Skip to main content
Top
Published in: Cancer Causes & Control 7/2008

01-09-2008 | Original Paper

Gynecological cancer survivors’ health behaviors and their associations with quality of life

Authors: Vanessa L. Beesley, Elizabeth G. Eakin, Monika Janda, Diana Battistutta

Published in: Cancer Causes & Control | Issue 7/2008

Login to get access

Abstract

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.
Literature
1.
go back to reference 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, Lyon 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, Lyon
2.
go back to reference 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)):26–42 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)):26–42
3.
go back to reference Steginga SK, Dunn J (1997) Women’s experiences following treatment for gynecologic cancer. Oncol Nurs Forum 1997/09//; 24(8):1403–1408 Steginga SK, Dunn J (1997) Women’s experiences following treatment for gynecologic cancer. Oncol Nurs Forum 1997/09//; 24(8):1403–1408
4.
go back to reference Beesley V, Janda M, Eakin E, Obermair A, Battistutta D (2007) Lymphedema after gynecological cancer treatment: prevalence, correlates and supportive care needs. Cancer 109(12):2607–2614PubMedCrossRef Beesley V, Janda M, Eakin E, Obermair A, Battistutta D (2007) Lymphedema after gynecological cancer treatment: prevalence, correlates and supportive care needs. Cancer 109(12):2607–2614PubMedCrossRef
5.
go back to reference Youlden D, Baade P, Coory M (2005) Cancer survival in Queensland, 2002. Queensland Health and Queensland Cancer Fund, Brisbane, Queensland Youlden D, Baade P, Coory M (2005) Cancer survival in Queensland, 2002. Queensland Health and Queensland Cancer Fund, Brisbane, Queensland
6.
go back to reference Brenner H, Gondos A, Arndt V (2007) Recent major progress in long-term cancer patient survival disclosed by modeled period analysis. J Clin Oncol 25(22):3274–3280PubMedCrossRef Brenner H, Gondos A, Arndt V (2007) Recent major progress in long-term cancer patient survival disclosed by modeled period analysis. J Clin Oncol 25(22):3274–3280PubMedCrossRef
7.
go back to reference Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40(6):702–711PubMedCrossRef Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40(6):702–711PubMedCrossRef
8.
go back to reference Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893PubMedCrossRef Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23(34):8884–8893PubMedCrossRef
9.
go back to reference Eakin E, Youlden D, Baade P, Lawler S, Reeve M, Heyworth J et al (2007) Health behaviors of cancer survivors: Data from an Australian population-based survey. Cancer Causes Control 18(8):881–894PubMedCrossRef Eakin E, Youlden D, Baade P, Lawler S, Reeve M, Heyworth J et al (2007) Health behaviors of cancer survivors: Data from an Australian population-based survey. Cancer Causes Control 18(8):881–894PubMedCrossRef
10.
go back to reference Fitzgerald B (2007) Review: regular exercise improves quality of life and physical fitness in women with breast cancer. Evid Based Nurs 10(1):12PubMedCrossRef Fitzgerald B (2007) Review: regular exercise improves quality of life and physical fitness in women with breast cancer. Evid Based Nurs 10(1):12PubMedCrossRef
11.
go back to reference Rogers LQ, Courneya KS, Robbins KT, Malone J, Seiz A, Koch L et al (2006) Physical activity and quality of life in head and neck cancer survivors. Support Care Cancer 14(10):1012–1019PubMedCrossRef Rogers LQ, Courneya KS, Robbins KT, Malone J, Seiz A, Koch L et al (2006) Physical activity and quality of life in head and neck cancer survivors. Support Care Cancer 14(10):1012–1019PubMedCrossRef
12.
go back to reference Cheema BSB, Gaul CA (2006) Full-body exercise training improves fitness and quality of life in survivors of breast cancer. J Strength Cond Res 20(1):14–21PubMedCrossRef Cheema BSB, Gaul CA (2006) Full-body exercise training improves fitness and quality of life in survivors of breast cancer. J Strength Cond Res 20(1):14–21PubMedCrossRef
13.
go back to reference Courneya KS, Karvinen KH, Campbell KL, Pearcey RG, Dundas G, Capstick V et al (2005) Associations among exercise, body weight, and quality of life in a population-based sample of endometrial cancer survivors. Gynecol Oncol 97(2):422–430PubMedCrossRef Courneya KS, Karvinen KH, Campbell KL, Pearcey RG, Dundas G, Capstick V et al (2005) Associations among exercise, body weight, and quality of life in a population-based sample of endometrial cancer survivors. Gynecol Oncol 97(2):422–430PubMedCrossRef
14.
