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Open AccessArticle

Adherence to the American Cancer Society Guidelines for Cancer Survivors and Health-Related Quality of Life among Breast Cancer Survivors

1
Department of Food and Nutrition, Seoul National University, Seoul 08826, Korea
2
Research Institute and Hospital, National Cancer Center, Goyang 10408, Korea
3
Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon 14584, Korea
4
Department of Surgery, Chonbuk National University Medical School, Jeonju 54907, Korea
5
Department of Surgery, Keimyung University School of Medicine, Daegu 42601, Korea
6
Department of Surgery, Konkuk University Medical Center, Seoul 05030, Korea
7
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea
8
Research Institute of Human Ecology, Seoul National University, Seoul 08826, Korea
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(12), 2924; https://doi.org/10.3390/nu11122924
Received: 9 November 2019 / Revised: 22 November 2019 / Accepted: 23 November 2019 / Published: 3 December 2019
(This article belongs to the Special Issue Nutrition and Cancer: From Prevention to Survivorship)
The development and validation of guidelines for breast cancer survivors are of importance due to the increased survival rate for breast cancer. In this cross-sectional study, we aimed to examine the association between adherence to the American Cancer Society (ACS) guidelines for cancer survivors and health-related quality of life (HRQoL). A total of 618 breast cancer survivors aged 30 to 81 years who had been diagnosed with stage I to III primary breast cancer and had surgery at least a year before enrollment were included. The participants completed the 36 Item Short-Form Health Survey (SF-36) to evaluate HRQoL, and adherence scores were calculated based on the Nutrition and Physical Activity Guidelines for Cancer Survivors, which were released by the ACS. Increasing adherence scores were associated with increasing scores on the physical component summary (PCS) and the physical functioning (PF), bodily pain (BP), and vitality (VT) domains (p for trend <0.001 for PCS and PF, 0.01 for BP, and 0.02 for VT); these scores were mainly driven by the associations among survivors with stage II–III cancer. Further prospective studies are needed to evaluate whether adherence to these guidelines improves HRQoL scores among breast cancer survivors. View Full-Text
Keywords: breast cancer survivors; health-related quality of life (HRQoL); cancer survivor guidelines; physical activity breast cancer survivors; health-related quality of life (HRQoL); cancer survivor guidelines; physical activity
MDPI and ACS Style

Koh, D.; Song, S.; Moon, S.-E.; Jung, S.-Y.; Lee, E.S.; Kim, Z.; Youn, H.J.; Cho, J.; Yoo, Y.B.; Lee, S.K.; Lee, J.E.; Nam, S.J.; Lee, J.E. Adherence to the American Cancer Society Guidelines for Cancer Survivors and Health-Related Quality of Life among Breast Cancer Survivors. Nutrients 2019, 11, 2924.

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