Self-rated health in relation to fruit and vegetable consumption and physical activity among older cancer survivors
- PDF / 396,802 Bytes
- 10 Pages / 595.276 x 790.866 pts Page_size
- 56 Downloads / 187 Views
ORIGINAL ARTICLE
Self-rated health in relation to fruit and vegetable consumption and physical activity among older cancer survivors Dongyu Zhang 1
&
Yuan Zhao 2 & Alpana Kaushiva 3 & Zhikai Zhu 1,4 & Judy Huei-yu Wang 1 & Dejana Braithwaite 1,5
Received: 6 August 2020 / Accepted: 11 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose We aimed to investigate associations of self-rated health with fruit and vegetable consumption (FVC) and physical activity (PA) among older cancer survivors. Methods We used the 2017 Behavioral Risk Factor Surveillance System to identify cancer survivors ≥ 65 years (N = 2663). Selfreported FVC and PA were categorized as ordinal variables to approximate quartiles. Low general health (LGH) was defined as fair or poor self-rated health. A multivariable logistic regression treating LGH as the outcome was used to calculate adjusted odd ratios (aORs) and 95% confidence intervals (CIs) for FVC and PA. Restricted cubic spline depicted non-linear dose-response curves for FVC and PA. In comparative analysis, we used the same logistic regression and dose-response model to calculate ORs of FVC and PA in 73,134 people ≥ 65 years without cancer history. Results Overall, 470 (17.7%) survivors had LGH. Survivors’ mean age was 73.3 years (SD = 5.2), 55.1% of them were female, and 95.4% self-reported as white. In cancer survivors, FVC was not associated with LGH (≥ 28 vs. < 14 times/ week: aOR = 1.02, 95% CI = 0.75–1.39, p-trend = 0.50), whereas PA was inversely associated with LGH (≥ 30 vs. < 7 MET-hours/week: aOR = 0.55, 95% CI = 0.41–0.75, p-trend < 0.01). Dose-response curves demonstrated consistent association patterns. In comparative analysis, ORs of PA did not change substantially but we observed inverse association for FVC. Conclusions An inverse association between PA and LGH was observed among older cancer survivors, but no significant association was obtained for FVC among them. Regular PA may maintain or indicate a favorable health in older cancer survivors, whereas impacts of FVC deserve further investigations. Keywords Fruit and vegetable . Physical activity . Gerontology . Cancer survivorship . Epidemiology
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00520-020-05782-6) contains supplementary material, which is available to authorized users. * Dongyu Zhang [email protected] 1
Department of Oncology, Georgetown University School of Medicine, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC 20007, USA
2
Department of Epidemiology, New York University School of Global Public Health, New York, NY, USA
3
Department of Epidemiology, University of Illinois at Chicago School of Public Health, Chicago, IL, USA
4
School of Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
5
Present address: Department of Epidemiology, University of Florida College of Public Health and Health Professions, Gainesville, FL, USA
Introduction Cancer used to
Data Loading...
