Mp68-01 Smoking, Exercise and Physical Activity Are Independently Associated With Mental Health in Prostate Cancer Patients and Survivors: Behavioral Risk Factor Surveillance System (Brfss) Study

You have accessJournal of UrologyProstate Cancer: Epidemiology & Natural History II (MP68)1 May 2024MP68-01 SMOKING, EXERCISE AND PHYSICAL ACTIVITY ARE INDEPENDENTLY ASSOCIATED WITH MENTAL HEALTH IN PROSTATE CANCER PATIENTS AND SURVIVORS: BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) STUDY Khalid Y. Alkhatib, Daniel S. Roberson, Logan G. Briggs, Jose I. Nolazco, Trinity J. Bivalacqua, Morgan Leff, Ian Mitchell Harmatz, Nathaniel McLaughlan, Daniel J. Lee, Stanley Bruce Malkowicz, Richard S. Matulewicz, Thomas Guzzo, and Phillip M. Pierorazio Khalid Y. AlkhatibKhalid Y. Alkhatib , Daniel S. RobersonDaniel S. Roberson , Logan G. BriggsLogan G. Briggs , Jose I. NolazcoJose I. Nolazco , Trinity J. BivalacquaTrinity J. Bivalacqua , Morgan LeffMorgan Leff , Ian Mitchell HarmatzIan Mitchell Harmatz , Nathaniel McLaughlanNathaniel McLaughlan , Daniel J. LeeDaniel J. Lee , Stanley Bruce MalkowiczStanley Bruce Malkowicz , Richard S. MatulewiczRichard S. Matulewicz , Thomas GuzzoThomas Guzzo , and Phillip M. PierorazioPhillip M. Pierorazio View All Author Informationhttps://doi.org/10.1097/01.JU.0001008744.60568.e8.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Stress, fatigue, anxiety, and depression frequently ail patients with prostate cancer (PCa). Though impossible to entirely eliminate mental burdens inherent to PCa, identifying modifiable behavioral targets to improve mental health is imperative to improve quality of life. We thus investigate the association between smoking, exercise and physical activity in relation to mental health among patients and survivors of PCa. METHODS: We conducted a cross-sectional study of participants who self-reported PCa diagnosis in the CDC national Behavioral Risk Factor Surveillance System (BRFSS) cycles between 2016 and 2021. A descriptive analysis of our cohort was conducted (Table 1). A multivariable logistic regression analysis (MVA) examined the association of self-reported 14+ days per month of "not good" mental health in relation to smoking status and exercise. RESULTS: We identified 4,819 PCa patients and survivors. Among the PCa cohort, 229 (5.9%) individuals reported 14+ days per month of poor mental health. Current smoking was independently associated with worse mental health compared to never smoking (OR 1.77, 95% CI 1.05 – 2.98, p=0.03), while being a former smoker was not an independent predictor of worse mental health (OR 1.32, 95% CI 0.91 – 1.90, p=0.14). Physical activity was independently not associated with mental health (OR 0.68, 95% CI 0.48 – 0.97, p=0.03). CONCLUSIONS: Our results indicate an independent association between current smoking with poor mental health in PCa patients and survivors. Exercise and physical activity had an opposite independent association. Our results lay a foundation for potential interventional research studies and support PCa programs offering rehabilitation or smoking cessation services. These results are important as smoking and exercise are modifiable risk factors that could have a large impact on mental health and ultimately quality of life in PCa. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1107 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Khalid Y. Alkhatib More articles by this author Daniel S. Roberson More articles by this author Logan G. Briggs More articles by this author Jose I. Nolazco More articles by this author Trinity J. Bivalacqua More articles by this author Morgan Leff More articles by this author Ian Mitchell Harmatz More articles by this author Nathaniel McLaughlan More articles by this author Daniel J. Lee More articles by this author Stanley Bruce Malkowicz More articles by this author Richard S. Matulewicz More articles by this author Thomas Guzzo More articles by this author Phillip M. Pierorazio More articles by this author Expand All Advertisement PDF downloadLoading ...