Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study

Yvonne A W Hartman; Marlou-Floor Kenkhuis; Stephanie Stelten; Calvin G Brouwer; Luc R C W van Lonkhuijzen; Gemma G Kenter; Willemien J van Driel; Renate M Winkels; Ruud L M Bekkers; Nelleke P B Ottevanger; Meeke Hoedjes; Laurien M Buffart

doi:10.1016/j.ygyno.2024.03.007

Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study

Yvonne A W Hartman
, Marlou-Floor Kenkhuis
, Stephanie Stelten
, Calvin G Brouwer
, Luc R C W van Lonkhuijzen
, Gemma G Kenter
, Willemien J van Driel
, Renate M Winkels
, Ruud L M Bekkers
, Nelleke P B Ottevanger
, Meeke Hoedjes
, Laurien M Buffart

Radboud UMC
Department of Media Studies, Journalism, Faculty of Humanities, University of Amsterdam, 1012 XT Amsterdam, The Netherlands
The Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital
Wageningen University & Research
Maastricht University
Tilburg University

Research output: Contribution to journal › Article › Scientific › peer-review

Abstract

OBJECTIVE: To study physical activity and dietary intake among patients with ovarian cancer and to examine which demographic, clinical, and sociocognitive determinants are associated with these behaviours.

METHODS: This cross-sectional study included 139 patients with ovarian cancer scheduled for (neo)adjuvant chemotherapy. Physical activity was measured with the Physical Activity Scale for the Elderly questionnaire (PASE). Dietary intake was measured with a questionnaire assessing energy and protein intake and a questionnaire assessing adherence to the World Cancer Research Fund (WCRF) lifestyle recommendations. Demographic, clinical, and sociocognitive (e.g., self-efficacy) determinants of physical activity and dietary intake were examined using backward linear regression analyses.

RESULTS: Patients reported a median PASE score of 50 (IQR 24-94), a mean ± SD dietary intake of 1831 ± 604 kcal/day and 76 ± 27 g protein/day. Patients adhered to 3 out of 5 WCRF lifestyle recommendations. The absence of comorbidities, lower physical outcome expectations, and higher cancer specific outcome expectations were independently associated with higher physical activity levels. Higher age, lower cancer specific outcome expectations, and higher diet-related self-efficacy were significantly associated with adhering to more WCRF lifestyle recommendations, whilst no variables associated with total caloric or protein intake were identified.

CONCLUSIONS: Patients with ovarian cancer have low physical activity levels and a suboptimal diet, particularly low fruit and vegetable consumption and dietary fibre intake. Interventions aiming to improve physical activity and dietary intake could focus on increasing self-efficacy and outcome expectations, and should consider age and comorbidity as factors that may impact behaviour.

TRIAL REGISTRATION: Netherlands Trial Registry NTR6300.

Original language	English
Pages (from-to)	39-46
Number of pages	8
Journal	Gynecologic Oncology
Volume	183
DOIs	https://doi.org/10.1016/j.ygyno.2024.03.007
Publication status	Published - Apr 2024
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Humans
Female
Cross-Sectional Studies
Ovarian Neoplasms/psychology
Middle Aged
Exercise
Aged
Self Efficacy
Diet
Surveys and Questionnaires
Life Style
Energy Intake

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10.1016/j.ygyno.2024.03.007

Cite this

Hartman, Y. A. W., Kenkhuis, M.-F., Stelten, S., Brouwer, C. G., van Lonkhuijzen, L. R. C. W., Kenter, G. G., van Driel, W. J., Winkels, R. M., Bekkers, R. L. M., Ottevanger, N. P. B., Hoedjes, M., & Buffart, L. M. (2024). Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study. Gynecologic Oncology, 183, 39-46. https://doi.org/10.1016/j.ygyno.2024.03.007

