Phothikul Jittrarath, Chung Joohyun, Faro Jamie, Seven Memnun
Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA; Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, MA.
Semin Oncol Nurs. 2025 Feb;41(1):151763. doi: 10.1016/j.soncn.2024.151763. Epub 2024 Dec 9.
This scoping review explored insight into the current evidence on adherence to health behavior guidelines, specifically diet and physical activity among breast cancer survivors.
A scoping review was conducted through databases including PubMed, CINAHL, Scopus, Web of Science, and SPORTDiscus with Full Text in November 2022, following the JBI methodology. The search strategy combined the keywords i) diet OR nutrition OR eating OR exercise OR physical activity OR fitness and ii) breast cancer survivors OR patients with breast cancer.
Twelve original research studies were included; most were conducted in the United States (50%), followed by the European countries (33.34%). Most studies exclusively focused on physical activity (83.33%) and assessed adherence to the physical activity guidelines for Americans (30%), along with the American Cancer Society (20%) and American College of Sports Medicine (20%) guidelines. Overweight or obesity, comorbidity, race, and quality of life were reported as factors associated with physical activity. Independence of disease status was significantly associated with fruit and vegetable intake.
Studies reported a wide range of prevalence of adherence to dietary and physical activity recommendations among breast cancer survivors. Further studies are needed to explore diet and physical activity in the context of factors affecting these behaviors among cancer survivors to support the development of healthy behavior, improve health outcomes, and reduce the disease burden among this population.
Nurses have a key role in educating and coordinating multidiscipline teams to initiate and provide cancer survivorship care. These findings indicate that nurses should consider developing targeted strategies and education to promote dietary patterns and physical activity adherence among breast cancer survivors.
本范围综述探讨了目前关于乳腺癌幸存者遵守健康行为指南，特别是饮食和身体活动方面证据的见解。
按照循证卫生保健国际协作中心（JBI）的方法，于2022年11月通过包括PubMed、护理学与健康领域数据库（CINAHL）、Scopus、科学引文索引（Web of Science）和全文版体育与运动医学数据库（SPORTDiscus）在内的数据库进行范围综述。检索策略结合了关键词：i）饮食或营养或进食或运动或身体活动或健康，以及ii）乳腺癌幸存者或乳腺癌患者。
纳入了12项原创性研究；大多数研究在美国进行（50%），其次是欧洲国家（33.34%）。大多数研究仅关注身体活动（83.33%），并评估了对美国身体活动指南（30%）、美国癌症协会（20%）和美国运动医学学院（20%）指南的遵守情况。超重或肥胖、合并症、种族和生活质量被报告为与身体活动相关的因素。疾病状态的独立性与水果和蔬菜摄入量显著相关。
研究报告了乳腺癌幸存者中遵守饮食和身体活动建议的广泛流行率。需要进一步研究在影响癌症幸存者这些行为的因素背景下探讨饮食和身体活动，以支持健康行为的发展、改善健康结果并减轻该人群的疾病负担。
护士在教育和协调多学科团队以启动和提供癌症幸存者护理方面发挥着关键作用。这些发现表明，护士应考虑制定有针对性的策略和教育，以促进乳腺癌幸存者的饮食模式和身体活动依从性。
