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Boosting Breast Cancer Survival With Healthy Lifestyle Choices

Boosting Breast Cancer Survival With Healthy Lifestyle Choices

by Dr. Trupti Shirole on May 17 2023 3:57 PM
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Highlights:
  • Adhering to cancer prevention recommendations improves breast cancer outcomes
  • Patients need guidance and resources to adopt and maintain a healthy lifestyle during and after treatment ////
  • Embracing a healthy lifestyle reduces the risk of other chronic diseases and promotes lifelong wellness
Breast cancer is a significant health concern affecting millions of women worldwide. While advancements in treatment have improved survival rates, there is growing interest in understanding the impact of lifestyle factors on breast cancer outcomes. The American Institute for Cancer Research (AICR) and the American Cancer Society (ACS) regularly publish cancer prevention recommendations, but their influence on high-risk breast cancer survival has remained unclear. However, a recent prospective cohort study provides compelling evidence that adherence to these recommendations before, during, and after chemotherapy is associated with reduced disease recurrence and mortality among patients with high-risk breast cancer (1 Trusted Source
Adherence to Cancer Prevention Lifestyle Recommendations Before, During, and 2 Years After Treatment for High-risk Breast Cancer

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How Lifestyle Choices Influence Breast Cancer Survival

The Diet, Exercise, Lifestyles, and Cancer Prognosis (DELCaP) study, conducted in conjunction with the Southwest Oncology Group (SWOG) S0221 trial, aimed to assess the impact of lifestyle factors on breast cancer outcomes. The study enrolled chemotherapy-naive patients with high-risk breast cancer, defined as a node-positive disease with hormone receptor-negative tumors larger than 1 cm or any tumor larger than 2 cm. The participants completed a baseline questionnaire and were followed for an average of 7.7 years.

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Lifestyle Index Reveals Key Factors in Breast Cancer

The study utilized an aggregated lifestyle index score comprising data from four-time points and seven lifestyle factors, including physical activity, body mass index, fruit and vegetable consumption, red and processed meat intake, sugar-sweetened beverage consumption, alcohol consumption, and smoking. Higher scores indicated a healthier lifestyle and stronger adherence to cancer prevention recommendations.

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High Adherence to Cancer Prevention Recommendations Boosts Breast Cancer Survival Rates

The results of the study revealed a significant association between adherence to cancer prevention recommendations and breast cancer outcomes. Patients with the highest adherence scores experienced a 37% reduced hazard of disease recurrence and a 58% reduced hazard of mortality compared to those with the lowest adherence scores. These findings suggest that collective adherence to cancer prevention recommendations has a considerable impact on reducing disease recurrence and improving survival rates among high-risk breast cancer patients.

Empowering Patients by Integrating Cancer Prevention Recommendations into Breast Cancer

The study's findings have important implications for clinical practice and patient education. They highlight the need for comprehensive education and implementation strategies that promote adherence to cancer prevention recommendations throughout the cancer care continuum. Healthcare providers should incorporate lifestyle counseling and support into breast cancer treatment plans, emphasizing the importance of maintaining healthy body weight, engaging in regular physical activity, consuming a diverse range of fruits and vegetables, limiting the intake of red and processed meats, avoiding sugar-sweetened beverages and alcohol, and quitting smoking.

Personalized Support for Lifestyle Changes during Breast Cancer Treatment

Encouraging patients to adopt and maintain a healthy lifestyle can be challenging, especially during and after chemotherapy when patients may experience physical and emotional side effects. Therefore, healthcare providers should provide personalized support and resources to help patients overcome barriers and implement sustainable lifestyle changes. This may include connecting patients with nutritionists, exercise specialists, and support groups to ensure they receive the necessary guidance and motivation.

Beyond Cancer: Embracing a Healthy Lifestyle for Lifelong Wellness

To promote long-term adherence to cancer prevention recommendations, healthcare providers should emphasize the benefits of a healthy lifestyle beyond cancer treatment. Patients should be educated about the positive impact of lifestyle factors on overall health and well-being, including reducing the risk of other chronic diseases. Implementing regular follow-up appointments and incorporating lifestyle assessments into survivorship care plans can help monitor patient progress and reinforce the importance of continued adherence to healthy behaviors.
The DELCaP study provides robust evidence that strong adherence to cancer prevention recommendations is associated with a significant reduction in breast cancer recurrence and mortality among high-risk breast cancer patients. These findings underscore the importance of lifestyle factors in breast cancer outcomes and emphasize the need for healthcare providers to prioritize lifestyle counseling and support throughout the cancer care continuum. By empowering patients to make informed choices and adopt healthy behaviors, healthcare providers can contribute to improved outcomes and better quality of life for individuals affected by high-risk breast cancer.

Reference:
  1. Adherence to Cancer Prevention Lifestyle Recommendations Before, During, and 2 Years After Treatment for High-risk Breast Cancer - (https://pubmed.ncbi.nlm.nih.gov/37140922/)
Source-Medindia


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