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Nutrients ; 13(1)2020 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-33396551

RESUMEN

Healthy lifestyles are associated with better health-related quality of life (HRQoL), favorable prognosis and lower mortality in breast cancer (BC) survivors. We investigated changes in HRQoL after a 12-month lifestyle modification program in 227 BC survivors participating in DEDiCa trial (Mediterranean diet, exercise, vitamin D). HRQoL was evaluated through validated questionnaires: EQ-5D-3L, EORTC-QLQ-C30 and EORTC QLQ-BR23. Baseline changes were tested using analysis of variance. Multiple regression analyses were performed to assess treatment effects on HRQoL. Increases were observed in global health status (p < 0.001), physical (p = 0.003), role (p = 0.002) and social functioning (p < 0.001), body image (p < 0.001), future perspective (p < 0.001), well-being (p = 0.001), and reductions in fatigue (p < 0.001), nausea and vomiting (p = 0.015), dyspnea (p = 0.001), constipation (p = 0.049), financial problems (p = 0.012), sexual functioning (p = 0.025), systematic therapy side effects (p < 0.001) and breast symptoms (p = 0.004). Multiple regression analyses found inverse associations between changes in BMI and global health status (p = 0.048) and between serum 25(OH)D levels and breast symptoms (p = 0.002). A healthy lifestyle treatment of traditional Mediterranean diet and exercise may impact positively on HRQoL in BC survivors possibly through reductions in body weight while vitamin D sufficiency may improve BC-related symptoms. These findings are relevant to BC survivors whose lower HRQoL negatively affects treatment compliance and disease outcomes.


Asunto(s)
Neoplasias de la Mama/terapia , Supervivientes de Cáncer/psicología , Estilo de Vida Saludable , Calidad de Vida , Supervivencia , Adulto , Neoplasias de la Mama/complicaciones , Neoplasias de la Mama/psicología , Encuestas sobre Dietas/estadística & datos numéricos , Dieta Mediterránea , Suplementos Dietéticos , Terapia por Ejercicio , Femenino , Estado de Salud , Humanos , Persona de Mediana Edad , Cooperación del Paciente/estadística & datos numéricos , Encuestas y Cuestionarios , Resultado del Tratamiento , Vitamina D/administración & dosificación
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