Unhealthy lifestyle behaviors, overweight, and obesity among childhood cancer survivors in the Netherlands: A DCCSS LATER study

Background The objective of this study was to examine the prevalence of unhealthy lifestyle behaviors, overweight, and obesity in Dutch childhood cancer survivors (CCSs) compared with sibling controls and the Dutch general population. Other aims were to assess associated factors of unhealthy lifesty...

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Bibliographic Details
Published in:Cancer 2024-08, Vol.130 (16), p.2856-2872
Main Authors: Bouwman, Eline, Penson, Adriaan, Valk, Maud, Oever, Selina R., Pal, Helena J. H., Dulmen‐den Broeder, Eline, Blijlevens, Nicole M. A., Bresters, Dorine, Feijen, Elizabeth A. M., Heuvel‐Eibrink, Marry M., Heiden‐van der Loo, Margriet, Michel, Gisela, Ronckers, Cécile M., Teepen, Jop C., Tissing, Wim J. E., Versluys, Birgitta A. B., Kremer, Leontien C. M., Pluijm, Saskia M. F., Loonen, Jacqueline J.
Format: Article
Language:English
Subjects:
Alcohol
Alcohol use
Body mass index
Body size
Body weight
Cancer
cancer survivorship
Children
cluster analysis
Comorbidity
Drug abuse
Drug use
Education
Exercise
Guidelines
late effects
lifestyle behaviors
Lifestyles
Obesity
Overweight
pediatric cancer
Physical activity
Population studies
Regression analysis
Risk management
Risk taking
secondary prevention
Siblings
Smoking
Subgroups
Survival
tertiary prevention
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Summary:Background The objective of this study was to examine the prevalence of unhealthy lifestyle behaviors, overweight, and obesity in Dutch childhood cancer survivors (CCSs) compared with sibling controls and the Dutch general population. Other aims were to assess associated factors of unhealthy lifestyle behaviors, overweight, and obesity and to identify subgroups of CCSs at risk for these unhealthy statuses. Methods The authors included 2253 CCSs and 906 siblings from the Dutch Childhood Cancer Survivor Study‐Late Effects After Childhood Cancer cohort, part 1, and added data from the Dutch general population. Questionnaire data were collected on overweight and obesity (body mass index >25.0 kg/m2), meeting physical activity guidelines (>150 minutes per week of moderate or vigorous exercises), excessive alcohol consumption (>14 and >21 alcoholic consumptions per week for women and men, respectively), daily smoking, and monthly drug use. Multivariable logistic regression analyses and two‐step cluster analyses were performed to examine sociodemographic‐related, health‐related, cancer‐related, and treatment‐related associated factors of unhealthy lifestyle behaviors and to identify subgroups of CCSs at risk for multiple unhealthy behaviors. Results CCSs more often did not meet physical activity guidelines than their siblings (30.0% vs. 19.3%; p 
ISSN:0008-543X
1097-0142
1097-0142
DOI:10.1002/cncr.35338