Basen-Engquist Karen, Alfano Catherine M, Maitin-Shepard Melissa, Thomson Cynthia A, Schmitz Kathryn H, Pinto Bernardine M, Stein Kevin, Zucker David S, Syrjala Karen L, Fallon Elizabeth, Doyle Colleen, Demark-Wahnefried Wendy
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
American Cancer Society, Inc., Atlanta, Georgia, USA.
Obesity (Silver Spring). 2017 Nov;25 Suppl 2(Suppl 2):S9-S22. doi: 10.1002/oby.22031.
Evidence supporting physical activity, diet, and weight management for cancer survivors has grown, leading to the development of guidelines and interventions. The next step is to identify necessary practice and policy changes and to develop a research agenda to inform how interventions can be delivered to survivors most effectively and efficiently in health care settings and by community-based organizations. Here, an agenda is proposed for research, practice, and policy that incorporates recommendations for a range of programming options, a patient-centered, tailored screening and referral approach, and training needs for survivorship care providers and providers of exercise, nutrition, and weight management services. Research needs to focus on sustainability, dissemination, and implementation. Needed policy changes are presented, as well as opportunities to leverage current health care policies.
支持癌症幸存者进行体育活动、饮食和体重管理的证据不断增加,促使相关指南和干预措施得以制定。下一步是确定必要的实践和政策变革,并制定一项研究议程,以指导如何在医疗保健环境中以及通过社区组织最有效、高效地向幸存者提供干预措施。在此,提出了一项针对研究、实践和政策的议程,其中纳入了一系列项目方案的建议、以患者为中心的个性化筛查和转诊方法,以及癌症幸存者护理提供者和运动、营养及体重管理服务提供者的培训需求。研究需要关注可持续性、传播和实施。文中还介绍了所需的政策变革,以及利用当前医疗保健政策的机会。