Yaw Yong Heng, Shariff Zalilah Mohd, Kandiah Mirnalini, Weay Yong Heng, Saibul Nurfaizah, Sariman Sarina, Hashim Zailina
Department of Food Science and Nutrition, Faculty of Applied Sciences, UCSI University, Cheras, Malaysia E-mail :
Asian Pac J Cancer Prev. 2014;15(1):39-44. doi: 10.7314/apjcp.2014.15.1.39.
This study aimed to provide an overview of lifestyle changes after breast cancer diagnosis and to examine the relationship between dietary and physical activity changes with weight changes in breast cancer patients. Women with breast carcinomas (n=368) were recruited from eight hospitals and four breast cancer support groups in peninsular Malaysia. Dietary and physical activity changes were measured from a year preceding breast cancer diagnosis to study entry. Mean duration since diagnosis was 4.86±3.46 years. Dietary changes showed that majority of the respondents had decreased their intake of high fat foods (18.8-65.5%), added fat foods (28.3-48.9%), low fat foods (46.8-80.7%), red meat (39.7%), pork and poultry (20.1-39.7%) and high sugar foods (42.1-60.9%) but increased their intake of fish (42.7%), fruits and vegetables (62.8%) and whole grains (28.5%). Intake of other food groups remained unchanged. Only a small percentage of the women (22.6%) had increased their physical activity since diagnosis where most of them (16.0%) had increased recreational activities. Age at diagnosis (β= -0.20, p= 0.001), and change in whole grain (β= -0.15, p= 0.003) and fish intakes (β= 0.13, p= 0.013) were associated with weight changes after breast cancer diagnosis. In summary, the majority of the women with breast cancer had changed their diets to a healthier one. However, many did not increase their physical activity levels which could improve their health and lower risk of breast cancer recurrence.
本研究旨在概述乳腺癌确诊后的生活方式变化，并探讨乳腺癌患者饮食和身体活动变化与体重变化之间的关系。从马来西亚半岛的八家医院和四个乳腺癌支持小组招募了患有乳腺癌的女性（n = 368）。测量从乳腺癌确诊前一年到研究入组期间的饮食和身体活动变化。确诊后的平均时长为4.86±3.46年。饮食变化表明，大多数受访者减少了高脂肪食物（18.8 - 65.5%）、添加脂肪食物（28.3 - 48.9%）、低脂肪食物（46.8 - 80.7%）、红肉（39.7%）、猪肉和家禽（20.1 - 39.7%）以及高糖食物（42.1 - 60.9%）的摄入量，但增加了鱼类（42.7%）、水果和蔬菜（62.8%）以及全谷物（28.5%）的摄入量。其他食物组的摄入量保持不变。自确诊以来，只有一小部分女性（22.6%）增加了身体活动，其中大多数（16.0%）增加了娱乐活动。确诊年龄（β = -0.20，p = 0.001）、全谷物摄入量变化（β = -0.15，p = 0.003）和鱼类摄入量变化（β = 0.13，p = 0.013）与乳腺癌确诊后的体重变化相关。总之，大多数乳腺癌女性已将饮食改为更健康的饮食。然而，许多人并未提高身体活动水平，而这可以改善她们的健康状况并降低乳腺癌复发风险。
