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

doi:10.5720/kjcn.2020.25.5.406

Articles

Page Path: HOME > Korean J Community Nutr > Volume 25(5); 2020 > Article

Research Article
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):406-415.
DOI: https://doi.org/10.5720/kjcn.2020.25.5.406
Published online: October 31, 2020

Professor, Department of Food and Nutrition, Changshin University, Chanagwon, Korea

Corresponding author: Eun-Sil Her,
Email: heres@cs.ac.kr

Received: 8 September 2020 • Revised: 15 October 2020 • Accepted: 19 October 2020

87 Views
0 Download
2 Crossref
0 Scopus

prev next

Full Article

Download PDF

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)

Korean J Community Nutr. 2020 Oct;25(5):406-415. Korean.
Published online Oct 31, 2020.
https://doi.org/10.5720/kjcn.2020.25.5.406

Original Article

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

and Eun-Sil Her

Author information

Author notes

- Professor, Department of Food and Nutrition, Changshin University, Chanagwon, Korea.
Corresponding author: Eun-Sil Her. Department of Food and Nutrition, Changshin University, 262 Paryong-ro, Masan Hoiwongu, Changwon-si, Gyeongsangnamdo 51352, Korea. Tel: (055)250-1203, Fax: (055)250-1200, Email: heres@cs.ac.kr

Received September 08, 2020; Revised October 15, 2020; Accepted October 19, 2020.

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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)

Tables

Table 1
General characteristics of subjects

Download Table

Table 2
Anthropometric indices by Gynecologic cancer¹⁾

Download Table

Table 3
Dietary behavior by Gynecologic cancer

Download Table

Table 4
Nutrient intake by Gynecologic cancer¹⁾

Download Table

Table 5
DQI-I component scores by Gynecologic cancer¹⁾

Download Table

Table 6
Comparison of DQI-I by survival period of gynecological cancer¹⁾

Download Table

Acknowledgments

This work was supported by Changshin University Research Fund of 2019-63.

References

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.
1. 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.
1. Song SH, Youn HJ, Park M, Hwang E, Moon HG, Noh DY. 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.
  CrossRef
1. McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K. Self-management: enabling and empowering patients living with cancer as a chronic illness. CA: Cancer J Clin 2011;61(1):50–62.
  CrossRef
1. Foster C, Fenlon D. Recovery and self-management support following primary cancer treatment. Br J Cancer 2011;105(1):S21–S28.
  CrossRef
1. 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
  PubMed
  
  CrossRef
1. 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.
  PubMed
  
  CrossRef
1. Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 2002;13(1):3–9.
  PubMed
  
  CrossRef
1. Oh SY. Analysis of methods on dietary quality assessment. Korean J Community Nutr 2000;5(2):362–367.
1. Kim MS, Kim JY, Bae WK, Kim SH, Lee YS, Na WR. 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.
  CrossRef
1. Lee YJ, Koo HY, Cho IY, Jo MK, Kim KC, Eum YH. 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.
  CrossRef
1. 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.
  PubMed
  
  CrossRef
1. 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.
  CrossRef
1. 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.
  PubMed
  
  CrossRef
1. Son JH, Choe HS, Hwang JY, Song TJ, Chang Y, Kim YJ. 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.
  CrossRef
1. 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.
  CrossRef
1. Kim K, Kim MK, Kim J, Park K, Park S, Song YJ, et al. In: Nutritional epidemiology (translated version). 3rd ed. U.S. original written by Willett W. Paju: Kyomunsa; 2013. pp. 333.
1. Jung KW, Won YJ, Kong HJ, Oh CM, Cho H, Lee DH. Cancer statistics in Korea: incidence, mortality, survival and prevalence in 2012. Cancer Res Treat 2015;47(2):127–141.
  PubMed
  
  CrossRef
1. 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.
  PubMed
  
  CrossRef
1. Fernandes WC, Kimura M. Health related quality of life of women with cervical cancer. Rev Lat Am Enferm 2010;18(3):360–367.
  CrossRef
1. Doyle C, Kushi LH, Byers T, Courneya KS, Demark-Wahnefried W, Grant B. 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.
  PubMed
  
  CrossRef
1. McCorkle R, Ercolano E, Lazenby M, Schulman-Green D, Schilling LS, Lorig K. Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: Cancer J Clin 2011;61(1):50–62.
  CrossRef
1. Seo JS, Park HA, Kang JH, Kim KW, Cho YG, Hur YI. Obesity and obesity-related lifestyles of Korean breast cancer survivors. Korean J Health Promot 2014;14(3):93–102.
  CrossRef
1. Tworoger SS, Huang T. Obesity and ovarian cancer. Recent Results Cancer Res 2016;208:155–176.
  PubMed
  
  CrossRef
1. 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.
1. 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.
  PubMed
  
  CrossRef
1. Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F. ESPEN guidelines on nutrition in cancer patients. Clin Nutr 2017;36(1):11–48.
  PubMed
  
  CrossRef
1. 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.
  CrossRef
1. Fortner RT, Katzke V, Kühn T, Kaaks R. Obesity and breast cancer. Recent Results Cancer Res 2016;208:43–65.
  PubMed
  
  CrossRef
1. 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.
  PubMed
  
  CrossRef

Figure & Data

References

Citations

Citations to this article as recorded by

Mediating Effect of Vitamin Intake on the Relationship Between Depression and Health-related Quality of Life in Cancer Survivors (Using the Korea National Health and Nutrition Examination Survey in 2020)
Min Ho Yun, Jong Eun Oh
Information.2024; 27(2): 131. CrossRef
Comparison of blood biochemical characteristics and dietary intake by sex in gastric cancer patients over 40 years in Korea based on 7th (2016-2018) Korea National Health and Nutrition Examination Survey: a cross-sectional study
Hyeon-Ju Lee, Sung-Won Oh, Sook-Bae Kim
Korean Journal of Community Nutrition.2023; 28(1): 48. CrossRef

Cite

Related articles