RISS 검색 - 국내학술지논문 상세보기

다국어 초록 (Multilingual Abstract)

Background: Dietary patterns have a significant impact on prognosis, recurrence, and survival in patients with cancer. This study investigated dietary patterns using the Diet Quality Index-International (DQI-I) in cancer survivors compared to those in the general population without cancer.
Methods: Using the Korea National Health and Nutrition Examination Survey VI data, cancer survivors were defined as those diagnosed with cancer more than 1 year before the survey. The associations between possible predictors and the DQI-I score were examined using t-tests and analysis of variance. Adjusted multiple linear regression analysis was performed to compare the differences in DQI-I scores between cancer survivors and controls.
Results: In univariate analysis of 9,351 subjects (433 cancer survivors and 8,918 controls), age, sex, body mass index, marital status, education level, income, residential area, smoking status, and alcohol consumption were associated with the DQI-I score (each P-value <0.05). After adjustment, cancer survivors showed higher DQI-I scores than the controls (67.40±8.90 vs. 65.50±9.40, P-value=0.007). In subgroup analysis, cancer survivors within 5 years after cancer diagnosis showed higher DQI-I scores than the controls (68.70±8.30 vs. 65.50±9.40, P-value=0.034), whereas those who survived beyond 5 years post-diagnosis did not show significant differences from the controls (66.70±9.20 vs. 65.50±9.40, P-value=0.063).
Conclusion: Cancer survivors within 5 years of cancer diagnosis showed better dietary patterns than those in the general population. However, the differences were not observed after 5 years post-diagnosis. To reduce the risks of second primary cancer and mortality, targeted inventions for dietary habits are necessary for long-term survivors of cancer.

국문 초록 (Abstract)

연구배경: 암 생존자에서 식이패턴은 예후, 재발 및 생존에 중요한영향을 미친다. 이번 연구에서는 Diet Quality Index-International(DQI-I)값을 이용하여 암 생존자의 식이패턴을 일반 대조군과 비교...

연구배경: 암 생존자에서 식이패턴은 예후, 재발 및 생존에 중요한영향을 미친다. 이번 연구에서는 Diet Quality Index-International(DQI-I)값을 이용하여 암 생존자의 식이패턴을 일반 대조군과 비교하여 분석해보고자 한다.
방법: 국민건강영양조사 제6기 자료(2013–2015년)를 이용하여 암진단받은 후 1년이 지난 군을 암 생존자 군으로 정의하였다. 암 진단여부에 응답하지 않은 사람과 연구 변수에 결측값이 있는 대상자들은 제외하여 총 9,351명이 연구에 포함되었고, 이 중 암 생존자는 433명, 대조군은 8,918명이 연구에 포함되었다.
결과:암 생존자가 일반 대조군에 비해서 높은 DQI-I 점수를 보였다.
나이, 성별, BMI, 결혼 상태, 교육수준, 월 수입, 주거지역, 흡연, 음주수준등을보정한후에도암생존자의점수가대조군에비해 유의하게 높았다. 5년을 기준으로 층화분석을 시행하였을 때 5년 미만의그룹은 대조군에 비해서 점수가 높았으나, 5년 이상의 그룹은 대조군과 통계적으로 유의한 차이를 보이지 않았다(P=0.034, P=0.06).
결론: 암 생존자가 일반 대조군에 비해서 좋은 식이습관을 가지고있으나, 5년이 지나면 대조군과 차이가 없어진다. 암 생존자 관리에서 생존기간과 상관없이 지속적인 식이습관 평가 및 중재가 필요하다.

참고문헌 (Reference)

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