Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk

BACKGROUND: Healthy lifestyles are associated with cancer risk reduction. Individuals with hereditary cancer syndromes may be motivated to adopt health-protective behaviours. OBJECTIVE:  This study explored lifestyle behaviours associated to cancer risk reduction among individuals undergoing brea...

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Main Authors: Lea Godino, Donatella Fabbro, Benedetta Bertonazzi, Daniela Turchetti
Format: Article
Language:English
Published: Milano University Press 2025-01-01
Series:Dissertation Nursing
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Online Access:https://riviste.unimi.it/index.php/dissertationnursing/article/view/25499
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author Lea Godino
Donatella Fabbro
Benedetta Bertonazzi
Daniela Turchetti
author_facet Lea Godino
Donatella Fabbro
Benedetta Bertonazzi
Daniela Turchetti
author_sort Lea Godino
collection DOAJ
description BACKGROUND: Healthy lifestyles are associated with cancer risk reduction. Individuals with hereditary cancer syndromes may be motivated to adopt health-protective behaviours. OBJECTIVE:  This study explored lifestyle behaviours associated to cancer risk reduction among individuals undergoing breast or colorectal cancer familial risk assessment. METHOD: A cross-sectional survey was performed through a self-administered questionnaire, including: the Italian validated Medi-Lite and the International Physical Activity validated questionnaires (to assess adherence to the Mediterranean Diet and Physical activity), items on cancer risk perception, lifestyle and surveillance. RESULTS: Forty-two women and eight men (age: 19-80 years) responded; 19 were affected by breast cancer, four by colorectal cancer, 27 were unaffected but had a family history of breast (n=23) or colorectal (n=4) cancer. The majority perceived their general lifestyle as moderately healthy. However, 16 (32%) were current or former smokers, 37 (74%) drank alcohol and 18 (36%) were overweight or obese; 21 (42%) showed low adherence to Mediterranean diet and seven (14%) reported low exercise. Adherence to Mediterranean diet was generally low (Medi-Lite score: 8.8±2.6): a low adherence was significantly more frequent in participants of lower education level (67%), compared to those with high education level (17%; p=0.044). Participants at higher cancer risk were significantly more likely to smoke: 63% of those at high risk, 40% at intermediate risk and 14% at standard risk were current or former smokers (p <0.05). CONCLUSION: These findings suggest a need for raising awareness on the role of the lifestyle in cancer risk modulation among individuals at increased familial risk.
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spelling doaj-art-f41a18ca020f496b9b1b779b2e2925532025-01-31T15:41:59ZengMilano University PressDissertation Nursing2785-72632025-01-014110.54103/dn/25499Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer riskLea Godinohttps://orcid.org/0000-0002-3763-9372Donatella Fabbro0Benedetta Bertonazzi1Daniela Turchetti2Medical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyMedical Genetics Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, ItalyMedical and Surgical Sciences Department, University of Bologna, Bologna, Italy BACKGROUND: Healthy lifestyles are associated with cancer risk reduction. Individuals with hereditary cancer syndromes may be motivated to adopt health-protective behaviours. OBJECTIVE:  This study explored lifestyle behaviours associated to cancer risk reduction among individuals undergoing breast or colorectal cancer familial risk assessment. METHOD: A cross-sectional survey was performed through a self-administered questionnaire, including: the Italian validated Medi-Lite and the International Physical Activity validated questionnaires (to assess adherence to the Mediterranean Diet and Physical activity), items on cancer risk perception, lifestyle and surveillance. RESULTS: Forty-two women and eight men (age: 19-80 years) responded; 19 were affected by breast cancer, four by colorectal cancer, 27 were unaffected but had a family history of breast (n=23) or colorectal (n=4) cancer. The majority perceived their general lifestyle as moderately healthy. However, 16 (32%) were current or former smokers, 37 (74%) drank alcohol and 18 (36%) were overweight or obese; 21 (42%) showed low adherence to Mediterranean diet and seven (14%) reported low exercise. Adherence to Mediterranean diet was generally low (Medi-Lite score: 8.8±2.6): a low adherence was significantly more frequent in participants of lower education level (67%), compared to those with high education level (17%; p=0.044). Participants at higher cancer risk were significantly more likely to smoke: 63% of those at high risk, 40% at intermediate risk and 14% at standard risk were current or former smokers (p <0.05). CONCLUSION: These findings suggest a need for raising awareness on the role of the lifestyle in cancer risk modulation among individuals at increased familial risk. https://riviste.unimi.it/index.php/dissertationnursing/article/view/25499familial cancer riskLifestyle behavioursMediterranean dietPhysical activitygenetic counselling
spellingShingle Lea Godino
Donatella Fabbro
Benedetta Bertonazzi
Daniela Turchetti
Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
Dissertation Nursing
familial cancer risk
Lifestyle behaviours
Mediterranean diet
Physical activity
genetic counselling
title Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
title_full Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
title_fullStr Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
title_full_unstemmed Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
title_short Observational study on Lifestyle Behaviours and Nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
title_sort observational study on lifestyle behaviours and nutrition in individuals undergoing genetic counseling for breast or colorectal cancer risk
topic familial cancer risk
Lifestyle behaviours
Mediterranean diet
Physical activity
genetic counselling
url https://riviste.unimi.it/index.php/dissertationnursing/article/view/25499
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AT benedettabertonazzi observationalstudyonlifestylebehavioursandnutritioninindividualsundergoinggeneticcounselingforbreastorcolorectalcancerrisk
AT danielaturchetti observationalstudyonlifestylebehavioursandnutritioninindividualsundergoinggeneticcounselingforbreastorcolorectalcancerrisk