Differences in chronic conditions and lifestyle behaviour between people with a history of cancer and matched controls
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Date
2014
Authors
Berry, Narelle
Miller, Michelle Deanne
Woodman, Richard John
Coveney, John David
Dollman, James
Mackenzie, Catherine R
Koczwara, Bogda
Journal Title
Journal ISSN
Volume Title
Publisher
The Medical Journal of Australia
Rights
© Copyright 2016. The Medical Journal of Australia - reproduced with permission
Rights Holder
. The Medical Journal of Australia
Abstract
Objective: To determine whether people with a history of cancer have a higher prevalence of chronic conditions or different lifestyle behaviour compared with controls.
Design, setting and participants: Cross-sectional, self-reported data from a telephone survey conducted between 1 January 2010 and 31 March 2012 of adult residents of South Australia who self-reported a previous cancer diagnosis (cases) and randomly selected age- and sex-matched residents with no cancer diagnosis (controls).
Main outcome measures: Self-reported medically diagnosed cardiovascular disease, hypertension, hyperlipidaemia, diabetes and osteoporosis; lifestyle behaviour (smoking, physical activity and diet); body mass index (BMI); psychological distress and self-reported health.
Results: A total of 2103 cases and 4185 controls were included in the analyses. For men, after adjusting for age, cancer survivors were more likely than controls to have ever had cardiovascular disease (P < 0.001), high blood pressure (P = 0.001), high cholesterol (P < 0.001) and diabetes (P = 0.04). These associations remained significant after controlling for socioeconomic status (SES), with the exception of high blood pressure (P = 0.09). For women, there was an increased prevalence of high cholesterol (P = 0.005), diabetes (P = 0.02) and osteoporosis (P = 0.005) in cancer cases, but after adjusting for SES, these associations were no longer significant. Women with a previous cancer diagnosis were more likely than controls to have ever smoked, after adjusting for SES (P = 0.001). There were no other differences in lifestyle behaviour or BMI between cases and controls for men or women.
Conclusion: Despite similar lifestyle habits and BMI, the prevalence of chronic conditions was significantly higher among people with a history of cancer than among controls without cancer. This supports the importance of chronic disease management as part of health care after a diagnosis of cancer.
Description
© Copyright 2016. The Medical Journal of Australia - reproduced with permission
Keywords
history of cancer, Cancer suseptability, Chronic Health Condition
Citation
Berry, N. M., Miller, M. D., Woodman, R. J., Coveney, J., Dollman, J., Mackenzie, C. R., & Koczwara, B. (2014). Differences in chronic conditions and lifestyle behaviour between people with a history of cancer and matched controls. The Medical Journal of Australia, 201(2), 96–100. https://doi.org/10.5694/mja13.10701