PURPOSE: Prostate cancer (PCa) is the third most common cancer diagnosis in US men. Evidence shows that diet and physical activity may play a role in decreasing the risk of PCa progression and improving outcomes. The purpose of this study is to explore lifestyle behaviors of men with and without prostate cancer. METHODS: Data were obtained from the NCI Health Information National Trends and Survey (HINTS), a cross-sectional, nationally representative survey. Using HINTS 5 Cycles 1-3, we identified US. males > 50 years of age with PCa and those without a history of cancer.
Respondents reported their height, weight, daily fruit and vegetable intake, physical activity, sedentary behavior, and strength training. Data were weighted to calculate population estimates. Statistical analysis included frequencies and multivariate logistic regression analyses to examine the independent association of demographic factors with health behaviors. SPSS Statistics Version 26 was used to analyze data.
RESULTS: The overall weighted sample was 76.1% NHW (Non-Hispanic Whites), 64.3% post high school education, 38.6% >$75,000 annual income, and 65.8% were married/cohabitating. PCa survivors were older compared to men without a history of cancer. Both PCa survivors and men without a history of cancer reported a BMI >25, less than 150 minutes of moderate physical activity, less than 2 cups of fruit per day, and less than 3 cups of vegetables per day. Compared to men without cancer, PCa survivors were less likely to consume 3 cups of vegetables per day (OR 0.23, 0.08 – 0.63, p <0.01) and less likely to complete more than 2 days of strength training per week (OR 0.47, 0.23 – 0.99, p<0.05), adjusting for age, income, and ethnicity. CONCLUSIONS: Results suggest both PCa survivors and men without cancer do not follow diet and physical activity recommendations. There is a need to develop interventions to encourage healthy behaviors, especially strength training among PCa survivors.
Citation Format: Adaora Ezeani, Tanya Agurs-Collins. Assessment of diet and physical activity among prostate cancer survivors: Health Information National Trends Survey (HINTS) [abstract]. In: Proceedings of the AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2020 Oct 2-4. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(12 Suppl):Abstract nr PO-144.