Patterns of dietary quality, physical activity, and sleep duration among cancer survivors and caregivers.

Cancer caregiving Cancer survivorship HINTS Health-related behaviors Latent profile analysis

Journal

Journal of behavioral medicine
ISSN: 1573-3521
Titre abrégé: J Behav Med
Pays: United States
ID NLM: 7807105

Informations de publication

Date de publication:
02 Oct 2024
Historique:
received: 25 03 2024
accepted: 15 09 2024
medline: 2 10 2024
pubmed: 2 10 2024
entrez: 2 10 2024
Statut: aheadofprint

Résumé

Fruit and vegetable intake (FVI), moderate-to-vigorous physical activity (MVPA), and sleep duration are each independently associated with cancer-related and general health outcomes among cancer survivors. Past research suggests that health behaviors cluster among cancer survivors, with caregivers demonstrating similar patterns. This analysis examined co-occurrence of FVI, MVPA, and sleep duration among cancer survivors and informal cancer caregivers and identified sociodemographic and clinical correlates of health behavior engagement. Using data from the Health Information National Trends Survey (HINTS), an exploratory latent profile analysis (LPA) was conducted among those self-reporting a history of cancer or identifying as a cancer caregiver. The LPA model was fit with daily self-reported FVI (cups/d), MPVA (minutes/d) and sleep duration (hours/d). Multinomial logistic regression models were used to predict profile membership based on sociodemographic and clinical characteristics. Four health behavior profiles were identified (Least Engaged-No MVPA, Least Engaged-Low MVPA, Moderately Engaged, and Highly Engaged). The largest profile membership was Least Engaged-No MVPA, capturing 37% of the sample. Profiles were most distinguished by MVPA, with the lowest variance in sleep duration. Participants reporting higher FVI also often reported greater MVPA and longer sleep duration. Profile membership was significantly associated with age, relationship status, education, income, rurality, alcohol use, self-efficacy, psychological distress, BMI, and cancer type. This study identified four health behaviors patterns and sociodemographic correlates that distinguished those patterns among cancer survivors and caregivers drawn from a nationally representative sample. Results may help identify for whom health behavior interventions could be of greatest benefit.

Identifiants

pubmed: 39356453
doi: 10.1007/s10865-024-00523-0
pii: 10.1007/s10865-024-00523-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NCI NIH HHS
ID : K08CA247973
Pays : United States

