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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
Open accessAbstract
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 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”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [23]
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“However, the concern regarding keeping patients safe continues to be raised.22,23,26”
From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [23]
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Metadata
- 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.
- ORCID
- Venue
- Journal of Oncology Practice
- Published
- 2019-06
- Volume
- 15
- Issue
- 6
- Pages
- e520-e528
- ISSN
- 1554-7477 (ISSN-L)
- 1935-469X
- PMC
- PMC6827390
- 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
- bronze
- doi.org
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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