scholarly journals Assessing the Relationship between Body Image and Quality of Life Among Rural and Urban Breast Cancer Survivors in China

Author(s):  
Jinghua An ◽  
Kaina Zhou ◽  
Minjie Li ◽  
Xiaomei Li

Abstract Purpose This study aimed to examine the associations between multidimensional body image and quality of life (QoL) and test whether the associations between body image and QoL are moderated by rural-urban residence in Chinese breast cancer survivors. Methods A cross-sectional design was adopted. Breast cancer survivors were recruited via a convenience sampling method. Two validated questionnaires (Body Image Self-Rating Questionnaire for Breast Cancer and SF-36) and questions assessing demographic and clinical covariates were administered. Results In our sample of 354 breast cancer survivors, half (50.28%) lived in rural areas. After adjusting for demographic and clinical variables, better perception of body image-related sexual activity change, role change, and psychological change was significantly associated with better physical and mental well-being. Better perception of body image-related social and behavior change domains was only significantly associated with better mental well-being. The association between body image and mental well-being was much stronger in urban subjects (b = -0.38, p < 0.001) than in rural subjects (b = -0.20, p < 0.001). Conclusions Our findings suggest that multidimensional body image is associated with physical and mental well-being in Chinese breast cancer survivors. Body image appears to play a larger role in urban breast cancer survivors’ mental well-being. Our findings indicate that incorporating interventions that address body image issues would be advantageous for survivorship care programs focused on enhancing QoL in breast cancer survivors. Considering the rural-urban differences supports strategic design of the care programs in rural and urban settings.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Rey ◽  
R Touzani ◽  
A Monet ◽  
M K Bendiane ◽  
A D Bouhnik ◽  
...  

Abstract Background Cancer recurrence and poor quality of life are major challenges of the growing population of breast cancer (BC) survivors. International guidelines encourage survivors to engage in regular physical activity (PA) and to maintain a healthy body weight (BW), as both have a proven benefit on survival. Our aims were (1) to describe PA and BW 5 years after a BC diagnosis and (2) to define the predictors of long-term engagement in healthy lifestyle, in a representative sample of French survivors. Methods The French National VICAN surveys were implemented in 2012 and 2015 among cancer survivors. This analysis focused on 723 women with BC, without progression at 5 years, and who participated in both surveys. The questionnaires dealt with several topics including socioeconomic status, treatments and side effects, psychometric scales and lifestyle habits. Results Five years after diagnosis, 26% of women reported regular PA, 61% occasional PA and 14% no PA. Moreover, 27% reported a weight gain ≥5kg, and 10% a weight loss ≥5kg. Half of the women had decreased or stopped PA since diagnosis. In logistic regression, long-term regular PA was associated with better mental quality of life (aOR=1.04; 1.01-1.07), no depression (aOR=3.42; 1.21-9.65), higher Post Traumatic Growth Inventory score (aOR=1.02; 1.01-1.04), normal arm mobility (aOR=3.7; 1.6-8.4) and healthy and stable BW since diagnosis (aOR=4.47; 1.61-12.37). Weight gain ≥5kg was associated with younger age (aOR=0.96; 0.93-0.99), higher BW at diagnosis (aOR=1.02; 1.01-1.04), and lymphedema 5 years after diagnosis (aOR=1.69; 1.02-2.83). Conclusions For BC survivors, mental well-being is essential for successful long-term investment in healthy habits. More psychological and dietary support, and a better management of sequelae are needed in this population. Key messages For breast cancer survivors, mental well-being is essential for successful long-term investment in healthy habits. More psychological and dietary support, and better sequelae management are needed to help breast cancer survivors to persist in healthy lifestyle.


