Prevalence and associated factors of poor lifestyle behaviours in survivors of childhood cancer: a PanCareFollowUp substudy.
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van den Oever Selina R, Kremer Leontien C M, van der Pal Helena J H, Rijken Mieke, Michel Gisela, Beccaria Andrea, Bouwman Eline, Te Dorsthorst Jeroen, Essiaf Samira, A M Feijen Elizabeth Lieke, Follin Cecilia, Frederiksen Line Elmerdahl, Gsell Hannah, van Helvoirt Maria, Hermens Rosella P M G, Hjorth Lars, Kepak Tomas, Kepakova Katerina, Kienesberger Anita, Kokla Marietta, Muraca Monica, O'Brien Kylie, Renard Marleen, Roser Katharina, Schneider Carina, Skinner Roderick, Tallone Ramona, Uyttebroeck Anne, Vanrusselt Deveny, Verschueren Sabine, Winther Jeanette Falck, Loonen Jacqueline, Pluijm Saskia M F, PanCareFollowUp Consortium
Аннотация
METHODS: In Belgium, Sweden, Czechia, and Italy, 812 childhood cancer survivors were recruited. Outcomes were self-reported poor lifestyle behaviours, defined as low physical activity (<75 min of vigorous or <150 min of moderate to vigorous physical activity per week), current smoking (yes/no), alcohol consumption (≥3 units of alcohol per week), and drug use in the past year (yes/no). The prevalence of poor lifestyle behaviours was calculated and associations with sociodemographic characteristics, cancer history, physical health, pain, fatigue, and survivors' level of empowerment were estimated using multivariable logistic regression analyses.
RESULTS: For these analyses, 777 participants were included, of whom 27% of survivors reported low physical activity, 15% smoked, 19% consumed ≥3 units of alcohol per week, and 9% used drugs in the past year. The smoking prevalence differed per country and was highest among survivors from Czechia (23%) and Italy (22%) and lowest in Belgium (10%) and Sweden (5%). Associated factors with any of the four poor lifestyle behaviours included male sex, lower educational attainment, reduced physical health, pain, and fatigue.
CONCLUSIONS: Study results show that survivors in each of the four countries may benefit from personalised interventions to promote healthier behaviours, and that reduced physical health, pain, and fatigue may present modifiable targets.
IMPLICATIONS FOR CANCER SURVIVORS: These findings can be used to develop targeted lifestyle interventions, thereby optimising survivors' lifestyle behaviours, health outcomes, and quality of life.