Cited by 126Cancer Risks and FactorsObesity and Health PracticesCancer survivorship and care

Oncologists’ Attitudes and Practice of Addressing Diet, Physical Activity, and Weight Management With Patients With Cancer: Findings of an ASCO Survey of the Oncology Workforce

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Ligibel, Jennifer A., Jones, Lee W., Brewster, Abenaa M., Clinton, Steven K., Korde, Larissa A., Oeffinger, Kevin C., Bender, Catherine M., Tan, Winston +3 more·2019·Journal of Oncology Practice

Abstract

PURPOSE: Obesity and related factors have been linked to cancer risk and outcomes, but little information exists with regard to oncologists’ attention to these issues as a part of clinical care. METHODS: Oncology providers actively caring for patients with cancer in the United States and internationally were asked to complete an online survey about practice patterns and perceptions with regard to obesity and weight management during and after active cancer treatment. RESULTS: Nine hundred seventy-one practicing oncology providers completed the survey. The majority of respondents indicated a belief that the evidence linking obesity to cancer outcomes was strong and that weight and related factors should be addressed as a part of cancer treatment. The majority of respondents also reported that they frequently assessed body weight and related factors as well as counsel their patients to exercise, consume a healthy diet, and lose weight, if applicable. However, referral to providers and programs to support weight loss and increased physical activity occurred less frequently, and a number of barriers were identified for the incorporation of weight management and physical activity programs in the treatment of patients with cancer. CONCLUSION: In a survey of oncology providers, attention to weight management, physical activity, and diet in patients with cancer was high during and after cancer treatment but often did not result in referrals to support lifestyle change. Future work is needed to support education and training of oncology providers to facilitate referrals and overcome barriers to implementation of weight management and physical activity programs for patients with cancer.

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  • A recent survey of 971 oncology clinicians conducted by the American Society of Clinical Oncology indicated that 78.9% of respondents agreed that oncology clinicians should recommend physical activity to their patients.

    “A recent survey of 971 oncology clinicians that was conducted by the American Society of Clinical Oncology indicated that 78.9% of respondents agreed that oncology clinicians should recommend physical activity to their patients.23”
  • Concern about keeping patients safe during exercise continues to be raised.

    “However, the concern regarding keeping patients safe continues to be raised.22,23,26”

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Authors
Ligibel, J. A., Jones, L. W., Brewster, A. M., Clinton, S. K., Korde, L. A., Oeffinger, K. C., Bender, C. M., Tan, W., Merrill, J. K., Katta, S., & Alfano, C. M.
Affiliations
  • Dana-Farber Cancer Institute (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • The University of Texas MD Anderson Cancer Center (US)
  • The Ohio State University (US)
  • National Institutes of Health (US)
  • Duke University (US)
  • University of Pittsburgh (US)
  • Mayo Clinic in Florida (US)
  • American Society of Clinical Oncology (US)
  • American Cancer Society (US)
Corresponding author
Merrill, Janette K.
Venue
Journal of Oncology Practice
Published
2019-06
Volume
15
Issue
6
Pages
e520-e528
ISSN
  • 1554-7477 (ISSN-L)
  • 1935-469X
OpenAlex
W2945461482
Cited by
126
References
37
Citations by year
2026: 14 · 2025: 21 · 2024: 20 · 2023: 13 · 2022: 22 · 2021: 19 · 2020: 14 · 2019: 3
FWCI
6.05
Type
journal article
Language
en
Open access
Locations
  • Journal of Oncology Practice (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • American Society of Clinical Oncology
  • University of Pennsylvania
  • National Cancer Institute (P30CA008748)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Risks and Factors
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords
obesity, weight management, physical activity, diet, cancer patients, oncologists' attitudes, oncology practice patterns, referral barriers, lifestyle counseling, slimming program, obesity and cancer risk
MeSH terms
Oncologists, Attitude of Health Personnel, Diet, Humans, Health Knowledge, Attitudes, Practice, Life Style, Neoplasms, Obesity, Practice Patterns, Physicians', Surveys and Questionnaires, Referral and Consultation, United States, Weight Loss, Health Behavior, Exercise, Practice Guidelines as Topic

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