Ku In Hoe, Ko Sangjin
Department of Nursing, Ulsan University Hospital, Ulsan, Republic of Korea.
Department of Nursing, University of Ulsan, Ulsan, Republic of Korea.
BMC Cancer. 2025 May 13;25(1):865. doi: 10.1186/s12885-025-13871-0.
Lifestyle habits and genetic factors of cancer survivors can lead to recurrence or development of new cancers. Obesity in cancer survivors increases the risk of cancer recurrence and affects mortality. This study aimed to analyze the relationship between health-related characteristics and related factors in cancer survivors by classifying obesity according to body mass index.
This study is a secondary data analysis research study using 5-year data, including 3-year (2016-2018) and 2-year data (2019-2020) from the 7th and 8th Korea National Health and Nutrition Examination Survey, respectively. This study targeted 4,553,669 cancer survivors who had completed past or early cancer management, did not have active cancer, or were receiving treatment for advanced cancer but were not in the terminal stage. Data were analyzed with complex sample descriptive statistics, cross-tabulation analysis and chi-square test and t-test. Lastly, complex sample multivariable linear regression analysis using IBM SPSS software.
Demographic factors such as gender (t = -4.07, p <.001), marital status (t = 4.20, p <.001), and economic activity (t = -3.27, p =.002); health factors such as hypertension (t = 9.07, p <.001) and hemoglobin level (t = 5.29, p <.001); and nutrition-related characteristics such as frequency of breakfast (t = -6.49, p <.001), sodium intake (t = 2.41, p =.17), vitamin D intake (t = 3.02, p =.003), and vitamin C intake (t = -3.43, p =.001) were significant factors influencing cancer survivors' BMI.
The results of this study are significant as they confirm the relationship between health-related characteristics and BMI in cancer survivors. The study comprehensively identified and presented various factors related to BMI in the lives of cancer survivors. To control BMI in cancer survivors, it is necessary to assess risk factors and change health behaviors and eating habits. Based on these results, developing and applying health intervention programs to prevent BMI increases and managing obesity in cancer survivors is essential. Promoting health strategies and studying the relationship with BMI in the future will contribute to increasing the healthy survival rate of cancer survivors.
癌症幸存者的生活方式习惯和遗传因素可导致癌症复发或新发癌症。癌症幸存者肥胖会增加癌症复发风险并影响死亡率。本研究旨在通过根据体重指数对肥胖进行分类，分析癌症幸存者健康相关特征与相关因素之间的关系。
本研究是一项二次数据分析研究，使用了5年的数据，分别包括来自韩国第七次和第八次全国健康与营养检查调查的3年数据（2016 - 2018年）和2年数据（2019 - 2020年）。本研究的对象是4553669名已完成既往或早期癌症治疗、没有活动性癌症、或正在接受晚期癌症治疗但未处于终末期的癌症幸存者。数据采用复杂样本描述性统计、交叉表分析、卡方检验和t检验进行分析。最后，使用IBM SPSS软件进行复杂样本多变量线性回归分析。
性别（t = -4.07，p <.001）、婚姻状况（t = 4.20，p <.001）和经济活动（t = -3.27，p =.002）等人口统计学因素；高血压（t = 9.07，p <.001）和血红蛋白水平（t = 5.29，p <.001）等健康因素；以及早餐频率（t = -6.49，p <.001）、钠摄入量（t = 2.41，p =.17）、维生素D摄入量（t = 3.02，p =.003）和维生素C摄入量（t = -3.43，p =.001）等营养相关特征是影响癌症幸存者体重指数的重要因素。
本研究结果具有重要意义，因为它们证实了癌症幸存者健康相关特征与体重指数之间的关系。该研究全面识别并呈现了癌症幸存者生活中与体重指数相关的各种因素。为了控制癌症幸存者的体重指数，有必要评估风险因素并改变健康行为和饮食习惯。基于这些结果，制定并应用健康干预计划以预防癌症幸存者体重指数增加和管理肥胖至关重要。未来推广健康策略并研究其与体重指数的关系将有助于提高癌症幸存者的健康生存率。
