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Alex_Lucas_Dissertation_7_17_14.pdf (12.92 MB)

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Lifestyle Interventions For Endometrial Cancer Survivors: Feasibility and Efficacy of a Novel Mindfulness and Dietary Counseling Program

Lucas, Alexander Russell
http://rave.ohiolink.edu/etdc/view?acc_num=osu1405608622

Abstract Details

2014, Doctor of Philosophy, Ohio State University, EDU Physical Activity and Educational Services.
Introduction: Endometrial cancer (EnCa) is currently the most common form of gynecological cancer affecting women in the United States. In 2014 there was an estimated 56, 230 new cases and 8,590 deaths as a result of the disease. Type I endometrioid cancers, the most common form, are primarily driven by hyperestrogenism linked to excess adiposity and obesity. Despite the prognosis for this form of the disease being good, EnCa survivors are at higher than normal risk of developing chronic diseases associated with lifestyle such as type II diabetes mellitus and cardiovascular disease. Finding ways to improve the long-term health of this population of cancer survivors is therefore an important goal. Methods: The current study aimed to i) explore the correlates of physical activity (PA), Diet and quality of life in EnCa survivors and ii) determine the feasibility and preliminary efficacy of a novel mindfulness-based intervention coupled with dietary counseling (MIM+Diet) to the same population. Results: In the cross sectional survey 71 type II EnCa survivors reported extremely low levels of physical activity and poor dietary habits, however mean levels of self-reported, health related quality of life (HRQL) were not compromised as compared with US based norms. Findings from the MIM+Diet intervention study revealed improvements in aspects of HRQL (PSQI, FACT-En and RAND SF-36 MHS) but not diet and physical activity (Cohen’s d). Aspects of physical functioning showed improvement as measured by the short physical performance battery (SPPB). Discussion: Future studies need to target the most at risk survivors, as soon after diagnosis as possible to improve long term quality of life and a disease prognosis. Recruitment of EnCa survivors to interventions is a challenge that requires novel approaches that can be tailored on an individual basis. Mindfulness may be one avenue that shows promise in this regard.
Brian Focht, PhD (Advisor)
Janet Buckworth, PhD (Committee Member)
David Cohn, MD (Committee Member)
Maryanna Klatt, PhD (Committee Member)
249 p.
Behavioral Sciences; Health Sciences; Kinesiology
Endometrial Cancer; Lifestyle Behaviors; Physical Activity; Diet; Mindfulness; Quality of Life; HRQL; Stress Reduction; Physical Function

Recommended Citations

Citations

  • Lucas, A. R. (2014). Lifestyle Interventions For Endometrial Cancer Survivors: Feasibility and Efficacy of a Novel Mindfulness and Dietary Counseling Program [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1405608622

    APA Style (7th edition)

  • Lucas, Alexander. Lifestyle Interventions For Endometrial Cancer Survivors: Feasibility and Efficacy of a Novel Mindfulness and Dietary Counseling Program. 2014. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1405608622.

    MLA Style (8th edition)

  • Lucas, Alexander. "Lifestyle Interventions For Endometrial Cancer Survivors: Feasibility and Efficacy of a Novel Mindfulness and Dietary Counseling Program." Doctoral dissertation, Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1405608622

    Chicago Manual of Style (17th edition)

osu1405608622
1,452
© 2014, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.