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Not all women change lifestyle after cancer
Published in Saudi Press Agency on 23 - 08 - 2006


Breast cancer survivors who
believe certain health behaviours helped cause their disease
are more likely to change those behaviours after their
diagnosis, a new study shows, according to Reuters.
The same motivation appears to hold in close relatives of
cancer survivors, Drs. Carolyn Rabin and Bernadine Pinto of
Miriam Hospital and Brown Medical School in Providence, Rhode
Island report in the medical journal Psycho-Oncology.
"Survivors take an active problem-solving approach to
preventing a future incidence of cancer; they develop their own
understanding or representation of the cancer and implement
preventive behavioural strategies accordingly," they write.
Many cancer survivors don't choose to adopt healthier
habits after their diagnosis, Rabin and Pinto note. Previous
research shows that 50 percent of breast cancer survivors don't
get the recommended five servings of fruit and vegetables
daily, for example, while 23 percent eat diets high in fat, and
28 to 43 percent don't exercise.
The researchers hypothesised that survivors and their
relatives who believed certain habits may have contributed to
their disease, and who thought that changing these habits would
prevent the disease from recurring, would be more likely to
change those habits. To investigate, they surveyed 65 breast
cancer survivors and 33 of their first-degree relatives three
months after the patients had completed their cancer treatment,
and again three months later.
Patients who thought that sedentary habits, alcohol
consumption or bad diet had helped cause their disease and that
changing these habits would prevent disease recurrence were
more likely to change those behaviours.
The researchers found a particularly strong association
with diet, with cancer survivors who thought eating too much
fat and not enough fruit and vegetables contributed to their
illness more likely to cut their fat consumption and boost
their plant food intake.
"Understanding the factors that prompt the initiation of
healthy lifestyle changes among cancer survivors and
first-degree relatives is a necessary first step towards
developing interventions for those unlikely to initiate such
behaviour changes on their own," Rabin and Pinto conclude.


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