Lifestyle and Adverse Effects in Selected Norwegian Cancer Patients and Survivors
Appears in the following Collection
AbstractCancer treatments are associated with acute and late adverse effects, which may have large negative consequences on health and quality of life. A healthy lifestyle, including adhering to public guidelines of physical activity, a healthy body weight and diet and non-smoking, may improve and preserve long-term health in cancer patients and survivors. Knowledge about lifestyle and adverse effects are lacking for many subgroups of cancer survivors. The present thesis aimed to provide new knowledge about lifestyle and adverse effects among Norwegian prostate cancer patients and survivors of cancer diagnosed during young adulthood, based on data from two questionnaire-based cross-sectional studies. Among the prostate cancer patients, 43% were physically inactive, with no difference in the proportion of physically inactive across treatment groups. Bowel symptoms related to radiotherapy were associated with physical inactivity. Among the young adult cancer survivors, 43% were physically inactive, 49% overweight, 20% smoked and 92% did not eat 5 daily servings of fruits and vegetables. Comorbidity, chronic fatigue, lymphedema, pain and depressive symptoms were associated with one or more unhealthy lifestyle behaviors. Furthermore, 25 % of the young adult cancer survivors reported chronic fatigue. The prevalence was higher among survivors treated for breast cancer, colorectal cancer and non-Hodgkin lymphoma (27-29%), than among survivors of localized malignant melanoma (15%). Multimodal cancer treatment, comorbidity, pain, numbness in hands/feet and depressive symptoms were associated with chronic fatigue. The results from this thesis suggest that a large proportion of cancer patients and survivors have an unhealthy lifestyle, and that individuals with adverse effects may need extra support to obtain a healthy lifestyle. Health personnel involved in the follow-up care of cancer survivors should have knowledge about lifestyle and adverse effects.
List of papers
|Paper I: Physical activity and associations with treatment-induced adverse effects among prostate cancer patients. Synne-Kristin Hoffart Bøhn, Sophie Dorothea Fosså, Torbjørn Wisløff, Lene Thorsen. Supportive Care in Cancer, 2019 Mar;27(3):1001-1011. DOI: 10.1007/s00520-018-4389-5. The article is included in the thesis. Also available at: https://doi.org/10.1007/s00520-018-4389-5|
|Paper II: Lifestyle among long-term survivors of cancers in young adulthood. Synne-Kristin Hoffart Bøhn, Hanne Cathrine Lie, Kristin Valborg Reinertsen, Sophie Dorothea Fosså, Hege Sagstuen Haugnes, Cecilie Essholt Kiserud, Jon Håvard Loge, Torbjørn Wisløff, Lene Thorsen. Journal of Adolescent and Young Adult Oncology, 2020. DOI: 10.1007/s00520-020-05445-6. The paper is included in the thesis. The published version is available at: https://doi.org/10.1007/s00520-020-05445-6|
|Paper III: Chronic fatigue and associated factors among long-term survivors of cancers in young adulthood. Synne-Kristin Hoffart Bøhn, Lene Thorsen, Cecilie Essholt Kiserud, Sophie Dorothea Fosså, Hanne Cathrine Lie, Jon Håvard Loge, Torbjørn Wisløff, Hege Sagstuen Haugnes, Kristin Valborg Reinertsen. Acta Oncologica, 2019 May;58(5):753-762. DOI: 10.1080/0284186X.2018.1557344. The article is not available in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1080/0284186X.2018.1557344|