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首页> 美国卫生研究院文献>Integrative Cancer Therapies >We’re Just Not Prepared for Eating Over Our Whole Life: A Mixed Methods Approach to Understanding Dietary Behaviors Among Longer Term Cancer Survivors
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We’re Just Not Prepared for Eating Over Our Whole Life: A Mixed Methods Approach to Understanding Dietary Behaviors Among Longer Term Cancer Survivors

机译：我们只是一辈子都没有准备好进食：一种了解长期癌症幸存者饮食行为的混合方法

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>Background: In many countries, there are growing numbers of persons living with a prior diagnosis of cancer, due to the aging population and more successful strategies for treatment. There is also growing evidence of the importance of healthful diet and weight management for survivorship, yet many long-term cancer survivors are not successfully following recommendations. >Methods: We explored this issue in a mixed methods study with 53 adult survivors of 3 cancers (breast, prostate, and non-Hodgkin’s lymphoma), living in Maryland. Participants provided three 24-hour dietary recalls, and results were used to classify respondents on 2 metrics of healthful eating (the Healthy Eating Index 2010, and a 9-item index based on current dietary recommendations). Recalls were also used to guide in-depth qualitative discussions with participants regarding self-assessment of dietary behaviors, healthful eating, and diet’s importance in cancer prevention and survivorship. >Results: Survivors following a more healthful diet were more likely to be female, have greater socioeconomic resources, more years since diagnosis, normal weight, and no smoking history. Qualitative discussions revealed a more nuanced understanding of dietary strategies among healthful eaters, as well as the importance of household members in dietary decision making. >Discussion: Most survivors had received little nutrition counseling as part of their cancer care, highlighting the importance of holistic, household-oriented nutrition education for maintaining health among long-term cancer survivors.
机译：>背景：由于人口老龄化和更成功的治疗策略，在许多国家，有先前被诊断出患有癌症的人越来越多。越来越多的证据表明，健康饮食和体重管理对生存至关重要，但许多长期癌症幸存者并未成功遵循建议。 >方法：我们对居住在马里兰州的3种癌症（乳腺癌，前列腺癌和非霍奇金淋巴瘤）的53名成年幸存者进行了混合方法研究，探讨了这个问题。参与者提供了三个24小时饮食回想，并使用结果对受访者进行了2种健康饮食指标的分类（2010年健康饮食指数，以及根据当前饮食建议得出的9项指数）。召回还被用来指导与参与者进行有关饮食行为自我评估，健康饮食以及饮食在癌症预防和生存中的重要性的深入定性讨论。 >结果：饮食健康的幸存者更可能是女性，拥有更大的社会经济资源，自诊断以来已有更多年头，体重正常且无吸烟史。定性讨论揭示了健康饮食者对饮食策略的细微差别，以及家庭成员在饮食决策中的重要性。 >讨论：大多数幸存者在癌症治疗中几乎没有接受营养咨询，这突出了对长期癌症幸存者进行全面，面向家庭的营养教育对维持健康的重要性。

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