Abramson Cancer Center, Perelman Center for Advanced Medicine, University of Pennsylvania, South Tower 10-149, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
J Health Popul Nutr. 2023 May 29;42(1):48. doi: 10.1186/s41043-023-00390-6.
To determine to what extent head and neck cancer (HNC) survivors participate in health behaviors (HBs) recommended by the National Cancer Center Network (NCCN®).
Participants identified through the tumor registries at the Abramson Cancer Center (ACC), University of Pennsylvania and affiliated sites. Eligibility: (a) diagnosis and treatment HNC; (b) aged 18 to 70 years; (c) ≥ 1-year post-diagnosis; (d) human papillomavirus (HPV) status confirmed; (e) ability to understand written English. Potential participants received an explanation of the study, informed consent, self-reported questionnaire, and self-addressed stamped envelope.
451 individuals eligible, 102 (23%) agreed to participate, HPV positive (74%). Current smoking rare (7%), historical use common (48%). Current alcohol use common (65%), average 2.1 drinks/day, 12 days/month. 22% binge drank with an average of 3.5 binge-drinking sessions per month. Nutritional behavior mean 7.1 (range 0-16), lower scores indicating better nutrition. Body mass index (BMI) 59% overweight/obese. Adequate aerobic exercise 59%, adequate strength and flexibility 64%. Leisure time activity, 18% sedentary, 19% moderately active, 64% active. All participants reported having a primary care physician, 92% seen in the previous 12 months.
Most HNC survivors participated in some HBs. Current smoking rarely reported, binge drinking and high BMI most common negative HBs. Opportunities remain to improve dietary and exercise behaviors.
The NCCN® has outlined HBs that decrease likelihood of cancer survivors developing comorbidities that could impact overall survival. It is incumbent on healthcare providers to educate and encourage cancer survivors to participate in these HBs.
确定头颈部癌症（HNC）幸存者参与美国国家综合癌症网络（NCCN®）推荐的健康行为（HBs）的程度。
参与者通过宾夕法尼亚大学艾布拉姆森癌症中心（ACC）和附属站点的肿瘤登记处确定。入选标准：（a）诊断和治疗 HNC；（b）年龄 18 至 70 岁；（c）诊断后≥1 年；（d）确认人乳头瘤病毒（HPV）状态；（e）能够理解书面英语。潜在参与者收到了研究的解释、知情同意书、自我报告的问卷和自贴邮票的信封。
451 名符合条件的个体中，有 102 名（23%）同意参与，其中 HPV 阳性者（74%）。目前吸烟的很少（7%），过去吸烟的常见（48%）。目前饮酒的常见（65%），平均每天 2.1 份，每月 12 天。22%的人 binge 饮酒，平均每月 binge 饮酒 3.5 次。营养行为平均得分为 7.1（范围 0-16），得分越低表示营养越好。体重指数（BMI）59%超重/肥胖。有足够的有氧运动 59%，足够的力量和灵活性 64%。休闲时间活动，18%久坐不动，19%适度活跃，64%活跃。所有参与者都报告说有初级保健医生，92%在过去 12 个月内看过医生。
大多数 HNC 幸存者参与了一些 HBs。目前很少有吸烟者报告说， binge 饮酒和高 BMI 是最常见的负面 HBs。仍然有机会改善饮食和锻炼行为。
NCCN®概述了降低癌症幸存者出现可能影响总体生存的合并症的可能性的 HBs。医疗保健提供者有责任教育和鼓励癌症幸存者参与这些 HBs。