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

Abraham, C., & Michie, S. (2008). A taxonomy of behavior change techniques used in interventions. Health Psychology, 27(3), 379–387. https://doi.org/10.1037/0278-6133.27.3.379
doi: 10.1037/0278-6133.27.3.379 pubmed: 18624603
Badr, H., Bakhshaie, J., & Chhabria, K. (2019). Dyadic interventions for cancer survivors and caregivers: State of the science and new directions. Seminars in Oncology Nursing, 35(4), 337–341. https://doi.org/10.1016/j.soncn.2019.06.004
doi: 10.1016/j.soncn.2019.06.004 pubmed: 31248677 pmcid: 6660372
Bisht, J., Rawat, P., Sehar, U., & Reddy, P. H. (2023). Caregivers with cancer patients: focus on hispanics. Cancers (Basel). https://doi.org/10.3390/cancers15030626
doi: 10.3390/cancers15030626 pubmed: 36765585
Blake, K. D., Moser, R. P., Murray, A. B., Davis, T., Cantor, D., Caporaso, A., West, M., Bentler, S., McKinley, M., Shariff-Marco, S., Wiggins, C., & Vanderpool, R. C. (2023). Rationale, procedures, and response rates for a pilot study to sample cancer survivors for nci’s health information national trends survey: HINTS-SEER 2021. J Health Commun. https://doi.org/10.1080/10810730.2023.2290550
doi: 10.1080/10810730.2023.2290550
Boyd, P., Lowry, M., Morris, K. L., Land, S. R., Agurs-Collins, T., Hall, K., Byrd, D. A., & Perna, F. M. (2020). Health behaviors of cancer survivors and population controls from the national health interview survey (2005–2015). JNCI Cancer Spectrum. https://doi.org/10.1093/jncics/pkaa043
doi: 10.1093/jncics/pkaa043 pubmed: 33134825 pmcid: 7583145
Carroll, J. E., Bower, J. E., & Ganz, P. A. (2022). Cancer-related accelerated ageing and biobehavioural modifiers: A framework for research and clinical care. Nature Reviews Clinical Oncology, 19(3), 173–187. https://doi.org/10.1038/s41571-021-00580-3
doi: 10.1038/s41571-021-00580-3 pubmed: 34873313
Cole, A., Andrilla, C. H. A., Patterson, D., Davidson, S., & Mendoza, J. (2023). Measuring the impact of the COVID-19 pandemic on health behaviors and health care utilization in rural and urban patients with cancer and cancer survivors. Cancer Res Commun, 3(2), 215–222. https://doi.org/10.1158/2767-9764.crc-22-0386
doi: 10.1158/2767-9764.crc-22-0386 pubmed: 36817949 pmcid: 9934461
del Pozo Cruz, B., McGregor, D. E., del Pozo Cruz, J., Buman, M. P., Palarea-Albaladejo, J., Alfonso-Rosa, R. M., & Chastin, S. F. M. (2020). Integrating sleep, physical activity, and diet quality to estimate all-cause mortality risk: A combined compositional clustering and survival analysis of the national health and nutrition examination survey 2005–2006 cycle. American Journal of Epidemiology, 189(10), 1057–1064. https://doi.org/10.1093/aje/kwaa057
doi: 10.1093/aje/kwaa057 pubmed: 32286613
Denlinger, C. S., et al. (2014). Survivorship: Introduction and definition. Journal of the National Comprehensive Cancer Network., 12, 34–45.
doi: 10.6004/jnccn.2014.0005 pubmed: 24453291 pmcid: 4465253
Dolezal, B. A., Neufeld, E. V., Boland, D. M., Martin, J. L., & Cooper, C. B. (2017). Interrelationship between Sleep and Exercise: A Systematic Review. Advances in Preventive Medicine, 2017, 1364387. https://doi.org/10.1155/2017/1364387
doi: 10.1155/2017/1364387 pubmed: 28458924 pmcid: 5385214
Donzella, S. M., Kohler, L. N., Crane, T. E., Jacobs, E. T., Ernst, K. C., Bell, M. L., Catalfamo, C. J., Begay, R., Pogreba-Brown, K., & Farland, L. V. (2021). COVID-19 infection, the COVID-19 pandemic, and changes in sleep. Frontiers in Public Health, 9, 795320. https://doi.org/10.3389/fpubh.2021.795320
doi: 10.3389/fpubh.2021.795320 pubmed: 35174134
Finney Rutten, L. J., Blake, K. D., Skolnick, V. G., Davis, T., Moser, R. P., & Hesse, B. W. (2020). Data resource profile: The national cancer institute’s health information national trends survey (HINTS). International Journal of Epidemiology, 49(1), 17–17j. https://doi.org/10.1093/ije/dyz083
doi: 10.1093/ije/dyz083 pubmed: 31038687
Fleary, S. A., Paasche-Orlow, M. K., Joseph, P., & Freund, K. M. (2019). The relationship between health literacy, cancer prevention beliefs, and cancer prevention behaviors. Journal of Cancer Education, 34(5), 958–965. https://doi.org/10.1007/s13187-018-1400-2
doi: 10.1007/s13187-018-1400-2 pubmed: 30022378 pmcid: 6339599
