Physical exercise, vegetable and fruit intake and health-related quality of life in Chinese breast cancer survivors: a cross-sectional study

Gong, Xun; Wang, Jiwei; Jiang, Li; Chen, Xuefen; Sun, Li; Yuan, Zhenyu; Yu, Jinming

doi:10.1007/s11136-017-1496-6

Cited by 26 publications

(33 citation statements)

References 29 publications

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“…The present study indicated that people with low levels of consumption of vegetables and fruits were more likely to develop prediabetes 26 . Additionally, the consumption of abundant vegetables and fruits could improve the survival of individuals with cancer 27 . Dairy, fish and eggs are good sources of high-quality protein, minerals, vitamins and fats.…”

Section: Discussionmentioning

confidence: 99%

Association between Dietary Quality and Prediabetes based on the Diet Balance Index

Qiao

Xiong

et al. 2020

Sci Rep

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Dietary quality is an important factor influencing prediabetes, but few studies have applied the Chinese Diet Balance Index (DBI-16) to evaluate the dietary quality of individuals with prediabetes and explore the associations between dietary quality and prediabetes. In our study, the lower-bound score, higherbound score and diet quality distance, were respectively calculated to assess dietary quality based on each food group. Logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (95%CI) of unfavorable dietary quality leading to prediabetes in every subgroup. The results were shown that individuals with prediabetes had excessive intake in the categories of cereals, salt and inadequate intake in vegetables, fish and diet variety than participants without prediabetes (all p < 0.01). Unfavourable dietary quality was significantly associated with an increased risk of prediabetes (OR: 1.45, 95%CI: 1.29-1.63), especially among the subjects who lived in rural areas (OR: 1.63, 95%CI: 1.25-1.76), those who had abdominal obesity (OR: 1.58, 95%CI: 1.36-1.85), those who smoked (OR: 1.58, 95%CI: 1.30-1.93), those who consumed alcohol (OR: 1.57, 95%CI: 1.28-1.93) and those who did not drink tea (OR: 1.64, 95%CI: 1.42-1.88). In Conclusion, unfavourable dietary quality was significantly associated with an increased risk of prediabetes.Prediabetes and diabetes have become a serious global problem in recent decades, along with the development of the social economy and changes in people's lifestyles. Prediabetes is characterised by glucose levels that do not meet the criteria for diabetes but that are too high to be considered normal 1 . The International Diabetes Federation (IDF) reported that there were approximately 350 million people with prediabetes worldwide and 48.6 million people with prediabetes in China 2 . People with prediabetes have a high risk of developing diabetes, and 70~90% of individuals with prediabetes will eventually develop diabetes 3 .Dietary quality is an important factor influencing prediabetes and diabetes. Healthier dietary intake can reduce the risk of the progression from prediabetes to diabetes by 40~70% 3 . Among people with prediabetes who changed their dietary model, 40.5% achieved normal glucose tolerance, and their fasting plasma glucose level, body mass index (BMI), glycated haemoglobin (HbA1C) level and blood pressure decreased significantly as well 4 . Therefore, several dietary evaluation indexes have been developed around the world in recent years. In China, researchers mainly use the Diet Balance Index-16 (DBI-16) to assess human dietary quality, and the index was updated based on the latest Chinese Dietary Guidelines and the Chinese Balanced Diet Pagoda 5 . The DBI-16 can be used to evaluate the overall dietary quality mainly through three indicators: the lower-bound score (LBS), higher-bound score (HBS), and diet quality distance (DQD). The LBS represents insufficient intake, HBS represents excessive intake and DQD represents the overall imbalance of the...

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Section: Discussionmentioning

confidence: 99%

Association between Dietary Quality and Prediabetes based on the Diet Balance Index

Qiao

Xiong

et al. 2020

Sci Rep

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“…Beyond dietary habits, the ACS guidelines for cancer survivors also recommend to achieve and maintain a healthy weight and to engage in regular physical activity. Accordingly, several lines of evidence from observational studies underlined the role of weight management and exercise to improve health status and QoL of breast cancer survivors [24][25][26][27][28]. Moreover, it has been demonstrated that a multidisciplinary rehabilitation program, based on occupational and physical counseling, supported a return to work by reducing fatigue and increasing working ability and QoL [29].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Diet and Dietary Interventions on the Quality of Life among Breast Cancer Survivors: A Cross-Sectional Analysis and a Systematic Review of Experimental Studies

