Asian Oncol Nurs.  2014 Jun;14(2):66-73. 10.5388/aon.2014.14.2.66.

Nutritional Risk and Physical Activity on Quality of Life in Patients with Colorectal Cancer

• Kim HJ
• Chu SH
• Yoo JS
• Kim NK

• KMID: 2269460
• DOI: http://doi.org/10.5388/aon.2014.14.2.66

Abstract

PURPOSE
This study aimed to investigate nutritional risk, physical activity, and quality of life (QoL) and the interaction of these factors in colorectal cancer patients.
METHODS
Participants were colorectal cancer patients receiving follow-up treatment at the colorectal cancer outpatient clinic of Severance Hospital in Seoul. Participants were recruited from October 25 to November 30, 2010. The survey questionnaire consisted of Nutritional Risk Score (NRS), International Physical Activity Questionnaire (IPAQ) and Functional Assessment of Cancer Therapy - scales for Colorectal Cancer (FACT-C).
RESULTS
NRSs were significantly higher in patients with low BMI (F=18.63, p<.001) and those who were underwent colorectal surgery within 1 month (F=5.96, p<.001). Physical activity level of the participants was 28.96METs. Lower nutritional risk was associated with a higher QoL (r= - .34, p<.001). In a multiple regression analysis, the predictors of QoL were the age, economic status, and nutritional risk of the patient (R2=40.0%).
CONCLUSIONS
Targeted tailored nursing interventions are needed to assess nutritional risks in order to improve colorectal cancer patients' QoL.

Keyword

Colorectal Neoplasms; Nutrition Disorders; Physical Activity; Quality of Life

MeSH Terms

Ambulatory Care Facilities
Child
Colorectal Neoplasms*
Colorectal Surgery
Follow-Up Studies
Humans
Motor Activity*
Nursing
Nutrition Disorders
Quality of Life*
Seoul
Weights and Measures
Surveys and Questionnaires

Reference

1. National Cancer Information Center. Cancer facts & figures 2010. Accessed December 10, 2010. http://www.cancer.go.kr.

2. Baek HW, Kim IH, Kang JS. Nutritional risk factors in postoperative morbidity of gastrointestinal cancer patients. Korean J Gastroenterol. 1993; 25:455–461.

3. Sohn SK, Kim KH, Kim SH. Relationship between fatigue and functional status in patients with cancer. Asian Oncol Nurs. 2007; 7(1):3–13.

4. Yoon KY, Ahn SM, Shin YM, Choi KH, Jang MK, Kong EJ, et al. Relationship of the nutritional status at the time of admission to mortality and the length of the hospital stay. J Korean Surg Soc. 2007; 72(6):438–443.

5. Karthaus M, Frieler F. Eating and driking at the end of life. Nutritional support for cancer patients in palliative care. Wien Med Wochenschr. 2004; 154:192–198.

6. Rha MY. Effects of clinical outcome of hospitalized patients by means of nutritional status [dissertation]. Seoul: Seoul National Univ.;2006.

7. Allison SP. Malnutrition disease and outcome. Nutrition. 2000; 16(7-8):590–593.

8. Kamel HK, Karcic E, Karcic A, Barghouthi H. Nutritional status of hospitalized elderly: differences between nursing home patients and community-dwelling patients. Ann Longterm Care. 2000; 8(3):33–38.

9. Schwegler I, von Holzen A, Gutzwiller JP, Schlumpf R, Muhlebach S, Stanga Z. Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer. Br J Surg. 2010; 97:92–97.

10. Camilleri-Brennan J, Steele RJ. The impact of recurrent rectal cancer on quality of life. EJSO. 2001; 27(4):349–353.

11. Giovannucci E, Ascherio A, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med. 1995; 122:327–334.

12. Meyerhardt JA, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ, Nelson H, et al. Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: findings from CALG B 89803. J Clin Oncol. 2006; 24:3535–3541.

13. Stephenson LE, Bebb DG, Reimer RA, Culos-Reed SN. Physical activity and diet behavior in colorectal cancer patients receiving chemotherapy: associations with quality of life. BMC Gastroenterology. 2009; 9:60.

14. Courneya KS, Freidenreich C. Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med. 1997; 3:215–226.

15. Courneya KS, Freidenreich C, Quinney H, Fields A, Jones L, Fairey A. A randomized trial of exercise and quality of life on colorectal cancer survivors. Eur J Cancer Care (Engl). 2003; 12:347–357.

16. Obrand DI, Gordon PH. Incidence and patterns of recurrence following curative resection for colorectal carcinoma. Dis Colon Rectum. 1997; 40:15–24.

17. Reilly HM, Martineau JK, Moran A, Kennedy H. Nutritional screening-Evaluation and implementation of a simple nutrition risk score. Clinical Nutrition. 1995; 14:269–273.

18. Lee YH. Effects of physical activity on metabolic syndrome markers and cardiopulmonary fitness among female students in a university [dissertation]. Yong-in: Yong-in Univ.;2006.

19. Lee DT, Seo YS, Son YS, Moon EM, Jin YJ. Estimation of physical activity levels using international physical activity questionnires (IPAQ) and its reliability for overweight middle aged women. J Korean Soc Living Environ Syst. 2007; 14(1):1–8.

20. Ferrell BR, Wisdom C, Wenze C. Quality of life as an outcome variable in the management of cancer pain. Cancer. 1989; 63:2321–2327.

21. Cella DF, Tulsky DS, Gray G, Sarafian B, Linn E, Bonomi A, et al. The functional assessment of cancer therapy scale: development and validation of the general measure. J Clin Oncol. 1993; 11:570–579.

22. Lee GS. Nutritional evaluation by using mini nutritional assessment (MNA) and relating factors of postoperative recovery for elderly in gastric cancer [dissertation]. Busan: Kosin Univ.;2004.

23. Bauer JD, Capra S. Nutrition intervention improves outcomes in patients with cancer cachexia receiving chemotherapy-a pilot study. Support Care Cancer. 2005; 13:270–274.

24. Kim JH. Nutritional status in the patients having spinal surgery using nutrition screening tool (NST)[dissertation]. Ulsan: Ulsan Univ.;2007.

25. Martin CK, Church TS, Thompson AM, Earnest CP, Blair SN. Exercise dose and quality of life: a randomized controlled trial. Arch Intern Med. 2009; 169(3):269–278.

26. Clark MM, Novotny PJ, Patten CA, Rausch SM, Garces YI, Jatoi A, et al. Motivational readiness for physical activity and quality of life in longterm lung cancer survivors. Lung Cancer. 2008; 61:117–122.

27. Peddle CJ, Au HJ, Courneya KS. Associations between exercise, quality of life, and fatigue in colorectal cancer survivors. Dis Colon Rectum. 2008; 51:1242–1248.

28. Hamashima C. QOL of postoperative rectal cancer: long term quality of life of postoperative rectal cancer patients. J Gastroenterol Hepatol. 2002; 17(5):571–576.

29. Lee SH. A study on professional medical team support and information needs of patients with colon cancer [dissertation]. Seoul: Yonsei Univ.;2006.

30. Choi KS, Park JA, Lee JH. The effect of symptom experience and resilience on quality of life in patients with colorectal cancers. Asian Oncol Nurs. 2012; 12(1):61–68.