TY - JOUR
T1 - Adherence to the World Cancer Research Fund/American Institute for Cancer Research recommendations for cancer prevention in adolescent and young adult (AYA) cancer survivors
T2 - results from the SURVAYA study
AU - Gavioli, Costanza
AU - Vlooswijk, Carla
AU - Janssen, Silvie H. M.
AU - Kaal, Suzanne E. J.
AU - Kerst, J. Martijn
AU - Tromp, Jacqueline M.
AU - Bos, Monique E. M. M.
AU - van der Hulle, Tom
AU - van der Graaf, Winette T. A.
AU - Lalisang, Roy I.
AU - Nuver, Janine
AU - Bijlsma, Rhode M.
AU - Kouwenhoven, Mathilde C. M.
AU - Husson, Olga
AU - Beijer, Sandra
PY - 2024/1/1
Y1 - 2024/1/1
N2 - PurposeFor adolescent and young adult (AYA) cancer survivors with a good prognosis, having a healthy lifestyle prevents morbidity and mortality after treatment. The aim of this study was to investigate the prevalence of (un)healthy lifestyle behaviors and related determinants in AYA cancer survivors.MethodsA population-based, cross-sectional study was performed among long-term (5-20 years) AYA cancer survivors (18-39 years old at diagnosis) registered within the Netherlands Cancer Registry. Self-reported questionnaires data about health behaviors were used to calculate the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) adherence score. Associations between the score and clinical/sociodemographic determinants of (un)healthy behaviors were investigated using logistic regression models.ResultsThe mean WCRF/AICR score was low to moderate, 3.8 +/- 1.2 (0.5-7.0) (n = 3668). Sixty-one percent adhered to "limit the consumption of sugar sweetened drinks," 28% to "be a healthy weight," 25% to "fruit and vegetable consumption," and 31% to "limit alcohol consumption." Moderate and high adherence were associated with being a woman (ORmoderate = 1.46, 95% CI = 1.14-1.85, and ORhigh = 1.87, 95% CI = 1.46-2.4) and highly educated (ORmoderate = 1.54, 95% CI = 1.30-1.83, and ORhigh = 1.87, 95% CI = 1.46-2.4). Low adherence was associated with smoking (ORmoderate = 0.68, 95% CI = 0.50-0.92, and ORhigh = 0.30, 95% CI = 0.21-0.44) and diagnosis of germ cell tumor (ORmoderate = 0.58, 95% CI = 0.39-0.86, and ORhigh = 0.45, 95% CI = 0.30-0.69).ConclusionsAdherence to the 2018 WCRF/AICR lifestyle recommendations was low to moderate, especially regarding body weight, fruit, vegetables, and alcohol consumption. Men, current smokers, lower-educated participants, and/or those diagnosed with germ cell tumors were less likely to have a healthy lifestyle.Implications for Cancer SurvivorsHealth-promotion programs (e.g., age-specific tools) are needed, focusing on high-risk groups.
AB - PurposeFor adolescent and young adult (AYA) cancer survivors with a good prognosis, having a healthy lifestyle prevents morbidity and mortality after treatment. The aim of this study was to investigate the prevalence of (un)healthy lifestyle behaviors and related determinants in AYA cancer survivors.MethodsA population-based, cross-sectional study was performed among long-term (5-20 years) AYA cancer survivors (18-39 years old at diagnosis) registered within the Netherlands Cancer Registry. Self-reported questionnaires data about health behaviors were used to calculate the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) adherence score. Associations between the score and clinical/sociodemographic determinants of (un)healthy behaviors were investigated using logistic regression models.ResultsThe mean WCRF/AICR score was low to moderate, 3.8 +/- 1.2 (0.5-7.0) (n = 3668). Sixty-one percent adhered to "limit the consumption of sugar sweetened drinks," 28% to "be a healthy weight," 25% to "fruit and vegetable consumption," and 31% to "limit alcohol consumption." Moderate and high adherence were associated with being a woman (ORmoderate = 1.46, 95% CI = 1.14-1.85, and ORhigh = 1.87, 95% CI = 1.46-2.4) and highly educated (ORmoderate = 1.54, 95% CI = 1.30-1.83, and ORhigh = 1.87, 95% CI = 1.46-2.4). Low adherence was associated with smoking (ORmoderate = 0.68, 95% CI = 0.50-0.92, and ORhigh = 0.30, 95% CI = 0.21-0.44) and diagnosis of germ cell tumor (ORmoderate = 0.58, 95% CI = 0.39-0.86, and ORhigh = 0.45, 95% CI = 0.30-0.69).ConclusionsAdherence to the 2018 WCRF/AICR lifestyle recommendations was low to moderate, especially regarding body weight, fruit, vegetables, and alcohol consumption. Men, current smokers, lower-educated participants, and/or those diagnosed with germ cell tumors were less likely to have a healthy lifestyle.Implications for Cancer SurvivorsHealth-promotion programs (e.g., age-specific tools) are needed, focusing on high-risk groups.
KW - Adolescents and young adults with cancer (AYAs)
KW - Survivors
KW - WCRF/AICR recommendations
KW - Health behavior
KW - Determinants
KW - QUALITY-OF-LIFE
KW - HEALTH BEHAVIORS
KW - PHYSICAL-ACTIVITIES
KW - CHILDHOOD
KW - COMPENDIUM
KW - QUESTIONS
KW - STYLE
KW - RISK
U2 - 10.1007/s11764-023-01529-4
DO - 10.1007/s11764-023-01529-4
M3 - Article
SN - 1932-2259
JO - Journal of Cancer Survivorship-Research and Practice
JF - Journal of Cancer Survivorship-Research and Practice
ER -