Evidence map›Paper›PMID 31646463›Full record

ArticleJournal of cancer survivorship : research and practice2019

Colorectal cancer survivors only marginally change their overall lifestyle in the first 2 years following diagnosis.

Moniek van Zutphen, Hendriek C Boshuizen, Dieuwertje E Kok, Harm van Baar, Anne J M R Geijsen, Evertine Wesselink, Renate M Winkels, Henk K van Halteren, Johannes H W de Wilt, Ellen Kampman and 1 more

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Determinants of healthy lifestyle behaviours in colorectal cancer survivors: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
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  4. Effects of a Physical Activity mHealth Intervention (Fit2Thrive) on WCRF/AICR Cancer Prevention Recommendations among Breast Cancer Survivors: A Secondary Data Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Trial
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  6. Turkish urologists' knowledge and attitudes on lifestyle advice for bladder cancer: a national survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  11. Diet and physical activity advice for colorectal cancer survivors: critical synthesis of public-facing guidance.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Moniek van ZutphenDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands. moniek.vanzutphen@wur.nl.ORCID http://orcid.org/0000-0002-2368-0606
Hendriek C BoshuizenDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.
Dieuwertje E KokDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.
Harm van BaarDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.
Anne J M R GeijsenDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.
Evertine WesselinkDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.
Renate M WinkelsDepartment Public Health Sciences, College of Medicine, Penn State University, 500 University Drive, Hershey, PA, 17033, USA.
Henk K van HalterenDepartment of Internal Medicine, Admiraal de Ruyter Ziekenhuis, 's-Gravenpolderseweg 114, 4462, RA, Goes, the Netherlands.
Johannes H W de WiltDepartment of Surgery, Radboud University Medical Centre, Geert Grooteplein-Zuid 22, 6525, GA, Nijmegen, the Netherlands.
Ellen KampmanDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.
Fränzel J B van DuijnhovenDivision of Human Nutrition and Health, Wageningen University & Research, Stippeneng 4, PO Box 17 6708, WE, Wageningen, the Netherlands.

Funding

ERA-NET on Translational Cancer Research UW2013-6397ERA-NET on Translational Cancer Research UW2014-6877KWF Kankerbestrijding UM 2012-5653KWF Kankerbestrijding UW 2013-5927KWF Kankerbestrijding UW 2015-7946Wereld Kanker Onderzoek Fonds NAWorld Cancer Research Fund International 2014/1179ZonMw NA
6 · The paper itself

Abstract

purposeA healthy lifestyle after colorectal cancer (CRC) diagnosis may improve prognosis. Data related to lifestyle change in CRC survivors are inconsistent and potential interrelated changes are unknown.

methodsWe assessed dietary intake, physical activity, body mass index (BMI), waist circumference, and smoking among 1072 patients diagnosed with stages I-III CRC at diagnosis, 6 months and 2 years post-diagnosis. An overall lifestyle score was constructed based on the 2018 World Cancer Research Fund/American Institute of Cancer Research recommendations (range 0-7). We used linear mixed models to analyze changes in lifestyle over time.

resultsParticipants had a mean (± SD) age of 65 ± 9 years and 43% had stage III disease. In the 2 years following CRC diagnosis, largest changes were noted for sugary drinks (- 45 g/day) and red and processed meat intake (- 62 g/week). BMI (+ 0.4 kg/m

conclusionsCRC survivors hardly improve their overall lifestyle after diagnosis. IMPLICATIONS FOR CANCER SURVIVORS: Given the importance of a healthy lifestyle, strategies to effectively support behavior changes in CRC survivors need to be identified.

Indexed as

AgedCancer SurvivorsColorectal NeoplasmsFemaleHealthy LifestyleHumansMalePrognosisTime FactorsColorectal cancerDietary changesLifestyle changesLifestyle recommendationsSurvivorship

Identifiers

PMID31646463
PMCPMC6881417

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.