Background
The factors associated with sleep disorder are controversial. This study aimed to evaluate the prevalence of sleep disorder and the factors associated with sleep disorder among Korean adult cancer survivors.
Methods
In this cross-sectional study, we collected data on sleep problems as outcome variables, and sociodemographic and clinical information as predictor variables from cancer survivors at two university-affiliated hospitals. Sleep disorder was defined as “a difficulty in sleep initiation or sleep maintenance at least 3 times a week that started after a cancer diagnosis.” Multiple logistic regression analysis was performed with odds ratios (OR) and 95% confidence intervals (95% CI) to evaluate the factors associated with sleep disorder.
Results
The participants were 1,893 Korean cancer survivors (mean age, 58.1 years; females 68.0%). The prevalence of sleep disorder among male and female cancer survivors were 16.5% and 20.3%, respectively. An increase of age by 1-year was associated with a 1.04 (95% CI, 1.01–1.07; P=0.011) times higher risk of sleep disorder in males, while an inverse association was found in females. In female survivors, high fear of cancer recurrence (FCR), high anxiety, menopause, and high EuroQol Visual Analog Scale were associated with 1.45 (95% CI, 1.06–1.98; P=0.020), 1.78 (95% CI, 1.25–2.55; P=0.002), 1.70 (95% CI, 1.08–2.67; P=0.022), and 0.59 (95% CI, 0.43–0.82; P=0.002) times higher risk of sleep disorder, respectively. In male survivors, living with a spouse/or partner was associated with 57% (95% CI, 0.20–0.95; P=0.036) lower risk of sleep disorder. Analyses of cancer sites showed that the factors associated with sleep disorder varied across cancer sites.
Conclusion
One-fifth of adult cancer survivors had sleep disorder. Age, menopausal status, FCR, anxiety, living with a spouse or partner, and quality of life were independently associated with sleep disorder in Korean cancer survivors.

Citations

• Social support, fear of cancer recurrence and sleep quality in breast cancer: A moderated network analysis
  Yingting Jiang, Xinyu Wu, Hongman Li, Ying Xiong, M. Tish Knobf, Zengjie Ye
  European Journal of Oncology Nursing.2025; 74: 102799.     CrossRef
• Subgroups of sleep quality and associated risk factors in patients with cancer undergoing radiotherapy: A cross-sectional study based on latent profile analysis
  Liuna Bi, Xian Zhang, Linlin Wang, Yanxiu Cai, Jing Han
  European Journal of Oncology Nursing.2024; 68: 102488.     CrossRef

Background
Since the era of “thyroid cancer epidemic,” many Korean academic societies discouraged the use of ultrasonography in healthy individuals and revised the Korean Thyroid Imaging Reporting and Data System to address the overscreening and overdiagnosis issues. This study aimed to evaluate the change in the diagnostic effectiveness of thyroid cancer screening over the last decade.
Methods
This single-center, retrospective observational study analyzed the data of 125,962 thyroid nodules obtained during cancer screening at the health promotion center of Seoul National University Bundang Hospital from 2010 to 2019. Only 327 thyroid cancer cases pathologically confirmed by fine-needle aspiration (FNA) were included in the study. The strength of the association between the number of FNA and (1) the number of thyroid cancer diagnoses, (2) the positive predictive values (PPVs), and (3) the difference in PPV from the previous year were evaluated using Pearson’s correlation analysis.
Results
The number of thyroid FNA biopsies as well as the thyroid cancer diagnoses decreased from 2010 to 2019 (166 to 48 [-71.1%] vs. 43 to 22 [-48.8%]). The PPV of FNA biopsies increased from 25.9% to 45.8% (+76.8%) and was negatively correlated with the number of FNA biopsies performed (R=-0.87, P<0.001). The difference in PPV from the previous year increased similarly but without statistical significance (R=-0.59, P=0.09).
Conclusion
The diagnostic efficiency of thyroid cancer screening has increased over the last decade, as evidenced by the increasing PPV of FNA biopsies.

Citations

• Impact of Incretin Mimetics on Thyroid Cancer Among Patients with Type 2 Diabetes: A Retrospective Cohort Time-to-Event Analysis
  Michael W. Strand, Daniel Chow, Weining Shen, Jonathan H. Watanabe
  Pharmacoepidemiology.2025; 4(2): 9.     CrossRef

Background
This study aimed to evaluate the association between complementary and alternative medicine (CAM) use and fear of cancer recurrence (FCR) among breast cancer survivors, using a validated multidimensional FCR-assessing instrument. Despite the debate over its medical effects, the use of CAM in breast cancer survivors is increasing.
Methods
We recruited 326 breast cancer survivors who had completed the primary cancer treatment. Information on CAM use was obtained using a self-administered questionnaire, and FCR was assessed using the Korean version of the FCR Inventory (FCRI). Multivariate linear regression analysis was performed to evaluate the association between CAM use and FCR.
Results
CAM users had higher total FCR scores than CAM non-users after covariate adjustment (CAM users: 74.6 vs. CAM non-users: 68.7; P=0.047). Among the FCRI subscales, CAM users showed higher coping strategy scores (CAM users: 22.3 vs. CAM non-users: 20.6; P=0.034) in the multivariable adjusted analysis. The use of multiple types of CAM was associated with increased FCR in a dose-dependent manner (P=0.002).
Conclusion
Breast cancer survivors who used CAM had a higher FCR than CAM non-users. The dose-response relationship between the use of multiple types of CAM and FCR suggests that breast cancer survivors who use multiple types of CAM should be provided with appropriate psychological interventions to decrease FCR.

