The Assessment of Knowledge, Attitude, nutritional Practice and physical activity and its relation with quality of life in patients with breast cancer
An investigation of quality of life and factors affecting it in women with breast cancer
Abstract
Background: The aim of this study was to assess the correlation between nutritional knowledge, Attitude, and Practice (KAP) and physical activity (PA) on the quality of life (QOL) in women with breast cancer (BC).Methods: This cross-sectional study involved all women with BC who referred to Imam Khomeini Hospital in Tehran during the years 2018-2019 that by using Cochran formula, 220 of them were selected by convenience sampling and answered the questionnaire including Global Physical Activity Questionnaire (GPAQ), Nutritional Knowledge, Attitude, Practice Survey (KAP) and Quality of life Questionnaire for breast cancer patients (QLQ-30). To determine the share of nutritional variables and physical activity (PA) in predicting QOL, standard multiple regression was used by SPSS 22 software.Results: The findings of the study showed that the BC patients’ PA (109.61±110.831),QOL (49.805±16.830) and KAP (K= 46.028±11.879; A=45.540±19.754; P=46.870±12.362) were not in a good condition.The best functional outcomes of QLQ-30 questionnaire were found for social functioning (73.560±26.873) and role functioning (73.560±26.873) subscales whereas emotional functioning was found lowest (58.257±24.298). Also, theresults showed that Nutrition-RelatedKnowledge (β=144; P=0.036), Attitudes (β=160;P=0.038), and Practice (β=0.596; P=0.045) and PA (β=0.042; P=0.001) were significant factors in predicting cancer patients’ quality of life.Conclusion: The study showed that active patients have a good QOL, also, right nutritional choices and performance by the patients can result in a better quality of life,therefore, the patients should receive special interventions at this time.
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3. Sharma N, Purkayastha A. Factors affecting quality of life in breast cancer patients: a descriptive and cross-sectional study with review of literature. Journal of mid-life health. 2017;8(2):75.
4. Firouzbakht M, Hajian-Tilaki K, Dariush M. Analysis of quality of life in breast cancer survivors using structural equation modelling: the role of spirituality, social support and psychological well-being. International health. 2020.
5. O’Neil A, Stevenson CE, Williams ED, Mortimer D, Oldenburg B, 1 Sanderson K. The health-related quality of life burden of co-morbid cardiovascular disease and major depressive disorder in Australia: findings from a population-based, cross-sectional study. Quality of life research. 2013;22(1):37-44.
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8. Vares Z, zandi M, Baghaei P, Masoudi AN, Mirzabegher AN. Medical surgical nursing department, nursing faculty Kashan University of medical sciences. 2010.
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11. Bouya S, Rafiemanesh H, Balouchi A, Taheri S, Badakhsh M, Didehvar M. Health-related quality of life of Iranian breast cancer patients: a meta-analysis and systematic review. Breast cancer research and treatment. 2018;170(2):205-12.
12. Mardani HM, Shahraki VA. The assessment of relationship between mental health and quality of life in cancer patients. 2009.
13. Hasanpour Dehkordi A. Factors affecting quality of life in cancer patients under chemotherapy in Tehran (2004). Journal of Kermanshah University of Medical Sciences. 2006;10(2).
14. Abdollahzadeh F, Aghahossini SS, Rahmani A, Kermani IA. Quality of life in cancer patients and its related factors. Journal of caring sciences. 2012;1(2):109.
15. Nematolahi A. Survey of quality of life of breast cancer refers to Tehran hospitals Tehran [MSc Thesis]. Tehran: Tehran University. 2003.
16. Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA. Physical activity and survival after breast cancer diagnosis. Jama. 2005;293(20):2479-86.
17. Galvão DA, Newton RU. Review of exercise intervention studies in cancer patients. Journal of clinical oncology. 2005;23(4):899- 909.
18. Nurnazahiah A, Shahril MR, Syamimi ZN, Aryati A, Sulaiman S, Lua PL. Relationship of objectively measured physical activity and sedentary behaviour with health-related quality of life among breast cancer survivors. Health and quality of life outcomes. 2020;18(1):1-10.
19. Chen X, Zheng Y, Zheng W, Gu K, Chen Z, Lu W, et al. The effect of regular exercise on quality of life among breast cancer survivors. American journal of epidemiology. 2009;170(7):854-62.
20. Zhang X, Li Y, Liu D. Effects of exercise on the quality of life in breast cancer patients: a systematic review of randomized controlled trials. Supportive Care in Cancer. 2019;27(1):9-21.
