Frontiers in Public Health (Dec 2021)
Relationship Between Lifestyle Habits and Health-Related Quality of Life of Recently Diagnosed Breast Cancer Patients: A Comparison Between Younger and Older Women in China
- Chao Zheng,
- Chao Zheng,
- Li-Xiang Yu,
- Li-Xiang Yu,
- Hong-Ying Jia,
- Shu-De Cui,
- Fu-Guo Tian,
- Zhi-Min Fan,
- Cui-Zhi Geng,
- Xu-Chen Cao,
- Zhen-Lin Yang,
- Xiang Wang,
- Hong Liang,
- Shu Wang,
- Hong-Chuan Jiang,
- Xue-Ning Duan,
- Hai-Bo Wang,
- Guo-Lou Li,
- Qi-Tang Wang,
- Jian-Guo Zhang,
- Feng Jin,
- Jin-Hai Tang,
- Liang Li,
- Shi-Guang Zhu,
- Wen-Shu Zuo,
- Fei Wang,
- Fei Wang,
- Fei Zhou,
- Fei Zhou,
- Yu-Juan Xiang,
- Yu-Juan Xiang,
- Ming-Ming Guo,
- Ming-Ming Guo,
- Yong-Jiu Wang,
- Yong-Jiu Wang,
- Shu-Ya Huang,
- Shu-Ya Huang,
- Li-Yuan Liu,
- Li-Yuan Liu,
- Zhi-Gang Yu,
- Zhi-Gang Yu
Affiliations
- Chao Zheng
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Chao Zheng
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Li-Xiang Yu
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Li-Xiang Yu
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Hong-Ying Jia
- Center of Evidence-Based Medicine, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Shu-De Cui
- Department of Breast Surgery, Affiliated Tumor Hospital of Zhengzhou University, Zhengzhou, China
- Fu-Guo Tian
- Department of Breast Surgery, Shanxi Cancer Hospital, Taiyuan, China
- Zhi-Min Fan
- Department of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, China
- Cui-Zhi Geng
- Breast Center, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
- Xu-Chen Cao
- Department of Breast Surgery, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China
- Zhen-Lin Yang
- Department of Thyroid and Breast Surgery, The First Affiliated Hospital of Binzhou Medical University, Binzhou, China
- Xiang Wang
- 0Department of Breast Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, China
- Hong Liang
- 1Department of General Surgery, Linyi People's Hospital, Linyi, China
- Shu Wang
- 2Breast Disease Center, Peking University People's Hospital, Beijing, China
- Hong-Chuan Jiang
- 3Department of General Surgery, Beijing Chaoyang Hospital, Beijing, China
- Xue-Ning Duan
- 4Breast Disease Center, Peking University First Hospital, Beijing, China
- Hai-Bo Wang
- 5Breast Center, Qingdao University Affiliated Hospital, Qingdao, China
- Guo-Lou Li
- 6Department of Breast and Thyroid Surgery, Weifang Traditional Chinese Hospital, Weifang, China
- Qi-Tang Wang
- 7Department of Breast Surgery, The Second Affiliated Hospital of Qingdao Medical College, Qingdao Central Hospital, Qingdao, China
- Jian-Guo Zhang
- 8Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China
- Feng Jin
- 9Department of Breast Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China
- Jin-Hai Tang
- 0Department of General Surgery, Nanjing Medical University Affiliated Cancer Hospital, Cancer Institute of Jiangsu Province, Nanjing, China
- Liang Li
- 1Department of Breast and Thyroid Surgery, Zibo Central Hospital, Zibo, China
- Shi-Guang Zhu
- 2Department of Breast Surgery, Yantai Yuhuangding Hospital, Yantai, China
- Wen-Shu Zuo
- 3Breast Cancer Center, Shandong Cancer Hospital, Jinan, China
- Fei Wang
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Fei Wang
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Fei Zhou
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Fei Zhou
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Yu-Juan Xiang
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Yu-Juan Xiang
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Ming-Ming Guo
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Ming-Ming Guo
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Yong-Jiu Wang
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Yong-Jiu Wang
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Shu-Ya Huang
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Shu-Ya Huang
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Li-Yuan Liu
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Li-Yuan Liu
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- Zhi-Gang Yu
- Department of Breast Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
- Zhi-Gang Yu
- Institute of Translational Medicine of Breast Disease Prevention and Treatment, Shandong University, Jinan, China
- DOI
- https://doi.org/10.3389/fpubh.2021.767151
- Journal volume & issue
-
Vol. 9
Abstract
Objective: The aim of this study was to evaluate the relationship between lifestyle habits and health-related quality of life (HRQoL) among different ages who were initially diagnosed with breast cancer (within the first 2 weeks) and to determine the contribution of lifestyle habits factors on HRQoL.Methods: Patients with breast cancer were recruited from 22 hospitals in 11 provinces or municipalities in northern and eastern China. The Functional Assessment of Cancer Therapy-Breast Cancer (FACT-B) was used to measure HRQoL. Chi-square test, ANOVA, and multivariable generalized linear models were conducted to identify the differences in HRQoL between two age groups (age <50 years and ≥50 years) and to evaluate the contribution of lifestyle habits factors on HRQoL of patients with breast cancer.Results: About 1,199 eligible patients with breast cancer were used for analysis. Younger women (aged <50 years) appeared to show lower scores than older women (aged ≥50 years) in HRQoL subscales, including emotional well-being (p = 0.003), functional well-being (p = 0.006), breast cancer subscale (p = 0.038), and FACT-B Total scores (p = 0.028). Tea and alcohol consumption and being very satisfied with sleep and current life were the strongest predictors of higher HRQoL in younger group. Meanwhile, no coffee consumption, frequent participation in physical activities, high sleep satisfaction, and current life satisfaction were the key predictors of higher HRQoL in older women with breast cancer.Conclusion: The relationship of the nine lifestyle habit items with HRQoL differed among younger and older women. The associated variable of low HRQoL can help clinicians take intervention early in order to improve the prognosis of patients with breast cancer.
Keywords
- quality of life
- breast cancer
- lifestyle habits
- age-related differences
- patient satisfaction
- prognosis
