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Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review

PURPOSE: Lifestyle interventions have been proposed to improve cancer survivorship in patients with colorectal cancer (CRC), but with treatment pathways becoming increasingly multi-modal and prolonged, opportunities for interventions may be limited. This systematic review assessed the evidence for t...

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Autores principales: Moug, Susan J., Bryce, Adam, Mutrie, Nanette, Anderson, Annie S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432596/
https://www.ncbi.nlm.nih.gov/pubmed/28374148
http://dx.doi.org/10.1007/s00384-017-2797-5
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author Moug, Susan J.
Bryce, Adam
Mutrie, Nanette
Anderson, Annie S.
author_facet Moug, Susan J.
Bryce, Adam
Mutrie, Nanette
Anderson, Annie S.
author_sort Moug, Susan J.
collection PubMed
description PURPOSE: Lifestyle interventions have been proposed to improve cancer survivorship in patients with colorectal cancer (CRC), but with treatment pathways becoming increasingly multi-modal and prolonged, opportunities for interventions may be limited. This systematic review assessed the evidence for the feasibility of performing lifestyle interventions in CRC patients and evaluated any short- and long-term health benefits. METHODS: Using PRISMA Guidelines, selected keywords identified randomised controlled studies (RCTs) of lifestyle interventions [smoking, alcohol, physical activity (PA) and diet/excess body weight] in CRC patients. These electronic databases were searched in June 2015: Dynamed, Cochrane Database, OVID MEDLINE, OVID EMBASE, and PEDro. RESULTS: Fourteen RCTs were identified: PA RCTs (n = 10) consisted mainly of telephone-prompted walking or cycling interventions of varied durations, predominately in adjuvant setting; dietary/excess weight interventions RCTs (n = 4) focused on low-fat and/or high-fibre diets within a multi-modal lifestyle intervention. There were no reported RCTs in smoking or alcohol cessation/reduction. PA and/or dietary/excess weight interventions reported variable recruitment rates, but good adherence and retention/follow-up rates, leading to short-term improvements in dietary quality, physical, psychological and quality-of-life parameters. Only one study assessed long-term follow-up, finding significantly improved cancer-specific survival after dietary intervention. CONCLUSIONS: This is the first systematic review on lifestyle interventions in patients with CRC finding these interventions to be feasible with improvements in short-term health. Future work should focus on defining the optimal type of intervention (type, duration, timing and intensity) that not only leads to improved short-term outcomes but also assesses long-term survival.
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spelling pubmed-54325962017-05-31 Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review Moug, Susan J. Bryce, Adam Mutrie, Nanette Anderson, Annie S. Int J Colorectal Dis Review PURPOSE: Lifestyle interventions have been proposed to improve cancer survivorship in patients with colorectal cancer (CRC), but with treatment pathways becoming increasingly multi-modal and prolonged, opportunities for interventions may be limited. This systematic review assessed the evidence for the feasibility of performing lifestyle interventions in CRC patients and evaluated any short- and long-term health benefits. METHODS: Using PRISMA Guidelines, selected keywords identified randomised controlled studies (RCTs) of lifestyle interventions [smoking, alcohol, physical activity (PA) and diet/excess body weight] in CRC patients. These electronic databases were searched in June 2015: Dynamed, Cochrane Database, OVID MEDLINE, OVID EMBASE, and PEDro. RESULTS: Fourteen RCTs were identified: PA RCTs (n = 10) consisted mainly of telephone-prompted walking or cycling interventions of varied durations, predominately in adjuvant setting; dietary/excess weight interventions RCTs (n = 4) focused on low-fat and/or high-fibre diets within a multi-modal lifestyle intervention. There were no reported RCTs in smoking or alcohol cessation/reduction. PA and/or dietary/excess weight interventions reported variable recruitment rates, but good adherence and retention/follow-up rates, leading to short-term improvements in dietary quality, physical, psychological and quality-of-life parameters. Only one study assessed long-term follow-up, finding significantly improved cancer-specific survival after dietary intervention. CONCLUSIONS: This is the first systematic review on lifestyle interventions in patients with CRC finding these interventions to be feasible with improvements in short-term health. Future work should focus on defining the optimal type of intervention (type, duration, timing and intensity) that not only leads to improved short-term outcomes but also assesses long-term survival. Springer Berlin Heidelberg 2017-04-03 2017 /pmc/articles/PMC5432596/ /pubmed/28374148 http://dx.doi.org/10.1007/s00384-017-2797-5 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Moug, Susan J.
Bryce, Adam
Mutrie, Nanette
Anderson, Annie S.
Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
title Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
title_full Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
title_fullStr Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
title_full_unstemmed Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
title_short Lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
title_sort lifestyle interventions are feasible in patients with colorectal cancer with potential short-term health benefits: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432596/
https://www.ncbi.nlm.nih.gov/pubmed/28374148
http://dx.doi.org/10.1007/s00384-017-2797-5
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