Diet and exercise intervention adherence and health-related outcomes among older long-term breast, prostate, and colorectal cancer survivors.

Journal Article (Journal Article)

BACKGROUND: Diet and exercise interventions for cancer survivors result in health benefits; however, few studies have examined health outcomes in relation to adherence. PURPOSE: We examined associations between adherence to components of a diet-exercise intervention and survivors' physical and mental health. METHODS: A randomized controlled trial tested a telephone and mailed print intervention among 641 older, overweight, long-term survivors of breast, prostate, and colorectal cancer. Dietary and exercise behaviors were assessed at 14 time points throughout the year-long intervention; health outcomes were examined postintervention. RESULTS: Telephone session attendance had significant indirect relationships with health outcomes through intervention-period exercise and dietary behavior. Attendance showed positive indirect relationships with physical function (β = 0.11, p < 0.05), basic and advanced lower extremity function (β = 0.10, p < 0.05/β = 0.09, p < 0.05), and mental health (β = 0.05, p < 0.05), and a negative indirect relationship with body mass index (β = -0.06, p < 0.05). CONCLUSIONS: Session attendance is vital in facilitating improvement in health behaviors and attendant outcomes ( number NCT00303875).

Full Text

Duke Authors

Cited Authors

  • Winger, JG; Mosher, CE; Rand, KL; Morey, MC; Snyder, DC; Demark-Wahnefried, W

Published Date

  • October 2014

Published In

Volume / Issue

  • 48 / 2

Start / End Page

  • 235 - 245

PubMed ID

  • 24648018

Pubmed Central ID

  • PMC4156898

Electronic International Standard Serial Number (EISSN)

  • 1532-4796

Digital Object Identifier (DOI)

  • 10.1007/s12160-014-9598-7


  • eng

Conference Location

  • England