go back to reference Kendall AR, Mahue-Giangreco M, Carpenter CL, Ganz PA, Bernstein L (2005) Influence of exercise activity on quality of life in long-term breast cancer survivors. Qual Life Res 14(2):361–371PubMedCrossRef Kendall AR, Mahue-Giangreco M, Carpenter CL, Ganz PA, Bernstein L (2005) Influence of exercise activity on quality of life in long-term breast cancer survivors. Qual Life Res 14(2):361–371PubMedCrossRef
15.
go back to reference Courneya KS, Friedenreich CM, Quinney HA, Fields ALA, Jones LW, Fairey AS (2003) A randomized trial of exercise and quality of life in colorectal cancer survivors. Eur J Cancer Care (Engl) 12(4):347–357CrossRef Courneya KS, Friedenreich CM, Quinney HA, Fields ALA, Jones LW, Fairey AS (2003) A randomized trial of exercise and quality of life in colorectal cancer survivors. Eur J Cancer Care (Engl) 12(4):347–357CrossRef
16.
go back to reference Duffy SA, Ronis DL, Valenstein M, Fowler KE, Lambert MT, Bishop C et al (2007) Depressive symptoms, smoking, drinking, and quality of life among head and neck cancer patients. Psychosomatics 48(2):142–148PubMedCrossRef Duffy SA, Ronis DL, Valenstein M, Fowler KE, Lambert MT, Bishop C et al (2007) Depressive symptoms, smoking, drinking, and quality of life among head and neck cancer patients. Psychosomatics 48(2):142–148PubMedCrossRef
17.
go back to reference Duffy SA, Terrell JE, Valenstein M, Ronis DL, Copeland LA, Connors M (2002) Effect of smoking, alcohol, and depression on the quality of life of head and neck cancer patients. Gen Hosp Psychiatry 24(3):140–147PubMedCrossRef Duffy SA, Terrell JE, Valenstein M, Ronis DL, Copeland LA, Connors M (2002) Effect of smoking, alcohol, and depression on the quality of life of head and neck cancer patients. Gen Hosp Psychiatry 24(3):140–147PubMedCrossRef
18.
go back to reference Jensen K, Jensen AB, Grau C (2007) Smoking has a negative impact upon health related quality of life after treatment for head and neck cancer. Oral Oncol 43(2):187–192PubMedCrossRef Jensen K, Jensen AB, Grau C (2007) Smoking has a negative impact upon health related quality of life after treatment for head and neck cancer. Oral Oncol 43(2):187–192PubMedCrossRef
19.
go back to reference Garces YI, Yang P, Parkinson J, Zhao X, Wampfler JA, Ebbert JO et al (2004) The relationship between cigarette smoking and quality of life after lung cancer diagnosis. Chest 126(6):1733–1741PubMedCrossRef Garces YI, Yang P, Parkinson J, Zhao X, Wampfler JA, Ebbert JO et al (2004) The relationship between cigarette smoking and quality of life after lung cancer diagnosis. Chest 126(6):1733–1741PubMedCrossRef
20.
go back to reference Blanchard CM, Stein KD, Baker F, Dent MF, Denniston MM, Courneya KS et al (2004) Association between current lifestyle behaviors and health-related quality of life in breast, colorectal, and prostate cancer survivors. Psychol Health 19(1):1–13CrossRef Blanchard CM, Stein KD, Baker F, Dent MF, Denniston MM, Courneya KS et al (2004) Association between current lifestyle behaviors and health-related quality of life in breast, colorectal, and prostate cancer survivors. Psychol Health 19(1):1–13CrossRef
21.
go back to reference Stevinson C, Faught W, Steed H, Tonkin K, Ladha A, Vallance J et al (2007) Associations between physical activity and quality of life in ovarian cancer survivors. Gynecol Oncol 106(1):244–250PubMedCrossRef Stevinson C, Faught W, Steed H, Tonkin K, Ladha A, Vallance J et al (2007) Associations between physical activity and quality of life in ovarian cancer survivors. Gynecol Oncol 106(1):244–250PubMedCrossRef
22.
go back to reference Courneya KS, Friedenreich CM (1999) Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med 21(2):171–179 SpringPubMedCrossRef Courneya KS, Friedenreich CM (1999) Physical exercise and quality of life following cancer diagnosis: a literature review. Ann Behav Med 21(2):171–179 SpringPubMedCrossRef
23.
go back to reference Lynch BM, Cerin E, Owen N, Aitken JF (2007) Associations of leisure-time physical activity with quality of life in a large, population-based sample of colorectal cancer survivors. Cancer Causes Control 18(7):735–42PubMedCrossRef Lynch BM, Cerin E, Owen N, Aitken JF (2007) Associations of leisure-time physical activity with quality of life in a large, population-based sample of colorectal cancer survivors. Cancer Causes Control 18(7):735–42PubMedCrossRef
24.
go back to reference Wayne SJ, Baumgartner K, Baumgartner RN, Bernstein L, Bowen DJ, Ballard-Barbash R (2006) Diet quality is directly associated with quality of life in breast cancer survivors. Breast Cancer Res Treat 96(3):227–232PubMedCrossRef Wayne SJ, Baumgartner K, Baumgartner RN, Bernstein L, Bowen DJ, Ballard-Barbash R (2006) Diet quality is directly associated with quality of life in breast cancer survivors. Breast Cancer Res Treat 96(3):227–232PubMedCrossRef
25.
