Document Detail

Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors.
MedLine Citation:
PMID:  18192161     Owner:  NLM     Status:  MEDLINE    
PURPOSE/OBJECTIVES: To determine childhood cancer survivors' barriers to increasing exercise and consuming less fat and more fruits and vegetables, whole grains, and calcium-rich foods. DESIGN: Mailed survey. SETTING: Cases from a comprehensive cancer center. SAMPLE: Convenience sample of 144 childhood cancer survivors aged 13-35 years identified through previous research. Surveys were returned by 118 participants (82% response rate). METHODS: Descriptive statistics with chi-square tests were performed between subgroups defined by age (< 18 years and < or = 18 years) and diagnosis (leukemia, lymphoma, and central nervous system cancers). MAIN RESEARCH VARIABLES: Barriers to exercise, consuming less fat, and eating more fruits and vegetables, whole grains, and calcium-rich foods. FINDINGS: Proportionately more childhood cancer survivors reported barriers to exercise and following a low-fat diet than to consuming more fruits and vegetables, whole grains, and calcium-rich foods. Primary barriers to exercise included being too tired (57%), being too busy (53%), and not belonging to a gym (48%), whereas barriers for restricting high-fat foods were commercials that make high-fat foods look so appealing (58%) and having friends who eat a lot of high-fat foods (50%). Difficulty associated with ordering healthy foods when dining out also was a leading barrier to following a low-fat diet (50%), as well as eating more whole grains (31%), fruits and vegetables (30%), and calcium-rich foods (15%). CONCLUSIONS: Childhood cancer survivors report several barriers to exercise and consuming a low-fat diet with more fruits and vegetables, whole grains, and calcium-rich foods. IMPLICATIONS FOR NURSING: This study's findings may be helpful to nurses, health educators, and allied health professionals in developing effective interventions that promote healthful lifestyle change among childhood cancer survivors.
Whitney D Arroyave; Elizabeth C Clipp; Paige E Miller; Lee W Jones; Dianne S Ward; Melanie J Bonner; Philip M Rosoff; Denise Clutter Snyder; Wendy Demark-Wahnefried
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Oncology nursing forum     Volume:  35     ISSN:  1538-0688     ISO Abbreviation:  Oncol Nurs Forum     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-14     Completed Date:  2008-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809033     Medline TA:  Oncol Nurs Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  121-30     Citation Subset:  IM; N    
School of Nursing, Duke University, Durham, NC, USA.
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MeSH Terms
Adolescent Behavior
Attitude to Health*
Food Habits*
Health Promotion*
Neoplasms / psychology,  rehabilitation*
Survivors / psychology
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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