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Associations between lifestyle factors and quality of life among older long-terml cancer survivors...


Wiley Interscience

Topic: Chronic Conditions
Type: Report
Region: International (other)

Catherine E. Mosher, PhD 1 *, Richard Sloane, MS, MPH 2 3, Miriam C. Morey, PhD 2 4 5, Denise Clutter Snyder, MS, RD, CSO 3, Harvey J. Cohen, MD 2 3 4 5, Paige E. Miller, MS 6, Wendy Demark-Wahnefried, PhD, RD 3 7 1Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York2Duke University Older Americans Independence Center, Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, North Carolina3Duke University School of Nursing, Durham, North Carolina4Department of Medicine, Duke University Medical Center, Durham, North Carolina5Durham Veterans Affairs Medical Center Geriatric Research, Education, and Clinical Center, Durham, North Carolina6Department of Nutritional Sciences, Pennsylvania State University, University Park, Pennsylvania7Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, Texas email: Catherine E. Mosher ( *Correspondence to Catherine E. Mosher, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, 641 Lexington Avenue, 7th Floor, New York, NY 10022We dedicate this article in memory of our esteemed and beloved colleague, Dr. Elizabeth C. Clipp.Fax: (212) 888-2584.Funded by: National Institutes of Health; Grant Number: CA106919, P30AG028716 Veterans Affairs Office of Research and Development; Grant Number: E3386R National Cancer Institute; Grant Number: F32CA130600Keywords survivorship • breast carcinoma • prostate carcinoma • colorectal carcinoma • health • diet • physical activity • quality of life Background:Older cancer survivors are at increased risk for secondary cancers, cardiovascular disease, obesity, and functional decline and, thus, may benefit from health-related interventions. However, to the authors' knowledge, little is known regarding the health behaviors of older cancer survivors and the associations of those behaviors with quality-of-life outcomes, especially during the long-term post-treatment period. Methods:In total, 753 older (aged 65 years) long-term survivors (5 years postdiagnosis) of breast, prostate, and colorectal cancer completed 2 baseline telephone interviews to assess their eligibility for a diet and exercise intervention trial. The interviews assessed exercise, diet, weight status, and quality of life. Results:Older cancer survivors reported a median of 10 minutes of moderate-to-vigorous exercise per week, and only 7% had Healthy Eating Index scores >80 (indicative of healthful eating habits relative to national guidelines). Despite their suboptimal health behaviors, survivors reported mental and physical quality of life that exceeded age-related norms. Greater exercise and better diet quality were associated with better physical quality-of-life outcomes (eg, better vitality and physical functioning; P < .05), whereas greater body mass index was associated with reduced physical quality of life (P < .001). Conclusions:The current results indicated a high prevalence of suboptimal health behaviors among older, long-term survivors of breast, prostate, and colorectal cancer who were interested in lifestyle modification. In addition, the findings pointed to the potential negative impact of obesity and the positive impact of physical activity and a healthy diet on physical quality of life in this population. Cancer 2009. © 2009 American Cancer Society.



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Suggested citation:

Wiley Interscience. (2009) Associations between lifestyle factors and quality of life among older long-terml cancer survivors... [Online]. Available from: [Accessed: 21st October 2019].


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