21. Brown JC, Winters-Stone K, Lee A, Schmitz KH. Cancer, physical activity, and exercise. Comprehensive Physiology. 2012;2(4):2775.
22. Cadmus LA, Salovey P, Yu H, Chung G, Kasl S, Irwin ML. Ex ercise and quality of life during and after treatment for breast cancer: results of two randomized controlled trials. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 2009;18(4):343-52.
23. Ganasegeran K, Al-Dubai SA, Qureshi AM, Al-Abed A-AA, Rizal A, Aljunid SM. Social and psychological factors affecting eating habits among university students in a Malaysian medical school: a cross-sectional study. Nutrition journal. 2012;11(1):1-7.
24. Limon-Miro AT, Lopez-Teros V, Astiazaran-Garcia H. Dietary guidelines for breast cancer patients: a critical review. Advances in Nutrition. 2017;8(4):613-23.
25. Zillich AJ, Blumenschein K, Johannesson M, Freeman P. Assessment of the relationship between measures of disease severity, quality of life, and willingness to pay in asthma. Pharmacoeconomics. 2002;20(4):257-65.
26. Kasiri K, Aminshokravi F, Shahnazi H. Feeding behavior associated with gastric cancer. 2015.
27. Ghasemi F, Rasekhi A, Haghighat S. Analysis of the survival of breast cancer patients using weibull and poisson Beta-Weibull Non-Mixture Cure Models. 2019.
28. Safaee A, Zeighami B, Tabatabaee H, Moghimi Dehkordi B. Quality of life and related factors in breast cancer patients under chemotherapy. Iranian Journal of Epidemiology. 2008;3(3):61-6.
29. Berry NM, Nolan R, Dollman J. Associations of awareness of physical activity recommendations for health and self-reported physical activity behaviours among adult South Australians. Joursnal of science and medicine in sport. 2016;19(10):837-42.
30. Sasanfar B, Toorang F, Nemati S, Djazayery A, Zendehdel K. Development and validation of a knowledge, attitude, and practice questionnaire on nutrition-related cancer prevention for Iranian women. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2019;24.
31. Safaee A, Dehkordi Moghimi B, Tabatabaie S. Reliability and validity of the QLQ-C30 questionnaire in cancer patients. Armaghane danesh. 2007;12(2):79-88.
32. Chen Q, Li S, Wang M, Liu L, Chen G. Health-related quality of life among women breast cancer patients in eastern China. BioMed research international. 2018;2018.
33. Jassim GA, Whitford DL. Quality of life of Bahraini women with breast cancer: a cross sectional study. BMC cancer. 2013;13(1):1-14.
34. Nurnazahiah A, Shahril MR, Syamimi ZN, Ahmad A, Sulaiman S, Lua PL. Relationship of objectively measured physical activity and sedentary behaviour with health-related quality of life among breast cancer survivors. Health and quality of life outcomes. 2020;18(1):1-10.
35. Shorvarzi L, Khorasanchi Z, Zareishargh P, sadeghi AS. Knowledge, attitude and practice of urban and rural households towards principles of nutrition in Neyshabour. Journal of Neyshabur University of Medical Sciences. 2019;6(4):11-21.
36. Kurniawan A, editor relationship between nutrition status, knowledge, with physical activity 24 hour pregnant woman trimester III in 5 puskesmas kota bengkulu. Sriwijaya University Learning and Education International Conference; 2018.
37. Maridaki M, Papadopetraki A, Karagianni H, Koutsilieris M, Philippou A. The assessment and relationship between quality of life and physical activity levels in greek breast cancer female patients under chemotherapy. Sports. 2020;8(3):32.
38. Visovsky C. Muscle strength, body composition, and physical activity in women receiving chemotherapy for breast cancer. Inte grative cancer therapies. 2006;5(3):183-91.
39. Cenik F, Keilani M, Galid A, Crevenna R. First exercise group for Turkish breast cancer patients in Vienna–a pilot project to include Turkish migrants. Disability and Rehabilitation. 2020;42(1):20-5.
40. Shin W-k, Song S, Jung S-Y, Lee E, Kim Z, Moon H-G, et al. The association between physical activity and health-related quality of life among breast cancer survivors. Health and quality of life outcomes. 2017;15(1):132.
41. Graells-Sans A, Serral G, Puigpinós-Riera R, DAMA GC. Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort). Cancer epidemiology. 2018;54:38-47.
