|
|||||
|
|
American Cancer Society nutrition and physical activity guideline for cancer survivors |
|
| Authors: | Cheryl L Rock PhD RD Cynthia A Thomson PhD RD Kristen R Sullivan MS MPH Carol L Howe MD MLS Lawrence H Kushi ScD Bette J Caan DrPH Marian L Neuhouser PhD RD Elisa V Bandera MD PhD Ying Wang PhD Kimberly Robien PhD RD Karen M Basen-Engquist PhD MPH Justin C Brown PhD Kerry S Courneya PhD Tracy E Crane PhD RDN David O Garcia PhD FACSM Barbara L Grant MS RDN CSO FAND Kathryn K Hamilton MA RDN CSO CDN FAND Sheri J Hartman PhD Stacey A Kenfield ScD Maria Elena Martinez PhD Jeffrey A Meyerhardt MD MPH Larissa Nekhlyudov MD MPH Linda Overholser MD Alpa V Patel PhD Bernardine M Pinto PhD Mary E Platek PhD RD CDN Erika Rees-Punia PhD MPH Colleen K Spees PhD MEd RD LD FAND Susan M Gapstur PhD Marjorie L McCullough ScD RD |
| Affiliation: | 1. Department of Family Medicine, School of Medicine, University of California at San Diego, La Jolla, California;2. Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona;3. Department of Population Sciences, American Cancer Society, Atlanta, Georgia;4. Department of Medicine, University of Arizona Health Sciences Library, Tucson, Arizona
Department of Family and Community Medicine, University of Arizona Health Sciences Library, Tucson, Arizona;5. Division of Research, Kaiser Permanente Northern California, Oakland, California;6. Cancer Prevention Program, Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, Washington;7. Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey;8. Department of Exercise and Nutrition Sciences, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia;9. Division of Cancer Prevention and Population Sciences, Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas;10. Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana;11. Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, Alberta, Canada;12. Cancer Care Center, St Alphonsus Regional Medical Center, Boise, Idaho;13. Carol G. Simon Cancer Center, Morristown Medical Center, Morristown, New Jersey;14. Herbert Wertheim School of Public Health and Human Longevity Science, University of California at San Diego, La Jolla, California;15. Department of Urology, University of California at San Francisco, San Francisco, California;16. Herbert Wertheim School of Public Health and Human Longevity Science, University of California at San Diego, La Jolla, California Moores Cancer Center, University of California at San Diego, La Jolla, California;17. Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts;18. Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts;19. School of Medicine, University of Colorado, Denver, Colorado;20. College of Nursing, University of South Carolina, Columbia, South Carolina;21. School of Health Professions, D'Youville College, Buffalo, New York Roswell Park Comprehensive Cancer Center, Buffalo, New York;22. College of Medicine, The Ohio State University, Columbus, Ohio;23. Epidemiology Consultant, Tiffin, Iowa |
| Abstract: | The overall 5-year relative survival rate for all cancers combined is now 68%, and there are over 16.9 million survivors in the United States. Evidence from laboratory and observational studies suggests that factors such as diet, physical activity, and obesity may affect risk for recurrence and overall survival after a cancer diagnosis. The purpose of this American Cancer Society guideline is to provide evidence-based, cancer-specific recommendations for anthropometric parameters, physical activity, diet, and alcohol intake for reducing recurrence and cancer-specific and overall mortality. The audiences for this guideline are health care providers caring for cancer survivors as well as cancer survivors and their families. The guideline is intended to serve as a resource for informing American Cancer Society programs, health policy, and the media. Sources of evidence that form the basis of this guideline are systematic literature reviews, meta-analyses, pooled analyses of cohort studies, and large randomized clinical trials published since 2012. Recommendations for nutrition and physical activity during cancer treatment, informed by current practice, large cancer care organizations, and reviews of other expert bodies, are also presented. To provide additional context for the guidelines, the authors also include information on the relationship between health-related behaviors and comorbidities, long-term sequelae and patient-reported outcomes, and health disparities, with attention to enabling survivors' ability to adhere to recommendations. Approaches to meet survivors' needs are addressed as well as clinical care coordination and resources for nutrition and physical activity counseling after a cancer diagnosis. |
| Keywords: | alcohol cancer survivors dietary patterns nutrition obesity physical activity |
