Aspects of Health-Related Factors and Nutritional Care Needs by Survival Stage among Female Cancer Patients in South Korea.
OBJECTIVE
This study examined diet-related problems and needs associated with nutritional care according to survival stage in Korean female cancer survivors.


METHODS
186 outpatients (breast or gynecologic cancer survivors) recruited. Subjects were classified as (1) extended stage (ES, 2-5 years from diagnosis) and (2) long-term stage (LS, ≥5 years from diagnosis). Eating habits, changes in health related factors, nutritional needs, and quality of life were investigated.


RESULTS
43% of ES survivors had diet-related problems (p = .031); ES group reported dyspepsia and LS group reported anorexia/nausea as the major problem. Half of ES survivors had taste change, decreasing amount of intake, and reduced quality of life (p < .05). The LS group had a greater preference for sweet tastes than the ES group. According to their diagnosis, ES survivors with breast cancer gained weight (27.1%), whereas ES survivors with gynecologic cancer lost their body weight (34.5%) significantly. LS breast cancer patients showed great food preference for vegetables, whereas those with gynecologic cancer showed an increased preference for fish, meat and grain. Approximately 90% of survivors demanded nutritional care regarding restricted foods, preventing recurrence, particularly in ES survivors (p < .01). Moreover, main factors for nutritional care needs were body weight control for breast cancer and food environment for gynecologic cancer.


CONCLUSIONS
Survivors have different aspects of diet-related problems by survival stage as dyspepsia in ES and anorexia in LS. ES stage had changes in dietary patterns and their food consumption have decreased. Most of survivors have demanded nutritional care regardless of survival stage. These features of each stage should be considered to improve their health.
Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yong-In, Gyenggi-do, 17104, Republic of Korea.|Research Institute of Medical Nutrition, Kyung Hee University, Seoul, 02447, Republic of Korea.
Yoonsun
Y
Lee
Department of Radiation Oncology, CHA Bundang Medical Center, CHA University, Bundang, Gyenggi-do, 13496, Republic of Korea.
Hyunsoo
H
Shin
Department of Food and Nutrition Service, CHA Bundang Medical Center, CHA University, Bundang, Gyenggi-do, 13496, Republic of Korea.
Eunjoo
E
Bae
Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University, Yong-In, Gyenggi-do, 17104, Republic of Korea.|Research Institute of Medical Nutrition, Kyung Hee University, Seoul, 02447, Republic of Korea.
Hyunjung
H
Lim
D000328:Adult; D001835:Body Weight; D001943:Breast Neoplasms / Q000178:diet therapy* / Q000453:epidemiology / Q000503:physiopathology; D004032:Diet / Q000009:adverse effects; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D005833:Genital Neoplasms, Female / Q000178:diet therapy* / Q000453:epidemiology / Q000503:physiopathology; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology / Q000503:physiopathology; D018529:Nutritional Support; D011788:Quality of Life; D056910:Republic of Korea; D016019:Survival Analysis; D017741:Survivors
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