2. Marzbani B, Taymoori P, Nouri B. Assessment of risk factors for breast cancer among women under 50 years old. Journal of School of Public Health and Institute of Public Health Research. 2017;15(1):47-60.
3. Sharma N, Purkayastha A. Factors affecting quality of life in breast cancer patients: a descriptive and cross-sectional study with review of literature. Journal of mid-life health. 2017;8(2):75.
4. Firouzbakht M, Hajian-Tilaki K, Dariush M. Analysis of quality of life in breast cancer survivors using structural equation modelling: the role of spirituality, social support and psychological well-being. International health. 2020.
5. O’Neil A, Stevenson CE, Williams ED, Mortimer D, Oldenburg B, 1 Sanderson K. The health-related quality of life burden of co-morbid cardiovascular disease and major depressive disorder in Australia: findings from a population-based, cross-sectional study. Quality of life research. 2013;22(1):37-44.
6. Salehi S, Tajvidi M, Ghasemi V, Raee Z. Investigating the effect of nurses’ supportive and educative careon the quality of life in breast cancer patients referred for radiotherapy in Seyedoshohada hospitals in Isfahan in 1392. Journal of Clinical Nursing and Midwifery. 2016;5(2).
7. Ataollahi M, Masoumi SZ, Shayan A, Roshanaei G, Sedighi S. Comparing dimension of perceived social support and perceived stress in women with and without breast cancer referred to mahdieh MRI center of Hamedan in 2013. Pajouhan Scientific Journal. 2016;14(2):62-70.
8. Vares Z, zandi M, Baghaei P, Masoudi AN, Mirzabegher AN. Medical surgical nursing department, nursing faculty Kashan University of medical sciences. 2010.
9. Finck C, Barradas S, Zenger M, Hinz A. Quality of life in breast cancer patients: Associations with optimism and social support. International Journal of Clinical and Health Psychology. 2018;18(1):27-34.
10. Ahadzadeh AS, Sharif SP. Uncertainty and quality of life in women with breast cancer: moderating role of coping styles. Cancer nursing. 2018;41(6):484-90.
11. Bouya S, Rafiemanesh H, Balouchi A, Taheri S, Badakhsh M, Didehvar M. Health-related quality of life of Iranian breast cancer patients: a meta-analysis and systematic review. Breast cancer research and treatment. 2018;170(2):205-12.
12. Mardani HM, Shahraki VA. The assessment of relationship between mental health and quality of life in cancer patients. 2009.
13. Hasanpour Dehkordi A. Factors affecting quality of life in cancer patients under chemotherapy in Tehran (2004). Journal of Kermanshah University of Medical Sciences. 2006;10(2).
14. Abdollahzadeh F, Aghahossini SS, Rahmani A, Kermani IA. Quality of life in cancer patients and its related factors. Journal of caring sciences. 2012;1(2):109.
15. Nematolahi A. Survey of quality of life of breast cancer refers to Tehran hospitals Tehran [MSc Thesis]. Tehran: Tehran University. 2003.
16. Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA. Physical activity and survival after breast cancer diagnosis. Jama. 2005;293(20):2479-86.
17. Galvão DA, Newton RU. Review of exercise intervention studies in cancer patients. Journal of clinical oncology. 2005;23(4):899- 909.
18. Nurnazahiah A, Shahril MR, Syamimi ZN, Aryati A, Sulaiman S, Lua PL. Relationship of objectively measured physical activity and sedentary behaviour with health-related quality of life among breast cancer survivors. Health and quality of life outcomes. 2020;18(1):1-10.
19. Chen X, Zheng Y, Zheng W, Gu K, Chen Z, Lu W, et al. The effect of regular exercise on quality of life among breast cancer survivors. American journal of epidemiology. 2009;170(7):854-62.
20. Zhang X, Li Y, Liu D. Effects of exercise on the quality of life in breast cancer patients: a systematic review of randomized controlled trials. Supportive Care in Cancer. 2019;27(1):9-21.
21. Brown JC, Winters-Stone K, Lee A, Schmitz KH. Cancer, physical activity, and exercise. Comprehensive Physiology. 2012;2(4):2775.
22. Cadmus LA, Salovey P, Yu H, Chung G, Kasl S, Irwin ML. Ex ercise and quality of life during and after treatment for breast cancer: results of two randomized controlled trials. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer. 2009;18(4):343-52.
