Monitoring potentially modifiable lifestyle factors in cancer survivors: A narrative review on currently available methodologies and innovations for large-scale surveillance

Jeroen W. G. Derksen, Sandra Beijer, Miriam Koopman, Helena M. Verkooijen, Lonneke V. van de Poll-Franse, Anne M. May

Research output: Contribution to journalArticleScientificpeer-review

Abstract

In most European countries, the prevalence of cancer has increased from 1-3% in the 1990's to 4-5% in the 2010's. This increase is largely due to earlier detection and improved treatment. The number of cancer patients who survive longer than 5 years after their primary diagnosis is increasing, emphasizing the need for research in cancer survivors focussing on improving quality of life and cancer prognosis. In this narrative review, we provide an overview of the current and novel methodologies for the ambulant assessment of potentially modifiable lifestyle factors in large-scale prospective studies and discuss future innovations for optimal surveillance of cancer survivors. Lifestyle factors described are potentially modifiable and include dietary intake, body composition, alcohol consumption, smoking behaviour and physical activity. To date, mostly questionnaires are used, but many monitoring tools are already available that allow ambulant measurements. However, technological improvements are still needed to longitudinally measure lifestyle factors on a large scale from diagnosis onwards. Measuring lifestyle factors non-invasively in a home setting could help to increase its feasibility and ultimately improve our understanding of the individual and synergistic effects of lifestyle factors on quality of life and long-term outcomes. In the process of developing such surveillance programmes, several aspects should be taken into account including, but not limited to, methodological considerations, study design optimisation, patient perspectives, privacy issues and information and communications technology solutions to capture, store and analyse big data. Future large-scale lifestyle surveillance studies in cancer survivors will, in addition to questionnaires, increasingly include ambulant monitoring using sensors and wireless tools as this lowers patient burden, provides objective information and facilitates longitudinal data collection. (C) 2018 Elsevier Ltd. All rights reserved.

Keywords

  • Cancer
  • Survivors
  • Lifestyle
  • Surveillance
  • Monitoring
  • SUBJECTIVE GLOBAL ASSESSMENT
  • BIOELECTRICAL-IMPEDANCE ANALYSIS
  • QUALITY-OF-LIFE
  • RESEARCH FUND/AMERICAN INSTITUTE
  • MEASURING ALCOHOL-CONSUMPTION
  • FOOD FREQUENCY QUESTIONNAIRE
  • DIETARY REPORTING ERRORS
  • LONG-TERM EVALUATION
  • II NUTRITION COHORT
  • COLORECTAL-CANCER

Cite this

@article{09aadc71188e46218324effc1e1b3d3a,
title = "Monitoring potentially modifiable lifestyle factors in cancer survivors: A narrative review on currently available methodologies and innovations for large-scale surveillance",
abstract = "In most European countries, the prevalence of cancer has increased from 1-3{\%} in the 1990's to 4-5{\%} in the 2010's. This increase is largely due to earlier detection and improved treatment. The number of cancer patients who survive longer than 5 years after their primary diagnosis is increasing, emphasizing the need for research in cancer survivors focussing on improving quality of life and cancer prognosis. In this narrative review, we provide an overview of the current and novel methodologies for the ambulant assessment of potentially modifiable lifestyle factors in large-scale prospective studies and discuss future innovations for optimal surveillance of cancer survivors. Lifestyle factors described are potentially modifiable and include dietary intake, body composition, alcohol consumption, smoking behaviour and physical activity. To date, mostly questionnaires are used, but many monitoring tools are already available that allow ambulant measurements. However, technological improvements are still needed to longitudinally measure lifestyle factors on a large scale from diagnosis onwards. Measuring lifestyle factors non-invasively in a home setting could help to increase its feasibility and ultimately improve our understanding of the individual and synergistic effects of lifestyle factors on quality of life and long-term outcomes. In the process of developing such surveillance programmes, several aspects should be taken into account including, but not limited to, methodological considerations, study design optimisation, patient perspectives, privacy issues and information and communications technology solutions to capture, store and analyse big data. Future large-scale lifestyle surveillance studies in cancer survivors will, in addition to questionnaires, increasingly include ambulant monitoring using sensors and wireless tools as this lowers patient burden, provides objective information and facilitates longitudinal data collection. (C) 2018 Elsevier Ltd. All rights reserved.",
keywords = "Cancer, Survivors, Lifestyle, Surveillance, Monitoring, SUBJECTIVE GLOBAL ASSESSMENT, BIOELECTRICAL-IMPEDANCE ANALYSIS, QUALITY-OF-LIFE, RESEARCH FUND/AMERICAN INSTITUTE, MEASURING ALCOHOL-CONSUMPTION, FOOD FREQUENCY QUESTIONNAIRE, DIETARY REPORTING ERRORS, LONG-TERM EVALUATION, II NUTRITION COHORT, COLORECTAL-CANCER",
author = "Derksen, {Jeroen W. G.} and Sandra Beijer and Miriam Koopman and Verkooijen, {Helena M.} and {van de Poll-Franse}, {Lonneke V.} and May, {Anne M.}",
year = "2018",
month = "11",
doi = "10.1016/j.ejca.2018.06.017",
language = "English",
volume = "103",
pages = "327--340",
journal = "European Journal of Cancer: Official journal for European Organization for Research and Treatment of Cancer (EORTC)",
issn = "0959-8049",
publisher = "ELSEVIER SCI LTD",

}

TY - JOUR

T1 - Monitoring potentially modifiable lifestyle factors in cancer survivors

T2 - European Journal of Cancer: Official journal for European Organization for Research and Treatment of Cancer (EORTC)

AU - Derksen, Jeroen W. G.

