The Outdoor Against Cancer Connects Us (OACCUs) Project A European initiative promoting healthy lifestyle among young cancer survivors
Main Article Content
Abstract
Objective: The main project objectives will be to characterize the lifestyle behaviours of young cancer survivors (YCS) and to examine the associations of physical activity, balanced nutrition and sustainability and nature behaviours with mental well-being and quality of life. Methods: The present cross-sectional project will include YCS between 15 to 39 years from Germany, Greece, Italy, Portugal, Spain, and Sweden. Sociodemographic aspects and disease history will be collected. The International Physical Activity Questionnaire and The International Fitness Scale will be applied to assess physical activity and sedentary levels; and self-reported fitness, respectively. The questionnaire on adherence to the Mediterranean diet will evaluate healthy diet habits, and a short set of questions will cover the environmental quality of residence of the participants, as well as their outdoor habits. In addition, the EQ‐5D‐5L instrument will measure health-related quality of life, and the Hospital Anxiety and Depression Scale will collect depression and anxiety symptoms. Results: It is hypothesised that positive lifestyle behaviours, such as increasing physical activity and following balanced nutrition, may correlate with improved mental well-being and quality of life in YCS. These findings have the potential to deepen our understanding of the intricate interplay between cancer, lifestyle and mental health
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Funding data
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European Commission
Grant numbers 101056984 -
Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable
Grant numbers CB16/10/00477 -
European Regional Development Fund
Grant numbers CB16/10/00477
References
Blaschke, S. (2017). The role of nature in cancer patients' lives: A systematic review and qualitative meta-synthesis. BMC Cancer, 17(1). https://doi.org/10.1186/s12885-017-3366-6
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., Dipietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451-1462. https://doi.org/10.1136/bjsports-2020-102955
Carey, M., Noble, N., Sanson-Fisher, R., & MacKenzie, L. (2012). Identifying psychological morbidity among people with cancer using the Hospital Anxiety and Depression Scale: Time to revisit first principles? Psycho-Oncology, 21(3), 229-238. https://doi.org/10.1002/pon.2057
Chai, Q., Yang, Z., Liu, X., An, D., Du, J., Ma, X., Rand, K., Wu, B., & Luo, N. (2023). Valuation of EQ-5D-5L health states from cancer patients' perspective: a feasibility study. European Journal of Health Economics. https://doi.org/10.1007/s10198-023-01635-1
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-Country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Denlinger, C. S., Carlson, R. W., Are, M., Baker, K. S., Davis, E., Edge, S. B., Friedman, D. L., Goldman, M., Jones, L., King, A., Kvale, E., Langbaum, T. S., Ligibel, J. A., McCabe, M. S., McVary, K. T., Melisko, M., Montoya, J. G., Mooney, K., Morgan, M. A., … Freedman-Cass, D. (2014). Survivorship: Introduction and definition: Clinical practice guidelines in oncology. JNCCN Journal of the National Comprehensive Cancer Network, 12(1), 34-45. https://doi.org/10.6004/jnccn.2014.0005
European Commision. (2022). OACCUs- Outdoor Against Cancer Connects us. Retrieved from [Accessed 2024, June 12]: https://health.ec.europa.eu/non-communicable-diseases/cancer/europes-beating-cancer-plan-eu4health-financed-projects/projects/oaccus_en
European Commision. (2023). Europe's Beating Cancer Plan: OACCUs-Outdoor Against Cancer Connects us. https://doi.org/10.2875/436857
Fox, R. S., Armstrong, G. E., Gaumond, J. S., Vigoureux, T. F. D., Miller, C. H., Sanford, S. D., Salsman, J. M., Katsanis, E., Badger, T. A., Reed, D. R., Gonzalez, B. D., Jim, H. S. L., Warner, E. L., Victorson, D. E., & Oswald, L. B. (2023). Social isolation and social connectedness among young adult cancer survivors: A systematic review. Cancer, 129(19), 2946-2965. https://doi.org/10.1002/cncr.34934
