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Published in: Supportive Care in Cancer 2/2020

Open Access 01-02-2020 | Original Article

The health behaviour status of teenage and young adult cancer patients and survivors in the United Kingdom

Authors: G. Pugh, R. Hough, H. Gravestock, A. Fisher

Published in: Supportive Care in Cancer | Issue 2/2020

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Abstract

Purpose

The primary aim of this study was to investigate the health behaviour status of teenage and young adult (TYA) cancer patients and survivors; the secondary aim was to determine if TYA cancer patients and survivors health behaviour differs to general population controls.

Methods

Two hundred sixty-seven young people with cancer (n =83 cancer patients receiving active treatment: n =174 cancer survivors, 57.1% >1 year since treatment completion) and 321 controls completed a health and lifestyle questionnaire which included validated measures of physical activity (PA) (Godin Leisure Time Exercise Questionnaire), diet (Dietary Instrument for Nutrition Education, DINE), smoking status, and alcohol consumption (AUDIT-C).

Results

General population controls and cancer survivors were more likely to meet current (PA) recommendations (p <0.001) than TYA cancer patients undergoing treatment (54.8% vs 52.3% vs 30.1%, respectively). Less than 40% of young people with cancer and controls met fat intake, sugar intake, fibre intake or current fruit and vegetable recommendations. TYA cancer survivors were more likely to report binge drinking than controls (OR=3.26, 95% CI 2.12–5.02, p <0.001). Very few young people with in the study were current smokers. The majority of TYA cancer patients and survivors reported a desire to make positive changes to their health behaviour.

