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Article ; Online: Perception of a need to change weight in individuals living with and beyond breast, prostate and colorectal cancer: a cross-sectional survey.

Heuchan, Gabriella N / Lally, Phillippa J / Beeken, Rebecca J / Fisher, Abigail / Conway, Rana E

Journal of cancer survivorship : research and practice

2023  Volume 18, Issue 3, Page(s) 844–853

Abstract: Purpose: People living with and beyond cancer (LWBC) are advised to achieve a body mass index (BMI) within the healthy range (≥ 18.5 and < 25). Not perceiving a need for weight change may be a barrier to achieving a healthy weight. This study aimed to ... ...

Abstract Purpose: People living with and beyond cancer (LWBC) are advised to achieve a body mass index (BMI) within the healthy range (≥ 18.5 and < 25). Not perceiving a need for weight change may be a barrier to achieving a healthy weight. This study aimed to explore factors associated with perceived need for weight change among people LWBC.
Methods: Adults diagnosed with breast, prostate, or colorectal cancer were recruited through National Health Service sites in Essex and London. Participants (N = 5835) completed the 'Health and Lifestyle After Cancer' survey, which included a question on perceived need to change weight. Associations between perceived need for weight change and BMI, and perceived need for weight change and health and demographic variables, were analyzed using chi-square tests and logistic regression, respectively.
Results: The proportion of participants perceiving a need to lose weight differed according to BMI category: healthy weight (23%), overweight (64%), obese (85%) (P < 0.001). Having overweight or obesity but not perceiving a need to lose weight was associated with being older, male, non-white, not married or cohabiting, and having cancer that had spread, no formal qualifications, no comorbidities, and having received chemotherapy.
Conclusions: Perceived need to lose weight is prevalent among people LWBC with obesity and overweight. This group may be interested in weight management support. Demographic and health factors were associated with having obesity or overweight but not perceiving a need to lose weight.
Implications for cancer survivors: Weight loss interventions for people LWBC are needed. A subset of people LWBC with overweight and obesity may need additional information or motivators to engage with weight management.
MeSH term(s) Humans ; Male ; Female ; Colorectal Neoplasms/psychology ; Colorectal Neoplasms/therapy ; Cross-Sectional Studies ; Middle Aged ; Breast Neoplasms/psychology ; Breast Neoplasms/therapy ; Aged ; Prostatic Neoplasms/psychology ; Prostatic Neoplasms/therapy ; Body Mass Index ; Adult ; Cancer Survivors/psychology ; Obesity/psychology ; Obesity/therapy ; Surveys and Questionnaires ; Weight Loss ; Perception ; Body Weight ; Overweight/therapy ; Overweight/psychology
Language English
Publishing date 2023-01-26
Publishing country United States
Document type Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 2388888-X
ISSN 1932-2267 ; 1932-2259
ISSN (online) 1932-2267
ISSN 1932-2259
DOI 10.1007/s11764-023-01333-0
Database MEDical Literature Analysis and Retrieval System OnLINE

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