Zomerdijk Nienke, Jongenelis Michelle I, Collins Ben, Turner Jane, Short Camille E, Smith Andrew, Huntley Kathryn
Melbourne School of Psychological Sciences, University of Melbourne, Parkville, VIC, Australia.
Victorian Comprehensive Cancer Centre Alliance, Parkville, VIC, Australia.
Front Psychol. 2023 Mar 9;14:1081397. doi: 10.3389/fpsyg.2023.1081397. eCollection 2023.
There is a paucity of research examining the effects of the COVID-19 pandemic on the healthy lifestyle behaviors of hematological cancer patients. We examined changes in healthy lifestyle behaviors since the pandemic and identified factors associated with these changes among members of this high-risk population.
Hematological cancer patients ( = 394) completed a self-report online survey from July to August 2020. The survey assessed pandemic-related changes in exercise, alcohol consumption, and consumption of fruit, vegetables, and wholegrains. Information relating to several demographic, clinical, and psychological factors was also collected. Factors associated with changes in healthy lifestyle behaviors were analyzed using logistic regression.
Just 14% of patients surveyed reported exercising more during the pandemic (39% exercised less). Only a quarter (24%) improved their diet, while nearly half (45%) reported eating less fruit, vegetables, and wholegrains. Just over a quarter (28%) consumed less alcohol (17% consumed more alcohol). Fear of contracting COVID-19 and psychological distress were significantly associated with reduced exercise. Younger age was significantly associated with both increased alcohol consumption and increased exercise. Being a woman was significantly associated with unfavorable changes in diet and being married was significantly associated with decreased alcohol consumption.
A substantial proportion of hematological cancer patients reported unfavorable changes in healthy lifestyle behaviors during the pandemic. Results highlight the importance of supporting healthy lifestyle practices among this particularly vulnerable group to ensure health is optimized while undergoing treatment and when in remission, particularly during crisis times like the COVID-19 pandemic.
关于新冠疫情对血液系统癌症患者健康生活方式行为影响的研究匮乏。我们调查了疫情以来健康生活方式行为的变化，并确定了这一高危人群中与这些变化相关的因素。
2020年7月至8月，血液系统癌症患者（n = 394）完成了一项在线自我报告调查。该调查评估了疫情期间运动、饮酒以及水果、蔬菜和全谷物消费方面的变化。还收集了有关一些人口统计学、临床和心理因素的信息。使用逻辑回归分析与健康生活方式行为变化相关的因素。
接受调查的患者中，只有14%报告在疫情期间运动增加（39%运动减少）。只有四分之一（24%）的人改善了饮食，而近一半（45%）的人报告水果、蔬菜和全谷物摄入量减少。略多于四分之一（28%）的人饮酒减少（17%饮酒增加）。对感染新冠病毒的恐惧和心理困扰与运动减少显著相关。年龄较小与饮酒增加和运动增加均显著相关。女性与饮食方面的不良变化显著相关，已婚与饮酒减少显著相关。
相当一部分血液系统癌症患者报告在疫情期间健康生活方式行为出现了不良变化。研究结果凸显了在这一特别脆弱的群体中支持健康生活方式的重要性，以确保在接受治疗期间和缓解期，尤其是在新冠疫情等危机时期，健康状况得到优化。
