{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T15:42:23Z","timestamp":1772552543256,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"18","license":[{"start":{"date-parts":[[2015,6,2]],"date-time":"2015-06-02T00:00:00Z","timestamp":1433203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["CA101492 and CA116339"],"award-info":[{"award-number":["CA101492 and CA116339"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2015,9,15]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>The objective of the current study was to determine whether survivors of non\u2010Hodgkin lymphoma are meeting select American Cancer Society (ACS) health\u2010related guidelines for cancer survivors, as well as to examine relationships between these lifestyle factors and health\u2010related quality of life (HRQoL) and posttraumatic stress (PTS).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A cross\u2010sectional sample of 566 survivors of NHL was identified from the tumor registries of 2 large academic medical centers. Respondents were surveyed regarding physical activity, fruit and vegetable intake, body weight, tobacco use, HRQoL using the Medical Outcomes Study Short Form\u201036, and PTS using the Posttraumatic Stress Disorder CheckList\u2010Civilian form. Lifestyle cluster scores were generated based on whether individuals met health guidelines and multiple linear regression analysis was used to evaluate relationships between lifestyle behaviors and HRQoL scores and PTS scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Approximately 11% of participants met all 4 ACS health recommendations. Meeting all 4 healthy recommendations was related to better physical and mental QoL (standardized regression coefficient [\u03b2], .57 [<jats:italic>P<\/jats:italic>&lt;.0001] and \u03b2, .47 [<jats:italic>P<\/jats:italic> = .002]) and to lower PTS scores (\u03b2, \u20100.41; <jats:italic>P<\/jats:italic> = .01).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Survivors of NHL who met more ACS health\u2010related guidelines appeared to have better HRQoL and less PTS. Unfortunately, many survivors are not meeting these guidelines, which could impact their overall well\u2010being and longevity. <jats:bold><jats:italic>Cancer<\/jats:italic> 2015;121:3343\u20133351.<\/jats:bold> \u00a9 <jats:italic>2015 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.29490","type":"journal-article","created":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T00:49:07Z","timestamp":1433292547000},"page":"3343-3351","source":"Crossref","is-referenced-by-count":32,"title":["Are lifestyle behavioral factors associated with health\u2010related quality of life in long\u2010term survivors of non\u2010Hodgkin lymphoma?"],"prefix":"10.1002","volume":"121","author":[{"given":"Denise J.","family":"Spector","sequence":"first","affiliation":[{"name":"Division of Medical Oncology Duke Cancer Institute Durham North Carolina"},{"name":"Duke University School of Nursing Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devon","family":"Noonan","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah K.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Lineberger Comprehensive Cancer Center and the School of Nursing University of North Carolina Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Habtamu","family":"Benecha","sequence":"additional","affiliation":[{"name":"Department of Statistics Gillings School of Global Public Health, University of North Carolina Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheryl","family":"Zimmerman","sequence":"additional","affiliation":[{"name":"Cecil G. Sheps Center for Health Services Research and the School of Social Work, University of North Carolina Chapel Hill North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophia K.","family":"Smith","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing Durham North Carolina"},{"name":"Duke Cancer Institute Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,2]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Cancer Treatment and Survivorship Facts & Figures 2012\u20132013","author":"American Cancer Society","year":"2012"},{"key":"e_1_2_7_3_1","unstructured":"Leukemia & Lymphoma Society.Non\u2010Hodgkin Lymphoma\u2013Incidence. Available at:https:\/\/www.lls.org\/facts\u2010and\u2010statistics\/facts\u2010and\u2010statistics\u2010overview#Hodgkin (HL) and Non\u2010Hodgkin (NHL) Lymphoma. 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Available at:http:\/\/hints.cancer.gov\/questions.aspx. Accessed May 19 2015."},{"key":"e_1_2_7_20_1","unstructured":"Centers for Disease Control and Prevention.Behavioral Risk Factor Surveillance System 2010: Survey Data and Documentation. Available at:http:\/\/www.cdc.gov\/brfss\/annual_data\/annual_2010.htm#information. Accessed May 13 2010."},{"key":"e_1_2_7_21_1","volume-title":"SF\u201036 Physical and Mental Health Summary Scales: A Manual for Users of Version 1","author":"Ware JE","year":"2004"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_7_23_1","unstructured":"WeathersFW LitzBT HermanDS et al.The PTSD Checklist (PCL\u2010C): reliability validity and diagnostic utility. Presented at the 9th Annual Meeting of the International Society for Traumatic Stress Studies; October 24\u201327 1993; San Antonio TX."},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-013-0267-9"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.56.7511"},{"key":"e_1_2_7_26_1","unstructured":"Centers for Disease Control and Prevention (CDC).BRFSS Codebook. Prevalence and Trends Data 2009\u20132011. Available at:http:\/\/apps.nccd.cdc.gov\/brfss. Accessed September 24 2014."},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-008-0074-x"},{"key":"e_1_2_7_28_1","unstructured":"Centers for Disease Control and Prevention (CDC).Factors That Contribute to Health Disparities in Cancer. Available at:http:\/\/www.cdc.gov\/cancer\/healthdisparities\/basic_info\/challenges.htm. 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