Conclusion

Consideration should be given to whether existing health behaviour change interventions which have demonstrated positive effects among the general TYA population could be adapted for young people with cancer.
Literature
1.
go back to reference Maher EJ et al (2014) UK cancer survivorship: what the data tells us about the number of children, teenagers and young adults living with and beyond cancer. Asia Pac J Clin Onc 10:113–113 Maher EJ et al (2014) UK cancer survivorship: what the data tells us about the number of children, teenagers and young adults living with and beyond cancer. Asia Pac J Clin Onc 10:113–113
2.
go back to reference Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL, Childhood Cancer Survivor Study (2006) Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 355:1572–1582CrossRef Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL, Childhood Cancer Survivor Study (2006) Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 355:1572–1582CrossRef
3.
go back to reference Hudson MM, Ness KK, Gurney JG, Mulrooney DA, Chemaitilly W, Krull KR, Green DM, Armstrong GT, Nottage KA, Jones KE, Sklar CA, Srivastava DK, Robison LL (2013) Clinical ascertainment of health outcomes among adults treated for childhood cancer. Jama 309(22):2371–2381CrossRef Hudson MM, Ness KK, Gurney JG, Mulrooney DA, Chemaitilly W, Krull KR, Green DM, Armstrong GT, Nottage KA, Jones KE, Sklar CA, Srivastava DK, Robison LL (2013) Clinical ascertainment of health outcomes among adults treated for childhood cancer. Jama 309(22):2371–2381CrossRef
4.
go back to reference Smith WA, Li C, Nottage KA, Mulrooney DA, Armstrong GT, Lanctot JQ, Chemaitilly W, Laver JH, Srivastava DK, Robison LL, Hudson MM, Ness KK (2014) Lifestyle and metabolic syndrome in adult survivors of childhood cancer: a report from the St. Jude Lifetime Cohort Study. Cancer 120(17):2742–2750CrossRef Smith WA, Li C, Nottage KA, Mulrooney DA, Armstrong GT, Lanctot JQ, Chemaitilly W, Laver JH, Srivastava DK, Robison LL, Hudson MM, Ness KK (2014) Lifestyle and metabolic syndrome in adult survivors of childhood cancer: a report from the St. Jude Lifetime Cohort Study. Cancer 120(17):2742–2750CrossRef
5.
go back to reference Rustler V et al. (2017) Exercise interventions for patients with pediatric cancer during inpatient acute care: a systematic review of literature. Pediatr Blood Cancer, p. e26567-n/a Rustler V et al. (2017) Exercise interventions for patients with pediatric cancer during inpatient acute care: a systematic review of literature. Pediatr Blood Cancer, p. e26567-n/a
6.
go back to reference Baumann FT, Bloch W, Beulertz J (2013) Clinical exercise interventions in pediatric oncology: a systematic review. Pediatr Res 74(4):366–374CrossRef Baumann FT, Bloch W, Beulertz J (2013) Clinical exercise interventions in pediatric oncology: a systematic review. Pediatr Res 74(4):366–374CrossRef
8.
go back to reference Belanger LJ et al (2012) A survey of physical activity programming and counseling preferences in young-adult cancer survivors. Cancer Nurs 35(1):48–54CrossRef Belanger LJ et al (2012) A survey of physical activity programming and counseling preferences in young-adult cancer survivors. Cancer Nurs 35(1):48–54CrossRef
9.
go back to reference Stolley MR, Restrepo J, Sharp LK (2010) Diet and physical activity in childhood cancer survivors: a review of the literature. Ann Behav Med 39(3):232–249CrossRef Stolley MR, Restrepo J, Sharp LK (2010) Diet and physical activity in childhood cancer survivors: a review of the literature. Ann Behav Med 39(3):232–249CrossRef
10.
go back to reference Ladas E (2014) Nutritional counseling in survivors of childhood cancer: an essential component of survivorship care. Children 1(2):107–118CrossRef Ladas E (2014) Nutritional counseling in survivors of childhood cancer: an essential component of survivorship care. Children 1(2):107–118CrossRef
11.
go back to reference Marjerrison S, Hendershot E, Empringham B, Nathan PC (2016) Smoking, binge drinking, and drug use among childhood cancer survivors: a meta-analysis. Pediatr Blood Cancer 63:1254–1263CrossRef Marjerrison S, Hendershot E, Empringham B, Nathan PC (2016) Smoking, binge drinking, and drug use among childhood cancer survivors: a meta-analysis. Pediatr Blood Cancer 63:1254–1263CrossRef
12.