Citations

• Critical Considerations Regarding the Article “Association between Complementary and Alternative Medicine Use and Fear of Cancer Recurrence among Breast Cancer Survivors”
  Niloufar Johari Varnoosfaderani, Ehsan Amiri-Ardekani
  Korean Journal of Family Medicine.2023; 44(1): 66.     CrossRef
• Use of complementary and alternative medicine for reducing fear of cancer recurrence among cancer survivors: Does it work?
  Heliang Wu, Adnan Rashid Aziz, Mahlagha Dehghan, Leyla Ahmadi Lari, Rasmieh Al-Amer, Mohammad Ali Zakeri
  Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100278.     CrossRef
• Adherence to lifestyle recommendations among Norwegian cancer survivors and the impact of traditional and complementary medicine use: the Tromsø Study 2015–2016
  Kiwumulo Nakandi, Faith O. Benebo, Laila A. Hopstock, Trine Stub, Agnete E. Kristoffersen
  BMC Complementary Medicine and Therapies.2023;[Epub]     CrossRef

Background
Dietary supplements (DS) use is known to be common among cancer survivors. However, detailed information on the factors influencing DS use seems insufficient, including cancer-related and psychological factors.
Methods
Study subjects were 1,852 Korean adult cancer survivors recruited from cancer survivor clinic of two university-affiliated hospitals. Data were collected retrospectively through review of medical records and self-administered questionnaires. Psychological factors were assessed using Hospital Anxiety and Depression Scale (HADS) and Fear of Cancer Recurrence Inventory-Short Form. Factors associated the DS use were evaluated by multiple logistic regression analysis after adjusting for covariates.
Results
The prevalence of long-term DS use was 15.7% in overall (17.5% in female and 11.6% in male). Female survivors were 3.14 times (95% confidence interval [CI], 1.89–5.22) more likely to use DS than male. In male cancer survivors, ever-smoking and previous radiotherapy were positively associated with DS use. In females, breast cancer survivors were 0.32 times less likely to use DS compared with stomach cancer survivors, and survivors with family history of cancer were 1.39 times more likely to use DS than those without. After adjusting for sociodemographic, clinical, and lifestyle factors, survivors with anxiety (HADS ≥8) used DS 1.38 times (95% CI, 1.01–1.91) more frequently, compared with those without anxiety.
Conclusion
Diverse factors such as female sex, cancer treatment modality, smoking history, family history and anxiety status were associated with DS use in Korean cancer survivors. Targeted strategies with consideration of these factors are needed for counseling DS use for cancer survivors.

Citations

• Exploring men’s cancer journeys in Norway: a comprehensive survey on diet, supplements, and use of complementary and alternative therapies
  Agnete E. Kristoffersen, Kiwumulo Nakandi, Arne Johan Norheim, Mona Bjelland, Jorunn V. Nilsen, Eran Ben-Arye
  BMC Complementary Medicine and Therapies.2025;[Epub]     CrossRef
• Supplement use and its impact on daily life of cancer patients: a cross-sectional study
  Youssef El Toum, Tarek Costa, Elissa El Toum, Tina Haddad, Pascale Salameh, Fady El karak, Marwan Ghosn, Fady Nasr, Georges Chahine, Joseph Kattan, Hampig Raphael Kourie
  Supportive Care in Cancer.2024;[Epub]     CrossRef
• Factors Associated with Long-Term Dietary Supplement Use among Korean Breast Cancer Survivors: A Cross-Sectional Study
  Seonghye Kim, Yohwan Yeo, Jinyoung Shin, Dong Wook Shin, Belong Cho, Yun-Mi Song
  Nutrients.2023; 15(18): 4087.     CrossRef
• Addressing Patient Requests to Add Dietary Supplements to Their Cancer Care—A Suggested Approach
  Moshe Frenkel, Meroe B. Morse, Santhosshi Narayanan
  Nutrients.2023; 15(24): 5029.     CrossRef
• Differences in the Perception of Dietary Supplements between Dietary Supplement/Medicine Users and Non-Users
  Tsuyoshi Chiba, Nanae Tanemura
  Nutrients.2022; 14(19): 4114.     CrossRef
• The Self-Administered Use of Complementary and Alternative Medicine (CAM) Supplements and Antioxidants in Cancer Therapy and the Critical Role of Nrf-2—A Systematic Review
  Paula Krejbich, Marc Birringer
  Antioxidants.2022; 11(11): 2149.     CrossRef

Background
This study aimed to investigate trends in the prevalence of current smokers and motivation to quit among Korean male cancer survivors.
Methods
Out of 20,012 men who participated in the Korea National Health and Nutrition Examination Survey V (2010–2012), VI (2013–2015), and VII (2016–2017), 742 cancer survivors were included. A cancer survivor was defined as a person who concurred to the item, “The cancer has been diagnosed by a doctor” in the health questionnaire. Smoking status was classified as current, former, and never smokers. Regarding motivation to quit smoking, we defined those who had a willingness to quit within 6 months as the willing group. Logistic regression analysis was conducted to examine trends in the prevalence of current smokers and the proportion of the willing group among current smokers.
Results
Overall, 3.7% of Korean men who participated in the study were cancer survivors. Current smokers constituted 19.5%, 19.1%, and 15.3% of cancer survivors in phases V, VI, and VII respectively which did not show significant changes (P for trend=0.33). However, the proportion of current smokers in the non-cancer group was significantly reduced to 46.6%, 41.2%, and 38.9% in phases V, VI, and VII, respectively (P for trend <0.001). The proportion of those with a motivation to quit smoking did not show a significant trend in the cancer survivors (P for trend=0.964) and non-cancer group (P for trend=0.884).
Conclusion
Prevalence of current smokers and motivation to quit in Korean male cancer survivors did not show significant trends.

