Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross-sectional analysis of PROFILES registry data

Karin A. J. Driessen; Belle H. de Rooij; M. Caroline Vos; Dorry Boll; Johanna M. A. Pijnenborg; Meeke Hoedjes; Sandra Beijer; Nicole P. M. Ezendam

doi:10.1007/s00520-021-06433-0

journal article Open Access Aug 28, 2021

Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross-sectional analysis of PROFILES registry data

Karin A. J. Driessen Belle H. de Rooij

M. Caroline Vos

Dorry Boll

Johanna M. A. Pijnenborg Meeke Hoedjes

Sandra Beijer Nicole P. M. Ezendam

Supportive Care in Cancer Vol. 30 No. 2 pp. 1199-1207 · Springer Science and Business Media LLC

View at Publisher Save 10.1007/s00520-021-06433-0

Abstract

Abstract

Purpose
Obesity is prevalent in gynecological cancer survivors and is associated with impaired health outcomes. Concerns due to cancer and its treatment may impact changes in lifestyle after cancer. This study aimed to assess the association between cancer-related psychosocial factors and changes in physical activity and diet, 18 months after initial treatment among gynecological cancer survivors.

Methods
Cross-sectional data from the ROGY Care study were used, including endometrial and ovarian cancer patients treated with curative intent. The Impact of Cancer Scale (IOCv2) was used to assess cancer-related psychosocial factors. Self-reported changes in nutrients/food groups and in physical activity post-diagnosis were classified into change groups (less/equal/more). Multivariable logistic regression models were used to assess associations.

Results
Data from 229 cancer survivors (59% endometrial, 41% ovarian, mean age 66 ± 9.5, 70% tumor stage I) were analyzed. In total, 20% reported to eat healthier from diagnosis up to 18 months after initial treatment, 17% reported less physical activity and 20% more physical activity. Health awareness (OR 2.79, 95% CI: 1.38; 5.65), body change concerns (OR 3.04 95% CI: 1.71; 5.39), life interferences (OR 4.88 95% 2.29; 10.38) and worry (OR 2.62, 95% CI: 1.42; 4.85) were significantly associated with less physical activity up to 18 months after initial treatment whereby gastrointestinal symptoms were an important confounder.

Conclusion(s)
This study underlines the need to raise awareness of the benefits of a healthy lifestyle and to provide tailored lifestyle advice, taking into account survivors’ health awareness, body change concerns, life interferences, worry and gastrointestinal symptoms, in order to improve health behavior among gynecological cancer survivors.

Trial Registration

http://clinicaltrials.gov
Identifier: NCT01185626, August 20, 2010

Topics

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Citations

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References

Details

Published: Aug 28, 2021
Vol/Issue: 30(2)
Pages: 1199-1207
License: View

Authors

Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands;; CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands;

M

M. Caroline Vos

Elisabeth-TweeSteden Hospital, Department of Obstetrics and Gynecology, Gynecologic Cancer Center South, Tilburg and Waalwijk, The Netherlands;

D

Dorry Boll

Department of Gynecology, Catharina Hospital, Eindhoven, The Netherlands;

J

Johanna M. A. Pijnenborg

Department of Obstetrics & Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands;

M

Meeke Hoedjes

Department of Medical and Clinical Psychology, CoRPS-Center of Research on Psychological and Somatic Disorders, Tilburg University, 5000 LE Tilburg, The Netherlands

Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands;; CoRPS - Center of Research on Psychology in Somatic diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands;

Cite This Article

Karin A. J. Driessen, Belle H. de Rooij, M. Caroline Vos, et al. (2021). Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross-sectional analysis of PROFILES registry data. Supportive Care in Cancer, 30(2), 1199-1207. https://doi.org/10.1007/s00520-021-06433-0

Cancer-related psychosocial factors and self-reported changes in lifestyle among gynecological cancer survivors: cross-sectional analysis of PROFILES registry data

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