2014 ◽  
Vol 15 (14) ◽  
pp. 5927-5936 ◽  
Author(s):  
Munir Abu-Helalah ◽  
Motasem Al-Hanaqta ◽  
Hussam Alshraideh ◽  
Nada Abdulbaqi ◽  
Jameel Hijazeen

1999 ◽  
Vol 17 (8) ◽  
pp. 2371-2371 ◽  
Author(s):  
Patricia A. Ganz ◽  
Katherine A. Desmond ◽  
Thomas R. Belin ◽  
Beth E. Meyerowitz ◽  
Julia H. Rowland

PURPOSE: To identify variables that might be predictive of sexual health (interest, dysfunction, and satisfaction) in a large sample of breast cancer survivors, with a validation conducted in a second, independent sample. PATIENTS AND METHODS: On the basis of a conceptual framework of sexual health in breast cancer survivors, we performed multivariable regression analyses to estimate sexual interest, dysfunction, and satisfaction in both samples. Additional analyses were performed using stepwise regression and recursive partitioning to explore in each sample the relative contributions of the independent variables toward predicting the outcome measures. RESULTS: The models for sexual interest accounted for at least 33% of the variance, and the significant predictors common to the two samples were having a new partner since the diagnosis of breast cancer, mental health score, and body image score. For sexual dysfunction, the models in the two samples explained at least 33% of the variance, and the common significant predictors were vaginal dryness, past chemotherapy use, and having a new partner since diagnosis. The sexual satisfaction models explained at least 27% of the variance, with the common significant predictors being the quality of the partnered relationship and sexual problems in the partner. CONCLUSION: Among the predictors of sexual health, several are mutable (vaginal dryness, emotional well-being, body image, the quality of the partnered relationship, and sexual problems in the partner), and these should be considered for future interventions to address the sexual health and well-being of breast cancer survivors.


JAMA Surgery ◽  
2020 ◽  
Vol 155 (11) ◽  
pp. 1035
Author(s):  
Shoshana M. Rosenberg ◽  
Laura S. Dominici ◽  
Shari Gelber ◽  
Philip D. Poorvu ◽  
Kathryn J. Ruddy ◽  
...  

2020 ◽  
Vol 9 (4) ◽  
pp. 262-268
Author(s):  
Dr. Mumtaz Ahmad Khan ◽  
Dr. Shaista Zaffar ◽  
Dr. Namrah Mahmood

Objectives: To compare the Quality of Life of Breast Cancer Survivors and Lymphoma Survivors post treatment. Methodology: A cross sectional study was performed in the departments of General Surgery and Oncology at Pakistan Institute of Medical Sciences Islamabad from 1st June to 31st December 2019. Patients who had received treatment for breast cancer and Lymphoma were included using non probability consecutive sampling technique. A standardized questionnaire (QOL-CSV) to assess quality of life in cancer survivors was filled in by the researchers after interviewing the patients and their responses were recorded with the demographic and clinical characteristics of each patient. The data was entered in SPSS version 20 and co-relations were obtained. Results: A total number of 50 lymphoma survivors (LS) and 166 breast cancer survivors (BCS) participated. Physical parameters revealed a better mean score of 75.86 ±10.53 for LS group than for BCS group (63.45 ±9.64). Psychological well being score was similar with a mean of 42.18 ±8.06 for LS and 43.04 ±7.04 for BCS group. Distress was dealt better by LS than BCS (50% scoring 41-50 in LS versus 46.6% scoring 31-40 in BCS). Fear of recurrence and spread was higher amongst BCS group (≤10 score in 46.4% participants). LS group performed worse in social factors (mean value of 26.88 ±6.67). Spiritual well being was markedly better in BCS (mean value 47.15 ±6.27). Conclusion: Considerable negative impact on physical, psychological and social well being of carcinoma survivors is noted, especially after mastectomy. Key words: Carcinoma, Lymphoma, Breast cancer


Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4091
Author(s):  
Marina M. Reeves ◽  
Caroline O. Terranova ◽  
Elisabeth Winkler ◽  
Nicole McCarthy ◽  
Ingrid J. Hickman ◽  
...  