@article{19a424ec8fe044bd919471791b18ce9f,

title = "Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study",

abstract = "OBJECTIVE: To study physical activity and dietary intake among patients with ovarian cancer and to examine which demographic, clinical, and sociocognitive determinants are associated with these behaviours.METHODS: This cross-sectional study included 139 patients with ovarian cancer scheduled for (neo)adjuvant chemotherapy. Physical activity was measured with the Physical Activity Scale for the Elderly questionnaire (PASE). Dietary intake was measured with a questionnaire assessing energy and protein intake and a questionnaire assessing adherence to the World Cancer Research Fund (WCRF) lifestyle recommendations. Demographic, clinical, and sociocognitive (e.g., self-efficacy) determinants of physical activity and dietary intake were examined using backward linear regression analyses.RESULTS: Patients reported a median PASE score of 50 (IQR 24-94), a mean ± SD dietary intake of 1831 ± 604 kcal/day and 76 ± 27 g protein/day. Patients adhered to 3 out of 5 WCRF lifestyle recommendations. The absence of comorbidities, lower physical outcome expectations, and higher cancer specific outcome expectations were independently associated with higher physical activity levels. Higher age, lower cancer specific outcome expectations, and higher diet-related self-efficacy were significantly associated with adhering to more WCRF lifestyle recommendations, whilst no variables associated with total caloric or protein intake were identified.CONCLUSIONS: Patients with ovarian cancer have low physical activity levels and a suboptimal diet, particularly low fruit and vegetable consumption and dietary fibre intake. Interventions aiming to improve physical activity and dietary intake could focus on increasing self-efficacy and outcome expectations, and should consider age and comorbidity as factors that may impact behaviour.TRIAL REGISTRATION: Netherlands Trial Registry NTR6300.",

keywords = "Humans, Female, Cross-Sectional Studies, Ovarian Neoplasms/psychology, Middle Aged, Exercise, Aged, Self Efficacy, Diet, Surveys and Questionnaires, Life Style, Energy Intake",

author = "Hartman, \{Yvonne A W\} and Marlou-Floor Kenkhuis and Stephanie Stelten and Brouwer, \{Calvin G\} and \{van Lonkhuijzen\}, \{Luc R C W\} and Kenter, \{Gemma G\} and \{van Driel\}, \{Willemien J\} and Winkels, \{Renate M\} and Bekkers, \{Ruud L M\} and Ottevanger, \{Nelleke P B\} and Meeke Hoedjes and Buffart, \{Laurien M\}",

year = "2024",

month = apr,

doi = "10.1016/j.ygyno.2024.03.007",

language = "English",

volume = "183",

pages = "39--46",

journal = "Gynecologic Oncology",

issn = "0090-8258",

publisher = "Academic Press Inc.",

}

Hartman, YAW, Kenkhuis, M-F, Stelten, S, Brouwer, CG, van Lonkhuijzen, LRCW, Kenter, GG, van Driel, WJ, Winkels, RM, Bekkers, RLM, Ottevanger, NPB, Hoedjes, M & Buffart, LM 2024, 'Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study', Gynecologic Oncology, vol. 183, pp. 39-46. https://doi.org/10.1016/j.ygyno.2024.03.007

Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study. / Hartman, Yvonne A W; Kenkhuis, Marlou-Floor; Stelten, Stephanie et al.
In: Gynecologic Oncology, Vol. 183, 04.2024, p. 39-46.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer

T2 - A cross-sectional study

AU - Hartman, Yvonne A W

AU - Kenkhuis, Marlou-Floor

AU - Stelten, Stephanie

AU - Brouwer, Calvin G

AU - van Lonkhuijzen, Luc R C W

AU - Kenter, Gemma G

AU - van Driel, Willemien J

AU - Winkels, Renate M

AU - Bekkers, Ruud L M

AU - Ottevanger, Nelleke P B

AU - Hoedjes, Meeke

AU - Buffart, Laurien M

PY - 2024/4

Y1 - 2024/4

N2 - OBJECTIVE: To study physical activity and dietary intake among patients with ovarian cancer and to examine which demographic, clinical, and sociocognitive determinants are associated with these behaviours.METHODS: This cross-sectional study included 139 patients with ovarian cancer scheduled for (neo)adjuvant chemotherapy. Physical activity was measured with the Physical Activity Scale for the Elderly questionnaire (PASE). Dietary intake was measured with a questionnaire assessing energy and protein intake and a questionnaire assessing adherence to the World Cancer Research Fund (WCRF) lifestyle recommendations. Demographic, clinical, and sociocognitive (e.g., self-efficacy) determinants of physical activity and dietary intake were examined using backward linear regression analyses.RESULTS: Patients reported a median PASE score of 50 (IQR 24-94), a mean ± SD dietary intake of 1831 ± 604 kcal/day and 76 ± 27 g protein/day. Patients adhered to 3 out of 5 WCRF lifestyle recommendations. The absence of comorbidities, lower physical outcome expectations, and higher cancer specific outcome expectations were independently associated with higher physical activity levels. Higher age, lower cancer specific outcome expectations, and higher diet-related self-efficacy were significantly associated with adhering to more WCRF lifestyle recommendations, whilst no variables associated with total caloric or protein intake were identified.CONCLUSIONS: Patients with ovarian cancer have low physical activity levels and a suboptimal diet, particularly low fruit and vegetable consumption and dietary fibre intake. Interventions aiming to improve physical activity and dietary intake could focus on increasing self-efficacy and outcome expectations, and should consider age and comorbidity as factors that may impact behaviour.TRIAL REGISTRATION: Netherlands Trial Registry NTR6300.

AB - OBJECTIVE: To study physical activity and dietary intake among patients with ovarian cancer and to examine which demographic, clinical, and sociocognitive determinants are associated with these behaviours.METHODS: This cross-sectional study included 139 patients with ovarian cancer scheduled for (neo)adjuvant chemotherapy. Physical activity was measured with the Physical Activity Scale for the Elderly questionnaire (PASE). Dietary intake was measured with a questionnaire assessing energy and protein intake and a questionnaire assessing adherence to the World Cancer Research Fund (WCRF) lifestyle recommendations. Demographic, clinical, and sociocognitive (e.g., self-efficacy) determinants of physical activity and dietary intake were examined using backward linear regression analyses.RESULTS: Patients reported a median PASE score of 50 (IQR 24-94), a mean ± SD dietary intake of 1831 ± 604 kcal/day and 76 ± 27 g protein/day. Patients adhered to 3 out of 5 WCRF lifestyle recommendations. The absence of comorbidities, lower physical outcome expectations, and higher cancer specific outcome expectations were independently associated with higher physical activity levels. Higher age, lower cancer specific outcome expectations, and higher diet-related self-efficacy were significantly associated with adhering to more WCRF lifestyle recommendations, whilst no variables associated with total caloric or protein intake were identified.CONCLUSIONS: Patients with ovarian cancer have low physical activity levels and a suboptimal diet, particularly low fruit and vegetable consumption and dietary fibre intake. Interventions aiming to improve physical activity and dietary intake could focus on increasing self-efficacy and outcome expectations, and should consider age and comorbidity as factors that may impact behaviour.TRIAL REGISTRATION: Netherlands Trial Registry NTR6300.

KW - Humans

KW - Female

KW - Cross-Sectional Studies

KW - Ovarian Neoplasms/psychology

KW - Middle Aged

KW - Exercise

KW - Aged

KW - Self Efficacy

KW - Diet

KW - Surveys and Questionnaires

KW - Life Style

KW - Energy Intake

U2 - 10.1016/j.ygyno.2024.03.007

DO - 10.1016/j.ygyno.2024.03.007

M3 - Article

C2 - 38503140

SN - 0090-8258

VL - 183

SP - 39

EP - 46

JO - Gynecologic Oncology

JF - Gynecologic Oncology

ER -

Demographic, clinical, and sociocognitive determinants related to physical activity and dietary intake in patients with ovarian cancer: A cross-sectional study

Abstract

UN SDGs

Keywords

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