go back to reference Zwemer E et al (2012) Sun exposure in young adult cancer survivors on and off the beach: results from Project REACH. J Cancer Surviv 6(1):63–71CrossRef Zwemer E et al (2012) Sun exposure in young adult cancer survivors on and off the beach: results from Project REACH. J Cancer Surviv 6(1):63–71CrossRef
13.
go back to reference Tercyak KP, Donze JR, Prahlad S, Mosher RB, Shad AT (2006) Multiple behavioral risk factors among adolescent survivors of childhood cancer in the Survivor Health and Resilience Education (SHARE) program. Pediatr Blood Cancer 47(6):825–830CrossRef Tercyak KP, Donze JR, Prahlad S, Mosher RB, Shad AT (2006) Multiple behavioral risk factors among adolescent survivors of childhood cancer in the Survivor Health and Resilience Education (SHARE) program. Pediatr Blood Cancer 47(6):825–830CrossRef
14.
go back to reference Brunet J, Wurz A, Shallwani SM (2018) A scoping review of studies exploring physical activity among adolescents and young adults diagnosed with cancer. Psycho-Oncology 27(8):1875–1888CrossRef Brunet J, Wurz A, Shallwani SM (2018) A scoping review of studies exploring physical activity among adolescents and young adults diagnosed with cancer. Psycho-Oncology 27(8):1875–1888CrossRef
15.
go back to reference Larcombe I, Mott M, Hunt L (2002) Lifestyle behaviours of young adult survivors of childhood cancer. Br J Cancer 87(11):1204–1209CrossRef Larcombe I, Mott M, Hunt L (2002) Lifestyle behaviours of young adult survivors of childhood cancer. Br J Cancer 87(11):1204–1209CrossRef
16.
go back to reference Beeken RJ, Croker H, Heinrich M, Smith L, Williams K, Hackshaw A, Hines J, Machesney M, Krishnaswamy M, Cavanagh S, Roylance R, Hill A, Pritchard-Jones K, Wardle J, Fisher A (2016) Study protocol for a randomised controlled trial of brief, habit-based, lifestyle advice for cancer survivors: exploring behavioural outcomes for the Advancing Survivorship Cancer Outcomes Trial (ASCOT). BMJ Open 6(11):e011646CrossRef Beeken RJ, Croker H, Heinrich M, Smith L, Williams K, Hackshaw A, Hines J, Machesney M, Krishnaswamy M, Cavanagh S, Roylance R, Hill A, Pritchard-Jones K, Wardle J, Fisher A (2016) Study protocol for a randomised controlled trial of brief, habit-based, lifestyle advice for cancer survivors: exploring behavioural outcomes for the Advancing Survivorship Cancer Outcomes Trial (ASCOT). BMJ Open 6(11):e011646CrossRef
17.
go back to reference Teenage Cancer Trust, <Blueprint of Care. Teenage Cancer Trust..pdf>. 2012 Teenage Cancer Trust, <Blueprint of Care. Teenage Cancer Trust..pdf>. 2012
19.
go back to reference Wright M et al Physical activity in adolescents following treatment for cancer: influencing factors. Leuk Res Treatment 2013, 2013:592395 Wright M et al Physical activity in adolescents following treatment for cancer: influencing factors. Leuk Res Treatment 2013, 2013:592395
20.
go back to reference Gilliam MB, Madan-Swain A, Whelan K, Tucker DC, Demark-Wahnefried W, Schwebel DC (2012) Social, demographic, and medical influences on physical activity in child and adolescent cancer survivors. J Pediatr Psychol 37(2):198–208CrossRef Gilliam MB, Madan-Swain A, Whelan K, Tucker DC, Demark-Wahnefried W, Schwebel DC (2012) Social, demographic, and medical influences on physical activity in child and adolescent cancer survivors. J Pediatr Psychol 37(2):198–208CrossRef
21.
go back to reference Amireault S et al (2015) The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review. BMC Med Res Methodol 15(1):1–11CrossRef Amireault S et al (2015) The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review. BMC Med Res Methodol 15(1):1–11CrossRef
22.
go back to reference Steptoe A, Perkins-Porras L, Rink E, Hilton S, Cappuccio FP (2004) Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling. Health Psychol 23(6):574–581CrossRef Steptoe A, Perkins-Porras L, Rink E, Hilton S, Cappuccio FP (2004) Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling. Health Psychol 23(6):574–581CrossRef
23.
go back to reference Wolf RL, Lepore SJ, Vandergrift JL, Basch CE, Yaroch AL (2009) Tailored telephone education to promote awareness and adoption of fruit and vegetable recommendations among urban and mostly immigrant black men: a randomized controlled trial. Prev Med 48(1):32–38CrossRef Wolf RL, Lepore SJ, Vandergrift JL, Basch CE, Yaroch AL (2009) Tailored telephone education to promote awareness and adoption of fruit and vegetable recommendations among urban and mostly immigrant black men: a randomized controlled trial. Prev Med 48(1):32–38CrossRef