go back to reference Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME (2004) Cancer: disease and nutrition are key determinants of patients’ quality of life. Support Care Cancer 12(4):246–252PubMedCrossRef Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME (2004) Cancer: disease and nutrition are key determinants of patients’ quality of life. Support Care Cancer 12(4):246–252PubMedCrossRef
26.
go back to reference Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541PubMedCrossRef Meyerhardt JA, Heseltine D, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ et al (2006) Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALGB 89803. J Clin Oncol 24(22):3535–3541PubMedCrossRef
27.
go back to reference Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293(20):2479–2486PubMedCrossRef Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293(20):2479–2486PubMedCrossRef
28.
go back to reference Pierce JP, Stefanick ML, Flatt SW, Natarajan L, Sternfeld B, Madlensky L et al (2007) Greater survival after breast cancer in physically active women with high vegetable–fruit intake regardless of obesity. J Clin Oncol 25(17):2345–2351PubMedCrossRef Pierce JP, Stefanick ML, Flatt SW, Natarajan L, Sternfeld B, Madlensky L et al (2007) Greater survival after breast cancer in physically active women with high vegetable–fruit intake regardless of obesity. J Clin Oncol 25(17):2345–2351PubMedCrossRef
29.
go back to reference 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):268–291 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):268–291
30.
go back to reference 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)):5814–5830 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)):5814–5830
31.
go back to reference Demark-Wahnefried W, Pinto BM, Gritz ER (2006) Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol 24(32):5125–5131PubMedCrossRef Demark-Wahnefried W, Pinto BM, Gritz ER (2006) Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol 24(32):5125–5131PubMedCrossRef
32.
go back to reference Cashel K, Jeffreson S (1995) The core food groups. Canberra: Endorsed by the National Health and Medical Research Council Cashel K, Jeffreson S (1995) The core food groups. Canberra: Endorsed by the National Health and Medical Research Council
33.
go back to reference Department of Health and Aged Care (1999) National Physical Activity Guidelines for Australians. Canberra Department of Health and Aged Care (1999) National Physical Activity Guidelines for Australians. Canberra
34.
go back to reference Australian Institute of Health, Welfare (2003) The active Australia survey: a guide and manual for implementation, analysis and reporting. AIHW, Canberra Australian Institute of Health, Welfare (2003) The active Australia survey: a guide and manual for implementation, analysis and reporting. AIHW, Canberra
35.
go back to reference Australian Bureau of Statistics (2006) National health survey: summary of results. ABS, Canberra Australian Bureau of Statistics (2006) National health survey: summary of results. ABS, Canberra
36.
go back to reference Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11(3):570–579PubMed Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A et al (1993) The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol 11(3):570–579PubMed
38.
go back to reference 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):1241–1251PubMedCrossRef 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):1241–1251PubMedCrossRef
39.
go back to reference DiSipio T, Rogers C, Newman B, Whiteman D, Eakin E, Fritschi L et al (2006) The Queensland cancer risk study: behavioural risk factor results. Aust N Z J Public Health 30(4):375–382PubMedCrossRef DiSipio T, Rogers C, Newman B, Whiteman D, Eakin E, Fritschi L et al (2006) The Queensland cancer risk study: behavioural risk factor results. Aust N Z J Public Health 30(4):375–382PubMedCrossRef
40.
go back to reference Jones LW, Courneya KS, Fairey AS, Mackey JR (2004) Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors: a single-blind, randomized controlled trial. Ann Behav Med 28(2):105–113PubMedCrossRef Jones LW, Courneya KS, Fairey AS, Mackey JR (2004) Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors: a single-blind, randomized controlled trial. Ann Behav Med 28(2):105–113PubMedCrossRef
Metadata
Title
Gynecological cancer survivors’ health behaviors and their associations with quality of life
Authors
Vanessa L. Beesley
Elizabeth G. Eakin
Monika Janda
Diana Battistutta
Publication date
01-09-2008
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 7/2008
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-008-9140-y

Other articles of this Issue 7/2008

Cancer Causes & Control 7/2008 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine