Barriers and facilitators of healthy lifestyle and perspectives towards the development of weight loss programmes. Focus groups with post-treatment breast cancer survivors in Greece.

IF 2.4 Q3 NUTRITION & DIETETICS Journal of Nutritional Science Pub Date : 2023-11-03 eCollection Date: 2023-01-01 DOI:10.1017/jns.2023.94
Maria Perperidi, Georgios Saltaouras, Alexandros Konstandis, Marieke De Craemer, Emmanouil Saloustros, Yannis Theodorakis, Odysseas Androutsos
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Abstract

The present study aimed to identify the factors that prohibit or enable breast cancer survivors from adopting a healthy lifestyle, as well as to record patients' suggestions towards developing a weight-loss lifestyle intervention. Twenty-three breast cancer survivors participated in four online, semi-structured focus groups in Greece. All discussions were video-recorded and transcribed verbatim. Participants were 50⋅5 ± 7⋅4 years old with a current mean BMI of 29⋅1 ± 3⋅4 kg/m2. Four main themes emerged from thematic analysis: (1) dietary and lifestyle practices, (2) the effects of cancer on body weight, (3) the impact of cancer on psychology, and (4) the effect of the environment on body weight. Lack of information from healthcare professionals and lack of time were the main barriers to body weight management, whereas the main facilitators were support from their social environment, along with a comfortable physical environment, and the facility of technology. Participants suggested that an effective weight-loss lifestyle intervention should include psychological and social support, guidance and education, collaboration, flexible recommendations, personalised goals, and a follow-up plan. The needs of breast cancer survivors need to be considered when designing weight-loss lifestyle interventions. A personalised approach may prove more effective in promoting a healthy lifestyle and improving patients' care.

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健康生活方式的障碍和促进因素以及对制定减肥方案的看法。希腊乳腺癌治疗后幸存者的焦点小组。
本研究旨在确定阻止或使乳腺癌幸存者采取健康生活方式的因素,并记录患者对发展减肥生活方式干预的建议。在希腊,23名乳腺癌幸存者参加了四个在线的半结构化焦点小组。所有的讨论都被录像并逐字记录下来。参与者年龄为50⋅5±7⋅4岁,目前平均BMI为29⋅1±3⋅4 kg/m2。从专题分析中产生了四个主要主题:(1)饮食和生活习惯;(2)癌症对体重的影响;(3)癌症对心理的影响;(4)环境对体重的影响。缺乏来自医疗保健专业人员的信息和缺乏时间是体重管理的主要障碍,而主要的促进因素是来自社会环境的支持,以及舒适的物理环境和技术设施。与会者建议,有效的减肥生活方式干预应包括心理和社会支持、指导和教育、协作、灵活的建议、个性化目标和后续计划。在设计减肥生活方式干预措施时,需要考虑乳腺癌幸存者的需求。个性化的方法在促进健康的生活方式和改善病人的护理方面可能会更有效。
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来源期刊
Journal of Nutritional Science
Journal of Nutritional Science NUTRITION & DIETETICS-
CiteScore
3.00
自引率
0.00%
发文量
91
审稿时长
7 weeks
期刊介绍: Journal of Nutritional Science is an international, peer-reviewed, online only, open access journal that welcomes high-quality research articles in all aspects of nutrition. The underlying aim of all work should be, as far as possible, to develop nutritional concepts. JNS encompasses the full spectrum of nutritional science including public health nutrition, epidemiology, dietary surveys, nutritional requirements, metabolic studies, body composition, energetics, appetite, obesity, ageing, endocrinology, immunology, neuroscience, microbiology, genetics, molecular and cellular biology and nutrigenomics. JNS welcomes Primary Research Papers, Brief Reports, Review Articles, Systematic Reviews, Workshop Reports, Letters to the Editor and Obituaries.
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