Department of Psychiatry, Psychotherapy and Psychosomatics, CL-Service, Medical University of Innsbruck, Innsbruck, Austria.
Department of Psychiatry, Psychotherapy and Psychosomatics, CL-Service, Medical University of Innsbruck, Innsbruck, Austria.
Clin Breast Cancer. 2018 Feb;18(1):38-44. doi: 10.1016/j.clbc.2017.09.008. Epub 2017 Sep 18.
Health behavior (HB) has been identified as contributing to breast cancer (BC) disease outcome. The present study was subjected to gain more in-depth insight into breast cancer survivors' (BCS) HB and its associations with patient quality of life (QOL) outcome. We investigated HB focusing on eating disturbances comparing the latter with a reference population sample (PS).
The research cohort included 303 BCS completing a comprehensive patient-reported-outcome assessment on HB (eating disturbances, exercise, substance use) and QOL. Data from an age- and education-matched reference PS (n = 303) on eating disturbances were included.
Overall, 30% of BCS were overweight; 11.7% of BCS (2-11 years after diagnosis, mean = 5.2 years) reported eating disturbances compared with 5% of PS (P < .05). Approximately three-fourths of BCS indicated they exercise regularly, one-fourth smoke regularly, and 30% consume alcohol. Lower consumption of analgesics and tranquilizers, higher frequency of exercise, lower eating concern (EDE-Q), younger age, and lower body mass index were significant predictors for better physical QOL. Lower eating and shape concern were next to age-identified predictive for better psychological QOL.
Obesity and eating disturbances are a considerable HB problem in women with a history of BC. Considering that HB is predictive for long-term QOL in BCS, routine counseling on HB should be integrated into survivorship care to increase patient education and contribute to behavioral changes.
健康行为（HB）已被确定为影响乳腺癌（BC）疾病结局的因素之一。本研究旨在更深入地了解乳腺癌幸存者（BCS）的健康行为及其与患者生活质量（QOL）结局的关系。我们调查了乳腺癌幸存者的健康行为，重点关注饮食障碍，并将其与参考人群样本（PS）进行了比较。
研究队列包括 303 名完成了全面的患者报告的健康行为（饮食障碍、运动、物质使用）和生活质量评估的乳腺癌幸存者。纳入了年龄和教育程度与 PS 相匹配的 PS 中关于饮食障碍的资料（n=303）。
总体而言，30%的 BCS 超重；11.7%的 BCS（诊断后 2-11 年，平均 5.2 年）报告有饮食障碍，而 PS 中为 5%（P<0.05）。大约四分之三的 BCS 表示他们经常锻炼，四分之一的人经常吸烟，30%的人饮酒。较少使用止痛药和镇静剂、更高的运动频率、较低的饮食关注（EDE-Q）、更年轻的年龄和较低的体重指数是物理生活质量更好的显著预测因素。较低的饮食和体型关注仅次于年龄，是心理生活质量的预测因素。
肥胖和饮食障碍是乳腺癌病史女性中相当大的健康行为问题。考虑到 HB 是 BCS 长期生活质量的预测因素，应将 HB 的常规咨询纳入生存护理中，以增加患者教育并促进行为改变。
