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  • [Qual Life Res.] Physical activity status in relation to quality of life and dietary habits in breast cancer survivors: subset analyses of KROG 14-09 nationwide questionnaire study

    고려대 / 안성자, 김진희, 전미선, 윤원섭*

  • 출처
    Qual Life Res.
  • 등재일
    2020 Dec
  • 저널이슈번호
    29(12):3353-3361. doi: 10.1007/s11136-020-02585-4. Epub 2020 Jul 23.
  • 내용

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    Abstract
    Purpose: We investigated the relationship of physical activity with dietary habits and quality of life (QoL) in breast cancer survivors in accordance with the recommendations of the American Cancer Society.

    Methods: Data of 928 breast cancer survivors were obtained from the KROG 14-09 study to measure QoL in early phase after adjuvant radiotherapy. According to the extent of physical activity, survivors were divided into four groups: inactivity (0-149 min/week, N = 144), regular activity (150-450 min/week, N = 309), moderate activity (451-900 min/week, N = 229), and marked activity (901-1800 min/week, N = 164) excluding hyperactivity (> 1800 min/week, N = 82) as it is a difficult condition to recommend to survivors. Global physical activity questionnaire, 5-dimensional questionnaire by EuroQoL (EQ-5D-3L), QoL Questionnaire-breast cancer (QLQ-BR23) from EORTC, and dietary habits were surveyed. A linear-to-linear association test for EQ-5D-3L and Kruskal-Wallis analysis for QLQ-BR23 and dietary habit were conducted.

    Results: Overall, 15.5% respondents (144/928) were classified as physically inactive. The trends of frequent intake of fruits (p = 0.001) and vegetable (p = 0.005) and reluctance toward fatty food (p < 0.001) were observed in physically active groups. Mobility (p = 0.021) and anxiety (p = 0.030) of EQ-5D-3L, and systemic therapy side effect (p = 0.027) and future perspective (p = 0.008) of QLQ-BR23 were better in physically active groups besides body image (p = 0.003) for the survivors with breast-conserving surgery. However, moderate and marked activities did not further improve QoL than regular activity.

    Conclusion: Physicians and care-givers have to pay attention to inactive survivors to boost their physical activity, thereby facilitating a better QoL and dietary habit.

     

     

    Affiliations

    Sung-Ja Ahn  1 , Jin Hee Kim  2 , Mison Chun  3 , Won Sup Yoon  4 , Chai Hong Rim  5 , Dae Sik Yang  6 , Jong-Hoon Lee  7 , Kyubo Kim  8   9 , Moonkyoo Kong  10 , Suzy Kim  11 , Juree Kim  12 , Kyung Ran Park  9 , Young-Joo Shin  13 , Sun Young Ma  14 , Bae-Kwon Jeong  15 , Su Ssan Kim  16 , Yong Bae Kim  17 , Dong Soo Lee  18
    1 Radiation Oncology, Chonnam National Univiersity Hwasun Hospital, Hwasun, Jeollanam-do, Republic of Korea.
    2 Radiation Oncology, Dongsan Medical Center, Keimyung University, Daegu, Republic of Korea.
    3 Radiation Oncology, Ajou University, Suwon, Gyeonggi-do, Republic of Korea.
    4 Department of Radiation Oncology, Ansan Hospital, Korea University, 123 Jeokgeum-ro, Danwon-gu, Ansan, 15355, Gyeonggi-do, Republic of Korea. irionyws@korea.ac.kr.
    5 Department of Radiation Oncology, Ansan Hospital, Korea University, 123 Jeokgeum-ro, Danwon-gu, Ansan, 15355, Gyeonggi-do, Republic of Korea.
    6 Radiation Oncology, Guro Hospital, Korea University, Seoul, Republic of Korea.
    7 Radiation Oncology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
    8 Radiation Oncology, Seoul National University Hospital, Seoul, Republic of Korea.
    9 Radiation Oncology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
    10 Radiation Oncology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Republic of Korea.
    11 Radiation Oncology, Boramae Medical Center, Seoul National University, Seoul, Republic of Korea.
    12 Radiation Oncology, Ilsancha Hospital, Cha Medical Center, Goyang, Gyeonggi-do, Republic of Korea.
    13 Radiation Oncology, Sanggye Paik Hospital, Inje University, Seoul, Republic of Korea.
    14 Radiation Oncology, Kosin University Gospel Hospital, Busan, Republic of Korea.
    15 Radiation Oncology, Gyeongsang National University School of Medicine and Gyeongsang National Univeristy Hospital, Jinju, Gyeongsangnam-do, Republic of Korea.
    16 Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
    17 Radiation Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
    18 Radiation Oncology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, Uijeongbu, Gyeonggi-do, Republic of Korea.

  • 키워드
    Breast cancer; Dietary habits; Physical activity; Quality of life; Survivorship.
  • 편집위원

    유방암 환자가 수술 및 항암치료 후 방사선치료를 받을 때 신체활동이 저하된 경우가 많은데, 일상적인 수준의 신체활동을 권고하는 좋은 근거연구로 생각됩니다.

    2021-01-26 14:50:17

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