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

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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

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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

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Table 2
Anthropometric indices by Gynecologic cancer¹⁾

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Table 3
Dietary behavior by Gynecologic cancer

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Table 4
Nutrient intake by Gynecologic cancer¹⁾

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Table 5
DQI-I component scores by Gynecologic cancer¹⁾

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

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Acknowledgments

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

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Citations

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