Gynecological cancer survivors’ health behaviors and their associations with quality of life
- 428 Downloads
To evaluate health behaviors (smoking, physical activity, fruit and vegetable intake) and body mass index of gynecological cancer survivors and their association with quality of life.
We collected cross-sectional mail survey data from 802 gynecological cancer survivors (56% response rate) The questionnaire included validated measures of health behaviors, quality of life, clinical status, and demographics.
Depending on gynecological cancer subtype, 61–68% were insufficiently active or sedentary, 19–44% were obese, 31–41% had less than two daily serves of fruit, 82–89% had less than five serves of vegetables and 6–21% smoked. Significantly more endometrial than other cancer survivors were obese (44%; 95% CI 41–47%); smoking was more prevalent among cervical cancer survivors (21%; 95% CI 19–23%). Using general linear modeling we identified a positive linear trend of physical activity level with quality of life (p = 0.039). Being insufficiently active or sedentary was also associated with not meeting the guidelines for fruit and vegetable consumption, with smoking and with overweight/obesity.
This research demonstrates the importance of integrating physical activity into follow-up of gynecological cancer survivors. Interventions to improve physical activity and test the causal effect of exercise on quality of life are a future research priority.
KeywordsGynecologic carcinoma Quality of life Physical activity Risk factors
This study was funded by the Cancer Council Queensland and Queensland University of Technology. It was also made possible by access to participants via the Queensland Gynaecological Cancer Registry at Royal Brisbane and Women’s Hospital.
- 1.Ferlay J, Bray F, Pasani P, Parkin D (2004) GLOBOCAN 2002: cancer incidence, mortality and prevalence worldwide. IARC Cancer Base No.5 Version 2.0 ed. IARC Press, LyonGoogle Scholar
- 2.Jones GL, Ledger W, Bonnett TJ, Radley S, Parkinson N, Kennedy SH (2006) The impact of treatment for gynecological cancer on health-related quality of life (HRQoL): a systematic review. Am J Obstet Gynecol 2006/01//; 194(1 (Electronic)):26–42Google Scholar
- 3.Steginga SK, Dunn J (1997) Women’s experiences following treatment for gynecologic cancer. Oncol Nurs Forum 1997/09//; 24(8):1403–1408Google Scholar
- 5.Youlden D, Baade P, Coory M (2005) Cancer survival in Queensland, 2002. Queensland Health and Queensland Cancer Fund, Brisbane, QueenslandGoogle Scholar
- 29.Brown JK, Byers T, Doyle C, Coumeya KS, Demark-Wahnefried W, Kushi LH et al (2003) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA: a cancer journal for clinicians. 2003/09//2003 Sep–Oct; 53(5):268–291Google Scholar
- 30.Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 2005/08/20/; 23(24 (Print)):5814–5830Google Scholar
- 32.Cashel K, Jeffreson S (1995) The core food groups. Canberra: Endorsed by the National Health and Medical Research CouncilGoogle Scholar
- 33.Department of Health and Aged Care (1999) National Physical Activity Guidelines for Australians. CanberraGoogle Scholar
- 34.Australian Institute of Health, Welfare (2003) The active Australia survey: a guide and manual for implementation, analysis and reporting. AIHW, CanberraGoogle Scholar
- 35.Australian Bureau of Statistics (2006) National health survey: summary of results. ABS, CanberraGoogle Scholar
- 37.FACIT (2004) Functional assessment of chronic illness therapy: effect size and clinically meaningful change. Cited; available from: http://www.facit.org/validity/validation_change.aspx
- 38.Yost KJ, Cella D, Chawla A, Holmgren E, Eton DT, Ayanian JZ et al (2005) Minimally important differences were estimated for the functional assessment of cancer therapy-colorectal (FACT-C) instrument using a combination of distribution- and anchor-based approaches. J Clin Epidemiol 58(12):1241–1251PubMedCrossRefGoogle Scholar