Adherence to multiple health behaviours in cancer survivors: a systematic review and meta-analysis.

Authors:
Meredith Tavener
Meredith Tavener
University of Newcastle
Australia
Alexis Hure
Alexis Hure
School of Medicine and Public Health
New Haven | United States
Erica L James
Erica L James
La Trobe University
Australia

J Cancer Surviv 2019 Apr 16. Epub 2019 Apr 16.

School of Medicine and Public Health, University of Newcastle, Callaghan, Newcastle, NSW, 2308, Australia.

Purpose: Multiple health behaviours (not smoking, minimal alcohol consumption, and maintaining a healthy weight by having a healthy diet and regular physical activity) improve quality of life and longevity of cancer survivors. Despite international guidelines, there are no existing reviews that synthesise cancer survivors' adherence to healthy lifestyle recommendations.

Method: Five databases (Embase, MEDLINE, PsycINFO, Web of Science, and Google Scholar) were searched for relevant articles published from 2007 until January 2018. Studies reporting adult cancer survivors' adherence to at least two lifestyle behaviours (body mass index, physical activity, smoking, fruit and vegetable intake, fiber intake, red meat intake, caloric intake, sodium intake, and alcohol consumption) based on the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendations were included in the review. The pooled prevalence of adherence to single and multiple behaviours was calculated using a random-effects model. Subgroup analysis (mean years of survival and publication year) was undertaken.

Results: A total of 3322 articles were identified. Of these, 51 studies matched the inclusion criteria, presenting data from 2,620,586 adult cancer survivors. Adherence to single behaviours, which was estimated from studies that assessed at least two health behaviours, was highest for not smoking (PE 87%; 95% CI, 85%, 88%) and low or no alcohol intake (PE 83%; 95% CI, 81%, 86%), and lowest for fiber intake (PE 31%; 95% CI, 21%, 40%). Adherence to multiple healthy behaviours (13 studies), ranged from 7 to 40% (pooled estimate (PE) 23%; 95% CI, 17%, 30%). Recent survivors (< 5-year survival time) had relatively better adherence to multiple behaviours (PE 31%; 95% CI, 27%, 35%) than long-term (> 5 years) survivors (PE 25%; 95% CI, 14%, 36%). Adherence to multiple behaviours improved over time since 2007.

Conclusion: Adherence to physical activity, dietary, and multiple lifestyle behaviours recommendations was low amongst cancer survivors. Recent cancer survivors were relatively more adherent to WCRF/AICR recommendations compared to long-term survivors.

Implications For Cancer Survivors: Health promotion programs help support healthy lifestyle behaviours of cancer survivors. PROSPERO registration number: CRD42018091663.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11764-019-00754-0DOI Listing
April 2019

Article Mentions


Provided by Crossref Event Data
twitter
Twitter:
May 3, 2019, 3:46 am EST
twitter
Twitter:
May 2, 2019, 8:45 am EST
twitter
Twitter:
May 2, 2019, 7:11 am EST
twitter
Twitter:
May 1, 2019, 4:42 pm EST
twitter
Twitter:
April 21, 2019, 11:32 am EST
twitter
Twitter:
April 20, 2019, 10:23 am EST
twitter
Twitter:
April 20, 2019, 9:37 am EST
twitter
Twitter:
April 20, 2019, 8:02 am EST
twitter
Twitter:
April 20, 2019, 8:01 am EST

Publication Analysis

Top Keywords

cancer survivors
28
health behaviours
12
lifestyle behaviours
12
adherence multiple
12
physical activity
12
cancer
11
behaviours
10
survivors
9
healthy lifestyle
8
survivors' adherence
8
fiber intake
8
adult cancer
8
wcrf/aicr recommendations
8
adherence
8
adherence single
8
multiple behaviours
8
alcohol consumption
8
cancer survivors'
8
behaviours cancer
8
multiple health
8

References

(Supplied by CrossRef)
Article in J Natl Cancer Inst
KH Schmitz et al.
J Natl Cancer Inst 2013
Article in J Natl Cancer Inst
LB Travis et al.
J Natl Cancer Inst 2012
Article in CA Cancer J Clin
W Demark-Wahnefried et al.
CA Cancer J Clin 2015
Article in CA Cancer J Clin
CL Rock et al.
CA Cancer J Clin 2012
Article in Acta Oncol (Stockh)
IM Lahart et al.
Acta Oncol (Stockh) 2015
Article in J Clin Oncol
EB Gold et al.
J Clin Oncol 2009
Article in Clin J Oncol Nurs
L Rutledge et al.
Clin J Oncol Nurs 2016
Article in J Clin Oncol
M Kwan et al.
J Clin Oncol 2010
Article in Prev Med
JJ Prochaska et al.
Prev Med 2008
Article in Hematol Oncol Clin North Am
W Demark-Wahnefried et al.
Hematol Oncol Clin North Am 2008

Similar Publications