HEALTH PROMOTION

Consensus-based recommendation for health promotion a , b, c, d, e

This page is part of the PanCare follow-up recommendations for surveillance of late effects. Click here, for more information on these recommendations.

Who should receive advice regarding health promotion?

All CAYA cancer survivors might benefit from health promotion

What surveillance modality should be used and at what frequency should it be performed?

  • Height, weight and BMI

    every year in survivors ≤ 18 years of age, and at least every 5 years in survivors > 18 years of age

  • Blood pressure
  • Ensure that appropriate immunisations e have been given on recovery from active anti-cancer treatment, and that necessary booster immunisations are planned, according to local and national policies
    at least every 5 years, starting at entry into long-term follow-up

What other advice should be given?

  • Maintain a physically active lifestyle

  • Maintain a healthy weight

  • Eat a healthy diet, according to the current national guidelines

  • Use adequate sun protection measures

  • Attend regular six-monthly or yearly dental exams

  • Quit smoking and/or reduce exposure to second-hand smoke

  • Avoid alcohol excess

What could be done to promote health?

  • Consider referral to a physical or occupational therapist if the survivor has special needs and might need to adapt the physical activities for success

  • Consider referral to a dietician or refer for a combined lifestyle intervention for weight management

  • Consider referral to the appropriate HCP depending on the possible cause of the hypertension

  • Refer for healthy lifestyle interventions if the survivor wants to participate and if such interventions are available

a Further recommendations regarding dental and oral problems are specified in the Consensus-based recommendation for dental and oral problems.

b Further recommendations regarding height are specified in the Evidence-based recommendation for surveillance of hypothalamic-pituitary problems, Evidence-based recommendation for surveillance of central precocious puberty and Evidence-based recommendation for surveillance of male fertility problems and sexual dysfunction.

c Further recommendations regarding weight and BMI are specified in the Consensus-based recommendation for surveillance of overweight and obesity.

d Further recommendations regarding blood pressure are specified in the Consensus-based recommendation for surveillance of hypertension.

e Booster immunisations after standard chemotherapy, re-immunisation after HSCT