Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Physical Activity Level on the Health-related Quality of Life of Cancer Survivors: Based on the Korea National Health and Nutrition Examination Survey for 2014-2018

신체활동 수준이 암 생존자의 건강 관련 삶의 질에 미치는 영향: 2014-2018년 국민건강영양조사 자료 활용 연구

  • Oh, Jinkyung (College of Nursing, Seoul National University) ;
  • Huh, Iksoo (College of Nursing and Research Institute of Nursing Science, Seoul National University)
  • 오진경 (서울대학교 간호대학) ;
  • 허익수 (서울대학교 간호대학 및 간호과학연구소)
  • Received : 2021.01.06
  • Accepted : 2021.04.09
  • Published : 2021.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study investigated the associations between physical activities (PAs) and the health-related quality of life (HRQOL) and perceived health status (PHS) of cancer survivors. We further examined the interaction effects of PAs and covariates on HRQOL and PHS. Methods: Data sets were obtained from the 2014-2018 Korea National Health and Nutrition Examination Survey. The subjects were 1,349 cancer survivors aged over 18 years old. Data were analyzed using R 4.0.3 and SPSS 18.0. Logistic regression analysis was conducted considering only the main terms, or including additional interaction terms between PAs and covariates. Results: Moderate and high PAs showed significantly improved HRQOL related to self-care domain, euro quality of life-5 dimension index, and PHS. Interaction analysis revealed that high PAs resulted in improved HRQOL associated with self-care and pain/discomfort in cancer survivors having depression. Moreover, for low- and middle-income levels, higher PAs served to improve HRQOL associated with depression/anxiety. In contrast, higher PAs rather reduced HRQOL for the high-income group. Conclusions: To improve HRQOL, we recommend PAs higher than the moderate level for cancer survivors. In case of cancer survivors having depression or belonging to the high-income group, it is necessary to manage individual PAs considering the interaction effects.

