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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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Optimizing Breast Cancer Survivorship: Addressing Lifestyle, Weight Management, and Psychological Health
Jasmin Hundal1, Jane Chen2, K Brooke Russell3
1Department of Hematology and Oncology, Cleveland Clinic, Taussig Cancer Center, Cleveland, OH.
Summary
Breast cancer survivorship care focuses on lifestyle interventions, weight management, and psychological well-being. Addressing these pillars improves long-term health and quality of life for survivors.
Area of Science:
- Oncology
- Public Health
- Lifestyle Medicine
Background:
- Over 4 million breast cancer survivors in the US require ongoing care for long-term health and quality of life.
- Cancer survivorship involves adapting to physical symptoms, metabolic issues, and psychological distress.
- Key areas in breast cancer survivorship include lifestyle, weight management, and psychological health.
Purpose of the Study:
- To examine critical pillars of breast cancer survivorship care.
- To highlight the role of lifestyle interventions, weight management, and psychological well-being.
- To identify barriers and potential solutions for implementing survivorship care.
Main Methods:
- Review of evidence-based lifestyle medicine principles (nutrition, physical activity, stress management, sleep, social connection, avoidance of risky behaviors).
- Analysis of the impact of body mass index (BMI) and weight gain on breast cancer outcomes.
- Discussion of pharmacological interventions like GLP-1 RAs and psychological interventions for fear of cancer recurrence (FCR).
Main Results:
- Higher physical activity and plant-forward diets are linked to reduced mortality.
- Elevated BMI and post-treatment weight gain are associated with poorer breast cancer outcomes.
- Fear of cancer recurrence affects a significant portion of survivors and requires intervention.
Conclusions:
- Lifestyle interventions are crucial but face implementation barriers.
- GLP-1 receptor agonists show promise for improving survival and cardiovascular outcomes.
- Addressing fear of cancer recurrence through screening and support is essential for survivor well-being.
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