24.
go back to reference Roe L et al (1994) Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract 11(4):375–381CrossRef Roe L et al (1994) Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract 11(4):375–381CrossRef
25.
go back to reference Craig, Health Survey for England 2008: Physical activity and fitness - Volume 2 Methods and Documentation 2009 Craig, Health Survey for England 2008: Physical activity and fitness - Volume 2 Methods and Documentation 2009
26.
go back to reference Bush K, Kivlahan DR, McDonell M, Fihn SD, Bradley KA (1998) The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med 158(16):1789–1795CrossRef Bush K, Kivlahan DR, McDonell M, Fihn SD, Bradley KA (1998) The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Arch Intern Med 158(16):1789–1795CrossRef
27.
go back to reference Siegel R, Lockhart M, Kist C (2015) Reducing lifestyle risk in childhood cancer survivors. Acta Paediatr 104(10):969–970CrossRef Siegel R, Lockhart M, Kist C (2015) Reducing lifestyle risk in childhood cancer survivors. Acta Paediatr 104(10):969–970CrossRef
28.
go back to reference Daniel CL et al (2015) Needs and lifestyle challenges of adolescents and young adults with cancer: summary of an Institute of Medicine and Livestrong Foundation Workshop. Clin J Oncol Nurs 19(6):675–681CrossRef Daniel CL et al (2015) Needs and lifestyle challenges of adolescents and young adults with cancer: summary of an Institute of Medicine and Livestrong Foundation Workshop. Clin J Oncol Nurs 19(6):675–681CrossRef
29.
go back to reference Rabin C (2009) Promoting lifestyle change among cancer survivors: when is the teachable moment? Am J Lifestyle Med 3(5):369–378CrossRef Rabin C (2009) Promoting lifestyle change among cancer survivors: when is the teachable moment? Am J Lifestyle Med 3(5):369–378CrossRef
30.
go back to reference Sender L, Zabokrtsky KB (2015) Adolescent and young adult patients with cancer: a milieu of unique features. Nat Rev Clin Oncol 12(8):465–480CrossRef Sender L, Zabokrtsky KB (2015) Adolescent and young adult patients with cancer: a milieu of unique features. Nat Rev Clin Oncol 12(8):465–480CrossRef
31.
go back to reference Goette M et al (2014) Experience of barriers and motivations for physical activities and exercise during treatment of pediatric patients with cancer. Pediatr Blood Cancer 61(9):1632–1637CrossRef Goette M et al (2014) Experience of barriers and motivations for physical activities and exercise during treatment of pediatric patients with cancer. Pediatr Blood Cancer 61(9):1632–1637CrossRef
32.
go back to reference Elmesmari R, Reilly JJ, Martin A, Paton JY (2017) Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: a systematic review and meta-analysis. PLoS One 12(6):e0179429CrossRef Elmesmari R, Reilly JJ, Martin A, Paton JY (2017) Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: a systematic review and meta-analysis. PLoS One 12(6):e0179429CrossRef
33.
go back to reference Ginis KAM et al (2016) A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities. Health Psychol Rev 10(4):478–494CrossRef Ginis KAM et al (2016) A systematic review of review articles addressing factors related to physical activity participation among children and adults with physical disabilities. Health Psychol Rev 10(4):478–494CrossRef
34.
go back to reference Zhang FF, Saltzman E, Kelly MJ, Liu S, Must A, Parsons SK, Roberts SB (2015) Comparison of childhood cancer survivors’ nutritional intake with US dietary guidelines. Pediatr Blood Cancer 62(8):1461–1467CrossRef Zhang FF, Saltzman E, Kelly MJ, Liu S, Must A, Parsons SK, Roberts SB (2015) Comparison of childhood cancer survivors’ nutritional intake with US dietary guidelines. Pediatr Blood Cancer 62(8):1461–1467CrossRef
35.
go back to reference Badr H, Chandra J, Paxton RJ, Ater JL, Urbauer D, Cruz CS, Demark-Wahnefried W (2013) Health-related quality of life, lifestyle behaviors, and intervention preferences of survivors of childhood cancer. J Cancer Surviv 7(4):523–534CrossRef Badr H, Chandra J, Paxton RJ, Ater JL, Urbauer D, Cruz CS, Demark-Wahnefried W (2013) Health-related quality of life, lifestyle behaviors, and intervention preferences of survivors of childhood cancer. J Cancer Surviv 7(4):523–534CrossRef
