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Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors.

Publication ,  Journal Article
Arroyave, WD; Clipp, EC; Miller, PE; Jones, LW; Ward, DS; Bonner, MJ; Rosoff, PM; Snyder, DC; Demark-Wahnefried, W
Published in: Oncol Nurs Forum
January 2008

PURPOSE/OBJECTIVES: To determine childhood cancer survivors' barriers to increasing exercise and consuming less fat and more fruits and vegetables, whole grains, and calcium-rich foods. DESIGN: Mailed survey. SETTING: Cases from a comprehensive cancer center. SAMPLE: Convenience sample of 144 childhood cancer survivors aged 13-35 years identified through previous research. Surveys were returned by 118 participants (82% response rate). METHODS: Descriptive statistics with chi-square tests were performed between subgroups defined by age (< 18 years and < or = 18 years) and diagnosis (leukemia, lymphoma, and central nervous system cancers). MAIN RESEARCH VARIABLES: Barriers to exercise, consuming less fat, and eating more fruits and vegetables, whole grains, and calcium-rich foods. FINDINGS: Proportionately more childhood cancer survivors reported barriers to exercise and following a low-fat diet than to consuming more fruits and vegetables, whole grains, and calcium-rich foods. Primary barriers to exercise included being too tired (57%), being too busy (53%), and not belonging to a gym (48%), whereas barriers for restricting high-fat foods were commercials that make high-fat foods look so appealing (58%) and having friends who eat a lot of high-fat foods (50%). Difficulty associated with ordering healthy foods when dining out also was a leading barrier to following a low-fat diet (50%), as well as eating more whole grains (31%), fruits and vegetables (30%), and calcium-rich foods (15%). CONCLUSIONS: Childhood cancer survivors report several barriers to exercise and consuming a low-fat diet with more fruits and vegetables, whole grains, and calcium-rich foods. IMPLICATIONS FOR NURSING: This study's findings may be helpful to nurses, health educators, and allied health professionals in developing effective interventions that promote healthful lifestyle change among childhood cancer survivors.

Duke Scholars

Published In

Oncol Nurs Forum

DOI

EISSN

1538-0688

Publication Date

January 2008

Volume

35

Issue

1

Start / End Page

121 / 130

Location

United States

Related Subject Headings

  • United States
  • Survivors
  • Nursing
  • Neoplasms
  • Male
  • Humans
  • Health Promotion
  • Female
  • Feeding Behavior
  • Exercise
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Arroyave, W. D., Clipp, E. C., Miller, P. E., Jones, L. W., Ward, D. S., Bonner, M. J., … Demark-Wahnefried, W. (2008). Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors. Oncol Nurs Forum, 35(1), 121–130. https://doi.org/10.1188/08.ONF.121-130
Arroyave, Whitney D., Elizabeth C. Clipp, Paige E. Miller, Lee W. Jones, Dianne S. Ward, Melanie J. Bonner, Philip M. Rosoff, Denise Clutter Snyder, and Wendy Demark-Wahnefried. “Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors.Oncol Nurs Forum 35, no. 1 (January 2008): 121–30. https://doi.org/10.1188/08.ONF.121-130.
Arroyave WD, Clipp EC, Miller PE, Jones LW, Ward DS, Bonner MJ, et al. Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors. Oncol Nurs Forum. 2008 Jan;35(1):121–30.
Arroyave, Whitney D., et al. “Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors.Oncol Nurs Forum, vol. 35, no. 1, Jan. 2008, pp. 121–30. Pubmed, doi:10.1188/08.ONF.121-130.
Arroyave WD, Clipp EC, Miller PE, Jones LW, Ward DS, Bonner MJ, Rosoff PM, Snyder DC, Demark-Wahnefried W. Childhood cancer survivors' perceived barriers to improving exercise and dietary behaviors. Oncol Nurs Forum. 2008 Jan;35(1):121–130.

Published In

Oncol Nurs Forum

DOI

EISSN

1538-0688

Publication Date

January 2008

Volume

35

Issue

1

Start / End Page

121 / 130

Location

United States

Related Subject Headings

  • United States
  • Survivors
  • Nursing
  • Neoplasms
  • Male
  • Humans
  • Health Promotion
  • Female
  • Feeding Behavior
  • Exercise