title: Weight Management to Reduce Prostate Cancer Risk: A Survey of Men's Needs and Interests.
abstract: Obese men have a higher rate of prostate cancer-related death than non-obese men, and obesity increases the risk of prostate cancer progression and biochemical recurrence. The purpose of this study was to assess needs and interests of men for a technology-driven weight loss intervention to reduce prostate cancer risk. We distributed a survey collecting demographic characteristics, health history, exercise and eating habits (and perception of those habits), current and prior attempts of health behavior change, and technology use. Survey answers were summarized by count and percent of total respondents. Completed surveys (N = 109) described men with a family history of prostate cancer (25%), a history of elevated prostate specific antigen (26%), and prostate cancer survivors (22%). We compared body mass index (BMI) to perception of weight; overweight and obese men perceived their weight as more normal than their BMI category suggests. Most men reported their diet needed minor improvement (74%), and 65% of men reported they are either currently trying to lose weight or interested in weight loss. Most respondents access the internet (92%), while text messaging (60%) and smartphone application use (40%) are less frequent, especially in men over 60. Our results revealed a need and willingness for lifestyle modification and suggest a need for evidence-based weight loss strategies and for addressing the misperception of weight status. A male-tailored intervention that implements technology could improve energy balance, hold men accountable to healthy behavior change, and promote dietary patterns in order to reduce prostate cancer risk.
authors.affiliation: Department of Dietetics & Nutrition, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mailstop 4013, Kansas City, Kansas 66160, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Schleper
authors.affiliation: Department of Dietetics & Nutrition, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mailstop 4013, Kansas City, Kansas 66160, USA.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Sullivan
authors.affiliation: Department of Urology Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 3016, Kansas City, Kansas 66160, USA.
authors.forename: J Brantley
authors.initials: JB
authors.lastname: Thrasher
authors.affiliation: Department of Urology Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 3016, Kansas City, Kansas 66160, USA.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Holzbeierlein
authors.affiliation: Breast Cancer Prevention Center, University of Kansas Medical Center, 2330 Shawnee Mission Parkway, Mail Stop 3015, Westwood, Kansas 66205, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Klemp
authors.affiliation: Department of Preventative Medicine and Public Health, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 1008, Kansas City, Kansas 66160, USA.
authors.forename: Christie
authors.initials: C
authors.lastname: Befort
authors.affiliation: Department of Dietetics & Nutrition, School of Health Professions, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mailstop 4013, Kansas City, Kansas 66160, USA ; Department of Urology Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 3016, Kansas City, Kansas 66160, USA.
authors.forename: Jill M
authors.initials: JM
authors.lastname: Hamilton-Reeves
keywords: awareness; diet; health behavior; men; nutrition; physical activity; prevention; prostate cancer; risk; survey; technology; weight management