Citations

• Current status of health promotion in Korea
  Soo Young Kim
  Journal of the Korean Medical Association.2022; 65(12): 776.     CrossRef
• Smoking Cessation in Cancer Survivors
  Young Gyu Cho
  Korean Journal of Family Medicine.2021; 42(4): 258.     CrossRef

Background
Cancer survivors experience decreased physical function and reduced muscle strength, which leads to lower quality of life (QOL). The hand grip strength (HGS) can be a predictor of poor health-related QOL as a parameter of sarcopenia. The purpose of this study was to investigate the relationship between low HGS and QOL in cancer survivors and healthy controls.
Methods
We analyzed 392 cancer survivors and 1,176 healthy controls from the Korea National Health and Nutrition Examination Survey, 2014–2017. We defined low HGS as 2 standard deviation values for healthy young Korean adults from a previous study. QOL was evaluated using the European Quality of Life Scale-Five Dimensions. A complex sample logistic regression model was used to assess the relationship between each dimension of low HGS and QOL.
Results
The odds ratios (ORs) for decreased QOL were significantly higher in male cancer survivors with low HGS on self-care (OR, 8.51; 95% confidence interval [CI], 1.69–42.83) and usual activities (OR, 6.63; 95% CI, 1.22–36.03). The ORs for problems in mobility (OR, 5.87; 95% CI, 2.04–16.91), usual activities (OR, 14.46; 95% CI, 3.84–54.44), pain/discomfort (OR, 4.90; 95% CI, 2.00–12.01), and anxiety/depression (OR, 6.43; 95% CI, 2.16–19.12) were significantly high in female cancer survivors with low HGS. However, healthy controls showed no significant relationship between low HGS and QOL.
Conclusion
For cancer survivors, low HGS was associated with poor QOL in some domains. Strategies to increase muscle strength must be considered to improve the QOL of cancer survivors.

Citations

• The quality of life impacting factors in malnourished patients with gastric cancer
  Hong Zhao, Chenan Liu, Guotian Ruan, Xin Zheng, Yue Chen, Shiqi Lin, Xiaoyue Liu, Jinyu Shi, Xiangrui Li, Shuqun Li, Hanping Shi
  Frontiers in Oncology.2024;[Epub]     CrossRef
• Cardiovascular and metabolic determinants of quality of life in patients with cancer
  Ruben Evertz, Katharina Gödde, Christine Diehl, Miroslava Valentova, Tania Garfias‐Veitl, Friederike Braulke, Gerald G. Wulf, Tobias R. Overbeck, Annalen Bleckmann, Alexander O. König, Pia Weinländer, Sophia Potthoff, Sara Hadzibegovic, Alessia Lena, Ulri
  ESC Heart Failure.2023; 10(1): 167.     CrossRef
• Understanding Heterogeneity in the Relationship Between Cancer and Hand Grip Strength: A Longitudinal Analysis
  Jinho Kim, Gum-Ryeong Park
  Research on Aging.2023; 45(7-8): 586.     CrossRef
• Better Handgrip Strength Is Related to the Lower Prevalence of Pain and Anxiety in Community-Dwelling Older Adults
  Natalia Sosowska, Agnieszka Guligowska, Bartłomiej Sołtysik, Ewa Borowiak, Tomasz Kostka, Joanna Kostka
  Journal of Clinical Medicine.2023; 12(11): 3846.     CrossRef
• Predictors of lower exercise capacity in patients with cancer
  Ruben Evertz, Christine Diehl, Katharina Gödde, Miroslava Valentova, Tania Garfias-Veitl, Tobias R. Overbeck, Friederike Braulke, Alessia Lena, Sara Hadzibegovic, Annalen Bleckmann, Ulrich Keller, Ulf Landmesser, Alexander O. König, Gerd Hasenfuss, Andrea
  Scientific Reports.2023;[Epub]     CrossRef
• NEUROCANTRIAL: study protocol for a randomised controlled trial of a pain neuroscience education programme in adults with cancer pain
  Leidy Tatiana Ordoñez-Mora, Ilem D Rosero, Marco Antonio Morales-Osorio, Rocío Guil, Giancarlo Quintero Jordan, Julian Alberto Agudelo Jimenez, Katherine Gonzalez-Ruiz, Juan Carlos Avila-Valencia
  BMJ Open.2023; 13(9): e071493.     CrossRef
• Differences in Health-Related Quality of Life in Older People with and without Sarcopenia Covered by Long-Term Care Insurance
  Masahiro Kitamura, Kazuhiro P. Izawa, Kodai Ishihara, Peter H. Brubaker, Hiroaki Matsuda, Soichiro Okamura, Koji Fujioka
  European Journal of Investigation in Health, Psychology and Education.2022; 12(6): 536.     CrossRef
• Associations of Physical Activity and Handgrip Strength with Health-Related Quality of Life in Older Korean Cancer Survivors
  Jeonghyeon Kim, Seamon Kang, Donghyun Kim, Hyunsik Kang
  Cancers.2022; 14(24): 6067.     CrossRef
• Differences in the Relationships Between Muscle Strength, Muscle Mass, Balance Function, and Quality of Life for Middle-Aged and Older Breast Cancer Survivors
  Shinichiro Morishita, Ryuichi Kasahara, Yuichi Yamamoto, Ryohei Jinbo, Aya Takano, Mitsuhiko Yasuda, Atsuhiro Tsubaki, Osamu Aoki, Jack B. Fu, Tetsuya Tsuji
  Integrative Cancer Therapies.2022;[Epub]     CrossRef