Florido, R., Daya, N. R., Ndumele, C. E., Koton, S., Russell, S. D., Prizment, A., Blumenthal, R. S., Matsushita, K., Mok, Y., Felix, A. S., Coresh, J., Joshu, C. E., Platz, E. A., & Selvin, E. (2022). Cardiovascular disease risk among cancer survivors: The atherosclerosis risk in communities (ARIC) Study. Journal of the American College of Cardiology, 80(1), 22–32. https://doi.org/10.1016/j.jacc.2022.04.042
doi: 10.1016/j.jacc.2022.04.042 pubmed: 35772913 pmcid: 9638987
Fong, A. J., Llanos, A. A. M., Ashrafi, A., Zeinomar, N., Chokshi, S., Bandera, E. V., Devine, K. A., Hudson, S. V., Qin, B., O’Malley, D., Paddock, L. E., Stroup, A. M., Evens, A. M., & Manne, S. L. (2023). Sociodemographic and health correlates of multiple health behavior adherence among cancer survivors: A latent class analysis. Nutrients., 15, 2354.
doi: 10.3390/nu15102354 pubmed: 37242237 pmcid: 10223681
Fox, R. S., Gaumond, J. S., Zee, P. C., Kaiser, K., Tanner, E. J., Ancoli-Israel, S., Siddique, J., Penedo, F. J., Wu, L. M., Reid, K. J., Parthasarathy, S., Badger, T. A., Rini, C., & Ong, J. C. (2022). Optimizing a behavioral sleep intervention for gynecologic cancer survivors: Study design and protocol. Frontiers in Neuroscience, 16, 818718. https://doi.org/10.3389/fnins.2022.818718
doi: 10.3389/fnins.2022.818718 pubmed: 35310101 pmcid: 8931410
Gillman, M. W., Pinto, B. M., Tennstedt, S., Glanz, K., Marcus, B., & Friedman, R. H. (2001). Relationships of physical activity with dietary behaviors among adults. Prev Med., 32, 295–301.
doi: 10.1006/pmed.2000.0812 pubmed: 11277687
Glasgow, T. E., McGuire, K. P., & Fuemmeler, B. F. (2022). Eat, sleep, play: Health behaviors and their association with psychological health among cancer survivors in a nationally representative sample. BMC Cancer, 22(1), 648. https://doi.org/10.1186/s12885-022-09718-7
doi: 10.1186/s12885-022-09718-7 pubmed: 35698055 pmcid: 9190125
Godos, J., Grosso, G., Castellano, S., Galvano, F., Caraci, F., & Ferri, R. (2021). Association between diet and sleep quality: A systematic review. Sleep Medicine Reviews., 57, 101430.
doi: 10.1016/j.smrv.2021.101430 pubmed: 33549913
Guida, J. L., Agurs-Collins, T., Ahles, T. A., Campisi, J., Dale, W., Demark-Wahnefried, W., Dietrich, J., Fuldner, R., Gallicchio, L., Green, P. A., Hurria, A., Janelsins, M. C., Jhappan, C., Kirkland, J. L., Kohanski, R., Longo, V., Meydani, S., Mohile, S., Niedernhofer, L., & J.,…Ness, K. K. (2021). Strategies to prevent or remediate cancer and treatment-related aging. Journal of the National Cancer Institute, 113, 112–122. https://doi.org/10.1093/jnci/djaa060
doi: 10.1093/jnci/djaa060 pubmed: 32348501
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Katz, E. S., Kheirandish-Gozal, L., Neubauer, D. N., O’Donnell, A. E., Ohayon, M., Peever, J., Rawding, R., Sachdeva, R. C., Setters, B., Vitiello, M. V., Ware, J. C., & Adams Hillard, P. J. (2015). National sleep foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1, 40–43. https://doi.org/10.1016/j.sleh.2014.12.010
doi: 10.1016/j.sleh.2014.12.010 pubmed: 29073412
Hoogland, A. I., Bulls, H. W., Gonzalez, B. D., Wright, A. A., Kennedy, B., Small, B. J., Chahal, N., Arboleda, B. L., & Jim, H. S. L. (2019). Differential patterns of circadian rhythmicity in women with malignant versus benign gynecologic tumors. Psycho-Oncology, 28(3), 643–646. https://doi.org/10.1002/pon.4972
doi: 10.1002/pon.4972 pubmed: 30597681 pmcid: 6503520
Kiecolt-Glaser, J. K., & Wilson, S. J. (2017). Lovesick: How couples’ relationships influence health. Annual Review of Clinical Psychology, 13, 421–443. https://doi.org/10.1146/annurev-clinpsy-032816-045111
doi: 10.1146/annurev-clinpsy-032816-045111 pubmed: 28301763 pmcid: 5549103
Kirkham, A. A., Parr, E. B., & Kleckner, A. S. (2022). Cardiometabolic health impacts of time-restricted eating: Implications for type 2 diabetes, cancer and cardiovascular diseases. Current Opinion in Clinical Nutrition & Metabolic Care, 25(6), 378–387. https://doi.org/10.1097/mco.0000000000000867
doi: 10.1097/mco.0000000000000867
Kohler, L. N., Garcia, D. O., Harris, R. B., Oren, E., Roe, D. J., & Jacobs, E. T. (2016). Adherence to diet and physical activity cancer prevention guidelines and cancer outcomes: A systematic review. Cancer Epidemiology, Biomarkers & Prevention, 25(7), 1018–1028. https://doi.org/10.1158/1055-9965.epi-16-0121
