Summary
Purpose
To determine whether there is a direct relationship between diet quality and quality of life in breast cancer survivors.
Methods
Subjects (n = 714) were members of the Health, Eating, Activity, and Lifestyle study, a study of breast cancer prognosis conducted in three areas of the western United States. Approximately 2 years after entry to this study, diet data were collecting using food frequency questionnaires. These data were used to classify diet quality using the Diet Quality Index. Approximately 10 months later, data on quality of life were gathered using the Medical Outcomes Study 36-Item short form health survey.
Results
After controlling for age, education, race/ethnicity, body mass index, stage of disease, and time from diagnosis to quality of life measurement, women with excellent diet quality had significantly better scores than women with poor diet quality for overall mental health functioning and for 3 of 4 mental health subscale scores and 2 of 4 physical health subscale scores.
Conclusion
Post-diagnosis diet quality is directly associated with subsequent mental and physical functioning in breast cancer survivors. This association is stronger for mental functioning than for physical functioning. The association remains strong after control for potential confounding variables.
Similar content being viewed by others
References
Lu N, Samuels ME, Huang KC, 2002 Dietary behavior in relation to socioeconomic characteristics and self-perceived health status J Health Care Poor Underserved 13:241–257
Osler M, Heitmann BL, Hoidrup S, Jorgensen LM, Schroll M, 2001 Food intake patterns, self rated health and mortality in Danish men and women. A prospective observational study.Epidemiol Community Health 55: 399–403
Manderbacka K, Lundberg O, Martikainen P, 1999. Do risk factors and health behaviours contribute to self-ratings of health? Soc Sci Med 48: 1713–1720
Plaisted CS, Lin PH, Ard JD, McClure ML, Svetkey LP, 1999. The effects of dietary patterns on quality of life: a substudy of the dietary approaches to stop hypertension trial J Am Diet Assoc 99: S84–S89
Corle DK, Sharbaugh C, Mateski DJ, Coyne T, Paskett ED, Cahill J, Daston C, Lanza E, Schatzkin A, 2001. Self-rated quality of life measures: effect of change to a low-fat, high-fiber, fruit and vegetable enriched diet Ann Behav Med 23: 198–207
Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME, 2005. Dietary counseling improves patient outcomes: a prospective, randomized, controlled trial in colorectal cancer patients undergoing radiotherapy J Clin Oncol 23: 1431–1438
Haveman-Nies A, De Groot LC, Van Staveren WA, 2003. Relation of dietary quality, physical activity, and smoking habits to 10-year changes in health status in older Europeans in the SENECA study Am J Public Health 93:318–323
Tangney CC, Young JA, Murtaugh MA, Cobleigh MA, Oleske DM, 2002. Self-reported dietary habits, overall dietary quality and symptomatology of breast cancer survivors: a cross-sectional examination Breast Cancer Res Treat 71:113–123
Broeckel JA, Jacobsen PB, Balducci L, Horton J, Lyman GH, 2000. Quality of life after adjuvant chemotherapy for breast cancer Breast Cancer Res Treat 62: 141–150
Ganz PA, Rowland JH, Desmond KA, Meyerowitz BE, 1998. Wyatt GE, Life after breast cancer: understanding women’s health-related quality of life and sexual functioning J Clin Oncol 16:501–514
Ganz PA, Desmond KA, Leedham B, Rowland JH, Meyerowitz BE, Belin TR, 2002. Quality of life in long-term, disease-free survivors of breast cancer: a follow-up study J Natl Cancer Inst 94:39–49
Vacek PM, Winstead-Fry P, Secker-Walker RH, Hooper GJ, Plante DA, 2003. Factors influencing quality of life in breast cancer survivors Qual Life Res 12:527–537
Michael YL, Berkman LF, Colditz GA, Holmes MD, Kawachi I, 2002. Social networks and health-related quality of life in breast cancer survivors: a prospective study J Psychom Res 52:285–293
Irwin ML, Crumley D, McTiernan A, Bernstein L, Baumgartner R, Gilliland FD, Kriska A, Ballard-Barbash R, 2003. Physical activity levels before and after a diagnosis of breast carcinoma: the Health, Eating, Activity, and Lifestyle (HEAL) study Cancer 97(7):1746–1757
