Low bone density in breast cancer survivors in Korea: Prevalence, risk factors and associations with health-related quality of life

Title
Low bone density in breast cancer survivors in Korea: Prevalence, risk factors and associations with health-related quality of life
Authors
김수현
Keywords
Breast cancer Osteoporosis Osteopenia Bone mineral density Quality of life
Issue Date
2013
Publisher
EUROPEAN JOURNAL OF ONCOLOGY NURSING
Series/Report no.
EUROPEAN JOURNAL OF ONCOLOGY NURSING ; Vol17 no.2 Startpage 196 Endpage 203
Abstract
Purpose: To examine the prevalence and risk factors of low bone density and identify associations with health-related quality of life (HRQOL) in breast cancer survivors in Korea. Methods: This study was a cross-sectional descriptive study design. A total of 136 women with breast cancer who had completed their therapy were recruited at one university-based cancer center in Korea. Bone mineral density (BMD), health behaviors (physical activity, diet/nutrition behaviors, smoking, alcohol consumption, sunlight exposure), and HRQOL were measured. Results: Among the 136 breast cancer survivors, 49 women (36.0%) had osteopenia and six women (4.4%) had osteoporosis. Univariate analyses revealed that older age, low education level, low monthly income, tamoxifen therapy, aromatase inhibitor therapy, calcium supplement intake, and past or current smoking were associated with low bone density (BMD T-score < 1.0). In multivariate analyses, low economic status (OR ¼ 2.22, p ¼ 0.050) and past or current smoking (OR ¼ 3.77, p ¼ 0.039) were final risk factors of low bone density. In addition, women who had low bone density reported worse role function (p ¼ 0.022) than women who did not. Conclusions: Women of lower economic status or who are past or current smokers warrant monitoring and treatment strategies to reduce bone loss risk. Nurses may play a crucial role in screening this highrisk group for low bone density and in educating patients on the importance of healthy lifestyle changes.
URI
http://dx.doi.org/10.1016/j.ejon.2012.07.003
http://dspace.inha.ac.kr/handle/10505/33283
ISSN
1462-3889
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Nursing (간호학) > Journal Papers, Reports(간호학 논문, 보고서)
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