Diet and exercise intervention adherence and health-related outcomes among older long-term breast, prostate, and colorectal cancer survivors

  • Winger J
  • Mosher C
  • Rand K
 et al. 
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Abstract

PURPOSE: We examined associations between adherence to components of a diet-exercise intervention and survivors' physical and mental health.METHODS: A randomized controlled trial tested a telephone and mailed print intervention among 641 older, overweight, long-term survivors of breast, prostate, and colorectal cancer. Dietary and exercise behaviors were assessed at 14 time points throughout the year-long intervention; health outcomes were examined postintervention.RESULTS: Telephone session attendance had significant indirect relationships with health outcomes through intervention-period exercise and dietary behavior. Attendance showed positive indirect relationships with physical function (??=?0.11, p?0.05), basic and advanced lower extremity function (??=?0.10, p?<?0.05/??=?0.09, p?<?0.05), and mental health (??=?0.05, p?<?0.05), and a negative indirect relationship with body mass index (??=?-0.06, p?<?0.05).CONCLUSIONS: Session attendance is vital in facilitating improvement in health behaviors and attendant outcomes (Clinicaltrials.gov number NCT00303875).BACKGROUND: Diet and exercise interventions for cancer survivors result in health benefits; however, few studies have examined health outcomes in relation to adherence.

Author-supplied keywords

  • Aged[checkword]
  • Breast Neoplasms [psychology]
  • Colorectal Neoplasms [psychology]
  • Diet [psychology]
  • Directive Counseling [methods]
  • Exercise [psychology]
  • Female[checkword]
  • Health Status
  • Humans[checkword]
  • Male[checkword]
  • Mental Health [statistics & numerical data]
  • Patient Compliance [psychology] [statistics & nume
  • Physical Fitness
  • Prostatic Neoplasms [psychology]
  • Survivors [psychology]
  • aged
  • breast tumor
  • colorectal tumor
  • controlled study
  • diet
  • directive counseling
  • exercise
  • female
  • fitness
  • health status
  • human
  • male
  • mental health
  • patient compliance
  • procedures
  • prostate tumor
  • psychology
  • randomized controlled trial
  • statistics and numerical data
  • survivor

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Authors

  • Jg Winger

  • Ce Mosher

  • Kl Rand

  • Mc Morey

  • Dc Snyder

  • W Demark-Wahnefried

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