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http://dx.doi.org/10.5720/kjcn.2016.21.6.533

Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors  

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)
Publication Information
Korean Journal of Community Nutrition / v.21, no.6, 2016 , pp. 533-544 More about this Journal
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
breast cancer survivors; dietary change; physical activity; anthropometric features; health-related quality of life;
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