p04.40. lifestyle therapy use in pediatric cancer survivors

1
POSTER PRESENTATION Open Access P04.40. Lifestyle therapy use in pediatric cancer survivors J Karlik 1* , Y Bao 2 , B Cheng 2 , S Lees 1 , D Ndao 1 , E Ladas 1 , K Kelly 1 From International Research Congress on Integrative Medicine and Health 2012 Portland, Oregon, USA. 15-18 May 2012 Purpose Pediatric cancer survivors often experience late effects sec- ondary to cancer therapy, but their choices for symptom management is largely unknown. Many of these late effects can be treated by lifestyle changes such as diet, exercise, and conventional supplements. Although the use of lifestyle therapies appears common in children and ado- lescents, including pediatric cancer survivors, the reasons for use and perceptions of efficacy have not been investigated. Methods We report the results of a cross sectional survey investigat- ing the prevalence of lifestyle therapy use, types and rea- sons for lifestyle therapy use, and determinants of lifestyle therapy use among survivors of childhood cancer. Results One hundred fifty-five (95%) patients approached in per- son and 45 (34%) patients approached by mail consented to participate in the study. Twenty-four participants par- ticipated in an original survey and were longitudinally followed with a repeat survey approximately 10 years later. Average age of participants was 14.5 ± 6.2 years. The average time from completion of cancer treatment to survey administration was 4.5 ± 4.0 years. One hun- dred thirty-four (68%) made lifestyle modifications over- all; 46% took multivitamin or conventional supplements, 45% used dietary changes, and 21% used exercise. Rea- sons for use included general health (87%) and specific symptoms/side effects (13%). Of specific reasons, general health and healing (31%) and fitness/weight control (25%) were common. Sixty-one percent of participants thought their lifestyle change was very effective and 25% thought it was somewhat effective. Forty-three percent obtained lifestyle information from a family member/ friend and 29% obtained information from their physi- cian. Eighty-five percent of survivors disclosed the use of lifestyle modifications to their physician. Conclusion Many pediatric cancer survivors use lifestyle therapies and believe that these changes are effective. Given the widespread use of lifestyle therapies in pediatric cancer survivors, research is needed on the efficacy of lifestyle modifications in treating symptoms/side effects and improving general health of pediatric cancer survivors. Author details 1 Columbia University Medical Center, Dept of Pediatric Oncology, New York City, USA. 2 Columbia University Medical Center, New York City, USA. Published: 12 June 2012 doi:10.1186/1472-6882-12-S1-P310 Cite this article as: Karlik et al.: P04.40. Lifestyle therapy use in pediatric cancer survivors. BMC Complementary and Alternative Medicine 2012 12 (Suppl 1):P310. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit 1 Columbia University Medical Center, Dept of Pediatric Oncology, New York City, USA Full list of author information is available at the end of the article Karlik et al. BMC Complementary and Alternative Medicine 2012, 12(Suppl 1):P310 http://www.biomedcentral.com/1472-6882/12/S1/P310 © 2012 Karlik et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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POSTER PRESENTATION Open Access

P04.40. Lifestyle therapy use in pediatric cancersurvivorsJ Karlik1*, Y Bao2, B Cheng2, S Lees1, D Ndao1, E Ladas1, K Kelly1

From International Research Congress on Integrative Medicine and Health 2012Portland, Oregon, USA. 15-18 May 2012

PurposePediatric cancer survivors often experience late effects sec-ondary to cancer therapy, but their choices for symptommanagement is largely unknown. Many of these lateeffects can be treated by lifestyle changes such as diet,exercise, and conventional supplements. Although the useof lifestyle therapies appears common in children and ado-lescents, including pediatric cancer survivors, the reasonsfor use and perceptions of efficacy have not beeninvestigated.

MethodsWe report the results of a cross sectional survey investigat-ing the prevalence of lifestyle therapy use, types and rea-sons for lifestyle therapy use, and determinants of lifestyletherapy use among survivors of childhood cancer.

ResultsOne hundred fifty-five (95%) patients approached in per-son and 45 (34%) patients approached by mail consentedto participate in the study. Twenty-four participants par-ticipated in an original survey and were longitudinallyfollowed with a repeat survey approximately 10 yearslater. Average age of participants was 14.5 ± 6.2 years.The average time from completion of cancer treatmentto survey administration was 4.5 ± 4.0 years. One hun-dred thirty-four (68%) made lifestyle modifications over-all; 46% took multivitamin or conventional supplements,45% used dietary changes, and 21% used exercise. Rea-sons for use included general health (87%) and specificsymptoms/side effects (13%). Of specific reasons, generalhealth and healing (31%) and fitness/weight control(25%) were common. Sixty-one percent of participantsthought their lifestyle change was very effective and 25%

thought it was somewhat effective. Forty-three percentobtained lifestyle information from a family member/friend and 29% obtained information from their physi-cian. Eighty-five percent of survivors disclosed the use oflifestyle modifications to their physician.

ConclusionMany pediatric cancer survivors use lifestyle therapiesand believe that these changes are effective. Given thewidespread use of lifestyle therapies in pediatric cancersurvivors, research is needed on the efficacy of lifestylemodifications in treating symptoms/side effects andimproving general health of pediatric cancer survivors.

Author details1Columbia University Medical Center, Dept of Pediatric Oncology, New YorkCity, USA. 2Columbia University Medical Center, New York City, USA.

Published: 12 June 2012

doi:10.1186/1472-6882-12-S1-P310Cite this article as: Karlik et al.: P04.40. Lifestyle therapy use in pediatriccancer survivors. BMC Complementary and Alternative Medicine 2012 12(Suppl 1):P310.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submit

1Columbia University Medical Center, Dept of Pediatric Oncology, New YorkCity, USAFull list of author information is available at the end of the article

Karlik et al. BMC Complementary and Alternative Medicine 2012, 12(Suppl 1):P310http://www.biomedcentral.com/1472-6882/12/S1/P310

© 2012 Karlik et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.