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Lifestyle in patients at increased risk of colorectal cancer
Author(s) -
Anderson A. S.,
Caswell S.,
Mowat C.,
Strachan J. A.,
Steele R. J. C.
Publication year - 2019
Publication title -
journal of human nutrition and dietetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 70
eISSN - 1365-277X
pISSN - 0952-3871
DOI - 10.1111/jhn.12663
Subject(s) - medicine , red meat , colonoscopy , colorectal cancer , body mass index , physical activity , medical advice , cancer , family medicine , physical therapy , gerontology , pathology , psychiatry
Background The present study aimed to assess modifiable risk factors in patients at high risk for colorectal cancer ( CRC ) and their experience of lifestyle advice. Methods A questionnaire study was conducted in high‐risk CRC patients attending for surveillance colonoscopy. Current lifestyle behaviours [smoking, alcohol, diet (fruit and vegetables, wholegrains, red meat, processed meat), physical activity and bodyweight] related to CRC were ascertained, and experience on receiving, seeking and desire for advice was queried. Results In total, 385 study invitations were sent and 208 (54%) questionnaires were returned. The majority of participants (72%) were estimated to have a body mass index beyond the healthy range, 89% achieved a fibre score indicative of a low plant‐based diet and 91% reported eating processed meat. Overall, 36% were achieving at least four recommendations and 2% were adhering to all recommendations examined. The main area in which participants reported receiving advice on was body weight (33%) and 31% reported that they had personally sought information on this topic, although the data suggest that 72% of people may benefit from such guidance. Fewer participants reported receiving (18–26%) and seeking (15–17%) dietary advice on fruits, vegetables and wholegrains. Many participants said they would find lifestyle information useful, notably in relation to body fatness (43%) and physical activity (38%). Conclusions The development of a process for supporting lifestyle change in this patient group, comprising individuals who are already engaging in positive health practices (regular colonoscopy surveillance), could usefully be identified and tested.