García-Conesa, M. T., Philippou, E., Pafilas, C., Massaro, M., Quarta, S., Andrade, V., Jorge, R., Chervenkov, M., Ivanova, T., Dimitrova, D., Maksimova, V., Smilkov, K., Ackova, D. G., Miloseva, L., Ruskovska, T., Deligiannidou, G. E., Kontogiorgis, C. A., & Pinto, P. (2020). Exploring the Validity of the 14-Item Mediterranean Diet Adherence Screener (MEDAS): A Cross-National Study in Seven European Countries around the Mediterranean Region. Nutrients, 12(10), 1-18. https://doi.org/10.3390/nu12102960
Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., Bonsel, G., & Badia, X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 20(10), 1727-1736. https://doi.org/10.1007/s11136-011-9903-x
Horwitz, R. I., & Horwitz, S. M. (1993). Adherence to treatment and health outcomes. Archives of Internal Medicine, 153(16), 1863-1868. https://doi.org/10.1001/archinte.1993.00410160017001
King, J. D., Zhang, S., & Cohen, A. (2022). Air pollution and mental health: associations, mechanisms and methods. Current Opinion in Psychiatry, 35(3), 192-199. https://doi.org/10.1097/YCO.0000000000000771
Martínez-González, M. A., García-Arellano, A., Toledo, E., Salas-Salvadó, J., Buil-Cosiales, P., Corella, D., Covas, M. I., Schröder, H., Arós, F., Gómez-Gracia, E., Fiol, M., Ruiz-Gutiérrez, V., Lapetra, J., Lamuela-Raventos, R. M., Serra-Majem, L., Pintó, X., Muñoz, M. A., Wärnberg, J., Ros, E., & Estruch, R. (2012). A 14-item mediterranean diet assessment tool and obesity indexes among high-risk subjects: The PREDIMED trial. PLoS ONE, 7(8). https://doi.org/10.1371/journal.pone.0043134
Marzorati, C., Riva, S., & Pravettoni, G. (2017). Who Is a Cancer Survivor? A Systematic Review of Published Definitions. Journal of Cancer Education : The Official Journal of the American Association for Cancer Education, 32(2), 228-237. https://doi.org/10.1007/s13187-016-0997-2
Meh, K., Jurak, G., Sorić, M., Rocha, P., & Sember, V. (2021). Validity and Reliability of IPAQ-SF and GPAQ for Assessing Sedentary Behaviour in Adults in the European Union: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(9). https://doi.org/10.3390/ijerph18094602
National Comprehensive Cancer Network Foundation. (2020). NCC Guidelines for Patiens: Distress During Cancer Care. Retrieved from [Accessed 2024, June 12]: https://apos-society.org/wp-content/uploads/2020/07/NCCN-Guidelines-for-Patients.pdf
Ortega, F. B., Ruiz, J. R., España-Romero, V., Vicente-Rodriguez, G., Martínez-Gómez, D., Manios, Y., Béghin, L., Molnar, D., Widhalm, K., Moreno, L. A., Sjöström, M., & Castillo, M. J. (2011). The International Fitness Scale (IFIS): Usefulness of self-reported fitness in youth. International Journal of Epidemiology, 40(3), 701-711. https://doi.org/10.1093/ije/dyr039
Ortega, F. B., Sánchez-López, M., Solera-Martínez, M., Fernández-Sánchez, A., Sjöström, M., & Martínez-Vizcaino, V. (2013). Self-reported and measured cardiorespiratory fitness similarly predict cardiovascular disease risk in young adults. Scandinavian Journal of Medicine and Science in Sports, 23(6), 749-757. https://doi.org/10.1111/j.1600-0838.2012.01454.x
Palma, M. R., Tebar, W. R., Vanderlei, L. C. M., Fregonesi, C. E. P. T., Ribeiro, F. E., Caldeira, D. T., Ritti-Dias, R. M., & Christofaro, D. G. D. (2022). Association between cardiac autonomic modulation and sedentary behavior in breast cancer survivors: a 12-month cohort study. Supportive Care in Cancer, 30(2), 1873-1878. https://doi.org/10.1007/s00520-021-06602-1
Rojas-Rueda, D., Nieuwenhuijsen, M. J., Gascon, M., Perez-Leon, D., & Mudu, P. (2019). Green spaces and mortality: a systematic review and meta-analysis of cohort studies. The Lancet Planetary Health, 3(11), e469-e477. https://doi.org/10.1016/S2542-5196(19)30215-3
Soanes, L., & White, I. (2018). Sexuality and cancer: The experience of adolescents and young adults. Pediatric Blood & Cancer, 65(12). https://doi.org/10.1002/pbc.27396
Walker, J., Postma, K., McHugh, G. S., Rush, R., Coyle, B., Strong, V., & Sharpe, M. (2007). Performance of the Hospital Anxiety and Depression Scale as a screening tool for major depressive disorder in cancer patients. Journal of Psychosomatic Research, 63(1), 83-91. https://doi.org/10.1016/j.jpsychores.2007.01.009
World Health Organization. (2024a). Global cancer burden growing, amidst mounting need for services. Retrieved from [Accessed 2024, June 12]: https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services
World Health Organization. (2024b). Global Cancer Observatory. Retrieved from [Accessed 2024, June 12]: https://gco.iarc.fr/en
Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x