Are lifestyle behavioral factors associated with health-related quality of life in long-term survivors of non-Hodgkin lymphoma?

作者：Spector Denise J^*; Noonan Devon; Mayer Deborah K; Benecha Habtamu; Zimmerman Sheryl; Smith Sophia K

来源：Cancer, 2015, 121(18): 3343-3351.

DOI：10.1002/cncr.29490

• non-Hodgkin lymphoma survivors
• health behaviors
• health-related quality of life
• physical activity
• posttraumatic stress

BACKGROUNDThe objective of the current study was to determine whether survivors of non-Hodgkin lymphoma are meeting select American Cancer Society (ACS) health-related guidelines for cancer survivors, as well as to examine relationships between these lifestyle factors and health-related quality of life (HRQoL) and posttraumatic stress (PTS).
METHODSA cross-sectional sample of 566 survivors of NHL was identified from the tumor registries of 2 large academic medical centers. Respondents were surveyed regarding physical activity, fruit and vegetable intake, body weight, tobacco use, HRQoL using the Medical Outcomes Study Short Form-36, and PTS using the Posttraumatic Stress Disorder CheckList-Civilian form. Lifestyle cluster scores were generated based on whether individuals met health guidelines and multiple linear regression analysis was used to evaluate relationships between lifestyle behaviors and HRQoL scores and PTS scores.
RESULTSApproximately 11% of participants met all 4 ACS health recommendations. Meeting all 4 healthy recommendations was related to better physical and mental QoL (standardized regression coefficient [], .57 [P<.0001] and , .47 [P = .002]) and to lower PTS scores (, -0.41; P = .01).
CONCLUSIONSSurvivors of NHL who met more ACS health-related guidelines appeared to have better HRQoL and less PTS. Unfortunately, many survivors are not meeting these guidelines, which could impact their overall well-being and longevity. Cancer 2015;121:3343-3351. (c) 2015 American Cancer Society.
Healthy lifestyle behaviors appear to be related to better health-related quality of life, both mentally and physically, in long-term survivors of non-Hodgkin lymphoma. The majority of these individuals are not meeting American Cancer Society guidelines for health behaviors, which could impact their overall well-being and longevity.

• 出版日期2015-9-15