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Publication Detail
Fatigue, QoL and associations with adherence to the World Cancer Research Fund (WCRF) guidelines for health behaviours in 5835 adults living with and beyond breast, prostate and colorectal cancer in England: A cross-sectional study.
  • Publication Type:
    Conference presentation
  • Publication Sub Type:
  • Authors:
    Kennedy F, Lally P, Croker H, Conway R, Roberts A, Fisher A, Beeken R
  • Name of Conference:
    British Psychosocial Oncology Society Annual Conference
  • Conference start date:
  • Conference finish date:
Background: Cancer survivors are advised to follow the World Cancer Research Fund (WCRF) lifestyle recommendations (designed to prevent cancer), which are considered beneficial after a cancer diagnosis. Previous research in the Netherlands amongst colorectal survivors has suggested that adherence to WCRF guidelines is associated with better quality of life (QoL) and less fatigue. The Advancing Survivorship Cancer Outcomes Trial (ASCOT) included a large-scale UK health and lifestyle after cancer (breast, prostate, colorectal) survey. Aims: This study aimed to explore adherence to WCRF recommendations among individual living with and beyond cancer (LWBC) in England, and their association with fatigue and QoL. Methods: A cross-sectional survey was completed by adults LWBC. Fatigue was assessed using the FACIT-Fatigue Scale (version 4). QoL/wellbeing was assessed using the EQ5D descriptive scale. Participants were categorised as meeting/not meeting WCRF recommendations for fibre, fruit and vegetables, sugar, red meat, processed meat, fat, alcohol, smoking, physical activity and weight. Data analysis is currently underway. Multiple imputation techniques will account for missing data. Analyses will account for demographic and clinical factors. Two linear regressions will predict fatigue and QoL/wellbeing. Results/Conclusions: 5835 completed the survey (47.7% breast, 31.5% prostate, 20.7% colorectal), mean age 67.4 years (SD=11.82). Most were married (69.4%), 56.0% female, and around 70% were between 1-5 years post-treatment. In terms of WCRF recommendations, prior to multiple imputation, most participants were meeting the recommendation on smoking, alcohol, and red meat. There were low levels of meeting the recommendations on weight (33.9%), physical activity (30.7%), fibre (11.4%), fruit and vegetables (28.4%) and fat (39.4%). However some of these variables had high levels of missing data, which will be adjusted for in the main analyses. This large-scale work highlights various areas which may be beneficial to target the design and implementation of interventions to help improve the QoL of cancer survivors.
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Behavioural Science and Health
Population, Policy & Practice Dept
Behavioural Science and Health
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