Limited Changes in Lifestyle Behaviours After Non-Muscle Invasive Bladder Cancer Diagnosis

Overview

Journal Cancers (Basel)

Publisher MDPI

Specialty Oncology

Date 2022 Feb 25

PMID 35205711

Authors

Ivy Beeren

Liesbeth de Goeij

Rana Dandis

Nikoletta Vidra

Moniek van Zutphen

J Alfred Witjes

Ellen Kampman

Lambertus A L M Kiemeney

Alina Vrieling

Affiliations

Soon will be listed here.

Abstract

The aim of our study was to investigate adherence to lifestyle recommendations and lifestyle changes after diagnosis in patients with non-muscle invasive bladder cancer (NMIBC). Second, we aimed to identify distinct trajectories of lifestyle change and their correlates. We analysed data of 935 patients with NMIBC from a prospective cohort study at six weeks (evaluating pre-diagnostic lifestyle), three months, and fifteen months after diagnosis. An overall lifestyle score (range 0-7) was calculated based on the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) recommendations focusing on diet, body mass index, and physical activity. Linear mixed models were used to analyse absolute lifestyle changes over time. Distinct trajectories of change were identified with latent class trajectory models. We found an overall lifestyle score of 3.3 which remained constant over time. The largest lifestyle changes were observed for the consumption of red and processed meat (-96 g/week) and fruit and vegetables (-38 g/day). Two to four trajectory groups were identified for each single lifestyle behaviour. Correlates differed per trajectory group. In conclusion, adherence to the WCRF/AICR recommendations was low. Small to moderate changes in and different trajectories of single lifestyle behaviours were observed. Effective strategies for lifestyle improvement are warranted.

Citing Articles

Lifestyle Advice to Patients with Bladder Cancer: A National Survey of Dutch Urologists.

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PMID: 39493821 PMC: 11530021. DOI: 10.3233/BLC-240048.

Body mass index and waist circumference in relation to risk of recurrence and progression after non-muscle invasive bladder cancer.

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Intermediate and high-risk non-muscle-invasive bladder cancer: an overview of epidemiology, burden, and unmet needs.

Grabe-Heyne K, Henne C, Mariappan P, Geiges G, Pohlmann J, Pollock R Front Oncol. 2023; 13:1170124.

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Associations of dietary isothiocyanate exposure from cruciferous vegetable consumption with recurrence and progression of non-muscle-invasive bladder cancer: findings from the Be-Well Study.

Wang Z, Kwan M, Haque R, Goniewicz M, Pratt R, Lee V Am J Clin Nutr. 2023; 117(6):1110-1120.

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