Dr Christopher Blanchard and colleagues from Canada examined the prevalence and clustering of physical activity, fruit and vegetable consumption (5-A-Day), and smoking across 6 major cancer survivor groups.
The researchers assessed the association between adherence to these lifestyle recommendations with health-related quality of life.
|Only 5% of cancer survivors were meeting all 3 recommendations|
|Journal of Clinical Oncology|
The team identified a total of 9,105 survivors of 6 different cancers.
The patients completed a national cross-sectional survey that included the lifestyle behavior questions, and the RAND-36 Health Status Inventory.
The team found that only 15% to 19% of cancer survivors were meeting the 5-A-Day, 30% to 47% were meeting the physical activity recommendations.
However, 83% to 92% of patients were meeting the smoking recommendations.
In terms of the lifestyle behavior clusters, only 5% of cancer survivors were meeting all 3 recommendations.
The team's analyses of covariance generally showed higher health-related quality of life in survivors who were meeting versus not meeting each lifestyle behavior recommendation.
The strongest associations emerged for physical activity.
The team used a trend analyses showing a steep positive association between the number of lifestyle behavior recommendations being met and health-related quality of life.
These associations were significant for breast, prostate, colorectal, bladder, uterine, and skin melanoma cancer survivors.
Dr Blanchard's team concluded, "Few cancer survivors are meeting the physical activity or 5-A-Day recommendations, and even fewer are meeting all 3 lifestyle recommendations."
"The association between the current lifestyle recommendations and health-related quality of life in cancer survivors appears to be cumulative."
"Interventions to increase physical activity, fruit and vegetable consumption, and reduce smoking are warranted and may have additive effects on the health-related quality of life of cancer survivors."