Latent classes of health-promoting lifestyle in breast cancer patients undergoing chemotherapy in China: A cross-sectional survey.
Meixuan Song, Qiuyao He, Juan Yang and 1 others
PMID 38268274WHAT IT FOUND
Chemotherapy patients were grouped into four lifestyle patterns: good nutrition with poor activity, poor responsibility and nutrition, active lifestyle, and medium spiritual growth with poor other behaviours.
No class had good physical activity, so symptom and confidence support may need to precede exercise advice.
Key findings
01The analysis identified four health-promoting lifestyle patterns: good nutrition with poor physical activity; poor health responsibility and nutrition; active health-promoting lifestyle; and medium spiritual growth with poor other dimensions.
02Class 1 was defined by good nutrition habits but poor physical activity, and Class 2 had no respondents with good performance in health responsibility or nutrition.
03Class 4 was more likely among younger respondents and those with higher anxiety and depression compared with Class 1 or 3, among those with low exercise self-efficacy compared with other classes, and among those with more severe symptoms and interference compared with Class 3.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
It was a one-time survey, so it cannot show that lifestyle patterns, anxiety, symptoms, or self-efficacy caused each other or that an intervention would change them. Patients came from one Grade 3A hospital in Shanghai, so the classes may not match patients in other settings. Participants reported their own lifestyle, mood, symptoms, and confidence, which can be biased. The study did not know patients' exercise or diet habits before diagnosis and chemotherapy. It did not compare these classes with other patient groups or test whether targeted education changes outcomes.
Declared interests
Funded by the special project of Shanghai Municipal Health Commission for clinical research in the health industry, grant number 202040487. The authors declared no conflicts of interest.
The easy way to misread this
Do not read the four lifestyle classes as evidence that tailored education, exercise advice, or symptom management improves chemotherapy outcomes. The study was cross-sectional, single-site, self-reported, and did not test an intervention.