{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T21:33:12Z","timestamp":1772832792576,"version":"3.50.1"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>The aim of the study was to describe changes in health behaviours and BMI after breast cancer diagnosis, depicting the potential influence of sociodemographic, clinical and psychological characteristics. A total of 428 breast cancer patients were prospectively followed for 3 years, since diagnosis. At the end of follow-up, women were classified regarding their adherence to recommendations for cancer prevention, prediagnosis and after 3 years, including not smoking, alcohol consumption up to one drink per day, intake of at least five portions per day of fruits and\/or vegetables, physical activity and body mass index (BMI) less than 25.0\u2009kg\/m<jats:sup>2<\/jats:sup>. To quantify associations between patients\u2019 characteristics and changes in adherence to each recommendation, age, education and cancer stage-adjusted odds ratio (OR) with 95% confidence intervals (CIs) were calculated. Among women adhering to each recommendation before diagnosis, 54.1% reduced their physical activity, 32.4% became overweight or obese and 6.1% reduced fruits and\/or vegetables intake, but there were virtually no changes in alcohol consumption or smoking. Older and more educated participants were more likely to reduce their physical activity (OR=4.71, 95% CI: 1.17\u201318.99; OR=11.53, 95% CI: 2.20\u201360.53, respectively). Among participants not following each recommendation before diagnosis, 29.1% stopped smoking, 24.6% reduced alcohol consumption, 9.9% became physically active, 7.8% increased fruits and\/or vegetables intake and 3.3% reduced their BMI to less than 25.0\u2009kg\/m<jats:sup>2<\/jats:sup>. Older women were less likely to become physically active (OR=0.32, 95% CI: 0.14\u20130.75). Breast cancer patients showed some positive changes in their health behaviours after diagnosis. However, there is a large margin for improvement, which highlights the importance of health promotion interventions in this context.<\/jats:p>","DOI":"10.1097\/cej.0000000000000469","type":"journal-article","created":{"date-parts":[[2018,9,28]],"date-time":"2018-09-28T03:03:52Z","timestamp":1538103832000},"page":"330-337","source":"Crossref","is-referenced-by-count":8,"title":["Changes in health behaviours and body mass index after a breast cancer diagnosis: results from a prospective cohort study"],"prefix":"10.1097","volume":"28","author":[{"given":"Ana","family":"Barbosa","sequence":"first","affiliation":[{"name":"EPIUnit\u2013Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"}]},{"given":"Ana Rute","family":"Costa","sequence":"additional","affiliation":[{"name":"EPIUnit\u2013Instituto de Sa\u00fade P\u00fablica, Universidade do Porto"}]},{"given":"Filipa","family":"Fontes","sequence":"additional","affiliation":[{"name":"EPIUnit\u2013Instituto de Sa\u00fade P\u00fablica, 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