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Article: Dietary and Physical Activity Interventions for Colorectal Cancer Survivors: A Randomized Controlled Trial

TitleDietary and Physical Activity Interventions for Colorectal Cancer Survivors: A Randomized Controlled Trial
Authors
Issue Date2018
PublisherNature Publishing Group: Open Access Journals - Option C. The Journal's web site is located at http://www.nature.com/srep/index.html
Citation
Scientific Reports, 2018, v. 8 n. 1, article no. 5731 How to Cite?
AbstractThere has been evidence on the protective effects of diets high in fiber and low in red and processed meat (RPM), and physical activity (PA) against colorectal cancer (CRC) development, but that against CRC recurrence has been limited. This study evaluated the efficacy of a behavioral program comprising dietary and PA interventions in improving Chinese CRC survivors’ lifestyle. A 2 × 2 factorial randomized controlled trial of 223 CRC patients (82 females, mean age 65), randomly assigned to receive dietary, PA or both interventions, or usual care for 12 months, and assessed every 6 months for 24 months. Primary outcomes included two dietary and two PA targets. Secondary outcomes included changes in dietary consumptions and PA levels. Dietary interventions significantly increased the odds of achieving the targets of consuming less RPM at all time-points (OR 3.22–4.57, all p < 0.01) and refined grain (RG) at months 6 (OR 3.13, p = 0.002) and 24 (OR 2.19, p = 0.039), and reduced RPM (2.49–3.48 servings/week, all p < 0.01) and RG (0.31–0.5 servings/day, all p < 0.01) consumptions. Patients receiving PA interventions potentially spent more time on moderate-to-vigorous PA. This study demonstrated the efficacy of a behavioral program in improving dietary habits of Chinese CRC survivors.
Persistent Identifierhttp://hdl.handle.net/10722/258949
ISSN
2023 Impact Factor: 3.8
2023 SCImago Journal Rankings: 0.900
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLee, CF-
dc.contributor.authorHo, JWC-
dc.contributor.authorFong, DYT-
dc.contributor.authorMacfarlane, DJ-
dc.contributor.authorCerin, E-
dc.contributor.authorLee, AM-
dc.contributor.authorLeung, S-
dc.contributor.authorChan, WYY-
dc.contributor.authorLeung, IPF-
dc.contributor.authorLam, SHS-
dc.contributor.authorChu, N-
dc.contributor.authorTaylor, AJ-
dc.contributor.authorCheng, KK-
dc.date.accessioned2018-09-03T03:58:56Z-
dc.date.available2018-09-03T03:58:56Z-
dc.date.issued2018-
dc.identifier.citationScientific Reports, 2018, v. 8 n. 1, article no. 5731-
dc.identifier.issn2045-2322-
dc.identifier.urihttp://hdl.handle.net/10722/258949-
dc.description.abstractThere has been evidence on the protective effects of diets high in fiber and low in red and processed meat (RPM), and physical activity (PA) against colorectal cancer (CRC) development, but that against CRC recurrence has been limited. This study evaluated the efficacy of a behavioral program comprising dietary and PA interventions in improving Chinese CRC survivors’ lifestyle. A 2 × 2 factorial randomized controlled trial of 223 CRC patients (82 females, mean age 65), randomly assigned to receive dietary, PA or both interventions, or usual care for 12 months, and assessed every 6 months for 24 months. Primary outcomes included two dietary and two PA targets. Secondary outcomes included changes in dietary consumptions and PA levels. Dietary interventions significantly increased the odds of achieving the targets of consuming less RPM at all time-points (OR 3.22–4.57, all p < 0.01) and refined grain (RG) at months 6 (OR 3.13, p = 0.002) and 24 (OR 2.19, p = 0.039), and reduced RPM (2.49–3.48 servings/week, all p < 0.01) and RG (0.31–0.5 servings/day, all p < 0.01) consumptions. Patients receiving PA interventions potentially spent more time on moderate-to-vigorous PA. This study demonstrated the efficacy of a behavioral program in improving dietary habits of Chinese CRC survivors.-
dc.languageeng-
dc.publisherNature Publishing Group: Open Access Journals - Option C. The Journal's web site is located at http://www.nature.com/srep/index.html-
dc.relation.ispartofScientific Reports-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleDietary and Physical Activity Interventions for Colorectal Cancer Survivors: A Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.emailLee, CF: fanlee@hku.hk-
dc.identifier.emailHo, JWC: judyho@hkucc.hku.hk-
dc.identifier.emailFong, DYT: dytfong@hku.hk-
dc.identifier.emailMacfarlane, DJ: djmac@hku.hk-
dc.identifier.emailCerin, E: ecerin@hku.hk-
dc.identifier.emailLee, AM: amlee@hku.hk-
dc.identifier.authorityLee, CF=rp02103-
dc.identifier.authorityFong, DYT=rp00253-
dc.identifier.authorityMacfarlane, DJ=rp00934-
dc.identifier.authorityCerin, E=rp00890-
dc.identifier.authorityLee, AM=rp00483-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1038/s41598-018-24042-6-
dc.identifier.scopuseid_2-s2.0-85045321465-
dc.identifier.hkuros287967-
dc.identifier.volume8-
dc.identifier.issue1-
dc.identifier.spagearticle no. 5731-
dc.identifier.epagearticle no. 5731-
dc.identifier.isiWOS:000429679900011-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl2045-2322-

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