One-third of the global population aged 15 years and older engages in insufficient physical activities, which affects health. However, the health risks posed by sedentary behaviors are not well known. The mean daily duration of sedentary behavior is 8.3 hours among the Korean population and 7.7 hours among the American adult population. Sedentary lifestyles are spreading worldwide because of a lack of available spaces for exercise, increased occupational sedentary behaviors such as office work, and the increased penetration of television and video devices. Consequently, the associated health problems are on the rise. A sedentary lifestyle affects the human body through various mechanisms. Sedentary behaviors reduce lipoprotein lipase activity, muscle glucose, protein transporter activities, impair lipid metabolism, and diminish carbohydrate metabolism. Furthermore, it decreases cardiac output and systemic blood flow while activating the sympathetic nervous system, ultimately reducing insulin sensitivity and vascular function. It also alters the insulin-like growth factor axis and the circulation levels of sex hormones, which elevates the incidence of hormone-related cancers. Increased sedentary time impairs the gravitostat, the body’s weight homeostat, and weight gain, adiposity, and elevated chronic inflammation caused by sedentary behavior are risk factors for cancer. Sedentary behaviors have wide-ranging adverse impacts on the human body including increased all-cause mortality, cardiovascular disease mortality, cancer risk, and risks of metabolic disorders such as diabetes mellitus, hypertension, and dyslipidemia; musculoskeletal disorders such as arthralgia and osteoporosis; depression; and, cognitive impairment. Therefore, reducing sedentary behaviors and increasing physical activity are both important to promote public health.

