Browse > Article
http://dx.doi.org/10.5720/kjcn.2020.25.5.406

A Comparisons of Nutritional Intake and Diet Quality Index-International in Gynecological Cancer Survivors and Normal Women - Using the Korea National Health and Nutrition Examination Survey 2013~2016 -  

Seo, Bo-Young (Department of Food and Nutrition, Changshin University)
Her, Eun-Sil (Department of Food and Nutrition, Changshin University)
Publication Information
Korean Journal of Community Nutrition / v.25, no.5, 2020 , pp. 406-415 More about this Journal
Abstract
Objectives: The aim of this study was to compare the nutritional intake and Diet Quality Index-International (DQI-I) of gynecological cancer survivors and normal women. Methods: This study compared the anthropometric indices, dietary behavior, nutritional intake, and DQI-I in women with previous history of breast or uterine cancer [Gynecological cancer survivors group (GCSG, n=126)] and normal women [Normal control group (NCG, n=7,011)] using the 2013~2016 Korea National Health and Nutrition Examination Survey data. Results: Body mass index and waist circumference were lower in the GCSG compared the NCG. The frequency of skipping breakfast and eating out was higher in the NCG compared to GCSG. Energy and fat intake were significantly higher in the NCG than in the GCSG, whereas intake of all minerals and vitamins (excluding thiamine), and dietary fiber intake were higher in GCSG. It was observed that the fatty acid intake of the GCSG was significantly lower than that of the NCG. The diet quality evaluation using DQI-I results showed that GCSG was higher in the "within-group" diet variety and adequacy of vegetable group than the NCG, whereas the intake level of the fruit group was higher in NCG. Besides, protein, calcium, and vitamin C intake were higher in the GCSG than in the NCG. The GCSG showed higher levels of total fat and saturated fat moderation than the NCG, whereas cholesterol moderation showed the opposite results. The results of DQI-I comparison according to the cancer survival years showed that the overall score and scores related to diet adequacy and balance were higher in the below 5-year group, whereas the over 5-year group scored higher in terms of moderation of diet. Conclusions: The results of this study suggest that a chronic disease based management approach is needed in cancer survivors. The study provides important data which can help in the preparation of guidelines for long-term lifestyle and diet management, in these patients.
Keywords
gynecological cancer survivors; nutritional intake; DQI-I (Diet Quality Index-International);
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Statistic Korea. Life table [Internet]. Statistic Korea. 2016 [updated 2019 Dec 4; 2020 Aug 15]. Available from: http://kostat.go.kr/wnsearch/search.jsp.
2 National Cancer Information Center. Cancer incidence rate [Internet]. National Cancer Information Center. 2017 [updated 2017 Dec 31; 2020 Aug 15]. Available from: https://www.cancer.go.kr/lay1/S1T639C640/contents.do.
3 Song SH, Youn HJ, Park M, Hwang E, Moon HG, Noh DY et al. The association between the adherence to dietary guidelines for breast cancer survivors and health-related quality of life among Korean breast cancer survivors. Korean J Community Nutr 2015; 20(2): 129-140.   DOI
4 McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K et al. Self-management: enabling and empowering patients living with cancer as a chronic illness. CA: Cancer J Clin 2011; 61(1): 50-62.   DOI
5 Foster C, Fenlon D. Recovery and self-management support following primary cancer treatment. Br J Cancer 2011; 105(1): S21-S28.   DOI
6 Karavasiloglou N, Pestoni G, Wanner M, Faeh D, Rohrmann S. Healthy lifestyle is inversely associated with mortality in cancer survivors: Results from the Third National Health and Nutrition Examination Survey (NHANES III). PloS One 2019; 14(6): e0218048.   DOI
7 Kim MS, Kim JY, Bae WK, Kim SH, Lee YS, Na WR et al. Relationship between nutrients intakes, dietary quality, and serum concentrations of inflammatory markers in metabolic syndrome patients. Korean J Community Nutr 2011; 16(1): 51-61.   DOI
8 Halpern T, McCabe S, Burg A. The cancer survivorship journey: Models of care, disparities, barriers, and future directions. Am Soc Clin Oncol Educ Book 2016; 35: 231-239.   DOI
