Trajectories of health behaviors across early childhood cancer survivorship

Objective The majority of childhood cancer survivors develop at least one late effect subsequent to treatment (eg, cardiovascular disease and obesity). Consistent engagement in recommended health behaviors may mitigate some of these conditions. Researchers have identified early survivorship as a tea...

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Published in:Psycho-oncology (Chichester, England) England), 2019-01, Vol.28 (1), p.68-75
Main Authors: Fisher, Rachel S., Rausch, Joseph R., Ferrante, Amanda C., Prussien, Kemar V., Olshefski, Randal S., Vannatta, Kathryn A., Compas, Bruce E., Gerhardt, Cynthia A.
Format: Article
Language:English
Subjects:
Adolescent
Behavior change
Brain tumors
Cancer
Cancer Survivors - psychology
Cardiovascular diseases
Child
Child psychology
Child Welfare - psychology
Child, Preschool
Childhood
Children
Circadian rhythm
Diet
Exercise
Fast food
Female
Health Behavior
Health education
Health promotion
Healthy food
healthy lifestyle
Humans
Low income groups
Male
Medical diagnosis
Mothers
Obesity
oncology
Pediatrics
psychosocial
Quality of Life - psychology
Relapse
Sleep
Survivor
survivors
survivors of childhood cancer
Survivorship
Trends
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Summary:Objective The majority of childhood cancer survivors develop at least one late effect subsequent to treatment (eg, cardiovascular disease and obesity). Consistent engagement in recommended health behaviors may mitigate some of these conditions. Researchers have identified early survivorship as a teachable moment, yet few studies have examined positive health behaviors during this period. Methods Families of children with cancer (ages 5‐17) were initially recruited following a diagnosis or relapse of cancer. Three years post diagnosis, survivors (n = 82, Mage = 13.3, SD = 3.7) and their mothers (n = 103, Mage = 41.1, SD = 7.6) completed a questionnaire assessing exercise, dietary, and sleep patterns among survivors. A follow‐up assessment was conducted 2 years later. Mixed models tested change in health behavior over time. Results At 3‐ and 5‐year post diagnosis, mother and self‐report indicated that few survivors engaged in appropriate levels of low‐intensity exercise, fruit/vegetable intake, and dairy consumption. However, most survivors engaged in recommended levels of high intensity exercise, fast food restriction, and sleep. Health behaviors remained stable over time, except for mother report of sleep duration, which decreased (b = –0.6, P 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.4911