title: Health behaviors of early-stage non-small cell lung cancer survivors.
abstract: BACKGROUND
  Lung cancer survivors are at risk for cancer recurrence and other chronic illnesses related predominantly to prior tobacco use and older age. Optimal quality of post-treatment care requires greater knowledge of survivors' adherence to behavioral health recommendations. This study reports the rates of smoking, physical activity, alcohol use, cancer screenings, and routine primary care visits in non-small cell lung cancer (NSCLC) survivors.
  
  
  METHODS
  Stage IA and IB NSCLC survivors (N = 183, mean age = 69.0 years) with no evidence of disease 1-6 years post-treatment completed standard survey items regarding health and cancer screening behaviors.
  
  
  RESULTS
  Most survivors (83.5%) had a history of smoking, but 64.8% quit prior to diagnosis and only 5.5% continued to smoke. Alcohol intake recommendations were exceeded by 5.4% and 17.3% of men and women, respectively. In a typical week, 23.1% met physical activity guidelines. Regarding cancer screenings, 89.3% were adherent to colorectal cancer screening guidelines. Among women, 72.0% had a mammogram within the previous year and 81.5% had a pap test in the previous 3 years; among men, 86.7% had a prostate-specific antigen test in the previous year. Almost all (97.3%) had seen a primary care provider in the past year.
  
  
  CONCLUSIONS
  The majority of lung cancer survivors were adherent to health promotion recommendations, but few engaged in the recommended level of physical activity.
  
  
  CONCLUSIONS
  Physical and pulmonary rehabilitation interventions may help lung cancer survivors maintain sufficient levels of physical activity, which can have numerous benefits for older adults.
authors: Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. paul.krebs@nyumc.org
authors: Paul
authors: P
authors: Krebs
authors: Elliot J
authors: EJ
authors: Coups
authors: Marc B
authors: MB
authors: Feinstein
authors: Jack E
authors: JE
authors: Burkhalter
authors: Richard M
authors: RM
authors: Steingart
authors: Amy
authors: A
authors: Logue
authors: Bernard J
authors: BJ
authors: Park
authors: Jamie S
authors: JS
authors: Ostroff
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D003113:Colonoscopy / Q000706:statistics & numerical data; D018572:Disease-Free Survival; D005260:Female; D015438:Health Behavior; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D008297:Male; D008327:Mammography / Q000706:statistics & numerical data; D008875:Middle Aged; D009043:Motor Activity; D009367:Neoplasm Staging; D009780:Occult Blood; D009819:Office Visits / Q000706:statistics & numerical data; D010349:Patient Compliance; D017430:Prostate-Specific Antigen / Q000097:blood; D012907:Smoking / Q000453:epidemiology; D016540:Smoking Cessation / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data*; D014626:Vaginal Smears / Q000706:statistics & numerical data
chemical_list: D017430:Prostate-Specific Antigen