Citations

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  Viveka Pitter, Kimberly G. Lockwood, Sarah A. Graham
  American Journal of Health Education.2025; 56(2): 134.     CrossRef
• Offistretch: camera-based real-time feedback for daily stretching exercises
  Jindřich Adolf, Peter Kán, Tiare Feuchtner, Barbora Adolfová, Jaromír Doležal, Lenka Lhotská
  The Visual Computer.2025; 41(3): 1555.     CrossRef
• Effect of melatonin supplementation on exercise-induced alterations in haematological parameters and liver function markers in sedentary young men of Kolkata, India
  Sohini Basu, Anindita Mandal Majee, Debasish Bandyopadhyay, Amit Bandyopadhyay
  Sport Sciences for Health.2025; 21(1): 321.     CrossRef
• Body Composition, Vascular Health, Cardiorespiratory Fitness, Lung Function, Muscle Architecture, and Physical Activity in People with Young Onset Dementia: A Case-Control Study
  Lawrence D. Hayes, Ethan C.J. Berry, Nilihan E.M. Sanal-Hayes, Nicholas F. Sculthorpe, Duncan S. Buchan, Marie Mclaughlin, Sowmya Munishankar, Debbie Tolson
  The American Journal of Medicine.2025; 138(2): 277.     CrossRef
• Exercise interventions for mitigating the persistent side effects of COVID-19
  Sahil Gupta, Kaitlyn Rebecca Liu, Simran Sandhu, Ananya Gupta
  Sport Sciences for Health.2025; 21(1): 41.     CrossRef
• Exploring sedentary behavior, neutrophil-to-lymphocyte ratio, and depression: Mediation analysis in NHANES
  Jing Chen, Shengyuan Hua, Lirong Huang, Xinguang Zhang, Wenbo Yao, Zheng Xue
  Progress in Neuro-Psychopharmacology and Biological Psychiatry.2025; 136: 111140.     CrossRef
• Comparison of working memory performance in athletes and non-athletes: a meta-analysis of behavioural studies
  Chenxiao Wu, Chenyuan Zhang, Xueqiao Li, Chaoxiong Ye, Piia Astikainen
  Memory.2025; 33(2): 259.     CrossRef
• Extending Our Understanding of the Social Determinants of Physical Activity and Sedentary Behaviors in Families: A Systems Mapping Approach
  Ryan E. Rhodes, Anna Banik, Zofia Szczuka, Matthias Burkard Aulbach, Ann DeSmet, Hannah Durand, Lauren Gatting, James Green, Emily Zelda Hillison, Radomír Masaryk, Theda Radtke, Benjamin P. Rigby, Konstantin Schenkel, Lisa Marie Warner, Christopher M. Jon
  Journal of Physical Activity and Health.2025; 22(1): 53.     CrossRef
• A scoping review of the types and features of technology used to deliver exercise prescription and improve exercise adherence
  Kalaivani Sulwarajan, Zulkarnain Jaafar, Nor Ashikin Md Sari, Sareena Hanim Hamzah, Farrah Dina Yusop, Suraya Hamid, Norjihan Abdul Ghani
  Patient Education and Counseling.2025; 131: 108580.     CrossRef
• ‘We Need Equitable Exercise Opportunities’: The Complexity of Leisure-Time Physical Activity and Its Relationship to Mental Health among Arab Canadians: The CAN-HEAL Study
  Sarah Elshahat, Tina Moffat, Basit Kareem Iqbal, K. Bruce Newbold, Mahira Morshed, Haneen Alkhawaldeh, Olivia Gagnon, Mafaz Gehani, Keon Madani, Tony Zhu, Emily D. Gomes-Szoke, Lein Charkatli, Sherry Ing, Zena Shamli Oghli, Sara Emira, Nadine Al-Jabouri,
  Journal of Immigrant and Minority Health.2025; 27(2): 303.     CrossRef
• Prevalence and Association of Components of Metabolic Syndrome and Uric Acid among Commercial Drivers in South-West Nigeria
  David D. Ajayi, Taiwo H. Raimi, Samuel A. Dada
  Annals of African Medicine.2025; 24(1): 152.     CrossRef
• Exposure to urban environment and associated lifestyle diseases among older adults in India: evidence from LASI
  Arup Jana
  Cities & Health.2025; : 1.     CrossRef
• The Impacts of Engagement in Men's Sheds on Incidental Physical Activity and Wellbeing Outcomes
  Briana Guerrini, James J. Clarke, Brendan J. Smith, Joanne A. McVeigh, Kirsten Holmes, James Wild, Rebecca Talbot, Jaxon Ashley, Peter M. McEvoy
  Health Promotion Journal of Australia.2025;[Epub]     CrossRef
• Interpersonal relationships as coping mechanisms during bed rest: a thematic synthesis literature review
  Ana Cikač, Saša Pišot
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• Occupational physical activity and cardiovascular disease mortality in the United States, 1988–2019
  Tong Xia, Liwei Chen, Jian Li
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• Extracellular vesicle-mediated approaches for the diagnosis and therapy of MASLD: current advances and future prospective
  Swasthika Gurjar, Ramanarayana Bhat A, Raghavendra Upadhya, Revathi P. Shenoy
  Lipids in Health and Disease.2025;[Epub]     CrossRef
• Sit is not lit: Examining the impact of message framing, modality, and peer influence on attitudes and intentions to reduce sedentary behavior
  Mahar Nirmala, Huanyu Bao, Brenda Jansen, Melissa Wen Ai Koh, Li Wen Kok, Jasmine Jiemin Ng, Edmund W.J. Lee
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• Sitting time at work and cardiovascular disease risk—a longitudinal analysis of the Study on Mental Health at Work (S-MGA)
  Nicole Schmidt, Karla Romero Starke, Martha Sauter, Hermann Burr, Andreas Seidler, Janice Hegewald
  International Archives of Occupational and Environmental Health.2025; 98(1): 119.     CrossRef
• Maternal, paternal, and dual-parental alcohol exposures result in both overlapping and distinct impacts on behavior in adolescent offspring
  Kara N. Thomas, Alison Basel, Hayden Reitz, Rachel Toler, Kelly R. Thomas, Luke J. Dotson, Tyler Brown, Alan Nguyen Pham, Siara K. Rouzer, Rajesh C. Miranda, Michael C. Golding
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• Burden of NASH related liver cancer from 1990 to 2021 at the global, regional, and national levels
  Shuang Li, Shuangjiang Li, Linjing Guan, Mingjuan Li, Jiahui Zhao, Min Wu, Qiuyun Li, Hui Li, Guoqing Ouyang, Guangdong Pan
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• Physical Activity and Eating Habits Are Related to Chronic Disease in the Basic Livelihood Security Program
  Seongryu Bae, Hyuntae Park
  Nutrients.2025; 17(3): 462.     CrossRef
• Chronic moderate‑intensity exercise can induce physiological hypertrophy in aged cardiomyocytes through autophagy, with minimal Yap/Taz involvement
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• The alarming rise of lifestyle diseases and their impact on public health: A comprehensive overview and strategies for overcoming the epidemic
  Ram Kumar Garg
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• The Efficacy of the TEACH e-Learning Course at Improving Early Childhood Education Students’ Physical Activity and Sedentary Behaviour Related Self-Efficacy, Knowledge, Intentions, and Perceived Behavioural Control
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• Physical activity and male reproductive function
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• The associations between sedentary behavior and neck pain: a systematic review and meta-analysis
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• Sedentary Behavior and Its Association With Psychological Well-Being and Sleep Quality in Adolescents: Evidence from a Propensity Score Analysis
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  Psychology Research and Behavior Management.2025; Volume 18: 281.     CrossRef
• Spatial Variations in the Risk Factors of Hypertension Across Different Age Groups in Indian Adults: Insights from the Fifth Round of NFHS (2019-21)
  Anshu Mittal, Shilpi Gupta, Harsimranjit K. Natt, Madhur Verma, Mrinmoy P. Bharadwaz, Sonu Goel
  Indian Journal of Community Medicine.2025;[Epub]     CrossRef
• Sociodemographic, lifestyle, and psychological factors as controllable predictors of academic self-efficacy after reforming a medical education system; the Egyptian Nationwide experience
  Ahmed Amir Samir, Ahmed Hussein Elamir, Mohamed Basyouni Helal, Yomna Goudy, Khaled Elbarbary, Mohamed El-Mezayen, Wesam Abo-Elenien, Ebtehal Hashem Abdelazim, Manar Alaa Mabrouk, Ahmed Hatem Ibrahim, Abdelwahab Waleed Salah, Rana Mohamed Attallah, Mariam
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• Associations of Mentally Active Versus Passive Sedentary Behavior with Overweight/Obesity in Adults: Role of Patterns and Sex
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  Healthcare.2025; 13(4): 361.     CrossRef
• Lifestyle Behaviors and Gestational Diabetes Mellitus: A Narrative Review
  Eleftheria Taousani, Konstantinos-Georgios Papaioannou, Gesthimani Mintziori, Maria G. Grammatikopoulou, Angeliki Antonakou, Maria Tzitiridou-Chatzopoulou, Stavroula Veneti, Dimitrios G. Goulis
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• Changing User Experience of Wearable Activity Monitors Over 7 Years: Repeat Cross-Sectional Survey Study
  Darcy Beckett, Rachel Curtis, Kimberley Szeto, Carol Maher
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• Understanding COVID-19-related Acute Renal Injury in Elderly Individuals: Preexisting Systemic Inflammation before COVID-19 (SIC)
  Ruiz-Pacheco Juan Alberto, Gomez-Navarro Benjamin, Reyes-Martínez Juana Elizabeth, Castillo-Díaz Luis Alberto, Portilla-de Buen Eliseo
  Endocrine, Metabolic & Immune Disorders - Drug Targets.2025; 25(4): 300.     CrossRef
• On the Role of Core Exercises in Alleviating Muscular Fatigue Induced by Prolonged Sitting: A Scoping Review
  Banafsheh Amiri, David G. Behm, Erika Zemková
  Sports Medicine - Open.2025;[Epub]     CrossRef
• Exploring the relationship between physical activity and smartphone addiction among college students in Western China
  Chun Lai, Peiling Cai, Junyi Liao, Xiwei Li, Yuanyuan Wang, Mengping Wang, Peng Ye, Xinwei Chen, Brett D. Hambly, Xiaoping Yu, Shisan Bao, Haifeng Zhang
  Frontiers in Public Health.2025;[Epub]     CrossRef
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  Natalia Świątoniowska-Lonc, Marek Aureliusz Mak, Filip Klausa, Krzysztof Ściborski, Waldemar Banasiak, Adrian Doroszko
  Nutrients.2025; 17(5): 761.     CrossRef
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  Mehrnaz Zargarzadeh, Anabela Salgueiro Narciso Ribeiro
  Networks and Spatial Economics.2025;[Epub]     CrossRef
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• Objectively Measured Physical Activity Is Lower in Individuals with Normal Weight Obesity in the United States
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  International Journal of Environmental Research and Public Health.2022; 19(18): 11747.     CrossRef
• Eight-Week Functional Training with Ascending AMRAP Model and FOR TIME Constant Load Model to Increase Abdominal Muscle Strength and Maximal Oxygen Consumption Levels in Adolescent Males
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  Physical Education Theory and Methodology.2022; 22(3): 366.     CrossRef
• Pathomechanisms of non-coding RNAs and hub genes related to the oxidative stress in diabetic complications
  Fatemeh Hajibabaie, Faranak Aali, Navid Abedpoor
  F1000Research.2022; 11: 1132.     CrossRef
• Fibromyalgia in women: association of inflammatory plasma proteins, muscle blood flow, and metabolism with body mass index and pain characteristics
  Bijar Ghafouri, Emelie Edman, Marie Löf, Eva Lund, Olof Dahlqvist Leinhard, Peter Lundberg, Mikael Fredrik Forsgren, Björn Gerdle, Huan-Ji Dong
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• Summary and application of the WHO 2020 physical activity guidelines for patients with essential hypertension in primary care
  Apichai Wattanapisit, Chirk Jenn Ng, Chaisiri Angkurawaranon, Sanhapan Wattanapisit, Sirawee Chaovalit, Mark Stoutenberg
  Heliyon.2022; 8(10): e11259.     CrossRef
• Objective and subjective measures of daily physical activity in persons with Multiple Sclerosis beginning a rehabilitation regime: A cross-sectional study
  Alessandro Torchio, Giulia Fusari, Gloria Perini, Valeria Crispiatico, Cristina Grosso, Davide Cattaneo, Chiara Pagliari, Johanna Jonsdottir
  Multiple Sclerosis and Related Disorders.2022; 68: 104394.     CrossRef
• Aortic stiffness increases during prolonged sitting independent of intermittent standing or prior exercise
  Alexander Wright, Jon Stavres, Riley Galloway, Paul Donahue, Zhanxin Sha, Stephanie McCoy
  European Journal of Applied Physiology.2022;[Epub]     CrossRef
• Gut–Liver Axis and Non-Alcoholic Fatty Liver Disease: A Vicious Circle of Dysfunctions Orchestrated by the Gut Microbiome
  Salvatore Pezzino, Maria Sofia, Gloria Faletra, Chiara Mazzone, Giorgia Litrico, Gaetano La Greca, Saverio Latteri
  Biology.2022; 11(11): 1622.     CrossRef
• The Effect of Public Healthcare Expenditure on the Reduction in Mortality Rates Caused by Unhealthy Habits among the Population
  José Manuel Santos-Jaén, Ana León-Gómez, María del Carmen Valls Martínez, Fernando Gimeno-Arias
  Healthcare.2022; 10(11): 2253.     CrossRef
• COVID-19 pandemisinin çocukların ve adölesanların fiziksel aktivite düzeyi ve ekran süresi üzerindeki etkisi: bir sistematik derleme ve meta-analiz
  İsa ÇELİK, Murat BEKTAŞ, Seçil DURAN
  Current Perspectives on Health Sciences.2022; 3(3): 92.     CrossRef
• Public Health Concern on Sedentary Behavior and Cardiovascular Disease: A Bibliometric Analysis of Literature from 1990 to 2022