23. Ganasegeran K, Al-Dubai SA, Qureshi AM, Al-Abed A-AA, Rizal A, Aljunid SM. Social and psychological factors affecting eating habits among university students in a Malaysian medical school: a cross-sectional study. Nutrition journal. 2012;11(1):1-7.
24. Limon-Miro AT, Lopez-Teros V, Astiazaran-Garcia H. Dietary guidelines for breast cancer patients: a critical review. Advances in Nutrition. 2017;8(4):613-23.
25. Zillich AJ, Blumenschein K, Johannesson M, Freeman P. Assessment of the relationship between measures of disease severity, quality of life, and willingness to pay in asthma. Pharmacoeconomics. 2002;20(4):257-65.
26. Kasiri K, Aminshokravi F, Shahnazi H. Feeding behavior associated with gastric cancer. 2015.
27. Ghasemi F, Rasekhi A, Haghighat S. Analysis of the survival of breast cancer patients using weibull and poisson Beta-Weibull Non-Mixture Cure Models. 2019.
28. Safaee A, Zeighami B, Tabatabaee H, Moghimi Dehkordi B. Quality of life and related factors in breast cancer patients under chemotherapy. Iranian Journal of Epidemiology. 2008;3(3):61-6.
29. Berry NM, Nolan R, Dollman J. Associations of awareness of physical activity recommendations for health and self-reported physical activity behaviours among adult South Australians. Joursnal of science and medicine in sport. 2016;19(10):837-42.
30. Sasanfar B, Toorang F, Nemati S, Djazayery A, Zendehdel K. Development and validation of a knowledge, attitude, and practice questionnaire on nutrition-related cancer prevention for Iranian women. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2019;24.
31. Safaee A, Dehkordi Moghimi B, Tabatabaie S. Reliability and validity of the QLQ-C30 questionnaire in cancer patients. Armaghane danesh. 2007;12(2):79-88.
32. Chen Q, Li S, Wang M, Liu L, Chen G. Health-related quality of life among women breast cancer patients in eastern China. BioMed research international. 2018;2018.
33. Jassim GA, Whitford DL. Quality of life of Bahraini women with breast cancer: a cross sectional study. BMC cancer. 2013;13(1):1-14.
34. Nurnazahiah A, Shahril MR, Syamimi ZN, Ahmad A, Sulaiman S, Lua PL. Relationship of objectively measured physical activity and sedentary behaviour with health-related quality of life among breast cancer survivors. Health and quality of life outcomes. 2020;18(1):1-10.
35. Shorvarzi L, Khorasanchi Z, Zareishargh P, sadeghi AS. Knowledge, attitude and practice of urban and rural households towards principles of nutrition in Neyshabour. Journal of Neyshabur University of Medical Sciences. 2019;6(4):11-21.
36. Kurniawan A, editor relationship between nutrition status, knowledge, with physical activity 24 hour pregnant woman trimester III in 5 puskesmas kota bengkulu. Sriwijaya University Learning and Education International Conference; 2018.
37. Maridaki M, Papadopetraki A, Karagianni H, Koutsilieris M, Philippou A. The assessment and relationship between quality of life and physical activity levels in greek breast cancer female patients under chemotherapy. Sports. 2020;8(3):32.
38. Visovsky C. Muscle strength, body composition, and physical activity in women receiving chemotherapy for breast cancer. Inte grative cancer therapies. 2006;5(3):183-91.
39. Cenik F, Keilani M, Galid A, Crevenna R. First exercise group for Turkish breast cancer patients in Vienna–a pilot project to include Turkish migrants. Disability and Rehabilitation. 2020;42(1):20-5.
40. Shin W-k, Song S, Jung S-Y, Lee E, Kim Z, Moon H-G, et al. The association between physical activity and health-related quality of life among breast cancer survivors. Health and quality of life outcomes. 2017;15(1):132.
41. Graells-Sans A, Serral G, Puigpinós-Riera R, DAMA GC. Social inequalities in quality of life in a cohort of women diagnosed with breast cancer in Barcelona (DAMA Cohort). Cancer epidemiology. 2018;54:38-47.
| Files | ||
| Issue | Vol 13 No 1 (2021) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/bccr.v13i1.8832 | |
| Keywords | ||
| Physical Activity Breast Cancer Quality of Life Nutrition | ||
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How to Cite
1.
Abdous N, Nazarali P, Ramezankhani A, Fallah F. The Assessment of Knowledge, Attitude, nutritional Practice and physical activity and its relation with quality of life in patients with breast cancer. Basic Clin Cancer Res. 2022;13(1):72-83.
