Korean Journal of Community Nutrition

Original Articles

[English]
Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors: Sihan Song, Hyun Jo Youn, So Youn Jung, Eunsook Lee, Zisun Kim, Jihyoung Cho, Young Bum Yoo, Hyeong Gon Moon, Dong Young Noh, Jung Eun Lee; Korean J Community Nutr 2016;21(6):533-544. Published online December 31, 2016; DOI: https://doi.org/10.5720/kjcn.2016.21.6.533

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/mÂ² 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.

Citations

Citations to this article as recorded by

Cancer survivor's dietary safety management awareness and competency type
Yun Hwa Kim
Journal of Nutrition and Health.2020; 53(5): 532. CrossRef
Health-related Quality of Life and Its Related Factors among Cancer Survivors and General Adults: Focusing on Lifestyle Behaviors and Mental Health
Eun A Song, Youngran Kweon, Yoon Young Hwang, Minjeong An
Korean Journal of Adult Nursing.2020; 32(4): 385. CrossRef

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[English]
Weight Control Behaviors, Health-related Quality of Life and Nutritional Status by Overestimation of Body Image among Young Korean Females: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011: Seulki Park, Taisun Hyun, Hongmie Lee; Korean J Community Nutr 2015;20(5):362-374. Published online October 31, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.5.362

Abstract PDF PubReader

OBJECTIVES
This study was performed to investigate the effects of overestimation of their own body shape on weight control behaviors, mental condition, physical activity, dietary behavior, health-related quality of life, and nutritional status among young Korean females.
METHODS
A total of 1,514 women aged 20-39 years who are not pregnant and lactating among those who participated in the Fifth Korea National Health and Nutrition Examination Survey (2010~2011), were analyzed and grouped into underestimation (n=120), normal estimation (NE, n=840), and overestimation (OE, n=554), based on their body perception compared to actual percent ideal body weights. Variables were compared between OE group and NE group.
RESULTS
The subjects in OE group were significantly younger (29.5 vs. 30.5 years, respectively p < 0.05) and had lower body mass index (20.9 vs. 22.2 respectively, p < 0.01), health-related quality of life measured by EQ-5D (EuroQol-5 Dimension)(0.97 vs. 0.98 respectively, p < 0.05), nutrition adequacy ratio (NAR) of protein (0.91 vs. 0.93 respectively, p < 0.05), phosphorous (0.93 vs. 0.96 respectively, p < 0.05), and iron (0.70 vs. 0.75 respectively, p < 0.01), and index of nutrition quality (INQ) of iron (0.84 vs. 0.89 respectively, p < 0.05) compared to those in the NE group. The results of logistic regression showed that unmarried status (OR 1.32; 1.01~1.72) and severely underweight/underweight status (OR 1.94; 1.01~3.75)/(OR 1.81; 1.34~2.45) were significantly related to the probability of overestimation by the subjects. Significantly more women in OE group practiced fasting, skipping meals, and taking prescribed pills to lose body weights and had skipped breakfast compared to those in the NE group.
CONCLUSIONS
The results of this study suggested that the Korean young women's distorted perception of own body shape may be associated with undesirable weight control behavior, low quality of life, and lower nutritional status. Therefore, nutrition education for this group should include information on correct body shape perception and its importance.

Citations

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Folate intake in Korean adults: analysis of the 2016–2018 Korea National Health and Nutrition Examination Survey with newly established folate database
Eun-Ji Park, Inhwa Han, Kyoung Hye Yu, Sun Yung Ly
Journal of Nutrition and Health.2024; 57(4): 418. CrossRef
Understanding Body Image and Appearance Management Behaviors Among Adult Women in South Korea Within a Sociocultural Context: A Review
Kathy L. Lin, Vaishali V. Raval
International Perspectives in Psychology.2020; 9(2): 96. CrossRef
Relationships between Obesity, Body Image Perception, and Weight Control in Adult Women
Hyunju Chae
Korean Journal of Women Health Nursing.2019; 25(2): 129. CrossRef
Dietary Habits and Nutritional Status of Young Women according to Breakfast Frequency in Seoul
Da-Mee Kim, Youl-Ri Kim, Kyung-Hee Kim
Korean Journal of Community Nutrition.2018; 23(2): 102. CrossRef
Factors Affecting Body Image Discordance Amongst Korean Adults Aged 19–39 Years
Hye-Young Jang, Jung-Won Ahn, Mi-Kyeong Jeon
Osong Public Health and Research Perspectives.2018; 9(4): 197. CrossRef
The differences of dietary behaviors, dietary life consumer education related current situations · competencies and dietary lifestyles between baby-boom and echo generations
Jong Ok Park
Journal of Nutrition and Health.2018; 51(2): 153. CrossRef
Relationship between Broca Index of Late School-Aged Children and Their Mothers' Eating, Cooking, and Exercise Habit
Hyerim Lee, Kyoung-Eun Lee, Kwang Suk Ko, Eunah Hong
Journal of the Korean Society of Food Science and Nutrition.2016; 45(10): 1488. CrossRef

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[English]
The Association between the Adherence to Dietary Guidelines for Breast Cancer Survivors and Health-related Quality of Life among Korean Breast Cancer Survivors: Sihan Song, Jiyoung Youn, Myungsook Park, Eunkyung Hwang, Hyeong Gon Moon, Dong Young Noh, Jung Eun Lee; Korean J Community Nutr 2015;20(2):129-140. Published online April 30, 2015; DOI: https://doi.org/10.5720/kjcn.2015.20.2.129

Abstract PDF PubReader

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.

Citations

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Application and evaluation of mobile nutrition management service for breast cancer patients
Ji Hee Choi, Seon-Joo Park, Hee Kwon, Hae-Jeung Lee
Journal of Nutrition and Health.2020; 53(1): 83. CrossRef
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
Bo-Young Seo, Eun-Sil Her
Korean Journal of Community Nutrition.2020; 25(5): 406. CrossRef
Aspects of Health-Related Factors and Nutritional Care Needs by Survival Stage among Female Cancer Patients in South Korea
Yoonsun Lee, Hyunsoo Shin, Eunjoo Bae, Hyunjung Lim, Pei-Yi Chu
PLOS ONE.2016; 11(10): e0163281. CrossRef
Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors
Sihan Song, Hyun Jo Youn, So-Youn Jung, Eunsook Lee, Zisun Kim, Jihyoung Cho, Young Bum Yoo, Hyeong-Gon Moon, Dong-Young Noh, Jung Eun Lee
Korean Journal of Community Nutrition.2016; 21(6): 533. CrossRef

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[English]
The Factors Influencing Health-Related Quality of Life in the Elderly: Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012: Hye Sang Lee; Korean J Community Nutr 2014;19(5):479-489. Published online October 31, 2014; DOI: https://doi.org/10.5720/kjcn.2014.19.5.479

Abstract PDF PubReader

OBJECTIVES
This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea.
METHODS
This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used.
RESULTS
The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS.
CONCLUSIONS
This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.

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