Skip to main content
Erschienen in: Supportive Care in Cancer 4/2010

01.04.2010 | Original Article

“It makes you feel so full of life” LiveWell, a feasibility study of a personalised lifestyle programme for colorectal cancer survivors

verfasst von: Annie S. Anderson, Stephen Caswell, Mary Wells, Robert J. C. Steele, Susan MacAskill

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2010

Einloggen, um Zugang zu erhalten

Abstract

Goals

The acceptability and feasibility of a 3-month personalised lifestyle (diet, exercise and weight management) intervention in overweight adults who had completed curative treatment for colorectal cancer were assessed by qualitative interviews, quality-of-life questionnaires and subjective and objective measures of diet and activity.

Main results

Over a 4-month period, 28 of 37 (75%) patients met the inclusion criteria and 20 (71%) of the eligible patients agreed to participate in the study and 18 (90%) completed the 3-month study. Reported adherence related to tailored advice, personalised feedback and family support. Reported barriers included time following surgery, fatigue, having a stoma or chronic diarrhoea and conflicting advice from clinicians. A weight change of −1.2 (±4.4) kg was achieved overall and −4.1 (±3.7) kg in the ten who had lost weight.

Conclusions

Colorectal cancer survivors will participate in a lifestyle change initiative. Interventions should be personalised to suit abilities, provide feedback on personal goals and encourage social support. Intervention timing and attaining greater support from clinicians should be explored prior to the development of an efficacy trial.
Literatur
1.
Zurück zum Zitat Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348:625–638CrossRef Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348:625–638CrossRef
2.
Zurück zum Zitat Davey Smith G, Shipley MJ, Batty GD, Morris JN, Marmot M (2000) Physical activity and cause-specific mortality in the Whitehall study. Public Health 114(5):308–315CrossRefPubMed Davey Smith G, Shipley MJ, Batty GD, Morris JN, Marmot M (2000) Physical activity and cause-specific mortality in the Whitehall study. Public Health 114(5):308–315CrossRefPubMed
3.
Zurück zum Zitat Giovannucci E (1995) Ascherio A Rimm EB Colditz GA Stampfer MJ Willett WC Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 122(5):327–334PubMed Giovannucci E (1995) Ascherio A Rimm EB Colditz GA Stampfer MJ Willett WC Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med 122(5):327–334PubMed
4.
Zurück zum Zitat Haydon AM, Macinnis RJ, English DR, Giles GG (2006) Effect of physical activity and body size on survival after diagnosis with colorectal cancer. Gut 55:62–67CrossRefPubMed Haydon AM, Macinnis RJ, English DR, Giles GG (2006) Effect of physical activity and body size on survival after diagnosis with colorectal cancer. Gut 55:62–67CrossRefPubMed
5.
Zurück zum Zitat Meyerhardt JA, Niedzwiecki D, Hollis D et al (2007) Association of dietary patterns with cancer recurrence and survival in patients with stage III colon cancer. JAMA 298(7):754–764CrossRefPubMed Meyerhardt JA, Niedzwiecki D, Hollis D et al (2007) Association of dietary patterns with cancer recurrence and survival in patients with stage III colon cancer. JAMA 298(7):754–764CrossRefPubMed
6.
Zurück zum Zitat Meyerhardt JA, Catalano PJ, Haller DG, Mayer RJ, Benson AB III, Macdonald JS, Fuchs CS (2003) Influence of body mass index on outcomes and treatment-related toxicity in patients with colon carcinoma. Cancer 98(3):484–495CrossRefPubMed Meyerhardt JA, Catalano PJ, Haller DG, Mayer RJ, Benson AB III, Macdonald JS, Fuchs CS (2003) Influence of body mass index on outcomes and treatment-related toxicity in patients with colon carcinoma. Cancer 98(3):484–495CrossRefPubMed
7.
Zurück zum Zitat Meyerhardt JA, Hesletine D, Niedzwiecki D et al (2005) The impact of physical activity on patients with stage III colon cancer: findings from Intergroup trial CALGB 89803. J Clin Oncol 23(16S):3534 Meyerhardt JA, Hesletine D, Niedzwiecki D et al (2005) The impact of physical activity on patients with stage III colon cancer: findings from Intergroup trial CALGB 89803. J Clin Oncol 23(16S):3534
8.
Zurück zum Zitat Avenell A, Broon J, Brown TJ et al (2004) Systematic review of the long term effects and economic consequences of treatments for obesity and implications of health improvements. Health Technol Assess 8(21):1–455 Avenell A, Broon J, Brown TJ et al (2004) Systematic review of the long term effects and economic consequences of treatments for obesity and implications of health improvements. Health Technol Assess 8(21):1–455
9.
Zurück zum Zitat Knowler WC, Barrett-Connor E, Fowler SE et al (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Eng J Med 346(6):393–403CrossRef Knowler WC, Barrett-Connor E, Fowler SE et al (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Eng J Med 346(6):393–403CrossRef
10.
Zurück zum Zitat Tuomilehto J, Lindstrom J, Eriksson JG et al (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Eng J Med 344(18):1343–1350CrossRef Tuomilehto J, Lindstrom J, Eriksson JG et al (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Eng J Med 344(18):1343–1350CrossRef
11.
Zurück zum Zitat Torjesen JS, Birkeland KI, Anderssen KI et al (1997) Lifestyle changes may reverse development of the insulin resistance syndrome: the Oslo Diet and Exercise Study. Diabetes Care 20(1):26–31CrossRefPubMed Torjesen JS, Birkeland KI, Anderssen KI et al (1997) Lifestyle changes may reverse development of the insulin resistance syndrome: the Oslo Diet and Exercise Study. Diabetes Care 20(1):26–31CrossRefPubMed