9 Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 2002; 13(1): 3-9.   DOI
10 Oh SY. Analysis of methods on dietary quality assessment. Korean J Community Nutr 2000; 5(2): 362-367.
11 Lee YJ, Koo HY, Cho IY, Jo MK, Kim KC, Eum YH et al. Dietary patterns assessed by the Diet Quality Index-International among cancer survivors compared with healthy control subjects: using the Korea National Health and Nutrition Examination Surveys 2013-2015. Korean J Fam Pract 2019; 9(2): 204-211.   DOI
12 Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for crossnational comparison of diet quality as illustrated by China and the United States. J Nutr 2003; 133(11): 3476-3484.   DOI
13 Yun HK, Kim H, Chang N. Diet quality index-international score is correlated with weight loss in female college students on a weight management program. Korean J Nutr 2009; 42(5): 453-463.   DOI
14 Milajerdi A, Namazi N, Larijani B, Azadbakht L. The association of dietary quality indices and cancer mortality: a systematic review and meta-analysis of cohort studies. Nutr Cancer 2018; 70(7): 1091-1105.   DOI
15 Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH et al. Cancer statistics in Korea: incidence, mortality, survival and prevalence in 2012. Cancer Res Treat 2015; 47(2): 127-141.   DOI
16 Son JH, Choe HS, Hwang JY, Song TJ, Chang Y, Kim YJ et al. Association between intakes of minerals (potassiom, magnsium, and calcium) and diet quality and risk of cerebral atherosclerosis in ischemic stroke patients. J Nutr Health 2015; 48(2): 167-179.   DOI
17 Kim HR. Quality of diet and nutritional intake and mortality risk among South Korean adults based on 12-year follow-up data. Korean J Community Nutr 2016; 21(4): 354-365.   DOI
18 Kim K, Kim MK, Kim J, Park K, Park S, Song YJ et al. Nutritional epidemiology (translated version). 3rd ed. U.S. original written by Willett W. Paju: Kyomunsa; 2013. p. 333.
19 Dieterich M, Stuber J, Reimer T, Erickson N, Berling A. Influence of lifestyle factors on breast cancer risk. Breast Care (Basel) 2014; 9(6): 407-414.   DOI
20 Fernandes WC, Kimura M. Health related quality of life of women with cervical cancer. Rev Lat Am Enferm 2010; 18(3): 360-367.   DOI
21 Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B et al. Nutrition and physical activity during and after cancer treatment: an American cancer society guide for informed choices. CA Cancer J Clin 2006; 56(6): 323-353.   DOI
22 McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K et al. Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: Cancer J Clin 2011; 61(1): 50-62.   DOI
23 Seo JS, Park HA, Kang JH, Kim KW, Cho YG, Hur YI et al. Obesity and obesity-related lifestyles of Korean breast cancer survivors. Korean J Health Promot 2014; 14(3): 93-102.   DOI
24 Williams K, Steptoe A, Wardle J. Is a cancer diagnosis a trigger for health behaviour change? Findings from a prospective, population-based study. Br J Cancer 2013; 108(11): 2407-2412.   DOI
25 Tworoger SS, Huang T. Obesity and ovarian cancer. Recent Results Cancer Res 2016; 208: 155-176.   DOI
26 Rock CL, Demark-Wahnefried W. Nutrition and survival after the diagnosis of breast cancer: a review of the evidence. J Clin Oncol 2002; 20(15): 3302-3316.   DOI
27 Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr 2017; 36(1): 11-48.   DOI
28 Park MS, Hwang EK, Moon HG, Noh DY, Lee JE. Dietary intake status among Korean female breast cancer survivors. Korean J Community Nutr 2014; 19(2): 163-175.   DOI
29 Fortner RT, Katzke V, Kuhn T, Kaaks R. Obesity and breast cancer. Recent Results Cancer Res 2016; 208: 43-65.   DOI
30 Lee EJ, Lee WK, Suh SW, Suh BH, Lee HS. Intakes of energy and nutrients and risk of breast cancer: case-control study in DaeguGyeongbuk area, Korea. Korean J Nutr 2008; 41(8): 754-766.