Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk

BACKGROUND: Healthy lifestyles are associated with cancer risk reduction. Individuals with hereditary cancer syndromes may be motivated to adopt health-protective behaviours. OBJECTIVE:  This study explored lifestyle behaviours associated to cancer risk reduction among individuals undergoing brea...

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Main Authors: Lea Godino, Donatella Fabbro, Benedetta Bertonazzi, Daniela Turchetti
Format: Article
Language:English
Published: Milano University Press 2025-01-01
Series:Dissertation Nursing
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Online Access:https://riviste.unimi.it/index.php/dissertationnursing/article/view/25499
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Summary:BACKGROUND: Healthy lifestyles are associated with cancer risk reduction. Individuals with hereditary cancer syndromes may be motivated to adopt health-protective behaviours. OBJECTIVE:  This study explored lifestyle behaviours associated to cancer risk reduction among individuals undergoing breast or colorectal cancer familial risk assessment. METHOD: A cross-sectional survey was performed through a self-administered questionnaire, including: the Italian validated Medi-Lite and the International Physical Activity validated questionnaires (to assess adherence to the Mediterranean Diet and Physical activity), items on cancer risk perception, lifestyle and surveillance. RESULTS: Forty-two women and eight men (age: 19-80 years) responded; 19 were affected by breast cancer, four by colorectal cancer, 27 were unaffected but had a family history of breast (n=23) or colorectal (n=4) cancer. The majority perceived their general lifestyle as moderately healthy. However, 16 (32%) were current or former smokers, 37 (74%) drank alcohol and 18 (36%) were overweight or obese; 21 (42%) showed low adherence to Mediterranean diet and seven (14%) reported low exercise. Adherence to Mediterranean diet was generally low (Medi-Lite score: 8.8±2.6): a low adherence was significantly more frequent in participants of lower education level (67%), compared to those with high education level (17%; p=0.044). Participants at higher cancer risk were significantly more likely to smoke: 63% of those at high risk, 40% at intermediate risk and 14% at standard risk were current or former smokers (p <0.05). CONCLUSION: These findings suggest a need for raising awareness on the role of the lifestyle in cancer risk modulation among individuals at increased familial risk.
ISSN:2785-7263