Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors
OBJECTIVES This study investigated whether adherence to the overall lifestyle recommendations in the American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors was associated with inflammation in breast cancer survivors. METHODS The study included 409 women who...
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Korean Society of Epidemiology
2024-01-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/pdf/epih-46-e2024026.pdf |
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| author | Minji Kang Sihan Song Hyun Jeong Cho Zisun Kim Hyun Jo Youn Jihyoung Cho Jun Won Min Yoo Seok Kim Sang-Woon Choi Jung Eun Lee |
| author_facet | Minji Kang Sihan Song Hyun Jeong Cho Zisun Kim Hyun Jo Youn Jihyoung Cho Jun Won Min Yoo Seok Kim Sang-Woon Choi Jung Eun Lee |
| author_sort | Minji Kang |
| collection | DOAJ |
| description | OBJECTIVES This study investigated whether adherence to the overall lifestyle recommendations in the American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors was associated with inflammation in breast cancer survivors. METHODS The study included 409 women who had undergone breast cancer surgery at least 1 year before enrollment. A generalized linear model was used to estimate the least square means and 95% confidence intervals of plasma levels of inflammatory markers according to lifestyle factors defined in terms of adherence to the ACS guidelines. RESULTS Higher overall adherence scores were associated with lower levels of high-sensitivity C-reactive protein (hs-CRP) (p for trend=0.015) and higher levels of adiponectin (p for trend=0.009). Similar significant associations of hs-CRP (p for trend= 0.004) and adiponectin (p for trend=0.010) levels were observed with the score for the body mass index (BMI) component of the adherence score. A higher diet component score was associated with a higher adiponectin level (p for trend=0.020), but there was no significant association for the physical activity component score. CONCLUSIONS The present study’s findings suggest that maintaining a healthy lifestyle according to the ACS guidelines was associated with beneficial effects on inflammatory marker levels, especially hs-CRP and adiponectin, among breast cancer survivors. Among the 3 components of lifestyle guidelines, the BMI component exhibited the most similar tendency to the overall adherence score in relation to inflammatory indicators. Further prospective and intervention studies are needed to investigate longitudinal associations between lifestyle factors and inflammatory markers among breast cancer survivors. |
| format | Article |
| id | doaj-art-c7d0f6829f3e4d798a124c1c1aa3b4f5 |
| institution | DOAJ |
| issn | 2092-7193 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj-art-c7d0f6829f3e4d798a124c1c1aa3b4f52025-08-20T03:12:36ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932024-01-014610.4178/epih.e20240261492Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivorsMinji Kang0Sihan Song1Hyun Jeong Cho2Zisun Kim3Hyun Jo Youn4Jihyoung Cho5Jun Won Min6Yoo Seok Kim7Sang-Woon Choi8Jung Eun Lee9 Department of Food and Nutrition, Duksung Women’s University, Seoul, Korea Department of Food and Nutrition, Seoul National University, Seoul, Korea Department of Food and Nutrition, Seoul National University, Seoul, Korea Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea Department of Surgery, Jeonbuk National University Medical School, Jeonju, Korea Department of Surgery, Keimyung University School of Medicine, Daegu, Korea Department of Surgery, Dankook University College of Medicine, Cheonan, Korea Department of Surgery, Chosun University College of Medicine, Gwangju, Korea Chaum Life Center, CHA University, Seoul, Korea Department of Food and Nutrition, Seoul National University, Seoul, KoreaOBJECTIVES This study investigated whether adherence to the overall lifestyle recommendations in the American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors was associated with inflammation in breast cancer survivors. METHODS The study included 409 women who had undergone breast cancer surgery at least 1 year before enrollment. A generalized linear model was used to estimate the least square means and 95% confidence intervals of plasma levels of inflammatory markers according to lifestyle factors defined in terms of adherence to the ACS guidelines. RESULTS Higher overall adherence scores were associated with lower levels of high-sensitivity C-reactive protein (hs-CRP) (p for trend=0.015) and higher levels of adiponectin (p for trend=0.009). Similar significant associations of hs-CRP (p for trend= 0.004) and adiponectin (p for trend=0.010) levels were observed with the score for the body mass index (BMI) component of the adherence score. A higher diet component score was associated with a higher adiponectin level (p for trend=0.020), but there was no significant association for the physical activity component score. CONCLUSIONS The present study’s findings suggest that maintaining a healthy lifestyle according to the ACS guidelines was associated with beneficial effects on inflammatory marker levels, especially hs-CRP and adiponectin, among breast cancer survivors. Among the 3 components of lifestyle guidelines, the BMI component exhibited the most similar tendency to the overall adherence score in relation to inflammatory indicators. Further prospective and intervention studies are needed to investigate longitudinal associations between lifestyle factors and inflammatory markers among breast cancer survivors.http://www.e-epih.org/upload/pdf/epih-46-e2024026.pdfacs guidelines for cancer survivorshealthy lifestyleinflammatory markerbreast cancer survivor |
| spellingShingle | Minji Kang Sihan Song Hyun Jeong Cho Zisun Kim Hyun Jo Youn Jihyoung Cho Jun Won Min Yoo Seok Kim Sang-Woon Choi Jung Eun Lee Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors Epidemiology and Health acs guidelines for cancer survivors healthy lifestyle inflammatory marker breast cancer survivor |
| title | Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors |
| title_full | Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors |
| title_fullStr | Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors |
| title_full_unstemmed | Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors |
| title_short | Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors |
| title_sort | adherence to the american cancer society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors |
| topic | acs guidelines for cancer survivors healthy lifestyle inflammatory marker breast cancer survivor |
| url | http://www.e-epih.org/upload/pdf/epih-46-e2024026.pdf |
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