Evidence map›Paper›PMID 33109503›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2021

Self-Reported Changes and Perceived Barriers to Healthy Eating and Physical Activity among Global Breast Cancer Survivors: Results from an Exploratory Online Novel Survey.

Laura Keaver, Aisling M McGough, Mengxi Du, Winnie Chang, Virginia Chomitz, Jennifer D Allen, Deanna J Attai, Lisa Gualtieri, Fang Fang Zhang

Open access · greenAbstract read
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 10% of its field
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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  7. Determinants of breast and gynecologic cancer survivors' intention to adopt a healthy post-treatment lifestyle.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  8. Observational
  9. Article
  10. Nutritional information needs and search behaviors in argentine oncology patientsRevista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2025
    Article
  11. Article
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  19. Health-related quality of life among cancer survivors: pre-existing chronic conditions are to be given priority.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  20. Article
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

9 authors at 2 institutions in 2 countries.

Laura KeaverClinical Health and Nutrition Centre, Department of Health and Nutritional Science, School of Science, Institute of Technology Sligo, Ireland; Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Aisling M McGoughFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Mengxi DuFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Winnie ChangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Virginia ChomitzDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA.
Jennifer D AllenDepartment of Community Health, Tufts University School of Arts and Sciences, Medford, MA.
Deanna J AttaiDepartment of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA.
Lisa GualtieriDepartment of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA.
Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Electronic address: fang_fang.zhang@tufts.edu.
Tufts University · USUniversity of California, Los Angeles · US

Funding

Comparative and Cost-Effectiveness of Population Strategies to Improve Diet and Reduce CancerR01MD011501 · NIMHD · TUFTS UNIVERSITY BOSTON · PI ZHANG, FANG FANG · 2016 to 2019
$2.0M
NIMHD NIH HHS R01 MD011501
6 · The paper itself

Abstract

backgroundDespite being motivated to improve nutrition and physical activity behaviors, cancer survivors are still burdened by suboptimal dietary intake and low levels of physical activity.

objectiveThe aim of this study was to assess changes in nutrition and physical activity behaviors after cancer diagnosis or treatment, barriers to eating a healthy diet and staying physically active, and sources for seeking nutrition advice reported by breast cancer survivors.

designThis was a cross-sectional study. PARTICIPANTS/

settingThe study included 315 survivors of breast cancer who were recruited through social media and provided completed responses to an online exploratory survey.

main outcome measuresSelf-reported changes in nutrition and physical activity behaviors after cancer diagnosis or treatment, perceived barriers to healthy eating and physical activity, and sources of nutrition advice were measured. STATISTICAL ANALYSIS: Frequency distribution of nutrition and physical activity behaviors and changes, barriers to healthy eating and physical activity, and sources of nutrition advice were estimated.

resultsAbout 84.4% of the breast cancer survivors reported at least 1 positive behavior for improving nutrition and physical activity after cancer diagnosis or treatment. Fatigue was the top barrier to both making healthy food choices (72.1%) and staying physically active (65.7%), followed by stress (69.5%) and treatment-related changes in eating habits (eg, change in tastes, loss of appetite, and craving unhealthy food) (31.4% to 48.6%) as barriers to healthy eating, and pain or discomfort (53.7%) as barriers to being physically active. Internet search (74.9%) was the primary source for seeking nutrition advice. Fewer than half reported seeking nutrition advice from health care providers.

conclusionsDespite making positive changes in nutrition and physical activity behaviors after cancer diagnosis or treatment, breast cancer survivors experience treatment-related barriers to eating a healthy diet and staying physically active. Our results reinforce the need for developing tailored intervention programs and integrating nutrition into oncology care.

Indexed as

AdultAgedBreast NeoplasmsCancer SurvivorsCross-Sectional StudiesDiet, HealthyExerciseFatigueFeeding BehaviorFemaleHealth BehaviorHumansMiddle AgedNutritional StatusSelf ReportStress, PsychologicalBarriersCancer survivorsLifestyleNutritionPhysical activity

Identifiers

PMID33109503
PMCPMC11217928
OpenAlexW3094576850

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.