Mind the gaps: missed opportunities to promote bone health among cancer survivors

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• 作者：Hawley C. Almstedt (1)
  Heather P. Tarleton (2)
  
  1. Department of Health and Human Sciences ; Loyola Marymount University ; 1 LMU Drive MS 8160 North Hall 208 ; Los Angeles ; CA ; 90045 ; USA
  2. Department of Health and Human Sciences ; Loyola Marymount University ; 1 LMU Drive MS 8160 North Hall 211 ; Los Angeles ; CA ; 90045 ; USA
  
• 关键词：Fracture ; Awareness ; Screening ; Cancer therapy ; induced bone loss ; Osteoporosis ; Exercise prescription
• 刊名：Supportive Care in Cancer
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：23
• 期：3
• 页码：611-614
• 全文大小：121 KB
• 参考文献：1. Gralow JR, Biermann JS, Farooki A, Fornier MN, Gagel RF, Kumar R, Litsas G, McKay R, Podoloff DA, Srinivas S, Van Poznak CH (2013) NCCN task force report: bone health in cancer care. Journal of the National Comprehensive Cancer Network : JNCCN 11 Suppl 3:S1-50; quiz S51
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  16. Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, Von Gruenigen VE, Schwartz AL, American College of Sports Medicine (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 42(7):1409鈥?426. doi:10.1249/MSS.0b013e3181e0c112 CrossRef
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  18. Tripathy D, Durie BG, Mautner B, Ferenz KS, Moul JW (2014) Awareness, concern, and communication between physicians and patients on bone health in cancer supportive care in cancer. J Multinatl Assoc Support Care Cancer 22(6):1601鈥?610. doi:10.1007/s00520-014-2127-1 CrossRef
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Oncology
  Nursing
  Nursing Management and Research
  Pain Medicine
  Rehabilitation Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-7339

文摘

Introduction Many cancer treatments have a negative effect on bone health and can lead to osteoporosis. Additionally, the risk of osteoporosis during cancer survivorship may differ by racial and ethnic group. Overall, cancer survivors may be poorly informed about the risk of bone loss due to treatment. Exercise prescription Exercise can be prescribed to improve bone health and reduce risk of fracture. Women participating in the Improving Physical Activity After Cancer Treatment pilot study (IMPAACT) experienced significant improvements in bone health. The pilot work also suggests that cancer survivors of diverse racial/ethnic profiles may not fit the normal risk profile for osteoporosis and could be overlooked during screening. In summary The lack of awareness of poor bone health in cancer survivors needs to be addressed, especially for those who do not fit the normal osteoporosis risk profile. Exercise is a safe and effective part of a cancer survivorship plan and is useful in promoting bone health.