Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors

한국인 유방암 경험자의 유방암 진단 후 식사변화: 신체활동, 신체측정치, 그리고 건강관련 삶의 질과의 연관성

  • Song, Sihan (Department of Food and Nutrition, College of Human Ecology, Sookmyung Women's University) ;
  • Youn, Hyun Jo (Department of Surgery, Chonbuk National University Medical School) ;
  • Jung, So-Youn (Center for Breast Cancer, National Cancer Center) ;
  • Lee, Eunsook (Center for Breast Cancer, National Cancer Center) ;
  • Kim, Zisun (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Cho, Jihyoung (Department of Surgery, Keimyung University School of Medicine) ;
  • Yoo, Young Bum (Department of Surgery, Konkuk University School of Medicine) ;
  • Moon, Hyeong-Gon (Breast Care Center, Seoul National University Hospital) ;
  • Noh, Dong-Young (Breast Care Center, Seoul National University Hospital) ;
  • Lee, Jung Eun (Department of Food and Nutrition, College of Human Ecology, Seoul National University)
  • 송시한 (숙명여자대학교 생활과학대학 식품영양학과) ;
  • 윤현조 (전북대학교 의학전문대학원 외과학교실) ;
  • 정소연 (국립암센터유방암센터) ;
  • 이은숙 (국립암센터유방암센터) ;
  • 김지선 (순천향대학교 의과대학 외과학교실) ;
  • 조지형 (계명대학교 의과대학 외과학교실) ;
  • 유영범 (건국대학교 의과대학 외과학교실) ;
  • 문형곤 (서울대학교병원 유방센터) ;
  • 노동영 (서울대학교병원 유방센터) ;
  • 이정은 (서울대학교 생활과학대학 식품영양학과)
  • Received : 2016.12.06
  • Accepted : 2016.12.21
  • Published : 2016.12.31
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Abstract

Objectives: We aimed to examine levels of physical activity, anthropometric features, and health-related quality of life (HRQoL) among Korean breast cancer survivors who reported changes in their diet after diagnosis. Methods: A total of 380 women who had been diagnosed with stage I to III breast cancer and had breast cancer surgery at least six months before the interview were included. Participants provided information on dietary change after diagnosis, post-diagnostic diet, physical activity, anthropometric measures, and HRQoL through face-to-face interview. We assessed HRQoL levels of breast cancer survivors using a validated Korean version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and Breast Cancer Module (BR23). We used the logistic regression and generalized linear models to identify the associations of dietary changes in relation with physical activity, anthropometry, and HRQoL. Results: The majority of participants (72.6%) reported that they have changed their diet to a healthier diet after diagnosis. Breast cancer survivors who reported to have change to a healthy diet had higher intakes of vegetables and fruits and lower intakes of red and processed meats, and refined grains than those who did not. Also, survivors with a healthy change in their diet were more likely to engage in physical activity (top vs. bottom tertile: odds ratio [OR], 1.85; 95% confidence interval [95% CI], 1.02-3.36) and have lower body mass index (BMI) (OR, 0.90; 95% CI, 0.82-0.98 for one $kg/m^2$ increment in BMI) compared to those who did not. We found that a healthy change in diet was associated with higher scores of physical functioning (p=0.02) and lower scores of constipation (p=0.04) and diarrhea (p=0.006) compared to those who did not. Conclusions: Healthy changes in diet after breast cancer diagnosis may be associated with lower levels of BMI, and higher levels of physical activity and HRQoL.

Keywords

References

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