Korean J Health Promot.  2014 Sep;14(3):93-102. 10.15384/kjhp.2014.14.3.93.

Obesity and Obesity-Related Lifestyles of Korean Breast Cancer Survivors

• Seo JS
• Park HA
• Kang JH
• Kim KW
• Cho YG
• Hur YI
• Park YR

• KMID: 2305041
• DOI: http://doi.org/10.15384/kjhp.2014.14.3.93

Abstract

BACKGROUND
Obesity not only does increase the incidence of breast cancer, but also affects the course of treatment, recurrence and mortality. This study aims to evaluate on the obesity status of Korean breast cancer survivors and their obesity-related lifestyles.
METHODS
The study included 125 Korean female breast cancer survivors aged over 19 year old enrolled in the 2009-11 Korean National Health and Nutrition Examination Survey. Women who answered 'yes' to the question 'have you ever been diagnosed breast cancer by a physician?' was defined as a breast cancer survivors. Height, weight, and waist circumference were measured and Body mass index (BMI) was calculated. Body fat percent was assessed by dual X-ray absorptiometry (DXA). Standardized surveys by trained interviewers were used to investigate survivors' obesity-related lifestyles such as physical activities, sleeping hours and nutrients intake.
RESULTS
48.4% of Korean breast cancer survivors were obese. 44.7% had abdominal obesity and 89.2% had body fat percent over 30. Their physical activity level was generally low; only 22.5% maintained health-enhancing level of physical activities. Fat intake (14.4 [0.8] %) was as low and carbohydrate intake (74.2 [1.2] %) was high. However, daily dietary fiber intake was low (10.5 [1.1] g). Factors that were found to be significantly related with obesity in Korean breast cancer survivors were low education level (P=0.042), smoking (P<0.001), having chronic diseases (P=0.002) and short sleeping hours (P<0.001).
CONCLUSIONS
It is mandatory for physician to evaluate obesity status of breast cancer survivors as soon as their diagnosis and give proper intervention to maintain healthy weight and healthy obesity related lifestyle.

Keyword

Obesity; Body mass index; Physical activity; Metabolic equivalent; Nutrient intake

MeSH Terms

Absorptiometry, Photon
Adipose Tissue
Body Mass Index
Breast Neoplasms*
Chronic Disease
Diagnosis
Dietary Fiber
Education
Female
Humans
Incidence
Life Style*
Metabolic Equivalent
Mortality
Motor Activity
Nutrition Surveys
Obesity*
Obesity, Abdominal
Recurrence
Smoke
Smoking
Survivors*
Waist Circumference
Smoke

Figure

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  Figure 1. Obesity status of 125 Korean breast cancer survivors

Reference

References

1. Statistics Korea [Internet]. Daejeon: Statistics Korea;2014. [Accessed Sep. 24, 2014].http://www.cancer.go.kr/mbs/can-cer/subview.jsp?id=cancer_040302000000.

2. The Korea Central Cancer Registry, National Cancer Center. Annual report of cancer statistics in Korea in 2011. Goyang-si:. Ministry of Health and Welfare;2013. [Accessed Sep 19, 2014].http://ncc.re.kr/manage/manage03_033_view.jsp?bbsnum=. 295&hSelSearch=&hTxtKeyword=&current_page=1&cd=null.

3. Protani M, Coory M, Martin JH. Effect of obesity on survival of women with breast cancer: systematic review and metaanalysis. Breast Cancer Res Treat. 2010; 123(3):627–35.

4. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012; 62(4):243–74.

5. Pierce JP, Natarajan L, Caan BJ, Parker BA, Greenberg ER, Flatt SW, et al. Influence of a diet very high in vegetables, fruit, and fiber and low in fat on prognosis following treatment for breast cancer: the women's healthy eating and living (WHEL) randomized trial. JAMA. 2007; 298(3):289–98.

6. Statistics Korea. National Health and Nutrition Survey 2009. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV). Reston: Ministry of Health and Welfare;2009. [Accessed Sep. 19, 2014].https://knhanes.cdc.go.kr/knhanes/index.do.

7. Deurenberg P, Deurenberg-Yap M, Guricci S. Asians are different from Caucasians and from each other in their body mass in-dex/body fat per cent relationship. Obes Rev. 2002; 3(3):141–6.

8. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. J Korean Acad Fam Med. 2007; 28(7):532–41.

9. Chlebowski RT, Aiello E, McTiernan A. Weight loss in breast cancer patient management. J Clin Oncol. 2002; 20(4):1128–43.

10. Courneya K, Karvinen K, Vallance JK. Exercise motivation and behavior change. Feuerstein M, editor. Handbook of Cancer Survivorship. New York: Springer Science-Business Media LLC;2006. p. 113–32.

11. Pinto BM, Ciccolo JT. Physical activity motivation and cancer survivorship. Recent Results Cancer Res. 2011; 186:367–87.

12. Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvão DA, Pinto BM, et al. American college of sports medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010; 42(7):1409–26.

13. Bae YJ. Evaluation of nutrient and food intake status, and dietary quality in Korean female adults according to obesity: based on 2007–2009 Korean National Health and Nutrition Examination Survey. Korean J Nutr. 2012; 45(2):140–9.

14. Kang JH, Kim KA, Han JS. Korean diet and obesity. J Korean Soc Study Obes. 2004; 13(1):34–41.

15. Mosher CE, Sloane R, Morey MC, Snyder DC, Cohen HJ, Miller PE, et al. Associations between lifestyle factors and quality of life among older longterm breast, prostate, and colorectal cancer survivors. Cancer. 2009; 115(17):4001–9.

16. Zhang Q, Wang Y. Trends in the association between obesity and socioeconomic status in U.S. adults: 1971 to 2000. Obes Res. 2004; 12(10):1622–32.

17. Lantz PM, House JS, Lepkowski JM, Williams DR, Mero RP, Chen J. Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of US adults. JAMA. 1998; 279(21):1703–8.

18. Lampert T. Smoking, physical inactivity, and obesity: associations with social status. Dtsch Arztebl Int. 2010; 107(1–2):1–7.

19. Na YM, Park HA, Kang JH, Cho YG, Kim KW, Hur YI, et al. Obesity, obesity related disease, and disability. Korean J Fam Med. 2011; 32(7):412–22.

20. Schwartz MW, Woods SC, Porte D, Seeley RJ, Baskin DG. Central nervous system control of food intake. Nature. 2000; 404(6778):661–71.

21. Flier JS, Maratos-Flier E. The stomach speaks-ghrelin and weight regulation. N Engl J Med. 2002; 346(21):1662–3.

22. Park YR, Cho YG, Kang JH, Park HA, Kim KW, Hur YI, et al. Comparison of obesity and overweight prevalence among Korean adults according to community health survey and Korea national health and nutrition examination survey. Korean J Obes. 2014; 23(1):64–8.

23. Kim KN, Joo NS. Relationship between exercise, body fatness and metabolic syndrome. Korean J Obes. 2009; 18(4):138–45.