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Participants attending the East of Scotland Genetics Service were invited to complete a questionnaire (demographic data, weight and height, health behaviors and psycho\u2010social measures of risk and perceived control) and to participate in an in\u2010depth interview. The questionnaire was completed by 237 (49 %) of attendees, ranging from 18 to 77 years (mean age 46 (\u00b110) years). Reported smoking rates (11 %) were modest, most (54 %) had a BMI &gt; 25 kg\/m<jats:sup>2<\/jats:sup>, 55 % had low levels of physical activity, 58 % reported inappropriate alcohol intakes and 90 % had fiber intakes indicative of a low plant diet. Regression analysis indicated that belief in health professional control was associated with higher, and belief in fatalism with poorer health behavior. Qualitative findings highlighted doubts about the link between lifestyle and cancer, and few were familiar with the current evidence. Whilst lifestyle advice was considered interesting in general there was little appetite for non\u2010tailored guidance. In conclusion, current health behaviors are incongruent with cancer risk reduction guidance amongst patients who have actively sought advice on disease risk. There are some indications that lifestyle advice would be welcomed but endorsement requires a sensitive and flexible approach, and the acceptability of lifestyle interventions remains to be explored.<\/jats:p>","DOI":"10.1007\/s10897-016-9977-2","type":"journal-article","created":{"date-parts":[[2016,6,17]],"date-time":"2016-06-17T01:11:55Z","timestamp":1466125915000},"page":"40-51","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Health Behaviors and their Relationship with Disease Control in People Attending Genetic Clinics with a Family History of Breast or Colorectal Cancer"],"prefix":"10.1002","volume":"26","author":[{"given":"Annie S.","family":"Anderson","sequence":"first","affiliation":[{"name":"Centre for Research into Cancer Prevention and Screening, Division of Cancer Research University of Dundee Mailbox 7, Level 7, Ninewells Medical School Dundee DD1 9SY UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Caswell","sequence":"additional","affiliation":[{"name":"Centre for Research into Cancer Prevention and Screening, Division of Cancer Research University of Dundee Mailbox 7, Level 7, Ninewells Medical School Dundee DD1 9SY UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Macleod","sequence":"additional","affiliation":[{"name":"Centre for Research into Cancer Prevention and Screening, Division of Cancer Research University of Dundee Mailbox 7, Level 7, Ninewells Medical School Dundee DD1 9SY UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert JC","family":"Steele","sequence":"additional","affiliation":[{"name":"Centre for Research into Cancer Prevention and Screening, Division of Cancer Research University of Dundee Mailbox 7, Level 7, Ninewells Medical School Dundee DD1 9SY UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Berg","sequence":"additional","affiliation":[{"name":"East of Scotland Genetics Service Ninewells Hospital &amp; Medical School Dundee DD1 9SY UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Dunlop","sequence":"additional","affiliation":[{"name":"East of Scotland Genetics Service Ninewells Hospital &amp; Medical School Dundee DD1 9SY UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martine","family":"Stead","sequence":"additional","affiliation":[{"name":"Institute for Social Marketing University of Stirling Stirling FK9 4LA UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Eadie","sequence":"additional","affiliation":[{"name":"Institute for Social Marketing University of Stirling Stirling FK9 4LA UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronan E.","family":"O'Carroll","sequence":"additional","affiliation":[{"name":"Division of Psychology, School of Natural Sciences University of Stirling Stirling FK9 4LA UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,6,17]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Agency for Healthcare Research and Quality(2016)http:\/\/www.ahrq.gov\/sites\/default\/files\/wysiwyg\/professionals\/clinicians\u2010providers\/guidelines\u2010recommendations\/tobacco\/5steps.pdfLast accessed 21\/4\/16"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.19.2091"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01502.x"},{"issue":"8","key":"e_1_2_13_5_1","first-page":"949","article-title":"Obesity and lifestyle advice in colorectal cancer survivors\u2010 how well are clinicians prepared? 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