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dc.contributor.authorBeeken, Rebecca J.
dc.contributor.authorHaviland, Joanne S.
dc.contributor.authorTaylor, Claire
dc.contributor.authorCampbell, Anna
dc.contributor.authorFisher, Abigail
dc.contributor.authorGrimmett, Chloe
dc.contributor.authorOzakinci, Gozde
dc.contributor.authorSlater, Sarah
dc.contributor.authorWilson, Iseult
dc.contributor.authorHubbard, Gill
dc.identifier.citationBeeken , R J , Haviland , J S , Taylor , C , Campbell , A , Fisher , A , Grimmett , C , Ozakinci , G , Slater , S , Wilson , I & Hubbard , G 2019 , ' Smoking, alcohol consumption, diet and physical activity following stoma formation surgery, stoma-related concerns, and desire for lifestyle advice : a United Kingdom survey ' , BMC Public Health , vol. 19 , 574 .
dc.identifier.otherPURE: 258965460
dc.identifier.otherPURE UUID: 2cb496c9-dc7c-4153-9be8-fdd9ee817533
dc.identifier.otherRIS: urn:C8CED15BCECEAF29115F1297BB57F492
dc.identifier.otherRIS: Beeken2019
dc.identifier.otherORCID: /0000-0001-5869-3274/work/57568183
dc.identifier.otherScopus: 85066025870
dc.identifier.otherWOS: 000468071100001
dc.descriptionRJB is supported by Yorkshire Cancer Research Academic Fellowship Funding, JSH was supported by Macmillan Cancer Support.en
dc.description.abstractBackground: Adherence to smoking, alcohol consumption, diet and physical activity (PA) guidelines may improve outcomes for people with a stoma. A better understanding of these behaviours following stoma formation surgery and their experiences and attitudes towards receiving lifestyle advice, could help identify specific gaps and inform interventions going forward. The aim of this study was to describe changes in current lifestyle following stoma formation and to explore concerns, desire for lifestyle information, advice and support among people who have or have had a stoma. Methods: A sample of adults who currently had or in the past had a stoma for treatment for any medical condition was recruited online through relevant charities and companies, and invited to complete a cross-sectional, online survey. Consenting participants (n = 425) provided demographic information and completed brief, validated questionnaires about their lifestyle, alongside questions around their concerns regarding permanent stoma and experiences of lifestyle information and advice. Responses were summarised using descriptive statistics, and associations between reported concerns about stoma and changes in health behaviours were explored. Results: Most respondents (93%) still had a stoma at the time of completing the survey. The majority (80%) had not consumed at least 5 portions of fruit and vegetables on the previous day and 20% reported they had not participated in at least 30 min of physical activity on any day in the previous week. Most respondents were non-smokers (84%) and did not exceed recommendations for alcohol intake (60%). Most (56%) felt their PA had decreased following stoma formation. Frequencies of concerns about a permanent stoma were high, and appeared to be associated with reported decreases in PA. Of those reporting nausea, 40% felt their diet had worsened since having their stoma. A large proportion of respondents had not received PA (42%) or dietary (30%) advice, and of these > 90% would have liked guidance. Conclusions: Few respondents to this survey were eating the recommended amount of fruit and vegetables, and most reported a decrease in their PA following stoma surgery. Lifestyle advice would be welcomed by this population, which professionals should take into account when addressing stoma- related concerns.
dc.relation.ispartofBMC Public Healthen
dc.rightsCopyright © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.en
dc.subjectPhysical activityen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleSmoking, alcohol consumption, diet and physical activity following stoma formation surgery, stoma-related concerns, and desire for lifestyle advice : a United Kingdom surveyen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. St Andrews Sustainability Instituteen
dc.description.statusPeer revieweden

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