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Déterminants de l’intention d’adopter un mode de vie sain chez les femmes atteintes de cancer dans la phase de l’après-traitement
Abstract
Après les traitements actifs pour un cancer, les défis paraissent nombreux pour les femmes, notamment dans l’adoption d’un mode de vie sain, et ce, malgré les nombreux bénéfices connus qui y sont associés. L’objectif de l’étude était d’identifier les déterminants de l’intention de pratiquer régulièrement des activités physiques et de consommer quotidiennement des légumes et des fruits chez les femmes atteintes de cancer du sein ou de cancer gynécologique de la région de Chaudière-Appalaches au Québec. Au total, 105 femmes d’âge moyen de 62 ans ayant terminé leurs traitements actifs dans la dernière année ont participé à une étude corrélationnelle en répondant à un questionnaire autoadministré en ligne et basé sur l’Approche de l’Action Raisonnée (AAR). Des analyses de régression multiple hiérarchique indiquent que 87 % (p < 0,0001) de la variance de l’intention de consommer des légumes et des fruits chaque jour au cours du prochain mois est expliquée par l’attitude de la personne et la perception de contrôle (ensemble 82 %), le comportement passé (2 %), le fait d’être célibataire, d’avoir un diplôme universitaire et le revenu annuel (2 %). L’attitude et la perception de contrôle sont aussi associées à l’intention de faire des activités physiques (R2 = 79 %; p < 0,0001) ainsi que le comportement passé (2 %). Aucune variable clinique n’influence significativement l’intention d’adopter ces deux comportements. Ces résultats orienteront l’intervention destinée aux femmes en post-traitement pour les encourager à maintenir un mode de vie sain.
https://doi.org/10.5737/23688076362153
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Amireault, S., Brunet, J., Kurth, J. D., Fong, A. J., & Sabiston, C. M. (2021). Association between fruit and vegetable intake and physical activity among breast cancer survivors: A longitudinal study. Current Oncology, 28(6), 5025–5034. https://doi.org/10.3390/curroncol28060422
Balneaves, L. G., Van Patten, C., Truant, T. L. O., Kelly, M. T., Neil, S. E., & Campbell, K. L. (2014). Breast cancer survivors’ perspectives on a weight loss and physical activity lifestyle intervention. Supportive Care in Cancer, 22, 2057–2065. https://doi.org/10.1007/s00520-014-2185-4
Beckenstein, H., Slim, M., Kim, H., Plourde, H., Kilgour, R., & Cohen, T. R. (2021). Acceptability of a structured diet and exercise weight loss intervention in breast cancer survivors living with an overweight condition or obesity: A qualitative analysis. Cancer Reports, 4, e1337. https7://doi.org/10.1002/cnr2.1337
Bluethmann, S. M., Mariotto, A. B., & Rowland, J. H. (2016). Anticipating the ‘Silver Tsunami’: Prevalence trajectories and co-morbidity burden among older cancer survivors in the United States. Cancer Epidemiology, Biomarkers & Prevention, 25(7), 1029–1036. https://doi.org/10.1158/1055-965.epi-16-0133
Boucher. D., Gagné, C. & Côté, F. (2012). Déterminants de l’intention de consommer eu moins cinq portions de légumes et de fruits chaque jour chez des jeunes adultes aux études postsecondaires. Revue d’Épidémiologie et de Santé Publique, 60, 109–119. https://doi.org/10.1016/j.respe.2011.10.003
Boucher, D., Hébert, J., Paquet, K. & Lévesque-Gagné, C. (2018). Croyances à l’égard de l’observance d’un mode de vie sain chez des femmes en survie au cancer. Communication orale au 7e Congrès mondial SIDIIEF, Bordeaux (France), 6 juin.
