scholarly journals Agenda for Translating Physical Activity, Nutrition, and Weight Management Interventions for Cancer Survivors into Clinical and Community Practice

Obesity ◽  
2017 ◽  
Vol 25 ◽  
pp. S9-S22 ◽  
Author(s):  
Karen Basen-Engquist ◽  
Catherine M. Alfano ◽  
Melissa Maitin-Shepard ◽  
Cynthia A. Thomson ◽  
Kathryn H. Schmitz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Weight Management ◽  
Community Practice ◽  
Management Interventions

Physical activity, strength and weight management in breast cancer survivors

2013 ◽  
Author(s):  
Shannon L. Mihalko ◽  
Samantha E. Yocke ◽  
Greg Russell ◽  
Marissa Howard-McNatt ◽  
Edward A. Levine
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Weight Management ◽  
Breast Cancer Survivors

scholarly journals Healthy Living After Cancer Treatment: Considerations for Clinical and Community Practice

2018 ◽  
Vol 12 (3) ◽  
pp. 215-219 ◽  
Author(s):  
Shirley M. Bluethmann ◽  
Christopher N. Sciamanna ◽  
Renate M. Winkels ◽  
Kathleen M. Sturgeon ◽  
Kathryn H. Schmitz
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Cancer Treatment ◽  
Central Component ◽  
Community Practice ◽  
Lifestyle Behaviors ◽  
Healthy Living ◽  
Treatment Considerations ◽  
After Cancer ◽  
Epidemiology Studies

As the number of US cancer survivors now reaches almost 16 million, understanding how to care for survivors after cancer treatment has demanded national attention. Increasingly, compelling benefits of lifestyle behaviors for cancer prevention and control have been demonstrated. In particular, physical activity is recommended as a central component of healthy living after cancer treatment. However, survivors struggle to achieve recommended physical activity and other behaviors for reasons that are still not well understood. Further, as greater than 60% of cancer survivors are older than 65 years, there is a unique opportunity to increase engagement of older adults in health programs and clinical trials. This article considers evidence from two reviews: a review on epidemiology studies of lifestyle and cancer and a review on different behavioral intervention strategies to achieve positive behavioral changes in cancer survivors. Both reviews offer important evidence on the role of lifestyle in life after cancer treatment. However, more investigation is needed on the practice of lifestyle medicine for cancer survivors, including ways to extend the reach of health promotion beyond cancer clinics, to primary care and community settings.

scholarly journals Weight-Related Teasing of Adolescents Who Are Primarily Obese: Roles of Sociocultural Attitudes Towards Appearance and Physical Activity Self-Efficacy

2019 ◽  
Vol 16 (9) ◽  
pp. 1540 ◽  
Author(s):  
Carolyn E. Ievers-Landis ◽  
Carly Dykstra ◽  
Naveen Uli ◽  
Mary Ann O’Riordan
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
At Risk ◽  
Body Image ◽  
Weight Management ◽  
Self Efficacy ◽  
Targeted Interventions ◽  
Sociocultural Attitudes ◽  
Management Interventions ◽  
Z Scores

Adolescents who are obese are at risk for being teased about their appearance with the concomitant negative psychological sequelae. Identifying modifiable variables associated with teasing could inform pediatric weight-management interventions. Characterizing society’s role in the victimization of these at-risk individuals could guide anti-bullying programs for schools and broader public health efforts. This study aims to examine novel societal and cognitive factors associated with weight-related teasing frequency. Participants were adolescents (N = 334) being evaluated for a hospital-affiliated weight-management program. The outcome was perceived weight-related teasing frequency. Predictors were sociocultural awareness and internalization of appearance-related attitudes, physical activity self-efficacy, and psychological functioning. Multivariate regressions controlled for demographics and body mass index (BMI) z-scores with separate regressions testing interactions of BMI z-scores with all predictors. In adjusted analyses, higher physical activity self-efficacy and fewer depressive symptoms related to lower teasing frequency. Interactions indicated that less awareness/internalization of sociocultural attitudes towards appearance, more positive body image, and higher self-esteem related to lower teasing frequency regardless of BMI. Targeted interventions and public health campaigns should be developed and tested for adolescents that improve body image with promotion of diverse views about attractiveness, bolster confidence in overcoming physical activity barriers, and identify and treat mood symptoms.

scholarly journals Combining Activity Trackers With Motivational Interviewing and Mutual Support to Increase Physical Activity in Parent-Adolescent Dyads: Longitudinal Observational Feasibility Study (Preprint)

2017 ◽  
Author(s):  
Josette Bianchi-Hayes ◽  
Elinor Schoenfeld ◽  
Rosa Cataldo ◽  
Wei Hou ◽  
Catherine Messina ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Rank Order ◽  
Adolescent Obesity ◽  
Step Count ◽  
Daily Step ◽  
Management Interventions ◽  
Phone Calls ◽  
Activity Trackers ◽  
Daily Step Count