doi: 10.1158/1055-9965.epi-16-0121
Kroenke, K., Spitzer, R. L., Williams, J. B., & Lowe, B. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1176/appi.psy.50.6.613
doi: 10.1176/appi.psy.50.6.613 pubmed: 19996233
Leach, C. R., Weaver, K. E., Aziz, N. M., Alfano, C. M., Bellizzi, K. M., Kent, E. E., Forsythe, L. P., & Rowland, J. H. (2015). The complex health profile of long-term cancer survivors: Prevalence and predictors of comorbid conditions. Journal of Cancer Survivorship, 9(2), 239–251. https://doi.org/10.1007/s11764-014-0403-1
doi: 10.1007/s11764-014-0403-1 pubmed: 25319681
Litzelman, K., Kent, E. E., & Rowland, J. H. (2018). Interrelationships between health behaviors and coping strategies among informal caregivers of cancer survivors. Health Education & Behavior, 45(1), 90–100. https://doi.org/10.1177/1090198117705164
doi: 10.1177/1090198117705164
Maitland, A., Lin, A., Cantor, D., Jones, M., Moser, R. P., Hesse, B. W., Davis, T., & Blake, K. D. (2017). A nonresponse bias analysis of the health information national trends survey (HINTS). Journal of Health Communication, 22(7), 545–553. https://doi.org/10.1080/10810730.2017.1324539
doi: 10.1080/10810730.2017.1324539 pubmed: 28557627 pmcid: 6114127
Masyn, K. E. (2013). 551Latent Class Analysis and Finite Mixture Modeling. In T. D. Little (Ed.), The Oxford Handbook of Quantitative Methods in Psychology. Statistical Analysis (pp. 0). Oxford University Press
Mead, M. P., Baron, K., Sorby, M., & Irish, L. A. (2019). Daily Associations between sleep and physical activity. International Journal of Behavioral Medicine, 26(5), 562–568. https://doi.org/10.1007/s12529-019-09810-6
doi: 10.1007/s12529-019-09810-6 pubmed: 31372835
Moser, R. P., Naveed, S., Cantor, D. G., Blake, K. D., Rutten, L. J. F., Ramírez, A. S., Liu, B., Yu, M. (2013). Integrative Analytic Methods Using Population-Level Cross-Sectional Data.
Nelson, D. E., Kreps, G. L., Hesse, B. W., Croyle, R. T., Willis, G., Arora, N. K., Rimer, B. K., Viswanath, K. V., Weinstein, N., & Alden, S. (2004). The Health Information National Trends Survey (HINTS): development, design, and dissemination. J Health Commun., 9(5), 443–460.
doi: 10.1080/10810730490504233 pubmed: 15513791
Niederdeppe, J., & Levy, A. G. (2007). Fatalistic beliefs about cancer prevention and three prevention behaviors. Cancer Epidemiology, Biomarkers & Prevention, 16(5), 998–1003. https://doi.org/10.1158/1055-9965.Epi-06-0608
doi: 10.1158/1055-9965.Epi-06-0608
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: A monte carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14(4), 535–569. https://doi.org/10.1080/10705510701575396
doi: 10.1080/10705510701575396
Olson, J. L., Conroy, D. E., Mama, S. K., & Schmitz, K. H. (2023). Lifestyle behaviors and health-related quality of life in cancer survivors: A latent class analysis. Health Education & Behavior., 51(3), 341–351.
doi: 10.1177/10901981231203978
Olson, J. L., Robertson, M., Chen, M., Conroy, D. E., Schmitz, K. H., & Mama, S. K. (2023b). Healthier energy balance behaviors most important for health-related quality of life in rural cancer survivors in central pennsylvania. Journal of Physical Activity and Health, 20(8), 752–759. https://doi.org/10.1123/jpah.2022-0628
doi: 10.1123/jpah.2022-0628 pubmed: 37210076
Pan, K., Aragaki, A. K., Michael, Y., Thomson, C. A., Snetselaar, L. G., Wactawski-Wende, J., Garcia, D. O., Dieli-Conwright, C. M., Shadyab, A. H., Saquib, N., & Chlebowski, R. T. (2022). Long-term dietary intervention influence on physical activity in the women’s health initiative dietary modification randomized trial. Breast Cancer Research and Treatment, 195(1), 43–54. https://doi.org/10.1007/s10549-022-06655-8
doi: 10.1007/s10549-022-06655-8 pubmed: 35821536
Perkins, M., Howard, V. J., Wadley, V. G., Crowe, M., Safford, M. M., Haley, W. E., Howard, G., & Roth, D. L. (2013). Caregiving strain and all-cause mortality: Evidence from the REGARDS study. Journals of Gerontology. Series b, Psychological Sciences and Social Sciences, 68(4), 504–512. https://doi.org/10.1093/geronb/gbs084
doi: 10.1093/geronb/gbs084 pubmed: 23033358
Pinquart, M., & Sörensen, S. (2003). Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis. Psychology and Aging, 18(2), 250–267. https://doi.org/10.1037/0882-7974.18.2.250