Brown, N. I., Pekmezi, D. W., Oster, R. A., Courneya, K. S., McAuley, E., Phillips, S. M., Anton, P., & Rogers, L. Q. (2023). Relationships between obesity, exercise preferences, and related Social Cognitive Theory variables among breast cancer survivors. Nutrients, 15, 1286. https://doi.org/10.3390/nu15051286
Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., Zucker, D. S., Matthews, C. E., Ligibel, J. A., Gerber, L. H., Morris, G. S., Patel, A. V., Hue, T. F., Perna, F. M., & Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: consensus statement from International Multidisciplinary Roundtable. Medicine & Science in Sports & Exercise, 51(11), 2375–2390. https://doi.org/10.1249/MSS.0000000000002116
Caperchione, C. M., Sabiston, C. M., Stolp, S., Bottorff, J. L., Campbell, K. L., Eves, N. D., Ellard, S. L., Gotay, C., Sharp, P., Pullen, T., & Fitzpatrick, K.M. (2019). A preliminary trial examining a “real world” approach for increasing physical activity among breast cancer survivors: Findings from project MOVE. BMC Cancer, 19 (272), 1–12. https://doi.org/10.1186/s12885-019-5470-2
Castro-Espin, C., & Agudo, A. (2022). The role of diet in prognosis among cancer survivors: A systematic review and meta-analysis of dietary patterns and diet interventions. Nutrients, 14, 348. https://doi.org/10.3390/nu14020348
Cava, E., Marzullo, P., Farinelli, D., Gennari, A., Saggia, C., Riso, S., & Prodam, F. (2022). Breast Cancer Diet “BCD”: A review of healthy dietary patterns to prevent breast cancer recurrence and reduce mortality. Nutrients, 14, 476. https://doi.org/10.3390/nu14030476
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates, Publishers.
Doré, I., Plante, A., Peck, S. S., Bedrossian, N., & Sabiston, C. M. (2022). Physical activity and sedentary time: Associations with fatigue, pain, and depressive symptoms over 4 years post-treatment among breast cancer survivors. Supportive Care in Cancer, 30, 785–792. https://doi.org/10.1007/s00520-021-06469-2
Elshahat, S., Treanor, C., & Donnelly, M. (2021). Factors influencing physical activity participation among people living with or beyond cancer: A systematic scoping review. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 50. https://doi.org/10.1186/s12966-021-01116-9
Faul, F., Erdfelder, E., Buchner, A. & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41 (4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior. The Reasoned Action Approach. Psychology Press.
Gagné, C., & Godin, G. (2012). La mesure des variables théoriques et des comportements. In G. Godin (Ed.), L’adoption des comportements dans le domaine de la santé. Comprendre pour mieux intervenir (pp. 231–292). Les Presses de l’Université de Montréal.
Godin, G. (2012). L’adoption des comportements dans le domaine de la santé. Comprendre pour mieux intervenir. Les Presses de l’Université de Montréal.
Haas, B. K., Hermanns, M., & Kimmel, G. (2016). lncorporating exercise into the cancer treatment paradigm. Clinical Journal of Oncology Nursing, 20. Suppl. (6), 17–24. https://doi.org/10.1188/16.CJON.S2.17-24
Hamer, J., & Warner, E. (2017). Lifestyle modifications for patients with breast cancer to improve prognosis and optimize overall health. Canadian Medical Association Journal, 21, 189. https://10.1503/cmaj.160464
Hanson, L. L., Severson, J., Kramer, A. F., McAuley, E. & Ehlers, O. K. (2020). Differences in cognition and physical activity in younger vs older breast cancer survivors. Psycho-Oncology, 29, 1228–1231. https://doi.org/10.1002/pon.5388
Hirschey, R., Wangen, M., Bankole, A. O., Hoover, B., Wheeler, S. B., Leeman, J., & Bryant, A. L. (2023). Implementing physical activity recommendations in clinical practice: A survey of oncology nurses’ perspectives. Oncology Nursing Forum, 50(3), 325–336. https://doi.org/10.1188/23.ONF.325-336
