The DOI matches its Crossref record; 139 of the 139 references it cites were found in a registry or an index.
Riding the Crest of the Teachable Moment: Promoting Long-Term Health After the Diagnosis of Cancer
Abstract
Purpose: Cancer survivors are at increased risk for several comorbid conditions, and many seek lifestyle change to reduce dysfunction and improve long-term health. To better understand the impact of cancer on adult survivors' health and health behaviors, a review was conducted to determine (1) prevalent physical health conditions, (2) persistent lifestyle changes, and (3) outcomes of previous lifestyle interventions aimed at improving health within this population. Methods: Relevant studies from 1966 and beyond were identified through MEDLINE and PubMed searches. Results: Cancer survivors are at increased risk for progressive disease but also for second primaries, osteoporosis, obesity, cardiovascular disease, diabetes, and functional decline. To improve overall health, survivors frequently initiate diet, exercise, and other lifestyle changes after diagnosis. However, those who are male, older, and less educated are less likely to adopt these changes. There also is selective uptake of messages, as evidenced by findings that only 25% to 42% of survivors consume adequate amounts of fruits and vegetables, and approximately 70% of breast and prostate cancer survivors are overweight or obese. Several behavioral interventions show promise for improving survivors' health-related outcomes. Oncologists can play a pivotal role in health promotion, yet only 20% provide such guidance. Conclusion: With 64% of cancer patients surviving > 5 years beyond diagnosis, oncologists are challenged to expand their focus from acute care to managing the long-term health consequences of cancer. Although more research is needed, opportunities exist for oncologists to promote lifestyle changes that may improve the length and quality of life of their patients.
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Cites
Primary Care: Is There Enough Time for Prevention?
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Understanding the potential of teachable moments: the case of smoking cessation
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Self-citationResistance Exercise in Men Receiving Androgen Deprivation Therapy for Prostate Cancer
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Cancer Survivors in the United States: Age, Health, and Disability
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Self-citationOverweight as an avoidable cause of cancer in Europe
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Cited by
Weight Loss with a Low-Carbohydrate, Mediterranean, or Low-Fat Diet
Shai, I., Schwarzfuchs, D., Henkin, Y., Shahar, D. R., Witkow, S., Greenberg, I., Golan, R., Fraser, D., Bolotin, A., Vardi, H., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0708681 · Cited by 2,143
Blanchard, C. M., Courneya, K. S., & Stein, K. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.14.6217 · Cited by 1,021
Health Behaviors of Cancer Survivors: Examining Opportunities for Cancer Control Intervention
Bellizzi, K. M., Rowland, J. H., Jeffery, D. D., & McNeel, T. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.02.2343 · Cited by 561
Self-citationMorey, M. C., Snyder, D. C., Sloane, R., Cohen, H. J., Peterson, B., Hartman, T. J., Miller, P., Mitchell, D. C., & Demark-Wahnefried, W. (2009) · JAMA · doi:10.1001/jama.2009.643 · Cited by 522
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Metadata
- Authors
- Demark-Wahnefried, W., Aziz, N. M., Rowland, J. H., & Pinto, B. M.
- Venue
- Journal of Clinical Oncology
- Published
- 2005-08-20
- Volume
- 23
- Issue
- 24
- Pages
- 5814-5830
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2018702836
- Cited by
- 1,119
- References
- 139
- FWCI
- 17.38
- Type
- journal article
- Language
- en
- Open access
- closed
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