Abstract
ABSTRACT Obesity presents significant medical and psychosocial risks for adolescent and young adult (AYA) pediatric cancer survivors (AYACS). Using screening data collected for a new healthy lifestyle pilot RCT, this study evaluated differences in AYACS’ physical activity and nutrition-related knowledge, behaviors, beliefs, and adjustments across weight ranges. AYACS with elevated body mass index (BMI; i.e. overweight, obese) reported significantly lower self-esteem, body esteem, and weight-related self-efficacy, as well as greater depressive symptoms and anxiety symptoms compared to AYACS with average weight. AYACS with average weight also reported better interpersonal relationship quality and stress management compared to AYACS with elevated BMI. Our findings provide insight to better tailor our newly developed healthy lifestyle-focused interventions for AYACS.
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