Fink Brian N, Weiner Jeffrey G, Jordan Timothy R, Thompson Amy J, Salvage Timothy C, Coman Mina, Balls-Berry Joyce
Department of Public Health and Preventive Medicine, University of Toledo, Toledo, Ohio, USA.
Breast Cancer (Auckl). 2010 Nov 18;4:65-72. doi: 10.4137/BCBCR.S6265.
The favorable prognosis for early stage breast cancer survivors may be a reason for the minimal research regarding their quality of life. Prior research has observed more long-term weight gain among early stage survivors compared to cancer-free women of a similar age. It would be useful to study survivors' perceptions and reported behaviors regarding diet and exercise to see if there is a correlation with previous studies.
A sample of 700 breast cancer survivors from Ohio and Michigan was randomly selected from the Northwest Ohio affiliate of the Susan G. Komen For the Cure mailing list and sent a survey for completion.
389 survivors completed the survey and among Stage 1 (50/197 = 25.4%) and Stage 2 survivors (24/105 = 22.9%), a small proportion had a positive correlation between self-reported dietary behaviors and their perceived benefits of eating fruits and vegetables. Similar correlations were observed between their self-reported exercise behaviors and their perceived benefits of exercise (Stage 1: 36/197 = 18.3%, Stage 2: 18/105 = 17.1%).
Regardless of stage, a small proportion of survivors' self-reported dietary and exercise behaviors match their perceived benefits of diet and exercise. Factors such as access, motivation, and lack of co-morbidities among early stage survivors may prevent them from living healthier post-diagnosis. More thorough dietary and clinical measurements will provide greater certainty. Thus, innovative, sustainable programs must be accessible and provide motivation and social support from family, friends, and other survivors to truly improve quality of life.
早期乳腺癌幸存者预后良好,这可能是关于其生活质量的研究较少的一个原因。先前的研究发现,与年龄相仿的未患癌症女性相比,早期幸存者中出现更多长期体重增加的情况。研究幸存者对饮食和运动的看法及报告的行为,以查看是否与先前研究存在相关性,这将是很有意义的。
从俄亥俄州和密歇根州的700名乳腺癌幸存者样本中,随机从苏珊·科曼乳腺癌防治基金会俄亥俄州西北部分会的邮件列表中选取,并发送一份调查问卷以供完成。
389名幸存者完成了调查,在1期(50/197 = 25.4%)和2期幸存者(24/105 = 22.9%)中,一小部分人自我报告的饮食行为与其对食用水果和蔬菜的感知益处之间存在正相关。在他们自我报告的运动行为与其对运动的感知益处之间也观察到类似的相关性(1期:36/197 = 18.3%,2期:18/105 = 17.1%)。
无论处于哪个阶段,一小部分幸存者自我报告的饮食和运动行为与其对饮食和运动的感知益处相符。早期幸存者中的获取途径、动机以及无合并症等因素可能会阻碍他们在确诊后过上更健康的生活。更全面的饮食和临床测量将提供更大的确定性。因此,必须提供创新、可持续的项目,且这些项目要易于获得,并提供来自家人、朋友和其他幸存者的动机和社会支持,以真正改善生活质量。