12.
Zurück zum Zitat Anderson AS, Ferguson CS, Barton KL, Steele RJC (2006) Implementing lifestyle interventions to reduce chronic disease risk: lessons from diabetes prevention trials. Proc Nutr Soc 65:55A Anderson AS, Ferguson CS, Barton KL, Steele RJC (2006) Implementing lifestyle interventions to reduce chronic disease risk: lessons from diabetes prevention trials. Proc Nutr Soc 65:55A
13.
Zurück zum Zitat Campbell M, Fitzpatrick R, Haines A et al (2000) Framework for design and evaluation of complex interventions to improve health. BMJ 321:694–696CrossRefPubMed Campbell M, Fitzpatrick R, Haines A et al (2000) Framework for design and evaluation of complex interventions to improve health. BMJ 321:694–696CrossRefPubMed
14.
Zurück zum Zitat Roe L, Strong C, Whiteside C, Neil A, Mant D (1994) Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract 11:375–381CrossRefPubMed Roe L, Strong C, Whiteside C, Neil A, Mant D (1994) Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract 11:375–381CrossRefPubMed
16.
Zurück zum Zitat Ruta DA, Garratt AM, Leng M, Russell IT, MacDonald LM (1994) A new approach to measurement of quality of life. Med Care 3(11):1109–1126CrossRef Ruta DA, Garratt AM, Leng M, Russell IT, MacDonald LM (1994) A new approach to measurement of quality of life. Med Care 3(11):1109–1126CrossRef
17.
Zurück zum Zitat Ness AR, Khaw KT, Bingham S, Day NE (1998) Plasma Vitamin C: what does it measure? Pub Health Nutrition 2(1):51–54 Ness AR, Khaw KT, Bingham S, Day NE (1998) Plasma Vitamin C: what does it measure? Pub Health Nutrition 2(1):51–54
18.
Zurück zum Zitat Craig K (2007) Enjoy project. Evaluation of a lifestyle intervention programme for colorectal cancer patients in Tayside. MPH thesis, University of Dundee Craig K (2007) Enjoy project. Evaluation of a lifestyle intervention programme for colorectal cancer patients in Tayside. MPH thesis, University of Dundee
19.
Zurück zum Zitat Anderson AS et al (2004) Evidence based dietary behaviour strategies to reduce cancer risk. In: Sancho-Garnier H (ed) Evidence-based cancer prevention strategies for NGOs. UICC, Geneva Anderson AS et al (2004) Evidence based dietary behaviour strategies to reduce cancer risk. In: Sancho-Garnier H (ed) Evidence-based cancer prevention strategies for NGOs. UICC, Geneva
20.
Zurück zum Zitat Anderson AS (2000) How to implement dietary changes to prevent the development of metabolic syndrome. Br J Nutrition 83:S165–S168CrossRef Anderson AS (2000) How to implement dietary changes to prevent the development of metabolic syndrome. Br J Nutrition 83:S165–S168CrossRef
21.
Zurück zum Zitat Miles MB, Huberman A (1994) Qualitative data analysis: an expanded sourcebook. Sage, Thousand Oaks Miles MB, Huberman A (1994) Qualitative data analysis: an expanded sourcebook. Sage, Thousand Oaks
22.
Zurück zum Zitat Pan X et al (1997) Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes Care 20(4):537–544CrossRefPubMed Pan X et al (1997) Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and Diabetes Study. Diabetes Care 20(4):537–544CrossRefPubMed
23.
Zurück zum Zitat Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M (2008) Developing and evaluating complex interventions: the new Medical Research Council guidance. Br Med J 337:1655CrossRef Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M (2008) Developing and evaluating complex interventions: the new Medical Research Council guidance. Br Med J 337:1655CrossRef
25.
Zurück zum Zitat Hawe P, Shiell A, Riley T, Gold L (2004) Methods for exploring implementation variation and local context within a cluster randomised community intervention trial. J Epidemiol Community Health 58(9):788–793CrossRefPubMed Hawe P, Shiell A, Riley T, Gold L (2004) Methods for exploring implementation variation and local context within a cluster randomised community intervention trial. J Epidemiol Community Health 58(9):788–793CrossRefPubMed
26.
Zurück zum Zitat Wells EM (2007) Behind the scenes of randomised trials of complex interventions: Insiders reveal the importance of context. Ph.D. Thesis, University of Dundee Wells EM (2007) Behind the scenes of randomised trials of complex interventions: Insiders reveal the importance of context. Ph.D. Thesis, University of Dundee
Metadaten
Titel
“It makes you feel so full of life” LiveWell, a feasibility study of a personalised lifestyle programme for colorectal cancer survivors
verfasst von
Annie S. Anderson
Stephen Caswell
Mary Wells
Robert J. C. Steele
Susan MacAskill
Publikationsdatum
01.04.2010
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 4/2010
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-009-0677-4

Weitere Artikel der Ausgabe 4/2010

Supportive Care in Cancer 4/2010 Zur Ausgabe

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

26.05.2024 Mammakarzinom Nachrichten

Frauen, die zum Zeitpunkt der Brustkrebsdiagnose eine hohe mammografische Brustdichte aufweisen, haben ein erhöhtes Risiko für ein baldiges Rezidiv, legen neue Daten nahe.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

ADT zur Radiatio nach Prostatektomie: Wenn, dann wohl länger

24.05.2024 Prostatakarzinom Nachrichten

Welchen Nutzen es trägt, wenn die Strahlentherapie nach radikaler Prostatektomie um eine Androgendeprivation ergänzt wird, hat die RADICALS-HD-Studie untersucht. Nun liegen die Ergebnisse vor. Sie sprechen für länger dauernden Hormonentzug.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.