AbstractObjective To identify the latent profiles of health-promoting lifestyle and explore the correlates of these profiles among patients with colorectal cancer. Methods A total of 561 hospitalized patients with colorectal cancer at a tertiary hospital in Guangzhou between July 2023 and June 2024 were enrolled. The Health-Promoting Lifestyle Profile II Revised (HPLP-II R) was used to assess health-promoting behaviors. Latent profile analysis (LPA) was conducted to identify health-promoting lifestyle subgroups. Univariate analysis and multinomial logistic regression were performed to examine the association between profiles and sociodemographic characteristics, physical frailty, and psychosocial factors. Results Four distinct health-promoting lifestyle profiles were identified: profile 1 - "the comprehensively positive high health-promotion (8.4%)", profile 2 - "the nutrition-spiritual growth retained low health-promotion (41.5%)", profile 3 - "the globally low health-promotion (14.4%)", and profile 4 - "the balanced moderate health-promotion (35.7%)". Psychological frailty and friendship isolation were more likely to be associated with Profile 2 (OR = 1.799, P = 0.001; OR = 5.484, P = 0.043) and Profile 3 (OR = 2.249, P 0.001; OR = 11.449, P = 0.005). Patients with high depression scores (OR = 4.332, P = 0.015) and who are currently smoking (OR = 3.288, P = 0.025) were more likely to be classified into Profile 3. Profile 1 and Profile 4 exhibited a difference in per capita monthly household income. Conclusions Health-promoting lifestyle profiles of patients with colorectal cancer has distinct characteristics. These findings provide a basis for nurses to identify high-risk subgroups and implement profile-specific, targeted lifestyle interventions in clinical practice. Target intervention tailored to each profile's characteristics and correlates may modify the lifestyle among patients with colorectal cancer.
Zhong et al. (Wed,) studied this question.