doi: 10.1037/0882-7974.18.2.250 pubmed: 12825775
Rezaei, N., & Grandner, M. A. (2021). Changes in sleep duration, timing, and variability during the COVID-19 pandemic: Large-scale fitbit data from 6 major US cities. Sleep Health., 7(3), 303–313.
doi: 10.1016/j.sleh.2021.02.008 pubmed: 33771534 pmcid: 9671406
Rock, C. L., Thomson, C., Gansler, T., Gapstur, S. M., McCullough, M. L., Patel, A. V., & Doyle, C. (2020). American cancer society guideline for diet and physical activity for cancer prevention. CA a cancer journal for clinicians., 70(4), 245–271.
doi: 10.3322/caac.21591 pubmed: 32515498
Rock, C. L., et al. (2022). American cancer society nutrition and physical activity guideline for cancer survivors. CA a cancer journal for clinicians., 72(3), 230–262.
doi: 10.3322/caac.21719 pubmed: 35294043
Rodrigues, B., Carraça, E. V., Francisco, B. B., Nobre, I., Cortez-Pinto, H., & Santos, I. (2023). Theory-based physical activity and/or nutrition behavior change interventions for cancer survivors: A systematic review. Journal of Cancer Survivorship. https://doi.org/10.1007/s11764-023-01390-5
doi: 10.1007/s11764-023-01390-5 pubmed: 37133640 pmcid: 11424668
Roesch, S. C., Villodas, M., & Villodas, F. (2010). Latent class/profile analysis in maltreatment research: a commentary on Nooner et al, Pears et al, and looking beyond. Child Abuse Negl., 34(3), 155–160.
doi: 10.1016/j.chiabu.2010.01.003 pubmed: 20207416
Ross, A., Sundaramurthi, T., & Bevans, M. (2013). A labor of love: The influence of cancer caregiving on health behaviors. Cancer Nursing, 36(6), 474–483. https://doi.org/10.1097/NCC.0b013e3182747b75
doi: 10.1097/NCC.0b013e3182747b75 pubmed: 23132126 pmcid: 4196265
Sarma, E. A., Moyer, A., Messina, C. R., Laroche, H. H., Snetselaar, L., Van Horn, L., & Lane, D. S. (2019). Is there a spillover effect of targeted dietary change on untargeted health behaviors? evidence from a dietary modification trial. Health Education & Behavior, 46(4), 569–581. https://doi.org/10.1177/1090198119831756
doi: 10.1177/1090198119831756
Secinti, E., Wu, W., Kent, E. E., Demark-Wahnefried, W., Lewson, A. B., & Mosher, C. E. (2022). Examining health behaviors of chronic disease caregivers in the US. Am J Prev Med., 62(3), e145–e158.
doi: 10.1016/j.amepre.2021.07.004 pubmed: 34579984
Semplonius, T., & Willoughby, T. (2018). Long-Term Links between Physical Activity and Sleep Quality. Medicine and Science in Sports and Exercise, 50(12), 2418–2424. https://doi.org/10.1249/mss.0000000000001706
doi: 10.1249/mss.0000000000001706 pubmed: 30048409
Shirazipour, C. H., Raines, C., Diniz, M. A., Salvy, S.-J., Haile, R. W., Freedland, S. J., Asher, A., Tomasone, J. R., & Gresham, G. (2023). The 24-hour movement paradigm: An integrated approach to the measurement and promotion of daily activity in cancer clinical trials. Contemporary Clinical Trials Communications., 32, 101081.
doi: 10.1016/j.conctc.2023.101081 pubmed: 36875555 pmcid: 9974421
Skiba, M. B., Jacobs, E. T., Crane, T. E., Kopp, L. M., & Thomson, C. A. (2021). Relationship between individual health beliefs and fruit and vegetable intake and physical activity among cancer survivors: Results from the health information national trends survey. Journal of Adolescent and Young Adult Oncology. https://doi.org/10.1089/jayao.2021.0078
doi: 10.1089/jayao.2021.0078 pubmed: 34357819
Skiba, M. B., Lopez-Pentecost, M., Werts, S. J., Ingram, M., Vogel, R. M., Enriquez, T., Garcia, L., & Thomson, C. A. (2022). Health promotion among mexican-origin survivors of breast cancer and caregivers living in the united states-mexico border region: Qualitative analysis from the vida plena study. JMIR Cancer, 8(1), e33083. https://doi.org/10.2196/33083
doi: 10.2196/33083 pubmed: 35200150 pmcid: 8914737
Sogaard, M., Thomsen, R. W., Bossen, K. S., Sorensen, H. T., & Norgaard, M. (2013). The impact of comorbidity on cancer survival: A review. Clinical Epidemiology, 5(1), 3–29. https://doi.org/10.2147/clep.s47150
doi: 10.2147/clep.s47150 pubmed: 24227920 pmcid: 3820483
Spiegel, K., Tasali, E., Penev, P., & Van Cauter, E. (2004). Brief communication: Sleep curtailment in healthy young men is associated with decreased leptin levels, elevated ghrelin levels, and increased hunger and appetite. Annals of Internal Medicine, 141(11), 846–850. https://doi.org/10.7326/0003-4819-141-11-200412070-00008