Hou, R., Wei, J., Hu, Y., Zhang, X., Sun, X., Chandrasekar, E. K., & Voruganti, V. S. (2019). Healthy dietary patterns and risk and survival of breast cancer: A meta-analysis of cohort studies. Cancer Causes & Control, 30, 835–846. https://doi.org/10.1007/s10552-019-01193-z
Howell, D., Mayer, D. K., Fielding, R., Eicher, M., Verdonck-de Leeuw, I. M., Johansen, C., Soto-Perez-de-Celis, E., Foster, C., Chan, R., Alfano, C. M., Hudson, S. V., Jefford, M., Lam, W. W. T., Loerzel, V., Pravettoni, G., Rammant, E., Schapira, L., Stein, K. D., Koczwara, B., & Global Partners for Self-Management in Cancer. (2021). Management of cancer and health after the clinic visit: A call to action for self-management in cancer care. Journal of the National Cancer Institute, 113(5), 523–531. https://doi.org/10.1093/jnci/djaa083
Husebø, A. M. L., Drystad, S. M., Søreide, J. A., & Bru, E. (2013). Predicting exercise adherence in cancer patients and survivors: A systematic review and meta-analysis of motivational and behavioural factors. Journal of Clinical Nursing, 22, 4–21. https://doi.org/10.1111/j.1365-2702.2012.04322.x
Juvet, L. K., Thune, I., Elvsaas I. K. O., Fors, E. A., Lundgren, S., Bertheussen, G., Leivseth, G., & Oldervoll, L. M., (2017). The effect of exercise on fatigue and physical functioning in breast cancer patients during and after treatment and at 6 months follow-up: A meta-analysis. The Breast, 33, 166–177. https://doi.org/10.1016/j.breast.2017.04.003
Keaver, L., McGough, A. M., Du, M., Chang, W., Chomitz, V., Allen, J. D., Attai, D. J., Gualtieri, L., & Zhang, F. F. (2021). Self-reported changes and perceived barriers to healthy eating and Physical activity among global breast cancer survivors: Results for an exploratory online novel study. Journal of the Academy of Nutrition and Dietetics, 121(2), 233–241. https://doi.org/10.1016/j.jand.2020.09.031
Kjærgaard, K. A., Kousholt, A., Thomsen, R. W., Woolpert, K. M., Sørensen, H. T., Borgquist, S., & Cronin-Fenton, D. (2025). Risk of type 2 diabetes after breast cancer treatment: A population-based cohort study in Denmark. Journal of the National Cancer Institute, 117(3), 537–544. https://doi.org/10.1093/jnci/djae261
Lee, E., Kady, V., Han, E., Montan, K., Normuminova, M., & Rovito, M. J. (2022). Healthy eating and mortality among breast cancer survivors: A systematic review and meta-analysis of cohort studies. International Journal of Environmental Research and Public Health, 19, 7579. https://doi.org/10.3390/ijerph19137579
Leitzelar, B. N., Crawford, S. L., Levine, B., Ylitalo, K. R., Colvin, A. B., Gabriel, K. P., Greendale, G. A., & Avis, N. E. (2025). Physical activity and quality of life among breast cancer survivors: Pink SWAN. Supportive Care in Cancer, 33, 101. https://doi.org/10.1007/s00520-025-09156-8
Lévesque-Gagné, C. et Boucher, D. (2022). Facteurs psychosociaux associés à l’intention de pratiquer régulièrement des activités physiques modérées chez les survivantes du cancer du sein. Canadian Oncology Nursing Journal, 32 (3), 339–347. https://doi.org/10.5737/23688076323339 http://canadianoncologynursingjournal.com/index.php/conj/article/view/1286
Limon-Miro, A. T., Lopez-Teros, V., & Astiazaran-Garcia, H. (2017). Dietary guidelines for breast cancer patients: A critical review. Advances in Nutrition, 8(4), 613–623. https://doi.org/10.3945/an.116.014423
Makari-Judson, G., Braun, B., Jerry, J., & Mertens, W. C. (2014). Weight gain following breast cancer diagnosis: Implication and proposed mechanisms. World Journal of Clinical Oncology, 5(3), 272–282. https://doi.org/10.5306/wjco.v5.i3.272