BACKGROUND An essential component of any effective adolescent weight management program is physical activity (PA). PA levels drop dramatically in adolescence, contributing to the rising prevalence of adolescent obesity. Therefore, finding innovative interventions to address this decline in PA may help adolescents struggling with weight issues. The growing field of health technology provides potential solutions for addressing chronic health issues and lifestyle change, such as adolescent obesity. Activity trackers, used in conjunction with smartphone apps, can engage, motivate, and foster support among users while simultaneously providing feedback on their PA progress. OBJECTIVE The objective of our study was to evaluate the effect of a 10-week pilot study using smartphone-enabled activity tracker data to tailor motivation and goal setting on PA for overweight and obese adolescents and their parents. METHODS We queried enrolled adolescents, aged 14 to 16 years, with a body mass index at or above the 85th percentile, and 1 of their parents as to behaviors, barriers to change, and perceptions about exercise and health before and after the intervention. We captured daily step count and active minutes via activity trackers. Staff made phone calls to dyads at weeks 1, 2, 4, and 8 after enrollment to set daily personalized step-count and minutes goals based on their prior data and age-specific US national guidelines. We evaluated dyad correlations using nonparametric Spearman rank order correlations. RESULTS We enrolled 9 parent-adolescent dyads. Mean adolescent age was 15 (SD 0.9) years (range 14-16 years; 4 female and 5 male participants); mean parent age was 47 (SD 8.0) years (range 36-66 years). On average, adolescents met their personalized daily step-count goals on 35% (range 11%-62%) of the days they wore their trackers; parents did so on 39% (range 3%-68%) of the days they wore their trackers. Adolescents met their active-minutes goals on 55% (range 27%-85%) of the days they wore their trackers; parents did so on 83% (range 52%-97%) of the days. Parent and adolescent success was strongly correlated (step count: r=.36, P=.001; active minutes: r=.30, P=.007). Parental age was inversely correlated with step-count success (r=–.78, P=.01). CONCLUSIONS Our findings illustrate that parent-adolescent dyads have highly correlated PA success rates. This supports further investigation of family-centered weight management interventions for adolescents, particularly those that involve the parent and the adolescent working together.

scholarly journals Feasibility of Using a Commercial Fitness Tracker as an Adjunct to Family-Based Weight Management Treatment: Pilot Randomized Trial (Preprint)

2018 ◽  
Author(s):  
Thao-Ly Tam Phan ◽  
Nadia Barnini ◽  
Sherlly Xie ◽  
Angelica Martinez ◽  
Lauren Falini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Trial ◽  
Weight Management ◽  
Tertiary Care ◽  
Healthy Weight ◽  
Management Interventions ◽  
Utilization Patterns ◽  
Fitness Tracker ◽  
Fitness Trackers ◽  
The Impact

BACKGROUND Fitness trackers can engage users through automated self-monitoring of physical activity. Studies evaluating the utility of fitness trackers are limited among adolescents, who are often difficult to engage in weight management treatment and are heavy technology users. OBJECTIVE We conducted a pilot randomized trial to describe the impact of providing adolescents and caregivers with fitness trackers as an adjunct to treatment in a tertiary care weight management clinic on adolescent fitness tracker satisfaction, fitness tracker utilization patterns, and physical activity levels. METHODS Adolescents were randomized to 1 of 2 groups (adolescent or dyad) at their initial weight management clinic visit. Adolescents received a fitness tracker and counseling around activity data in addition to standard treatment. A caregiver of adolescents in the dyad group also received a fitness tracker. Satisfaction with the fitness tracker, fitness tracker utilization patterns, and physical activity patterns were evaluated over 3 months. RESULTS A total of 88 adolescents were enrolled, with 69% (61/88) being female, 36% (32/88) black, 23% (20/88) Hispanic, and 63% (55/88) with severe obesity. Most adolescents reported that the fitness tracker was helping them meet their healthy lifestyle goals (69%) and be more motivated to achieve a healthy weight (66%). Despite this, 68% discontinued use of the fitness tracker by the end of the study. There were no significant differences between the adolescent and the dyad group in outcomes, but adolescents in the dyad group were 12.2 times more likely to discontinue using their fitness tracker if their caregiver also discontinued use of their fitness tracker (95% CI 2.4-61.6). Compared with adolescents who discontinued use of the fitness tracker during the study, adolescents who continued to use the fitness tracker recorded a higher number of daily steps in months 2 and 3 of the study (mean 5760 vs 4148 in month 2, P=.005, and mean 5942 vs 3487 in month 3, P=.002). CONCLUSIONS Despite high levels of satisfaction with the fitness trackers, fitness tracker discontinuation rates were high, especially among adolescents whose caregivers also discontinued use of their fitness tracker. More studies are needed to determine how to sustain the use of fitness trackers among adolescents with obesity and engage caregivers in adolescent weight management interventions.

Male beliefs about physical activity, healthy eating and weight management programs

2010 ◽  
Author(s):  
Caitlin Shepherd ◽  
Tiare Macdonald ◽  
Kasey Schultz ◽  
Janean Anderson
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Healthy Eating ◽  
Weight Management Programs
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