doi: 10.7326/0003-4819-141-11-200412070-00008 pubmed: 15583226
Squires, L. R., Rash, J. A., Fawcett, J., & Garland, S. N. (2022). Systematic review and meta-analysis of cognitive-behavioural therapy for insomnia on subjective and actigraphy-measured sleep and comorbid symptoms in cancer survivors. Sleep Medicine Reviews., 63, 101615.
doi: 10.1016/j.smrv.2022.101615 pubmed: 35303692
Thomson, C. A., Crane, T. E., Miller, A., Gold, M. A., Powell, M., Bixel, K., Van Le, L., DiSilvestro, P., Ratner, E., & Lele, S. (2023). Lifestyle intervention in ovarian cancer enhanced survival (LIVES) study (NRG/GOG0225): Recruitment, retention and baseline characteristics of a randomized trial of diet and physical activity in ovarian cancer survivors. Gynecologic Oncology, 170, 11–18.
doi: 10.1016/j.ygyno.2022.12.017 pubmed: 36608382 pmcid: 10023359
Tonorezos, E., Devasia, T., Mariotto, A. B., Mollica, M. A., Gallicchio, L., Green, P., Doose, M., Brick, R., Streck, B., Reed, C., & de Moor, J. S. (2024). Prevalence of cancer survivors in the United States. JNCI: Journal of the National Cancer Institute. https://doi.org/10.1093/jnci/djae135
doi: 10.1093/jnci/djae135 pubmed: 39002121
U.S. Bureau of Labor Statistics. (2023). American Time Use Survey — 2022 Results. Retrieved November 11 from https://www.bls.gov/news.release/archives/atus_06222023.htm
U.S. Department of Health and Human Services. (2020). Health Information National Trends Survey Public Use Dataset. National Institutes of Health National Cancer Institute. Retrieved January 5 2024 from https://hints.cancer.gov/data/download-data.aspx
van Ryn, M., Sanders, S., Kahn, K., van Houtven, C., Griffin, J. M., Martin, M., Atienza, A. A., Phelan, S., Finstad, D., & Rowland, J. (2011). Objective burden, resources, and other stressors among informal cancer caregivers: a hidden quality issue? Psychooncology., 20(1), 44–52.
doi: 10.1002/pon.1703 pubmed: 20201115 pmcid: 4479404
Wang, F., & Boros, S. (2021). The effect of physical activity on sleep quality: A systematic review. European Journal of Physiotherapy, 23(1), 11–18. https://doi.org/10.1080/21679169.2019.1623314
doi: 10.1080/21679169.2019.1623314
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., Malhotra, R. K., Martin, J. L., Patel, S. R., Quan, S. F., & Tasali, E. (2015). Recommended amount of sleep for a healthy adult: A joint consensus statement of the American academy of sleep medicine and sleep research society. Sleep, 38(6), 843–844. https://doi.org/10.5665/sleep.4716
doi: 10.5665/sleep.4716 pubmed: 26039963 pmcid: 4434546
Weir, C. B., & Jan, A. (2020). BMI Classification Percentile And Cut Off Points. StatPearls Publishing LLC.
Werts, S. J., Robles-Morales, R., Bea, J. W., & Thomson, C. A. (2023). Characterization and efficacy of lifestyle behavior change interventions among adult rural cancer survivors: A systematic review. Journal of Cancer Survivorship. https://doi.org/10.1007/s11764-023-01464-4
doi: 10.1007/s11764-023-01464-4 pubmed: 37768420
Westat. (2021). Health Information National Trends Survey 5 (HINTS 5) Cycle 3 Methodology Report. https://hints.cancer.gov/docs/Instruments/HINTS5_Cycle3_MethodologyReport.pdf
Xiao, Q., Keadle, S. K., Hollenbeck, A. R., & Matthews, C. E. (2014). Sleep duration and total and cause-specific mortality in a large US cohort: interrelationships with physical activity, sedentary behavior, and body mass index. American Journal of Epidemiology, 180(10), 997–1006. https://doi.org/10.1093/aje/kwu222
doi: 10.1093/aje/kwu222 pubmed: 25281691 pmcid: 4224361
Ye, J., & Ren, Z. (2022). Examining the impact of sex differences and the COVID-19 pandemic on health and health care: Findings from a national cross-sectional study. JAMIA Open. https://doi.org/10.1093/jamiaopen/ooac076
doi: 10.1093/jamiaopen/ooac076 pubmed: 36177395 pmcid: 9494404
Yun, Y. H., Rhee, Y. S., Kang, I. O., Lee, J. S., Bang, S. M., Lee, W. S., Kim, J. S., Kim, S. Y., Shin, S. W., & Hong, Y. S. (2005). Economic burdens and quality of life of family caregivers of cancer patients. Oncology, 68(2–3), 107–114. https://doi.org/10.1159/000085703
doi: 10.1159/000085703 pubmed: 15886502