36.
go back to reference Tylavsky FA, Smith K, Surprise H, Garland S, Yan X, McCammon E, Hudson MM, Pui CH, Kaste SC (2010) Nutritional intake of long-term survivors of childhood acute lymphoblastic leukemia: evidence for bone health interventional opportunities. Pediatr Blood Cancer 55(7):1362–1369CrossRef Tylavsky FA, Smith K, Surprise H, Garland S, Yan X, McCammon E, Hudson MM, Pui CH, Kaste SC (2010) Nutritional intake of long-term survivors of childhood acute lymphoblastic leukemia: evidence for bone health interventional opportunities. Pediatr Blood Cancer 55(7):1362–1369CrossRef
37.
go back to reference Pugh G et al. (2017) The lifestyle information and intervention preferences of teenage and young adult cancer survivors: a qualitative study. Cancer Nurs Pugh G et al. (2017) The lifestyle information and intervention preferences of teenage and young adult cancer survivors: a qualitative study. Cancer Nurs
38.
go back to reference Barnes MJ, Demark-Wahnefried W (2014) Importance of balanced diet and physical activity during and after cancer treatment in adolescent patients. Clinical Oncology in Adolescents and Young Adults: p. 13 Barnes MJ, Demark-Wahnefried W (2014) Importance of balanced diet and physical activity during and after cancer treatment in adolescent patients. Clinical Oncology in Adolescents and Young Adults: p. 13
39.
go back to reference Arroyave WD, Clipp EC, Miller PE, Jones LW, Ward DS, Bonner MJ, Rosoff PM, Snyder DC, Demark-Wahnefried W (2008) Childhood cancer survivors’ perceived barriers to improving exercise and dietary behaviors. Oncol Nurs Forum 35(1):121–130CrossRef Arroyave WD, Clipp EC, Miller PE, Jones LW, Ward DS, Bonner MJ, Rosoff PM, Snyder DC, Demark-Wahnefried W (2008) Childhood cancer survivors’ perceived barriers to improving exercise and dietary behaviors. Oncol Nurs Forum 35(1):121–130CrossRef
40.
go back to reference Jansen H, Postma A, Stolk RP, Kamps WA (2009) Acute lymphoblastic leukemia and obesity: increased energy intake or decreased physical activity? Support Care Cancer 17(1):103–106CrossRef Jansen H, Postma A, Stolk RP, Kamps WA (2009) Acute lymphoblastic leukemia and obesity: increased energy intake or decreased physical activity? Support Care Cancer 17(1):103–106CrossRef
41.
go back to reference Barnea D et al (2015) Obesity and metabolic disease after childhood cancer. Oncology (Williston Park) 29(11):849–855 Barnea D et al (2015) Obesity and metabolic disease after childhood cancer. Oncology (Williston Park) 29(11):849–855
42.
go back to reference Zhang F, Parsons S (2015) Obesity in childhood cancer survivors: call for early weight management. Advances in Nutrition: An International Review Journal 6(5):611–619CrossRef Zhang F, Parsons S (2015) Obesity in childhood cancer survivors: call for early weight management. Advances in Nutrition: An International Review Journal 6(5):611–619CrossRef
43.
go back to reference Hibell B, et al. (2009) The 2007 ESPAD report: substance use among students in 35 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs (CAN), Internetquelle Hibell B, et al. (2009) The 2007 ESPAD report: substance use among students in 35 European countries. Stockholm: The Swedish Council for Information on Alcohol and Other Drugs (CAN), Internetquelle
44.
go back to reference World Health Organization, W.H.O.M.o.S.A.U., Global status report on alcohol and health, 2014. 2014: World Health Organization World Health Organization, W.H.O.M.o.S.A.U., Global status report on alcohol and health, 2014. 2014: World Health Organization
45.
go back to reference Viner RM, Taylor B (2007) Adult outcomes of binge drinking in adolescence: findings from a UK national birth cohort. J Epidemiol Community Health 61(10):902–907CrossRef Viner RM, Taylor B (2007) Adult outcomes of binge drinking in adolescence: findings from a UK national birth cohort. J Epidemiol Community Health 61(10):902–907CrossRef
Metadata
Title
The health behaviour status of teenage and young adult cancer patients and survivors in the United Kingdom
Authors
G. Pugh
R. Hough
H. Gravestock
A. Fisher
Publication date
01-02-2020
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 2/2020
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-019-04719-y

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