Nutritional Risk and Physical Activity on Quality of Life in Patients with Colorectal Cancer

Abstract

연구의 필요성대한대장항문학회는Purpose: This study aimed to investigate nutritional risk, physical activity, and quality of life (QoL) and the interaction of these factors in colorectal cancer patients. Methods: Participants were colorectal cancer patients receiving follow-up treatment at the colorectal cancer outpatient clinic of Severance Hospital in Seoul. Participants were recruited from October 25 to November 30, 2010. The survey questionnaire consisted of Nutritional Risk Score (NRS), International Physical Activity Questionnaire (IPAQ) and Functional Assessment of Cancer Therapy -scales for Colorectal Cancer (FACT-C). Results: NRSs were significantly higher in patients with low BMI (F = 18.63, p< .001) and those who were underwent colorectal surgery within 1 month (F = 5.96, p < .001). Physical activity level of the participants was 28.96METs. Lower nutritional risk was associated with a higher QoL (r = -.34, p < .001). In a multiple regression analysis, the predictors of QoL were the age, economic status, and nutritional risk of the patient (R 2 = 40.0%). Conclusions: Targeted tailored nursing interventions are needed to assess nutritional risks in order to improve colorectal cancer patients' QoL.

Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients

“…Path analysis also showed that there was a significant indirect effect of social support in the relationship between defecation function and QoL. This supports the findings of a previous study that colorectal cancer patients with more social support had better QoL at one year after surgery, when adjusted for age and gender, and that social support had a strong and positive direct effect on QoL [9]. In addition, this finding supports a nationwide study conducted in Korea showing that perceived social support played an important protective role in improving mental health and QoL in cancer patients [29].…”

“…Previous studies have found that anxiety/depression [8], younger age, lower economic status, and higher nutritional risk are factors affecting QoL in patients with surgically treated colorectal cancer [9]. In addition, social support from the family and from healthcare professionals was found to predict lower stress and greater QoL in colorectal cancer patients [10], whereas symptom distress, such as defecation problems, made patients more depressed, and lowered perceived social support, as well as=QoL [11].…”

The association of physical activity and colorectal and breast cancer: The Fifth Korea National Health and Nutrition Examination Survey (2008–2011)

“…However, in reality, physical activity is reduced during the cancer treatment period ( Meyerhardt et al, 2009 ), but physical function and quality of life are similar to those of non-cancer patients one year after cancer surgery ( Arndt et al, 2004 ). Cancer patients show a strong desire to change to a healthy lifestyle ( Kim et al, 2014 ). These results imply that lifestyle patterns both before and after cancer diagnosis are important.…”

“…Cancer patients have decreased physical strength and malnutrition during the treatment process. Patients diagnosed with cancer are more concerned with their quality of life, which can change after treatments ( Kim et al, 2014 ). In particular, physical activity can be a major factor that determines the health status of cancer survivors ( Fong et al, 2012 ).…”

Effects of Chewing Gum on Recovery of Bowel Motility after Laparoscopic Colorectal Surgery in South Korea

“…The incidence of colorectal cancer in Korea is expected to markedly increase due to Westernized lifestyle and diet, and this condition may be fatal if its treatment is delayed; however, the associated 5-year relative survival rate of colorectal cancer is higher as compared to other carcinomas if the tumor is removed by surgery, even in cases of advanced cancer [2]. The main treatments for cancer include surgical removal, radiation therapy and chemotherapy, which focus on the possibility of survival while reducing potential cancer recurrence and preventing metastasis to other organs [3,4].…”