A Qualitative Study of the Knowledge of Metabolic Syndrome, Attitudes about Lifestyle Modifications, and Preferences for Lifestyle Interventions among Patients with Cancer and Metabolic Syndrome

Authors

Isabel Martinez Leal
Ashwathy B Pillai
Jessica T Foreman
Kimberly W Siu
Natalia I Heredia
Carmen P Escalante
Ellen F Manzullo
Aimee J Christie
Tamara E Lacourt
Zayd Adnan Razouki
Jessica P Hwang

Publication Date

9-13-2024

Journal

Cancers

Abstract

Metabolic syndrome is a group of disorders-hypertension, dyslipidemia, obesity, and insulin resistance-that together increase the risk of coronary heart disease, stroke, and diabetes. Although ~60% of cancer patients have metabolic syndrome, which increases their risk of mortality, oncology providers lack clear guidance about its management. The development of metabolic syndrome lifestyle interventions requires a better understanding of these patients' knowledge, attitudes, and intervention preferences in order to inform management. During 2022-2023, 19 adult cancer patients with metabolic syndrome engaged in semistructured interviews focused on metabolic syndrome and lifestyle interventions. Interviews were analyzed using hybrid thematic analysis involving deductive and inductive coding. The findings indicated that patients lack knowledge about metabolic syndrome, were motivated to prioritize lifestyle modifications, and expressed strong interest in personalized care plans focused on healthy lifestyle rather than simply on weight loss. As part of their tailored intervention plans, participants desired clear communication with, and coordination of care among, their medical team and shared decision-making with providers about treatment decisions. The findings indicate that patients with metabolic syndrome want collaborative, patient-centered care, tailored interventions, and practical implementation strategies. This research will be used to inform the development of future lifestyle interventions for patients diagnosed with metabolic syndrome based on their identified needs and preferences.

Keywords

metabolic syndrome, cancer, healthy lifestyle, qualitative research

DOI

10.3390/cancers16183147

PMID

39335119

PMCID

PMC11430367

PubMedCentral® Posted Date

9-13-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes