Fear of cancer recurrence among Brazilian patients with cancer: Translation and cultural adaptation of FCR4/7 and FCRI-SF measures.

OBJECTIVE: Fear of cancer recurrence or progression (FCR) is considered one of the most common unmet needs among patients with cancer. This study sought to translate and evaluate the psychometric properties of the Fear of Cancer Recurrence scale (FCR4/7) and Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF). METHODS: This study involved three phases: (1) translation and cultural adaptation of the FCR4/7 and FCRI-SF measures, (2) validity and reliability testing of the Portuguese version of these measures, and (3) examining patient's perceptions of these measures. Eligible patients were diagnosed with localized breast cancer, and patients with metastatic cancer. Descriptive analyses were collated, and psychometric analysis were conducted (confirmatory factor analysis). RESULTS: A total of 200 patients were recruited (100 patients with localized and 100 patients with metastatic cancer). A significant proportion of patients reported moderate to severe FCR (FCR7: 32.0% and FCRI-SF: 43.0%). Female gender, younger age and metastatic cancer were associated with higher levels of FCR. Psychometric analyses suggested that the Portuguese versions of the FCR4/7 and FCRI-SF were valid, unidimensional in nature, with acceptable reliability coefficients across all scales. In a sub-sample qualitative analysis (n = 75), most patients were satisfied with the relevance of both measures. CONCLUSION: Our findings suggest the Portuguese versions of the FCR4/7 and FCRI-SF are valid tools to assess FCR among patients with localized and metastatic cancer. Future research can now extend our understanding of FCR and assess this construct among Portuguese speaking patients, to guide the development of effective and targeted interventions for patients globally.

Short- and long-term effects of a maternal low-energy diet ad libitum during gestation and/or lactation on physiological parameters of mothers and male offspring.

PURPOSE: To investigate the short- and long-term effects of a maternal low-energy diet ad libitum during gestation and/or lactation on mothers and their offspring. METHODS: Male Wistar rats were divided into four groups according to their mother's diet: control [C (19.0% protein, 63.0% carbohydrates and 18.0% lipids, total energetic value (TEV) = 3.5 kcal/g) during gestation and lactation], low-energy diet (18% protein, 64% carbohydrates and 18% lipids, TEV = 2.3 kcal/g) during gestation (LE-G), low-energy diet during lactation (LE-L) and low-energy diet during gestation and lactation (LE-GL). Additional crude fibers (10% more purified cellulose and soluble fiber) and water (approximately 30% greater moisture) were added to the LE diet to decrease TEV. Mother's body weight, food intake and energy intake were recorded daily. Birth weight, growth rate, ontogeny of reflexes, physical features and biochemical parameters at 150 days old were evaluated in male offspring. RESULTS: Maternal low-energy diet during gestation did not affect maternal body weight and food intake. Physical features did not change but reflex ontogeny was delayed in pups from LE dams. LE-G offspring recovered body size (weight and length) while animals LE-L and LE-GL recovered their body length but remained lighter until adult life even with no change of food intake. LE-G and LE-GL showed lower plasma triglycerides and very-low-density-lipoprotein cholesterol (VLDL). LE-L offspring showed hypertriglyceridemia, high VLDL-c and reduced glycaemia. CONCLUSION: Maternal low-energy diet shows discernible short- and long-term effects on offspring, and this is dependent on the time of perinatal period.

Exposure of developing well-nourished and malnourished rats to environmental heating facilitates cortical spreading depression propagation at adulthood.

Cortical spreading depression (CSD) is a brain electrical response related to neural activity and probably also related to diseases like migraine and epilepsy. Adverse conditions like malnutrition and exposure to a warm environment early-in-life can permanently alter brain development, changing electrophysiological features of the brain responses and rendering the brain prone to febrile seizures. Here we investigated the lasting effects of heat exposure on brain CSD propagation in well-nourished and malnourished developing rats. From postnatal days 10-29, rats were exposed to daily sessions (one session per day, five sessions per week during 3 weeks; total of 15 sessions) of a warm environment (40+/-2 degrees C). At 30-40 days and 90-120 days of life (young and adult age-ranges, respectively), they were anesthetized (urethane+chloralose; 1000 + 40 mg/kg ip) and the electrocorticogram plus the slow potential change accompanying CSD were recorded on two parietal points for 4h. Compared to controls (maintained on the normal environment temperature, 23+/-2 degrees C), heat-exposed rats displayed higher CSD velocities of propagation (P<0.05; ANOVA plus Tukey test) at both age-ranges and nutritional statuses. The mean+/-S.D. CSD velocities (in mm/min) were: for control- and heat-exposed well-nourished rats, 3.75+/-0.15 and 4.17+/-0.19 (young groups), and 3.33+/-0.06 and 3.88+/-0.26 (adult); for the same control and heat exposure conditions in the malnourished rats, 4.30+/-0.22 and 5.31+/-0.46 (young), and 4.18+/-0.20 and 4.88+/-0.35 (adult). In contrast to early malnutrition, heat exposure did not affect body and brain weights. Data support the hypotheses that (1) early heat exposure long-lasting facilitates CSD propagation and (2) this effect is not modified by early malnutrition.