% IMPORTANT: The following is UTF-8 encoded.  This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.

@ARTICLE{Zhu:294537,
      author       = {C. Zhu$^*$ and Z. Lian$^*$ and V. Arndt$^*$ and M.
                      Thong$^*$},
      title        = {{C}ombined healthy lifestyle factors and psychosocial
                      outcomes among cancer survivors: a systematic review and
                      meta-analysis.},
      journal      = {Journal of cancer survivorship},
      volume       = {nn},
      issn         = {1932-2259},
      address      = {New York, NY [u.a.]},
      publisher    = {Springer},
      reportid     = {DKFZ-2024-02312},
      pages        = {nn},
      year         = {2024},
      note         = {#EA:C071#LA:C071# / epub},
      abstract     = {This systematic review aims to summarize the associations
                      between combined healthy lifestyles and psychosocial
                      outcomes (health-related quality of life (HRQOL),
                      depression, anxiety, psychological distress (PD), and
                      posttraumatic stress disorder (PTSD)) among cancer
                      survivors.PubMed, Web of Science, Cochrane Library, and
                      EMBASE were searched for observational and interventional
                      studies examining healthy lifestyle scores (HLS, calculated
                      by a combination of at least three lifestyles) and
                      psychosocial outcomes among cancer survivors from inception
                      to April 2024. A minimum of two studies with the same study
                      design were pooled using random effects models.Twenty-one
                      studies (44,812 survivors) were included. Of all studies, 16
                      of which were included in meta-analysis. The pooling of
                      cross-sectional evidence shows significant association
                      between HLS and overall, physical, and psychosocial HRQOL.
                      Significance was only observed for overall and physical
                      HRQOL but not for psychosocial HRQOL in cohort studies. The
                      estimations and $95\%$ confidence interval (CI) with 1-point
                      increase in HLS were 1.47 (0.83-2.12) and 1.42 (0.19-2.65)
                      for overall and physical HRQOL, respectively. The evidence
                      from interventional studies also indicated that
                      interventions on multiple lifestyles have positive effects
                      on the physical but not psychosocial HRQOL. Despite the
                      limited number of studies, significant associations were
                      found between HLS and depression, anxiety, PD, and
                      PTSD.Although evidence is limited, we found that the
                      combination of multiple healthier lifestyles is associated
                      with better psychosocial outcomes in cancer survivors.This
                      review underscores the potential for adhering to multiple
                      healthy lifestyles to improve psychosocial outcomes and
                      enhance HRQOL for cancer survivors.},
      subtyp        = {Review Article},
      keywords     = {Cancer survivor (Other) / Lifestyle (Other) / Meta-analysis
                      (Other) / Psychosocial outcomes (Other) / Systematic review
                      (Other) / Tertiary prevention (Other)},
      cin          = {C071},
      ddc          = {610},
      cid          = {I:(DE-He78)C071-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39516326},
      doi          = {10.1007/s11764-024-01705-0},
      url          = {https://inrepo02.dkfz.de/record/294537},
}