  Zhen Yang, Sitong Chen, Ran Bao, Ruizhe Li, Kaiming Bao, Renzhi Feng, Ziyi Zhong, Xuebin Wang
  Medicina.2022; 58(12): 1764.     CrossRef
• Bioactivity of Carrageenans in Metabolic Syndrome and Cardiovascular Diseases
  Ana Valado, Maria Pereira, Mónica Amaral, João Cotas, Leonel Pereira
  Nutraceuticals.2022; 2(4): 441.     CrossRef
• A Narrative Review: Exercise Induces Adipose Browning by Altering the Gut Microbiome Profile
  Dini Suryani, Vita Murniati Tarawan, Imam Megantara, Ronny Lesmana, Nova Sylviana, Hanna Goenawan
  The Open Sports Sciences Journal.2022;[Epub]     CrossRef
• Housework-based exercise versus conventional exercise on health-related fitness of adolescent learners
  Jem Cloyd M. Tanucan, Marino A. Garcia, Marlon T. Bojos
  Pedagogy of Physical Culture and Sports.2022; 26(6): 364.     CrossRef
• Current status of health promotion in Korea
  Soo Young Kim
  Journal of the Korean Medical Association.2022; 65(12): 776.     CrossRef
• Development of Equilibrium in Dynamic and Static Conditions in Children Aged 8-9 Years Using Standard Classics
  Georgiy Georgievich Polevoy
  Journal of Organizational Behavior Research.2022; 7(2): 310.     CrossRef
• Fructose metabolism: The pathogenic potential of a little molecule
  Dijana Mirić, Bojana Kisić, Dragana Pavlović, Ilija Dragojević, Sladoje Puhalo
  Praxis medica.2022; 51(3): 45.     CrossRef
• Determinants of Adolescents’ Healthy Lifestyle Behavior in Kediri, East Java
  Dian Jayantari Putri K Hedo, Katmini Katmini
  Jurnal PROMKES.2022; 10(2): 103.     CrossRef
• The Psychological Determinants toward The Value of Healthy Food among Type 2 Diabetes Mellitus Consumers
  Nurliza Nurliza
  Media Gizi Indonesia.2022; 17(2): 122.     CrossRef
• SEASONAL CHANGES IN MIDLIFE WOMEN'S PERCENTAGE BODY FAT: A 1-YEAR COHORT STUDY
  A.M. Nelson, S.L. Casperson, L. Jahns, D.G. Palmer, J.N. Roemmich
  The Journal of Aging Research & Lifestyle.2022; 11: 20.     CrossRef
• Fatigue and the prediction of negative health outcomes: A systematic review with meta-analysis
  V. Knoop, B. Cloots, A. Costenoble, A. Debain, R. Vella Azzopardi, S. Vermeiren, B. Jansen, A. Scafoglieri, I. Bautmans, Ivan Bautmans, Dominque Verté, Ingo Beyer, Mirko Petrovic, Liesbeth De Donder, Tinie Kardol, Gina Rossi, Peter Clarys, Aldo Scafoglier
  Ageing Research Reviews.2021; 67: 101261.     CrossRef
• Fitness Level Differences between Students in Kosovo and Montenegro
  Besnik Morina, Florian Miftari, Dana Badau
  Education Sciences.2021; 11(3): 140.     CrossRef
• Prevalence of Obesity in Primary School Students and its Relation to Watching TV in Arar City
  Afaf Amer Flag Alenazi, Sabry Mohamed Hammad, Amel Elwan
  International Journal Of Pharmaceutical And Phytopharmacological Research.2021; 11(1): 159.     CrossRef
• Co-Occurrence and Clustering of Sedentary Behaviors, Diet, Sugar-Sweetened Beverages, and Alcohol Intake among Adolescents and Adults: The Latin American Nutrition and Health Study (ELANS)
  Ana Carolina B. Leme, Gerson Ferrari, Regina M. Fisberg, Irina Kovalskys, Georgina Gómez, Lilia Yadira Cortes, Martha Cecilia Yépez Gárcia, Marianella Herrera-Cuenca, Attilo Rigotti, María Reyna Liria-Domínguez, Mauro Fisberg
  Nutrients.2021; 13(6): 1809.     CrossRef
• The Lifestyle of Saudi Medical Students
  Khalid A. Bin Abdulrahman, Ahmad M. Khalaf, Fahad B. Bin Abbas, Omran T. Alanezi
  International Journal of Environmental Research and Public Health.2021; 18(15): 7869.     CrossRef
• Youth Leisure-Time Sedentary Behavior Questionnaire (YLSBQ): Reliability and Validity in Colombian University Students
  Miguel Alejandro Atencio-Osorio, Hugo Alejandro Carrillo-Arango, María Correa-Rodríguez, Diego Rivera, José Castro-Piñero, Robinson Ramírez-Vélez
  International Journal of Environmental Research and Public Health.2021; 18(15): 7895.     CrossRef
• Physical Activity, Physical Well-Being, and Psychological Well-Being: Associations with Life Satisfaction during the COVID-19 Pandemic among Early Childhood Educators
  Ken Randall, Timothy G. Ford, Kyong-Ah Kwon, Susan S. Sisson, Matthew R. Bice, Danae Dinkel, Jessica Tsotsoros
  International Journal of Environmental Research and Public Health.2021; 18(18): 9430.     CrossRef
• Videoconference-Based Adapted Physical Exercise Training Is a Good and Safe Option for Seniors
  Olga Kuldavletova, Florane Pasquier, Lucile Bigot, Antoine Langeard, Antoine Gauthier, Gaëlle Quarck
  International Journal of Environmental Research and Public Health.2021; 18(18): 9439.     CrossRef
• When Much Is Too Much—Compared to Light Exercisers, Heavy Exercisers Report More Mental Health Issues and Stress, but Less Sleep Complaints
  Sanobar Golshani, Ali Najafpour, Seyed Sepehr Hashemian, Nasser Goudarzi, Fatemeh Shahmari, Sanam Golshani, Masthaneh Babaei, Kimia Firoozabadi, Kenneth M. Dürsteler, Annette Beatrix Brühl, Jalal Shakeri, Serge Brand, Dena Sadeghi-Bahmani
  Healthcare.2021; 9(10): 1289.     CrossRef
• Analyzing the Influence of Wine and Beer Drinking, Smoking, and Leisure Time Screen Viewing Activity on Body Weight: A Cross-Sectional Study in Germany
  Elena Raptou, Georgios Papastefanou
  Nutrients.2021; 13(10): 3553.     CrossRef
• Effects of Somatic, Depression Symptoms, and Sedentary Time on Sleep Quality in Middle-Aged Women with Risk Factors for Cardiovascular Disease
  Hyun-Sook Choi, Kyung-Ae Kim
  Healthcare.2021; 9(10): 1378.     CrossRef
• On the Issue of Functional Vestibular Disorders and Methods of Their Correction in Foreign Students
  M. P. Kyrychenko, S. V. Shenger, A. V. Goncharova, O. V. Dunaeva
  Ukraïnsʹkij žurnal medicini, bìologìï ta sportu.2021; 6(5): 356.     CrossRef
• Calorie Restriction With Exercise Intervention Improves Inflammatory Response in Overweight and Obese Adults: A Systematic Review and Meta-Analysis
  Yubo Liu, Feng Hong, Veeranjaneya Reddy Lebaka, Arifullah Mohammed, Lei Ji, Yean Zhang, Mallikarjuna Korivi
  Frontiers in Physiology.2021;[Epub]     CrossRef
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  Sarah Hubner, Julie Blaskewicz Boron, Karsten Koehler
  Frontiers in Nutrition.2021;[Epub]     CrossRef
• Multiple Applications of Different Exercise Modalities with Rodents
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  Oxidative Medicine and Cellular Longevity.2021;[Epub]     CrossRef
• Real-Time Tracking of Human Neck Postures and Movements
  Korupalli V. Rajesh Kumar, Susan Elias
  Healthcare.2021; 9(12): 1755.     CrossRef

