Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jun;125(6):836-842.
doi: 10.1111/bju.15007. Epub 2020 Mar 3.

Modifiable lifestyle behaviours impact the health-related quality of life of bladder cancer survivors

Jiil Chung  1 , Girish S Kulkarni  2 , Jackie Bender  1 , Rodney H Breau  3 , David Guttman  4 , Manjula Maganti  1 , Andrew Matthew  5 , Robin Morash  6 , Janet Papadakos  7 , Jennifer M Jones  1
Affiliations

Modifiable lifestyle behaviours impact the health-related quality of life of bladder cancer survivors

Jiil Chung et al. BJU Int. 2020 Jun.

Abstract

Objective: To examine health behaviours in bladder cancer survivors including physical activity (PA), body mass index, diet quality, smoking and alcohol consumption, and to explore their relationship with health-related quality of life (HRQoL).

Subjects/patients and methods: Cross-sectional questionnaire packages were distributed to bladder cancer survivors (muscle-invasive bladder cancer [MIBC] and non-muscle-invasive bladder cancer [NMIBC]) aged >18 years, and proficient in English. Lifestyle behaviours were measured using established measures/questions, and reported using descriptive statistics. HRQoL was assessed using the validated Bladder Utility Symptom Scale, and its association with lifestyle behaviours was evaluated using analysis of covariance (ancova) and multivariate regression analyses.

Results: A total of 586 participants completed the questionnaire (52% response rate). The mean (SD) age was 67.3 (10.2) years, and 68% were male. PA guidelines were met by 20% (n = 117) and 22.7% (n = 133) met dietary guidelines. In all, 60.9% (n = 357) were overweight/obese, and the vast majority met alcohol recommendations (n = 521, 92.5%) and were current non-smokers (n = 535, 91.0%). Health behaviours did not differ between MIBC and NMIBC, and cancer treatment stages. Sufficient PA, healthy diet, and non-smoking were significantly associated with HRQoL, and the number of health behaviours participants engaged in was positively associated with HRQoL (P < 0.001).

Conclusion: Bladder cancer survivors are not meeting guidelines for important lifestyle behaviours that may improve their overall HRQoL. Future research should investigate the impact of behavioural and educational interventions for health behaviours on HRQoL in this population.

Keywords: #BladderCancer; #blcsm; health behaviours; health-related quality of life; patient education; supportive care.

PubMed Disclaimer

Conflict of interest statement

There were no conflicts of interest from any of the authors.

Figures

Figure 1
Figure 1
*HRQoL (mean ± se) for total health behaviour. *Mean adjusted for education status, MIBC or NMIBC diagnosis, and time since diagnosis.
See this image and copyright information in PMC

Comment in

References

    1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2015. CA Cancer J Clin 2015; 65: 5–29 - PubMed
    1. Antoni S, Ferlay J, Soerjomataram I, Znaor A, Jemal A, Bray F. Bladder cancer incidence and mortality: a global overview and recent trends. Eur Urol 2017; 71: 96–108 - PubMed
    1. Denlinger CS,Carlson RW, Are M et al. Survivorship: introduction and definition. Clinical practice guidelines in oncology. J Natl Compr Canc Netw 2014; 12: 34–45 - PMC - PubMed
    1. Johnson DC, Greene PS, Nielsen ME. Surgical advances in bladder cancer: at what cost? Urol Clin North Am 2015; 42: 235–52, ix - PubMed
    1. Scarpato KR, Morgans AK, Moses KA. Optimal management of muscle‐invasive bladder cancer – a review. Res Rep Urol 2015; 7: 143–51 - PMC - PubMed