AU - Beijer, Sandra

AU - Koopman, Miriam

AU - Verkooijen, Helena M.

AU - van de Poll-Franse, Lonneke V.

AU - May, Anne M.

PY - 2018/11

Y1 - 2018/11

N2 - In most European countries, the prevalence of cancer has increased from 1-3% in the 1990's to 4-5% in the 2010's. This increase is largely due to earlier detection and improved treatment. The number of cancer patients who survive longer than 5 years after their primary diagnosis is increasing, emphasizing the need for research in cancer survivors focussing on improving quality of life and cancer prognosis. In this narrative review, we provide an overview of the current and novel methodologies for the ambulant assessment of potentially modifiable lifestyle factors in large-scale prospective studies and discuss future innovations for optimal surveillance of cancer survivors. Lifestyle factors described are potentially modifiable and include dietary intake, body composition, alcohol consumption, smoking behaviour and physical activity. To date, mostly questionnaires are used, but many monitoring tools are already available that allow ambulant measurements. However, technological improvements are still needed to longitudinally measure lifestyle factors on a large scale from diagnosis onwards. Measuring lifestyle factors non-invasively in a home setting could help to increase its feasibility and ultimately improve our understanding of the individual and synergistic effects of lifestyle factors on quality of life and long-term outcomes. In the process of developing such surveillance programmes, several aspects should be taken into account including, but not limited to, methodological considerations, study design optimisation, patient perspectives, privacy issues and information and communications technology solutions to capture, store and analyse big data. Future large-scale lifestyle surveillance studies in cancer survivors will, in addition to questionnaires, increasingly include ambulant monitoring using sensors and wireless tools as this lowers patient burden, provides objective information and facilitates longitudinal data collection. (C) 2018 Elsevier Ltd. All rights reserved.

AB - In most European countries, the prevalence of cancer has increased from 1-3% in the 1990's to 4-5% in the 2010's. This increase is largely due to earlier detection and improved treatment. The number of cancer patients who survive longer than 5 years after their primary diagnosis is increasing, emphasizing the need for research in cancer survivors focussing on improving quality of life and cancer prognosis. In this narrative review, we provide an overview of the current and novel methodologies for the ambulant assessment of potentially modifiable lifestyle factors in large-scale prospective studies and discuss future innovations for optimal surveillance of cancer survivors. Lifestyle factors described are potentially modifiable and include dietary intake, body composition, alcohol consumption, smoking behaviour and physical activity. To date, mostly questionnaires are used, but many monitoring tools are already available that allow ambulant measurements. However, technological improvements are still needed to longitudinally measure lifestyle factors on a large scale from diagnosis onwards. Measuring lifestyle factors non-invasively in a home setting could help to increase its feasibility and ultimately improve our understanding of the individual and synergistic effects of lifestyle factors on quality of life and long-term outcomes. In the process of developing such surveillance programmes, several aspects should be taken into account including, but not limited to, methodological considerations, study design optimisation, patient perspectives, privacy issues and information and communications technology solutions to capture, store and analyse big data. Future large-scale lifestyle surveillance studies in cancer survivors will, in addition to questionnaires, increasingly include ambulant monitoring using sensors and wireless tools as this lowers patient burden, provides objective information and facilitates longitudinal data collection. (C) 2018 Elsevier Ltd. All rights reserved.

KW - Cancer

KW - Survivors

KW - Lifestyle

KW - Surveillance

KW - Monitoring

KW - SUBJECTIVE GLOBAL ASSESSMENT

KW - BIOELECTRICAL-IMPEDANCE ANALYSIS

KW - QUALITY-OF-LIFE

KW - RESEARCH FUND/AMERICAN INSTITUTE

KW - MEASURING ALCOHOL-CONSUMPTION

KW - FOOD FREQUENCY QUESTIONNAIRE

KW - DIETARY REPORTING ERRORS

KW - LONG-TERM EVALUATION

KW - II NUTRITION COHORT

KW - COLORECTAL-CANCER

U2 - 10.1016/j.ejca.2018.06.017

DO - 10.1016/j.ejca.2018.06.017

M3 - Article

VL - 103

SP - 327

EP - 340

JO - European Journal of Cancer: Official journal for European Organization for Research and Treatment of Cancer (EORTC)

JF - European Journal of Cancer: Official journal for European Organization for Research and Treatment of Cancer (EORTC)

SN - 0959-8049

ER -