Evidence map›Paper›PMID 40097728›Full record

SynthesisSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Determinants of healthy lifestyle behaviours in colorectal cancer survivors: a systematic review.

Judith de Vries-Ten Have, Renate M Winkels, Sharon A G Bloemhof, Annelot Zondervan, Iris Krabbenborg, Ellen Kampman, Laura H H Winkens

Abstract readSystematic Review
In one paragraph

Synthesis in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Review
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

7 authors.

Judith de Vries-Ten HaveNutrition & Disease Chair Group, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Renate M WinkelsNutrition & Disease Chair Group, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Sharon A G BloemhofNutrition & Disease Chair Group, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Annelot ZondervanConsumption and Healthy Lifestyles Chair Group, Wageningen University & Research, Wageningen, The Netherlands.
Iris KrabbenborgNutrition & Disease Chair Group, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Ellen KampmanNutrition & Disease Chair Group, Division of Human Nutrition and Health, Wageningen University & Research, Wageningen, The Netherlands.
Laura H H WinkensConsumption and Healthy Lifestyles Chair Group, Wageningen University & Research, Wageningen, The Netherlands. laura.winkens@wur.nl.

Funding

Wereld Kanker Onderzoek Fonds (WKOF) as part of the World Cancer Research Fund International grant programme IIG_2019_1981
6 · The paper itself

Abstract

purposeIdentifying and selecting determinants of health behaviours is an important step in the design of behaviour change interventions. Many colorectal cancer (CRC) survivors experience disease- and treatment-related complaints, which may make it difficult to implement behavioural changes. In this systematic review, we aimed to identify determinants of a healthy lifestyle, i.e. dietary behaviours and physical activity, in CRC survivors who finished treatment.

methodsWe searched Web of Science, PubMed and PsychINFO, to retrieve quantitative and qualitative studies on determinants of a healthy lifestyle in CRC survivors who finished treatment. Synonyms of the following search terms were used: 'CRC survivors', 'lifestyle', 'physical activity', 'nutrition' and 'determinant'. The level of evidence for each determinant was classified as 'convincing', 'moderately convincing' or 'unconvincing' based on consistency of findings between studies and quality of studies assessed with the Mixed Methods Appraisal tool.

resultsTwenty-one studies were retrieved of which twenty were classified as 'high-quality studies' and one as 'low-quality study'. Determinants that were convincingly associated with less healthy lifestyle behaviours were smoking, depression, body image distress/consciousness, experiencing pain, dealing with symptoms and bad health status. A good functional status was convincingly associated with more healthy lifestyle behaviours. Determinants with convincing evidence for an association with less or more healthy lifestyle behaviours were time and other priorities, knowledge, motivation, (false) beliefs, perceived and expected outcomes, skills, social support, social norms and influence, access to facilities and equipment and weather.

conclusionInterventions for changing health behaviours in CRC survivors who finished treatment could use these determinants to tailor and personalize the intervention to the target group.

Indexed as

Cancer SurvivorsColorectal NeoplasmsHealth BehaviorHealthy LifestyleSurvivorsBody ImageDietExerciseHealth StatusHumansBehaviour changeDietExerciseLifestylePhysical activity

Identifiers

PMID40097728
PMCPMC11914313

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.