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The Association between the Adherence to Dietary Guidelines for Breast Cancer Survivors and Health-related Quality of Life among Korean Breast Cancer Survivors

한국 유방암 경험자들의 유방암 식사지침 수행 정도와 건강관련 삶의 질의 연관성

  • Song, Sihan (Department of Food and Nutrition, Sookmyung Women's University) ;
  • Youn, Jiyoung (Department of Food and Nutrition, Sookmyung Women's University) ;
  • Park, Myungsook (Department of Food and Nutrition, Sookmyung Women's University) ;
  • Hwang, Eunkyung (Breast Care Center, Seoul National University Hospital) ;
  • 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, Sookmyung Women's University)
  • 송시한 (숙명여자대학교 식품영양학과) ;
  • 윤지영 (숙명여자대학교 식품영양학과) ;
  • 박명숙 (숙명여자대학교 식품영양학과) ;
  • 황은경 (서울대학교병원 유방센터) ;
  • 문형곤 (서울대학교병원 유방센터) ;
  • 노동영 (서울대학교병원 유방센터) ;
  • 이정은 (숙명여자대학교 식품영양학과)
  • Received : 2015.03.16
  • Accepted : 2015.04.21
  • Published : 2015.04.30

Abstract

Objectives: We examined the association between the adherence to dietary guidelines for breast cancer survivors and health-related quality of life in a cross-sectional study of Korean breast cancer survivors. Methods: A total of 157 women aged 21 to 79 years who had been diagnosed with stage I to III breast cancers according to the American Joint Committee on Cancer (AJCC) and had breast cancer surgery at least 6 months before the baseline were included. We used a Korean version of the Core 30 (C30) and Breast cancer 23 (BR23) module of the European Organization for Research and Treatment Cancer Quality of Life Questionnaire (EORTC-QLQ), both of which have been validated for Koreans. Participants were asked about their adherence to dietary guidelines for breast cancer survivors, suggested by the Korean breast cancer society, using a 5-point Likert scale. We summed dietary guideline adherence scores for each participant and calculated the least squares means of health-related quality of life according to dietary guideline adherence scores using the generalized linear model. Results: Breast cancer survivors who had higher adherence to dietary guidelines for breast cancer survivors had lower constipation scores than those with lower adherence (p for trend=0.01). When we stratified by the stage at diagnosis, this association was limited to those who had been diagnosed with stage II or III breast cancers. Also, sexual functioning scores increased significantly with increasing adherence scores of dietary guidelines among those with stage II or III breast cancers (p for trend < 0.001). However, among those who had been diagnosed with stage I, higher scores of dietary guidelines were associated with higher scores of pain (p for trend=0.03) and breast symptoms (p for trend=0.05). Conclusions: Our study suggested that the health-related quality of life levels of breast cancer survivors are associated with the adherence to dietary guidelines and may differ by the stage of the breast cancer.

Acknowledgement

Supported by : National Research Foundation of Korea (NRF)

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