Auteurs

Meghan B Skiba (MB)

Advanced Nursing Practice and Science Division, University of Arizona College of Nursing, Tucson, AZ, USA. mbskiba@arizona.edu.
University of Arizona Cancer Center, Tucson, AZ, USA. mbskiba@arizona.edu.

Terry A Badger (TA)

Advanced Nursing Practice and Science Division, University of Arizona College of Nursing, Tucson, AZ, USA.
University of Arizona Cancer Center, Tucson, AZ, USA.

Thaddaeus W W Pace (TWW)

Advanced Nursing Practice and Science Division, University of Arizona College of Nursing, Tucson, AZ, USA.
University of Arizona Cancer Center, Tucson, AZ, USA.
Department of Psychiatry, University of Arizona College of Medicine, Tucson, AZ, USA.

Michael A Grandner (MA)

Department of Psychiatry, University of Arizona College of Medicine, Tucson, AZ, USA.

Patricia L Haynes (PL)

Department of Health Promotion Sciences, University of Arizona Mel & Enid Zuckerman College of Public Health, Tucson, AZ, USA.

Chris Segrin (C)

Department of Communication, University of Arizona College of Social and Behavioral Sciences, Tucson, AZ, USA.

Rina S Fox (RS)

Advanced Nursing Practice and Science Division, University of Arizona College of Nursing, Tucson, AZ, USA.
University of Arizona Cancer Center, Tucson, AZ, USA.

Classifications MeSH