Keywords

References

  1. An, J., & Choi, H. Y. (2018). Trend of influencing factors on health-related quality of life in Korean elderly. Journal of Korean Public Health Nursing, 32(2), 275-287. https://doi.org/10.5932/JKPHN.2018.32.2.275
  2. Chung, Y., & Cho, Y. H. (2014). Gender difference in quality of life after controlling for related factors among Korean young-old and old-old elderly. Journal of agricultural medicine and community health, 39(3), 176-186. https://doi.org/10.5393/JAMCH.2014.39.3.176
  3. Dijkstra-Kersten, S. M., Biesheuvel-Leliefeld, K. E., van der Wouden, J. C., Penninx, B. W., & van Marwijk, H. W. (2015). Associations of financial strain and income with depressive and anxiety disorders. Journal of Epidemiology and Community Health, 69(7), 660-665. https://doi.org/10.1136/jech-2014-205088
  4. Hays, R. D., & Reeve, B. B. (2010). Measurement and modeling of health-related quality of life. In J. Killewo, H. K. Heggenhougen & S. R. Quah(1st ed.), Epidemiology and demography in public health(pp. 195-205). San Diego: Academic Press.
  5. Jeon, G. S., Park, S. J., & Jang, S. N. (2012). The relationship between frailty and health-related quality of life among Korean elderly. Journal of Korean Geriatric Society, 16(4), 175-183. https://doi.org/10.4235/jkgs.2012.16.4.175
  6. Kang, K. D., Bae, S., Kim, H. J., Hwang, I. G., Kim, S. M., & Han, D. H. (2017). The relationship between physical activity intensity and mental health status in patients with breast cancer. Journal of Korean Medical Science, 32(8), 1345-1350. https://doi.org/10.3346/jkms.2017.32.8.1345
  7. Kim, Y. S., & Tae, Y. S. (2011). The influencing factors on quality of life among breast cancer survivors. Asian Oncology Nursing, 11(3), 221-228. https://doi.org/10.5388/jkon.2011.11.3.221
  8. Korea Central Cancer Registry, & National Cancer Center. (2019, December). Annual report of cancer statistics in Korea in 2017 (Report No. 11-1352000-000145-10). Sejong: Ministry of Health and Welfare.
  9. Lee, B. Y., Jo, H. S., & Kwon, M. S. (2010). Survey on quality of life, mental health and subjective health status of community dwelling cancer patients. Journal of Korean Public Health Nursing, 24(1), 49-60. https://doi.org/10.5932/JKPHN.2010.24.1.049
  10. Lee, J. E., Shin, D. W., & Cho, B. L. (2014). The current status of cancer survivorship care and a consideration of appropriate care model in Korea. Korean Journal of Clinical Oncology, 10(2), 58-62. https://doi.org/10.14216/kjco.14012
  11. Lee, S. W., Shim, J. S., Song, B. M., Lee, H. J., Bae, H. Y., Park, J. H., Choi, H. R., Yang, J. W., Heo, J. E., Cho, S. M., Lee, G. B., Hidalgo, D. H., Kim, T., Chung, K. S., & Kim, H. C. (2018). Comparison of self-reported and accelerometer-assessed measurements of physical activity according to socio-demographic characteristics in Korean adults. Epidemiology and health, 40, e2018060. https://doi.org/10.4178/epih.e2018060
  12. Mansournia, M. A., Geroldinger, A., Greenland, S., & Heinze, G. (2018). Separation in logistic regression: causes, consequences, and control. American journal of epidemiology, 187(4), 864-870. https://doi.org/10.1093/aje/kwx299
  13. Mishra, S. I., Scherer, R. W., Snyder, C., Geigle, P., & Gotay, C. (2014). Are exercise programs effective for improving health-related quality of life among cancer survivors? a systematic review and meta-analysis. Oncology Nursing Forum, 41(6), E326-E342. https://doi.org/10.1188/14.onf.e326-e342
  14. Mosher, C. E., & Danoff-Burg, S. (2009). Cancer patients versus cancer survivors: social and emotional consequences of word choice. Journal of language and social psychology, 28(1), 72-84. https://doi.org/10.1177/0261927X08325762
  15. Mukherjee, B., Ou, H., Wang, F., & Erickson, S. R. (2011). A new comorbidity index: the health-related quality of life comorbidity index. Journal of Clinical Epidemiology, 64(3), 309-319. https://doi.org/10.1016/j.jclinepi.2010.01.025
  16. Nayak, P., Holmes, H. M., Nguyen, H. T., & Elting, L. S. (2014). Self-reported physical activity among middle-aged cancer survivors in the United States: Behavioral risk factor surveillance system survey, 2009. Preventing Chronic Disease, 11, E156. https://doi.org/10.5888/pcd11.140067
  17. Oh, Y. H., Kim, H., Kong, M., Oh, B., & Moon, J. H. (2019). Association between weekend catch-up sleep and health-related quality of life of Korean adults. Medicine, 98(13), e14966. https://doi.org/10.1097/md.0000000000014966
  18. Oh, Y. J., Kim, C. M., Lee, Y. J., Yoon, J., Kim, M. S., Kim, S. J., & Shin, H. H. (2018). Predictive factors for quality of life and impact of physical activity in Korean breast cancer survivors. Korean Journal of Family Practice, 8(3), 380-385. https://doi.org/10.21215/kjfp.2018.8.3.380
  19. Pahn, J., & Yang, Y. (2020). Influence of physical activity on the prevalence of diabetes mellitus in Korean male adults. Journal of Korean Public Health Nursing, 34(1), 35-47. https://doi.org/10.5932/JKPHN.2020.34.1.35
  20. Park, J. H., & Shin, D. W. (2012). 1 million cancer survivors, health care of cancer survivors. Quarterly Health Policy Forum, 10(4), 66-72. Retrieved March 15, 2021, from https://rihp.re.kr/bbs/board.php?bo_table=publication_forum&wr_id=42&page=3
  21. Park, S. W., Lee, D. W., Park, J. W., Ryoo, S. B., Shin, R., Jeong, S. Y., & Park, K. J. (2016). Impact of body mass index on overall survival after surgery for colorectal cancer. Korean Journal of Clinical Oncology, 12(2), 91-96. https://doi.org/10.14216/kjco.16015
  22. Polanski, J., Jankowska-Polanska, B., Rosinczuk, J., Chabowski, M., & Szymanska-Chabowska, A. (2016). Quality of life of patients with lung cancer. OncoTargets and therapy, 9, 1023-1028. https://doi.org/10.2147/ott.s100685
  23. Rock, C. L., Doyle, C., Demark-Wahnefried, W., Meyerhardt, J., Courneya, K. S., Schwartz, A. L., Bandera, E. V., Hamilton, K. K., Grant, B., McCullough, M., Byers, T., & Gansler, T. (2012). Nutrition and physical activity guidelines for cancer survivors. CA: a cancer journal for clinicians, 62(4), 242-274. https://doi.org/10.3322/caac.21142
  24. Rowland, J. H., Hewitt, M., & Ganz, P. A. (2006). Cancer survivorship: A new challenge in delivering quality cancer care. Journal of clinical oncology, 24(32), 5101-5104. https://doi.org/10.1200/jco.2006.09.2700
  25. Schmitz, K. H., Courneya, K. S., Matthews, C., Demark-Wahnefried, W., Galvao, D. A., Pinto, B. M., Irwin, M. L., Wolin, K. Y., Segal, R. J., Lucia, A., Schneider, C. M., Gruenigen, V. E., & Schwartz, A. L. (2010). American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Medicine & Science in Sports & Exercise, 42(7), 1409-1426. https://doi.org/10.1249/MSS.0b013e3181e0c112
  26. Shin, W. K., Song, S., Jung, S. Y., Lee, E., Kim, Z., Moon, H. G., Noh, D., & Lee, J. E. (2017). The association between physical activity and health-related quality of life among breast cancer survivors. Health and quality of life outcomes, 15, 132. https://doi.org/10.1186/s12955-017-0706-9
  27. Singhal, S. (2020). All about heatmaps: The comprehensive guide. Retrieved February 24, 2021, from https://towardsdatascience.com/all-about-heatmaps-bb7d97f099d7
  28. Song, E. A., Kweon, Y., Hwang, Y. Y., & An, M. (2020). Health-related quality of life and its related factors among cancer survivors and general adults: Focusing on lifestyle behaviors and mental health. Korean Journal of Adult Nursing, 32(4), 385-398. https://doi.org/10.7475/kjan.2020.32.4.385
  29. Van Oers, H. (2013). Exercise effects on mood in breast cancer patients. South African Journal of Sports Medicine, 25(2), 55-59. https://doi.org/10.17159/2413-3108/2013/v25i2a381
  30. World Health Organization. (2010). Global physical activity questionnaire (version 2.0). Retrieved March 4, 2021, from https://www.who.int/ncds/surveillance/steps/GPAQ%20Instrument%20and%20Analysis%20Guide%20v2.pdf