Barchitta

Maugeri

Lio

et al. 2020

Cancers

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There is an ongoing need for solid evidence about the effects of healthy behaviors, and particularly diet, on the quality of life (QoL) among breast cancer survivors. We first conducted a cross-sectional study on 68 Italian stage I-III breast cancer survivors, to investigate the association of adherence to the Mediterranean diet (MD), physical activity and weight status with QoL. Adherence to MD and physical activity was assessed using structured questionnaires. QoL was assessed using the European Organization for the Research and Treatment of Cancer Quality-of-Life tools. We showed that low consumption of red meat and carbonated beverages, daily consumption of wine and high consumption of dishes seasoned with sofrito had beneficial effects on several QoL subscales. By contrast, using olive oil as the main culinary fat, low consumption of commercial sweets and high consumption of nuts were associated with negative effects. Overall, these findings resulted in a null effect of adherence to MD on QoL. Furthermore, we observed better QoL sub-scores among women who performed moderate physical activity (i.e., diarrhea) and those who were underweight/normal weight (i.e., physical functioning and dyspnea) if compared with their counterparts (p-values ≤ 0.003 after correction for multiple comparison). Next, we performed a systematic review of nine experimental studies to summarize whether dietary interventions might improve QoL among breast cancer patients. All the studies demonstrated significant improvements in overall QoL and/or its subscales after the interventions. However, differences in study design, interventions and tools used for QoL assessment did not allow us to provide an overall estimate. Moreover, only a single-arm trial evaluated the effect of an exclusive dietary-based intervention, while others combined dietary recommendations with physical activity and weight loss programs. For these reasons, our study encourages more efforts to improve the robustness of current evidence, through more homogenous tools, larger population-based studies and further randomized controlled trials.

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“…Most of the previous studies examining the HRQoL of women with breast cancer have been conducted in women at least four months after a breast cancer diagnosis (9,10,12). By this time, women have begun their initial treatment process, and have had some time to adjust to their condition.…”

Section: Discussionmentioning

confidence: 99%

“…At present, many researchers are committed to exploring the in uencing factors affecting the HRQoL of breast cancer patients, and hope to improve the overall health of breast cancer patients by changing these factors. Psychosocial factors, sociodemographic variables, and medical variables have been identi ed as predictors of HRQoL in cancer patients (7,9), but current research on the impact of various lifestyle habits factors on the HRQoL of breast cancer patients is still controversial (12,13). Mosher and Danoff-Burg reviewed studies on age differences in psychological adjustment to breast cancer and suggested age may be best viewed as a risk factor for distress with other variables operating to produce this demographic difference (14).…”

Section: Introductionmentioning

confidence: 99%

“…However, the differences in relationship of lifestyle habits to HRQoL between younger and older women in China has not been studied. More importantly, most studies on QOL after breast cancer have been performed in women at least 4 months to upwards of 5-10 years after cancer diagnosis, and sometimes after the completion of treatment (9,10,12). Few studies have assessed the HRQoL of women initially diagnosed with breast cancer in the rst few weeks (16).…”

Section: Introductionmentioning

confidence: 99%

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Relationship of Lifestyle Habits to Health-Related Quality of Life of Recently Diagnosed Breast Cancer Between Younger and Older Women in China

Zheng

Cui

Jia

et al. 2020

Preprint

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Background: Breast cancer is the most common cancer among women in China. Hence, how best to live with and improve the health-related quality of life (HRQoL) of this growing population of women is thus becoming of great public health importance. The aim of the study was to evaluate the relationship of lifestyle habits to HRQoL among younger and older women who were initially diagnosed with breast cancer within the first two weeks, determine the contribution of lifestyle habits factors on HRQoL.Methods: A multi-center, hospital-based, case control study was conducted among breast cancer women from 22 hospitals in 11 provinces or municipalities in northern and eastern China from April 2012 to April 2013. The Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) simplified Chinese version 4 was used to measure HRQoL. Chi-square test, ANOVA and Multivariable generalized linear models were conducted to verify differences in HRQoL between two groups and to evaluate the contribution of lifestyle habits factors ( including smoking, passive smoking, alcohol intake, Tea, Coffee, Sleep satisfaction, Current life satisfaction, Physical activity, BMI) on HRQoL of breast cancer patients.Results: 1199 eligible breast cancer patients were used for analysis. Younger women (age < 50 years) appeared to show lower scores than older women (age ≥ 50 years) in HRQoL subscales including emotional well being (p = 0.003), functional well being (p = 0.006), breast cancer subscale (p = 0.038), and FACT-B Total scores (p = 0.028). Tea and alcohol consumption, very satisfied with sleep and current life were the strongest predictors of higher HRQoL in younger group. Meanwhile, no coffee consumption, frequent participation in physical activities, high sleep satisfaction and current life satisfaction were the key predictors of higher HRQoL in older breast cancer women.Conclusion: The relationship of the nine lifestyle habit items to HRQoL were different between younger and older women. Associated variable of low HRQoL can help clinicians take intervention early in order to improve the prognosis of breast cancer patients.

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Physical exercise, vegetable and fruit intake and health-related quality of life in Chinese breast cancer survivors: a cross-sectional study

Cited by 26 publications

References 29 publications

Association between Dietary Quality and Prediabetes based on the Diet Balance Index

Association between Dietary Quality and Prediabetes based on the Diet Balance Index

The Effects of Diet and Dietary Interventions on the Quality of Life among Breast Cancer Survivors: A Cross-Sectional Analysis and a Systematic Review of Experimental Studies

Relationship of Lifestyle Habits to Health-Related Quality of Life of Recently Diagnosed Breast Cancer Between Younger and Older Women in China

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