.1200/JCO.2005.01.230</article-id><article-id pub-id-type="manuscript">NIHMS11219</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group><subj-group><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Demark-Wahnefried</surname><given-names>Wendy</given-names></name></contrib><contrib contrib-type="author"><name><surname>Aziz</surname><given-names>Noreen M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Rowland</surname><given-names>Julia H.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Pinto</surname><given-names>Bernardine M.</given-names></name></contrib><aff id="A1">From the Program of Cancer Prevention, Detection and Control Research, Duke Comprehensive Cancer Center, Durham, NC; Office of Cancer Survivorship, National Cancer Institute, Bethesda, MD; and The Miriam Hospital, Lifespan Academic Medical Center, Centers for Behavioral and Preventive Medicine, Brown University, Providence, RI.</aff></contrib-group><author-notes><corresp id="CR1">Address reprint requests to Wendy Demark-Wahnefried, PhD, RD, LDN, Box 3707, Duke University Medical Center, Durham, NC 27710; e-mail: <email>demar001@mc.duke.edu</email>.</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>20</day><month>7</month><year>2006</year></pub-date><pub-date pub-type="epub"><day>25</day><month>7</month><year>2005</year></pub-date><pub-date pub-type="ppub"><day>20</day><month>8</month><year>2005</year></pub-date><pub-date pub-type="pmc-release"><day>17</day><month>8</month><year>2006</year></pub-date><volume>23</volume><issue>24</issue><fpage>5814</fpage><lpage>5830</lpage><related-article journal-id-type="nlm-ta" journal-id="J Clin Oncol" related-article-type="commentary" page="5458" id="N0x1bd6010N0x268b4e8" xlink:href="16043826" ext-link-type="pubmed" vol="23"></related-article><abstract><sec id="S1"><title>Purpose</title><p id="P1">Cancer survivors are at increased risk for several comorbid conditions, and many seek lifestyle change to reduce dysfunction and improve long-term health. To better understand the impact of cancer on adult survivors' health and health behaviors, a review was conducted to determine (1) prevalent physical health conditions, (2) persistent lifestyle changes, and (3) outcomes of previous lifestyle interventions aimed at improving health within this population.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">Relevant studies from 1966 and beyond were identified through MEDLINE and PubMed searches.</p></sec><sec id="S3"><title>Results</title><p id="P3">Cancer survivors are at increased risk for progressive disease but also for second primaries, osteoporosis, obesity, cardiovascular disease, diabetes, and functional decline. To improve overall health, survivors frequently initiate diet, exercise, and other lifestyle changes after diagnosis. However, those who are male, older, and less educated are less likely to adopt these changes. There also is selective uptake of messages, as evidenced by findings that only 25% to 42% of survivors consume adequate amounts of fruits and vegetables, and approximately 70% of breast and prostate cancer survivors are overweight or obese. Several behavioral interventions show promise for improving survivors' health-related outcomes. Oncologists can play a pivotal role in health promotion, yet only 20% provide such guidance.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">With 64% of cancer patients surviving > 5 years beyond diagnosis, oncologists are challenged to expand their focus from acute care to managing the long-term health consequences of cancer. Although more research is needed, opportunities exist for oncologists to promote lifestyle changes that may improve the length and quality of life of their patients.</p></sec></abstract><contract-num rid="CA1">R21 CA092468-02</contract-num><contract-num rid="CA1">R01 CA106919-02</contract-num><contract-num rid="CA1">R01 CA081191-04</contract-num><contract-sponsor id="CA1">National Cancer Institute : NCI</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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