Adherence to the American Cancer Society Guidelines for Cancer Survivors and Health-Related Quality of Life among Breast Cancer Survivors

Nutrients. 2019 Dec 3;11(12):2924. doi: 10.3390/nu11122924.


The development and validation of guidelines for breast cancer survivors are of importance due to the increased survival rate for breast cancer. In this cross-sectional study, we aimed to examine the association between adherence to the American Cancer Society (ACS) guidelines for cancer survivors and health-related quality of life (HRQoL). A total of 618 breast cancer survivors aged 30 to 81 years who had been diagnosed with stage I to III primary breast cancer and had surgery at least a year before enrollment were included. The participants completed the 36 Item Short-Form Health Survey (SF-36) to evaluate HRQoL, and adherence scores were calculated based on the Nutrition and Physical Activity Guidelines for Cancer Survivors, which were released by the ACS. Increasing adherence scores were associated with increasing scores on the physical component summary (PCS) and the physical functioning (PF), bodily pain (BP), and vitality (VT) domains (p for trend <0.001 for PCS and PF, 0.01 for BP, and 0.02 for VT); these scores were mainly driven by the associations among survivors with stage II-III cancer. Further prospective studies are needed to evaluate whether adherence to these guidelines improves HRQoL scores among breast cancer survivors.

Keywords: breast cancer survivors; cancer survivor guidelines; health-related quality of life (HRQoL); physical activity.

MeSH terms

  • American Cancer Society / organization & administration*
  • Breast Neoplasms / epidemiology
  • Breast Neoplasms / therapy*
  • Cancer Survivors*
  • Diet Surveys
  • Female
  • Humans
  • Nutrition Policy*
  • Patient Compliance*
  • Quality of Life*
  • Republic of Korea
  • United States