McEachan, R., Taylor, N., Harrison, R., Lawton, R., Gardner, P., & Conner, M. (2016). Meta-analysis of the Reasoned Action Approach (RAA) to understanding health behaviors. Annals of Behavioral Medicine, 50(4), 592–612. https://doi.org/10.1007/s12160-016-9798-4
Meneses-Echávez, J. F., González-Jiménez, E., & Ramírez-Vélez, R. (2015). Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: A systematic review and meta-analysis. BMC Cancer, 15, 70. https://doi.org/10.1186/s12885-015-1069-4
Min, J., Yu, Y.-W., Lee, J., Yeon, S., Park, H.-N., Lee, J. S., Courneya, K. S., Park, H. S., Kim, S. I., & Jeon, J. Y. (2022). Application of the Theory of Planned Behavior to understand physical activity intentions and behavior among Korean breast cancer survivors. Supportive Care in Cancer, 30, 8885–8893. https://doi.org/10.1007/s00520-022-07258-1
National comprehensive cancer network [NCCN]. (2024). Survivorship care for healthy living – Guidelines for patients. https://www.nccn.org/patientresources/patient-resources/guidelines-for-patients/guidelines-for-patients-details?patientGuidelineId=52
Phothikul, J., Chung, J., Faro, J., & Seven, M. (2025). Diet and physical activity behaviors of breast cancer survivors: A scoping review. Seminars in Oncology Nursing, 41(1), 151763. https://doi.org/10.1016/j.soncn.2024.151763
Plante, A., Gauvin, L., Sabiston, C. M., & Doré, I. (2023). Perceived autonomy support from healthcare professionals and physical activity among breast cancer survivors: A propensity score analysis. PLOS One, 18(12), e0295751. https://doi.org/10.1371/journal.pone.0295751
Rillamas?Sun, H., Kwan, M. L., Carlos, C., Cheng, R., Neugebauer, R., Rana, J. S., Nguyen?Huynh, M., Shi, Z., Laurent, C. A., Lee, V. S., Roh, J. M., Huang, Y., Shen, H., Hershman, D. L., Kushi, L. H., & Greenlee, H. (2023). Development of cardiometabolic risk factors following endocrine therapy in women with breast cancer. Breast Cancer Research and Treatment, 201,117–126. https://doi.org/10.1007/s10549-023-06997-x
Rock, C. L., Thompson, C. A., Sullivan, K. R., Howe, C. L., Kushi, L. H., Caan, B. J., Neuhouser, M. L., Bandera, E. V., Wang, Y., Robien, K., Basen-Engquist, K. M., Brown, J. C., Courneya, K. S., Crane, T. E., Garcia, D. O., Grant, B. L., Hamilton, K. K., Hartman, S. J., Kenfield, S. A., … McCullough, M. L. (2022). American Cancer Society nutrition and physical activity guideline for cancer survivors. CA: A Cancer Journal for Clinicians, 72, 230–262. https://doi.org/10.3322/caac.21719
Santé Canada/Health Canada. (2019). Recommandations en matière de saine alimentation. Guide alimentaire canadien. Gouvernement du Canada. https://guide-alimentaire.canada.ca/fr/recommandations-en-matiere-dalimentation-saine/
Statistique Canada (2025). Tableau 13-10-0158-01 Estimations de la survie nette après cinq ans, selon l’âge, pour les sièges primaires de cancer, par sexe, données combinées de trois ans. https://www150.statcan.gc.ca/t1/tbl1/fr/tv.action?pid=1310015801 https://doi.org/10.25318/1310015801-fra
Tollosa, N., Tavener, M., Hure, A., & James, E. L. (2019). Adherence to multiple health behaviours in cancer survivors: A systematic review and meta-analysis. Journal of Cancer Survivorship, 13, 327–343. https://doi.org/10.1007/s11764-019-00754-0
Vallance, J. K., Nguyen, N. H., Moore, M. M., Reeves, M. M., Rosenberg, D. E., Boyle, T., Milton, S., Friedenreich, C. M., English, D. R., & Lynch, B. M. (2020). Effects of ACTIVity And TEchnology (ACTIVATE) intervention on health-related quality of life and fatigue outcomes in breast cancer survivors. Psycho-Oncology, 29, 204–211.
Willis, G. B. (2005). Cognitive interviewing: A tool for improving questionnaire design. Sage Publications.
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