Impact of a Tailored Nutrition and Lifestyle Intervention for Overweight Cancer Survivors on Dietary Patterns, Physical Activity, Quality of Life, and Cardiometabolic Profiles
Joint Authors
Young, Gregory S.
Spees, Colleen K.
Braun, Ashlea C.
Hill, Emily B.
Grainger, Elizabeth M.
Portner, James
Kleinhenz, Matthew D.
Chitchumroonchokchai, Chureeporn
Clinton, Steven K.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-11-21
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Survivors of cancer often experience treatment-related toxicity in addition to being at risk of cancer recurrence, second primary cancers, and greater all-cause mortality.
The objective of this study was to test the safety and efficacy of an intensive evidence-based garden intervention to improve outcomes for cancer survivors after curative therapy.
To do so, a clinical trial of adult overweight and obese cancer survivors within 2 years of completing curative therapy was completed.
The 6-month intervention, delivered within the context of harvesting at an urban garden, combined group education with cooking demonstrations, remote motivational interviewing, and online digital resources.
Data on dietary patterns, program satisfaction, and quality of life were collected via questionnaires; anthropometrics, physical activity, and clinical biomarkers were measured objectively.
Of the 29 participants, 86% were white, 83% were female, and the mean age was 58 years.
Compared to baseline, participants had significant improvements in Healthy Eating Index (HEI) scores (+5.2 points, p=0.006), physical activity (+1,208 steps, p=0.033), and quality of life (+16.07 points, p=0.004).
Significant improvements were also documented in weight (−3.9 kg), waist circumference (−5.5 cm), BMI (−1.5 kg/m2), systolic BP (−9.5 mmHg), plasma carotenoids (+35%), total cholesterol (−6%), triglycerides (−14%), hs-CRP (−28%), and IGFBP-3 (−5%) (all p<0.010).
These findings demonstrate a tailored multifaceted garden-based biobehavioral intervention for overweight and obese cancer survivors after curative therapy is safe and highly effective, warranting larger randomized controlled trials to identify program benefits, optimal maintenance strategies, program value relative to cost, and approaches for integration into a survivor’s oncology management program.
This trial is registered on ClinicalTrials.gov NCT02268188.
American Psychological Association (APA)
Spees, Colleen K.& Braun, Ashlea C.& Hill, Emily B.& Grainger, Elizabeth M.& Portner, James& Young, Gregory S.…[et al.]. 2019. Impact of a Tailored Nutrition and Lifestyle Intervention for Overweight Cancer Survivors on Dietary Patterns, Physical Activity, Quality of Life, and Cardiometabolic Profiles. Journal of Oncology،Vol. 2019, no. 2019, pp.1-13.
https://search.emarefa.net/detail/BIM-1183920
Modern Language Association (MLA)
Spees, Colleen K.…[et al.]. Impact of a Tailored Nutrition and Lifestyle Intervention for Overweight Cancer Survivors on Dietary Patterns, Physical Activity, Quality of Life, and Cardiometabolic Profiles. Journal of Oncology No. 2019 (2019), pp.1-13.
https://search.emarefa.net/detail/BIM-1183920
American Medical Association (AMA)
Spees, Colleen K.& Braun, Ashlea C.& Hill, Emily B.& Grainger, Elizabeth M.& Portner, James& Young, Gregory S.…[et al.]. Impact of a Tailored Nutrition and Lifestyle Intervention for Overweight Cancer Survivors on Dietary Patterns, Physical Activity, Quality of Life, and Cardiometabolic Profiles. Journal of Oncology. 2019. Vol. 2019, no. 2019, pp.1-13.
https://search.emarefa.net/detail/BIM-1183920
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1183920