Authors (including presenting author) :
Shum NF(1), Wei Rockson (1), Foo CC (1)(2)
Affiliation :
(1)Colorectal Division, Queen Mary Hospital, (2) Surgery Department of The University of Hong Kong
Keyword 1: :
colorectal cancer survivors
Keyword 2: :
cancer survivorship
Keyword 3: :
unhealthy lifestyes
Keyword 4: :
primary health care
Introduction :
Colorectal cancer (CRC) is a significant global health concern. However, many CRC survivors in the HA setting maintain unhealthy lifestyles, increasing their health risks and adding strain to health care resources. The study determines whether a structured exercise and dietary programme in primary care can reduce inactivity and poor eating habits among colorectal cancer survivors.
Objectives :
The study determines whether a structured exercise and dietary programme in primary care can reduce inactivity and poor eating habits among colorectal cancer survivors.
Methodology :
This cross-sectional study recruited participants from a nurse survivorship clinic who were over 18, had survived for more than five years, had a body mass index above 25, were physically inactive, and had poor eating habits. Exclusion criteria included cognitive impairment, communication barriers, or unsuitable physical conditions. Study participants who agreed to join would be referred to a 4-week structured programme in the district primary health care centre for exercise and dietary education by a physiotherapist and dietitian at a frequency of once per week. Each training session for physical exercise and dietary education lecture lasts for 45 mins. Study participants would be assessed on physical conditions or dietary habits at baseline and 4 weeks after intervention. The primary outcomes were increased physical activity and reduced body weight, waist circumference, body fat, and body mass index, dietary fibre and red meat intake. Physical activity is measured by the International Physical Activity Questionnaire. Secondary outcomes included patient activation and psychological well-being.
Result & Outcome :
From 25 June to 15 July 2025, 20 patients were recruited, five declined, leaving 15 participants (mean age 64.71 years). One withdrew by week 2. After four weeks, average body weight decreased from 73.81 kg to 72.54 kg (p = 0.0001), BMI from 28.26 to 28.06 (p = 0.024), and waist circumference from 96.21 cm to 92.58 cm. Body fat dropped from 34.27% to 28.52% (p = 0.002). Increased fluid intake and reduced red meat consumption also found. Patient activation scores improved from 68 to 79.53 (p = 0.01). Depression and stress scores showed modest reductions. CONCLUSION Survivorship is a complex journey, and mental well-being must be prioritized alongside physical recovery. Establishing regular support groups, counselling services, or peer mentorship within the District Health Centre setting may help alleviate fears and foster resilience among survivors.
