Millstein Rachel A, Lee Hannah, Lapioli Alisa, Winters Loren, Sullivan Carol, Bateman Samantha, Frates Elizabeth, Comander Amy, Eisenstat Stephanie, Peppercorn Jeffrey, O'Donnell Elizabeth K
Cancer Center, Massachusetts General Hospital, Boston, MA, USA (RAM, HL, AL, LW, CS, SB, AC, SE, JP).
Harvard Medical School, Boston, MA, USA (RAM, EF, EKO).
Am J Lifestyle Med. 2023 Oct 17;18(6):791-801. doi: 10.1177/15598276231206381. eCollection 2024 Nov-Dec.
Cancer survivorship guidelines emphasize Lifestyle Medicine (LM) pillars, including physical activity, healthy eating, restorative sleep, stress management, and avoiding risky substance use. We describe the development and patient population of a multidisciplinary LM clinic in oncology.
The clinic launched virtually in 2020. Patients had same-day consultations with an oncologist/nurse practitioner, nutritionist, and psychologist. Patients completed a one-time online survey assessing demographics, quality of life, LM pillars, and mental health. Descriptive statistics were used to characterize the population.
Seventy-six patients took the survey (July 2020-January 2023). Most were female, non-Hispanic White, with early-stage cancers. The mean BMI was 30 kg/m. A minority of patients met aerobic physical activity (27.6%) and dietary (28.6%) recommendations. Two-thirds (67%) reported sleep difficulties, and 30%-36% reported elevated anxiety/depression. Over half (53.3%) gained weight due to cancer treatment and 78.7% were trying to lose weight.
This paper details the baseline LM needs of cancer survivors seeking lifestyle consultation and describes the development of the clinic to address these concerns. Patients were open to evaluation and treatment in an oncology-focused LM clinic. This clinic model has potential to improve quality of life for survivors.
癌症幸存者指南强调生活方式医学（LM）的几个支柱，包括体育活动、健康饮食、恢复性睡眠、压力管理以及避免使用有风险的物质。我们描述了一家肿瘤多学科LM诊所的发展情况及患者群体。
该诊所于2020年以虚拟方式开业。患者与肿瘤学家/执业护士、营养师和心理学家进行当日会诊。患者完成了一项一次性在线调查，评估人口统计学特征、生活质量、LM支柱及心理健康状况。采用描述性统计来描述该群体特征。
76名患者参与了调查（2020年7月至2023年1月）。大多数为非西班牙裔白人女性，患有早期癌症。平均体重指数为30kg/m。少数患者达到有氧运动（27.6%）和饮食（28.6%）建议标准。三分之二（67%）的患者报告有睡眠困难，30%-36%的患者报告焦虑/抑郁情绪升高。超过一半（53.3%）的患者因癌症治疗而体重增加，78.7%的患者试图减肥。
本文详细介绍了寻求生活方式咨询的癌症幸存者的LM基线需求，并描述了为解决这些问题而设立的诊所的发展情况。患者愿意在以肿瘤学为重点的LM诊所接受评估和治疗。这种诊所模式有潜力改善幸存者的生活质量。
