■美国癌症协会(ACS)的营养和身体活动指南旨在降低癌症幸存者的发病率和死亡率。但就我们所知,对这些指南的遵守尚未得到系统量化。
■评估癌症幸存者对生活方式改变指南的依从性及其相关因素。
■这项横断面研究使用行为危险因素监测系统的数据,使用2017年调查管理年度(2017年1月至2018年3月期间完成的调查)。2019年(2019年1月至2019年12月期间完成的调查),和2021年(2021年1月至2022年2月完成的调查)。该研究包括在给定调查管理年度之前的任何时候完成癌症治疗的人。数据从2022年9月19日至2022年12月12日进行了分析。
■主要结果是坚持当前的ACS体力活动指南,身体质量指数,酒精使用,水果和蔬菜的摄入量。与指南依从率相关的因素,包括年龄,性别,种族和民族,location,和教育水平,使用线性回归进行评估。使用了复杂的调查权重。
■共有10020名受访者(57%为女性;平均[SE]年龄,64.2[0.3]年)报告完成癌症治疗,代表超过3年的270万美国人。在这些受访者中,9121份填写了所有4项测量指标的问卷。共有72%(95%CI,71%-74%)的癌症幸存者符合足够的身体活动标准,68%(95%CI,66%-69%)没有肥胖,12%(95%CI,11%-13%)吃了足够的水果和蔬菜,50%(95%CI,49%-52%)不饮酒。总的来说,4%(95%CI,3%-4%)的癌症幸存者遵守所有4项指南,符合指南的平均数量为2.0(95%CI,2.0-2.1)。与更高依从性相关的因素包括女性,年龄较大,黑人种族,更高的教育水平,并居住在美国西部各州。
■在这项横断面研究中,4%的癌症幸存者完全遵守目前的ACS建议。提高对指南依从性及其决定因素的理解可能会指导肿瘤学家和普通内科医生为完成癌症治疗的患者提供建议。
UNASSIGNED: The American Cancer Society\'s (ACS\'s) nutrition and physical activity
guidelines are intended to reduce morbidity and mortality among cancer survivors, but to our knowledge, adherence to these
guidelines has not been systematically quantified.
UNASSIGNED: To evaluate adherence to and factors associated with adherence to lifestyle modification guidelines among cancer survivors.
UNASSIGNED: This cross-sectional study used data from the Behavioral Risk Factor Surveillance System using survey administration years 2017 (surveys completed between January 2017 and March 2018), 2019 (surveys completed between January 2019 and December 2019), and 2021 (surveys completed between January 2021 and February 2022). The study included people who had completed cancer treatment at any point prior to the given survey administration year. Data were analyzed from September 19, 2022, to December 12, 2022.
UNASSIGNED: The primary outcome was adherence to current ACS guidelines for physical activity, body mass index, alcohol use, and fruit and vegetable intake. Factors associated with adherence rates to the guidelines, including age, sex, race and ethnicity, location, and educational level, were evaluated using linear regression. Complex survey weights were used.
UNASSIGNED: A total of 10 020 respondents (57% female; mean [SE] age, 64.2 [0.3] years) reported completion of cancer treatment, representing 2.7 million US individuals over 3 years. Of these respondents, 9121 completed questionnaires for all 4 metrics measured. A total of 72% (95% CI, 71%-74%) of cancer survivors met criteria for adequate physical activity, 68% (95% CI, 66%-69%) did not have obesity, 12% (95% CI, 11%-13%) ate adequate fruits and vegetables, and 50% (95% CI, 49%-52%) did not drink alcohol. In total, 4% (95% CI, 3%-4%) of cancer survivors adhered to all 4
guidelines, with the mean number of
guidelines met being 2.0 (95% CI, 2.0-2.1). Factors associated with greater adherence included female sex, older age, Black race, higher educational level, and residence in Western US states.
UNASSIGNED: In this cross-sectional study, 4% of cancer survivors fully adhered to current ACS recommendations. Improved understanding of
guideline adherence and its determinants may guide oncologists and general internists in providing recommendations for their patients who have completed cancer treatments.