A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors

Michelle Miller, Stephanie Zrim, Sharon Lawn, Richard Woodman, Stephanie Leggett, Lynnette Jones, Christos Karapetis, Ganessan Kichenadasse, Shawgi Sukumaran, Amitesh C. Roy, Bogda Koczwara

    Research output: Contribution to journalArticle

    Abstract

    Exercise and a healthy diet are beneficial after cancer, but are not uniformly adopted by cancer survivors. This study reports on the feasibility, acceptability, and effectiveness of a self-management-based nutrition and exercise intervention for Australian cancer survivors. Adult survivors (n = 25) during curative chemotherapy (stratum 1[S1]; n = 11) or post-treatment (stratum 2 [S2]; n = 14) were recruited prospectively from a single center. The Flinders Living Well Self-Management Program™ (FLW Program) was utilized to establish patient-led nutrition and exercise goals and develop a tailored 12-wk intervention plan. Fortnightly reviews occurred with assessments at baseline, 6 and 12 wk. A recruitment and retention rate of 38% and 84% were observed. Both strata maintained total skeletal muscle mass. Small reductions in body mass index, hip circumference, and percentage body fat, and small increases in hand grip strength and exercise capacity among subjects in both strata were observed. No significant differences were observed between strata; however, significant increases in exercise capacity and global health status for S2 were observed from baseline to 12 wk. FLW Program is a feasible mode of delivering nutrition and exercise intervention to cancer survivors and it appears that there are no barriers to implementing this program early during chemotherapy. Hence, the additive effect of gains achieved over a longer duration is promising and this should be explored in randomized controlled trials adequately powered to observe clinically and statistically significant improvements in relevant outcomes.

    LanguageEnglish
    Pages762-771
    Number of pages10
    JournalNutrition and Cancer
    Volume68
    Issue number5
    DOIs
    Publication statusPublished - 3 Jul 2016

    ASJC Scopus subject areas

    • Medicine (miscellaneous)
    • Oncology
    • Nutrition and Dietetics
    • Cancer Research

    Cite this

    Miller, M., Zrim, S., Lawn, S., Woodman, R., Leggett, S., Jones, L., ... Koczwara, B. (2016). A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors. Nutrition and Cancer, 68(5), 762-771. https://doi.org/10.1080/01635581.2016.1170169
    Miller, Michelle ; Zrim, Stephanie ; Lawn, Sharon ; Woodman, Richard ; Leggett, Stephanie ; Jones, Lynnette ; Karapetis, Christos ; Kichenadasse, Ganessan ; Sukumaran, Shawgi ; Roy, Amitesh C. ; Koczwara, Bogda. / A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors. In: Nutrition and Cancer. 2016 ; Vol. 68, No. 5. pp. 762-771.
    @article{afc0816171244ca680e2431268236beb,
    title = "A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors",
    abstract = "Exercise and a healthy diet are beneficial after cancer, but are not uniformly adopted by cancer survivors. This study reports on the feasibility, acceptability, and effectiveness of a self-management-based nutrition and exercise intervention for Australian cancer survivors. Adult survivors (n = 25) during curative chemotherapy (stratum 1[S1]; n = 11) or post-treatment (stratum 2 [S2]; n = 14) were recruited prospectively from a single center. The Flinders Living Well Self-Management Program™ (FLW Program) was utilized to establish patient-led nutrition and exercise goals and develop a tailored 12-wk intervention plan. Fortnightly reviews occurred with assessments at baseline, 6 and 12 wk. A recruitment and retention rate of 38{\%} and 84{\%} were observed. Both strata maintained total skeletal muscle mass. Small reductions in body mass index, hip circumference, and percentage body fat, and small increases in hand grip strength and exercise capacity among subjects in both strata were observed. No significant differences were observed between strata; however, significant increases in exercise capacity and global health status for S2 were observed from baseline to 12 wk. FLW Program is a feasible mode of delivering nutrition and exercise intervention to cancer survivors and it appears that there are no barriers to implementing this program early during chemotherapy. Hence, the additive effect of gains achieved over a longer duration is promising and this should be explored in randomized controlled trials adequately powered to observe clinically and statistically significant improvements in relevant outcomes.",
    author = "Michelle Miller and Stephanie Zrim and Sharon Lawn and Richard Woodman and Stephanie Leggett and Lynnette Jones and Christos Karapetis and Ganessan Kichenadasse and Shawgi Sukumaran and Roy, {Amitesh C.} and Bogda Koczwara",
    year = "2016",
    month = "7",
    day = "3",
    doi = "10.1080/01635581.2016.1170169",
    language = "English",
    volume = "68",
    pages = "762--771",
    journal = "Nutrition and Cancer",
    issn = "0163-5581",
    publisher = "Routledge",
    number = "5",