Limited evidence exists on the effects of weight loss on chronic disease risk and patient-reported outcomes in breast cancer survivors. Breast cancer survivors (stage I-III; body mass index 25–45 kg/m2) were randomized to a 12-month, remotely delivered (22 telephone calls, mailed material, optional text messages) weight loss (diet and physical activity) intervention (n = 79) or usual care (n = 80). Weight loss (primary outcome), body composition, metabolic syndrome risk score and components, quality of life, fatigue, musculoskeletal pain, menopausal symptoms, fear of recurrence, and body image were assessed at baseline, 6 months, 12 months (primary endpoint), and 18 months. Participants were 55 ± 9 years and 10.7 ± 5.0 months post-diagnosis; retention was 81.8% (12 months) and 80.5% (18 months). At 12-months, intervention participants had significantly greater improvements in weight (−4.5% [95%CI: −6.5,−2.5]; p < 0.001), fat mass (−3.3 kg [−4.8,−1.9]; p < 0.001), metabolic syndrome risk score (−0.19 [−0.32,−0.05]; p = 0.006), waist circumference (−3.2 cm [−5.5,−0.9]; p = 0.007), fasting plasma glucose (−0.23 mmol/L [−0.44,−0.02]; p = 0.032), physical quality of life (2.7 [0.7,4.6]; p = 0.007; Cohen’s effect size (d) = 0.40), musculoskeletal pain (−0.5 [−0.8,−0.2]; p = 0.003; d = 0.49), and body image (−0.2 [−0.4,−0.0]; p = 0.030; d = 0.31) than usual care. At 18 months, effects on weight, adiposity, and metabolic syndrome risk scores were sustained; however, significant reductions in lean mass were observed (−1.1 kg [−1.7,−0.4]; p < 0.001). This intervention led to sustained improvements in adiposity and metabolic syndrome risk.


2016 ◽  
Vol 34 (3_suppl) ◽  
pp. e288-e288
Author(s):  
Judy Angela Tjoe ◽  
Linda B. Piacentine ◽  
Karen M. Robinson ◽  
Alexander V. Ng ◽  
Leslie J. Waltke ◽  
...  

e288 Background: Advancements in early detection and new treatment options have improved outcomes for breast cancer survivors (BCS). With increased survivorship, improving quality of life (QOL) may be a challenge for some women. Exercise improves QOL for BCS and decreases recurrence, but, despite this many women do not routinely exercise. Underserved areas are at particular risk. Few studies have examined factors influencing exercise initiation and maintenance in underserved areas among minority overweight women. The purpose of this mixed methods study was to examine physiological outcomes and motivational factors in a community-based goal oriented walking program for BCS. Methods: A convenience sample of female BCS was recruited from an inner-city community center 12-week walking program. Women participated in physiological testing and focus groups before and after the program. Data was collected regarding strength, fitness, quality of life, and motivation of the women. Quantitative data was analyzed with paired t-tests. Two researchers independently analyzed focus groups’ transcriptions and like statements and phrases were coded. Themes emerged after discussions between the researchers. Results: The 13 participants [overweight BMI (n = 2), and obese BMI (n = 11)] had a mean survivorship of 5.4 years (range .25-14.5) years. Only 7 participants completed both pre and post physiological testing. Functional endurance significantly improved as indicated by the 6 Minute Walk Test (pre = 503(56), post = 570 (63) meters, mean(sd)), p = 0.02). While overall QOL did not improve, functional well-being showed significant improvement. Two focus group sessions were held at the beginning (n = 13) and end (n = 11) of the program. Themes emerged identifying 1) Treatment Weight Gain, 2) Familial Support, 3) Not Wanting to Go it Alone, 4) The Team Made the Difference Conclusions: Female BCS spoke of interpersonal and environmental factors involved in the decision to engage and maintain exercise with the walking program. Further research is needed to examine exercise motivation in underserved, overweight and obese breast cancer survivors.


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