Health behaviors during and after a cancer diagnosis

被引:108
作者
Pinto, BM
Trunzo, JJ
机构
[1] Brown Univ, Sch Med, Ctr Behav & Prevent Med, Providence, RI 02903 USA
[2] Miriam Hosp, Lifespan Acad Med Ctr, Providence, RI 02903 USA
[3] Bryant Univ, Bryant Coll, Dept Appl Psychol, Smithfield, RI USA
关键词
health behaviors; cancer diagnosis; healthy diet; tobacco use; alcohol use; physical activity;
D O I
10.1002/cncr.21248
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
With improvements in cancer survival rates, more patients with cancer are living longer, and hence, cancer is becoming viewed as a chronic illness requiring long-term management. An important aspect of patient care during and after cancer treatment is patient health behaviors. For example, sequelae from various cancer treatments, such as chemotherapy and radiotherapy (RT), can compromise health in a variety ways, including decreased immune functioning, cardiotoxic effects of chemotherapy and/or RT, and weight gain. In addition, the stress caused by a cancer diagnosis and its treatment can disrupt existing health behaviors or exacerbate unhealthy behaviors. Continued smoking or alcohol use can complicate treatment and increase risk for further malignancy. Furthermore, decreased physical activity and poor nutrition can cause weight gain, which may contribute to secondary health problems such as cardiovascular disease and diabetes. The authors reviewed the extant literature on four key health behaviors among patients with cancer and survivors: healthy diet, reduced tobacco use, reduced alcohol use, and increased physical activity. They described the prevalence of these behaviors, reviewed the effects of interventions designed to alter unhealthy behaviors, and discussed the implications and future directions for this emerging area of research.
引用
收藏
页码:2614 / 2623
页数:10
相关论文
共 110 条
[1]  
*AM CANC SOC, 2001, CA CANC J CLIN, V51, P151
[2]  
[Anonymous], 1996, Physical activity and health: A report of the Surgeon General
[3]  
[Anonymous], 1994, Psychooncology, DOI DOI 10.1002/PON.2960030205
[4]  
BENOWITZ NL, 1988, NEW ENGL J MED, V319, P1318
[5]   STARTING AGAIN - A COMPARISON STUDY OF A GROUP REHABILITATION PROGRAM FOR CANCER-PATIENTS [J].
BERGLUND, G ;
BOLUND, C ;
GUSTAVSSON, UL ;
SJODEN, PO .
ACTA ONCOLOGICA, 1993, 32 (01) :15-21
[6]   ONE-YEAR FOLLOW-UP OF THE STARTING-AGAIN GROUP REHABILITATION PROGRAM FOR CANCER-PATIENTS [J].
BERGLUND, G ;
BOLUND, C ;
GUSTAFSSON, UL ;
SJODEN, PO .
EUROPEAN JOURNAL OF CANCER, 1994, 30A (12) :1744-1751
[7]   Psychological distress two years after diagnosis of breast cancer:: frequency and prediction [J].
Bleiker, EMA ;
Pouwer, F ;
van der Ploeg, HM ;
Leer, JWH ;
Adèr, HJ .
PATIENT EDUCATION AND COUNSELING, 2000, 40 (03) :209-217
[8]  
BLOT WJ, 1988, CANCER RES, V48, P3282
[9]   INFLUENCE OF CIGARETTE-SMOKING ON THE EFFICACY OF RADIATION-THERAPY IN HEAD AND NECK-CANCER [J].
BROWMAN, GP ;
WONG, G ;
HODSON, I ;
SATHYA, J ;
RUSSELL, R ;
MCALPINE, L ;
SKINGLEY, P ;
LEVINE, MN .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (03) :159-163
[10]  
BUZZARD IM, 1990, J AM DIET ASSOC, V90, P42