    }

    Miller, M, Zrim, S, Lawn, S, Woodman, R, Leggett, S, Jones, L, Karapetis, C, Kichenadasse, G, Sukumaran, S, Roy, AC & Koczwara, B 2016, 'A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors', Nutrition and Cancer, vol. 68, no. 5, pp. 762-771. https://doi.org/10.1080/01635581.2016.1170169

    A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors. / Miller, Michelle; Zrim, Stephanie; Lawn, Sharon; Woodman, Richard; Leggett, Stephanie; Jones, Lynnette; Karapetis, Christos; Kichenadasse, Ganessan; Sukumaran, Shawgi; Roy, Amitesh C.; Koczwara, Bogda.

    In: Nutrition and Cancer, Vol. 68, No. 5, 03.07.2016, p. 762-771.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - A Pilot Study of Self-Management-based Nutrition and Physical Activity Intervention in Cancer Survivors

    AU - Miller, Michelle

    AU - Zrim, Stephanie

    AU - Lawn, Sharon

    AU - Woodman, Richard

    AU - Leggett, Stephanie

    AU - Jones, Lynnette

    AU - Karapetis, Christos

    AU - Kichenadasse, Ganessan

    AU - Sukumaran, Shawgi

    AU - Roy, Amitesh C.

    AU - Koczwara, Bogda

    PY - 2016/7/3

    Y1 - 2016/7/3

    N2 - Exercise and a healthy diet are beneficial after cancer, but are not uniformly adopted by cancer survivors. This study reports on the feasibility, acceptability, and effectiveness of a self-management-based nutrition and exercise intervention for Australian cancer survivors. Adult survivors (n = 25) during curative chemotherapy (stratum 1[S1]; n = 11) or post-treatment (stratum 2 [S2]; n = 14) were recruited prospectively from a single center. The Flinders Living Well Self-Management Program™ (FLW Program) was utilized to establish patient-led nutrition and exercise goals and develop a tailored 12-wk intervention plan. Fortnightly reviews occurred with assessments at baseline, 6 and 12 wk. A recruitment and retention rate of 38% and 84% were observed. Both strata maintained total skeletal muscle mass. Small reductions in body mass index, hip circumference, and percentage body fat, and small increases in hand grip strength and exercise capacity among subjects in both strata were observed. No significant differences were observed between strata; however, significant increases in exercise capacity and global health status for S2 were observed from baseline to 12 wk. FLW Program is a feasible mode of delivering nutrition and exercise intervention to cancer survivors and it appears that there are no barriers to implementing this program early during chemotherapy. Hence, the additive effect of gains achieved over a longer duration is promising and this should be explored in randomized controlled trials adequately powered to observe clinically and statistically significant improvements in relevant outcomes.

    AB - Exercise and a healthy diet are beneficial after cancer, but are not uniformly adopted by cancer survivors. This study reports on the feasibility, acceptability, and effectiveness of a self-management-based nutrition and exercise intervention for Australian cancer survivors. Adult survivors (n = 25) during curative chemotherapy (stratum 1[S1]; n = 11) or post-treatment (stratum 2 [S2]; n = 14) were recruited prospectively from a single center. The Flinders Living Well Self-Management Program™ (FLW Program) was utilized to establish patient-led nutrition and exercise goals and develop a tailored 12-wk intervention plan. Fortnightly reviews occurred with assessments at baseline, 6 and 12 wk. A recruitment and retention rate of 38% and 84% were observed. Both strata maintained total skeletal muscle mass. Small reductions in body mass index, hip circumference, and percentage body fat, and small increases in hand grip strength and exercise capacity among subjects in both strata were observed. No significant differences were observed between strata; however, significant increases in exercise capacity and global health status for S2 were observed from baseline to 12 wk. FLW Program is a feasible mode of delivering nutrition and exercise intervention to cancer survivors and it appears that there are no barriers to implementing this program early during chemotherapy. Hence, the additive effect of gains achieved over a longer duration is promising and this should be explored in randomized controlled trials adequately powered to observe clinically and statistically significant improvements in relevant outcomes.

    UR - http://www.scopus.com/inward/record.url?scp=84967222032&partnerID=8YFLogxK

    U2 - 10.1080/01635581.2016.1170169

    DO - 10.1080/01635581.2016.1170169

    M3 - Article

    VL - 68

    SP - 762

    EP - 771

    JO - Nutrition and Cancer

    T2 - Nutrition and Cancer

    JF - Nutrition and Cancer

    SN - 0163-5581

    IS - 5

    ER -