Patterson RE, Kristal AR, Tinker LF, Carter RA, Bolton MP, Agurs-Collins T, 1999 Measurement characteristics of the women’s health initiative food frequency questionnaire Ann Epidemiol 9:178–187
Patterson RE, Haines PS, Popkin BM, 1994. Diet quality index: capturing a multidimensional behavior J Am Diet Assoc 94:57–64
Neuhouser ML, Patterson RE, King IB, Horner NK, Lampe JW, 2003. Selected nutritional biomarkers predict diet quality Public Health Nutr 6:703–709
Neuhouser ML, Patterson RE, Kristal AR, Rock CL, Neumark-Sztainer D, Thornquist MD, Cheskin LJ, 2000. Do consumers of savory snacks have poor-quality diets? J Am Diet Assoc 100:576–579
Popkin BM, Siega-Riz A, Haines PS, 1996. A comparison of dietary trends among racial and socioeconomic groups in the United States N Engl J Med 335:716–720
Hays RD, Sherbourne CD, Mazel RM, 1993. The RAND 36-item health survey 1.0. Health Econ 2:217–227
Ware JE, Snow KK: SF-36 Health Survey: Manual, Interpretation Guide. Lincoln RI: QualityMetric Incorporated, 1993, 2000
McHorney CA, Ware JE, Raczek AE, 1993. The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs Med Care 31:247–263
Ware JE, Kosinski M, Dewey JE, 2000. How to Score Version 2 of the SF-36 Health Survey QualityMetric Incorporated, Lincoln RI
Kant AK, Schatzkin A, Graubard BI, Schairer C, 2000. A prospective study of diet quality and mortality in women JAMA 283:2109–2115
Haveman-Nies A, De Groot LC, Burema J, Cruz JA, Osler M, Van Staveren WA, 2002. Dietary quality and lifestyle factors in relation to 10-year mortality in older Europeans: the SENECA study Am J Epidemiol 156:962–968
Michels KB, Wolk A, 2002. A prospective study of variety of healthy foods and mortality in women Int J Epidemiol 31:847–854
McGrath-Hanna NK, Greene DM, Tavernier RJ, 2003. Bult-Ito A, Diet and mental health in the Arctic: is diet an important risk factor for mental health in circumpolar peoples? – A review Int J Circumpolar Health 62:228–241
Cohen JH, Kristal AR, Neumark-Sztainer D, Rock CL, Neuhouser ML, 2002. Psychological distress is associated with unhealthful dietary practices J Am Diet Assoc 102:699–703
Cartwright M, Wardle J, Steggles N, Simon AE, Croker H, Jarvis MJ, 2003. Stress and dietary practices in adolescents Health Psychol 22:362–369
Cargill BR, Clark MM, Pera V, Niaura RS, Abrams DB, 1999. Binge eating, body image, depression, and self-efficacy in an obese clinical population Obes Res 7:379–386
Eisemann M, Lalos A, 1999. Psychosocial determinants of well-being in gynecologic cancer patients Cancer Nurs 22:303–306
Wayne SJ, Lopez ST, Butler LM, Baumgartner KB, Baumgartner RN, Ballard-Barbash R, 2004. Changes in dietary intake after diagnosis of breast cancer J Am Diet Assoc 104:1561–1568
Carmody TP, Brischetto CS, Matarazzo JD, O’Donnell RP, Conner WE, 1985. Co-occurrent use of cigarettes, alcohol, and coffee in healthy, community-living men and women Health Psychol 4:323–335
Patterson RE, Haines PS, Popkin BM, 1994. Health lifestyle patterns of US adults Prev Med 23:453–460
Johnson MF, Nichols JF, Sallis JF, Calfas KJ, Hovell MF, 1998. Interrelationships between physical activity and other health behaviors among university women and men Prev Med 27:536–544
Lanza E, Schatzkin A, Daston C, Corle D, Freedman L, Ballard-Barbash R, Caan B, Lance P, Marshall J, Iber F, Shike M, Weissfeld J, Slattery M, Paskett ED, Mateski D, Albert P, 2001. Implementation of a 4-y, high-fiber, high-fruit-and-vegetable, low-fat dietary intervention: results of dietary changes in the polyp prevention trial Am J Clin Nutr 74:387–401
Acknowledgements
This research was supported by National Institutes of Health contract N01-CN-75036–20.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wayne, S., Baumgartner, K., Baumgartner, R. et al. Diet quality is directly associated with quality of life in breast cancer survivors. Breast Cancer Res Treat 96, 227–232 (2006). https://doi.org/10.1007/s10549-005-9018-6
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10549-005-9018-6