Background
In Iran, 82% of breast cancer cases are diagnosed in late stages, resulting in low survival rates. In the present study, the Stages of Change Theory and Health Belief Model were used as theoretical frameworks for assessing Women Health Volunteer readiness to act on different breast cancer screening behaviors.
Methods
A total of 1,410 Women Health Volunteers were enrolled in this cross-sectional study. The breast self-examination (BSE) and mammography stages of change were measured independently. A standardized questionnaire based on the Health Belief Model was used to assess their beliefs about breast cancer screening methods. A path analysis using PASW SPSS ver. 18.0 (SPSS Inc., Chicago, IL, USA) was used to test the effects of individual beliefs on breast cancer screening stages of change.
Results
Most participants were classified in the pre-contemplation stage of breast cancer screening behaviors. Perceived barriers, benefits, and susceptibility emerged as BSE stages of change predictors. No beliefs were significant mammography stages of change predictors.
Conclusion
Iranian Women Health Volunteers had a very low adherence to common BSE and mammography practices. Healthy beliefs have a strong association with the stages of change for performing BSE, but not for mammography. The impact of health beliefs on an individual’s readiness to act on different breast cancer screening methods may vary with respect to the type of screening method.

Background
Problem drinking increases the incidence of all-cause mortality and specific cancers, and persistent drinking is associated with cardiovascular disease in certain cancer survivors. This study analyzed the cardiovascular risk factors before and after diagnosis in Korean cancer survivors.
Methods
Data for the period between 2002 and 2013 were collected from the National Health Insurance Service Health-Examinee Cohort Database. Among the 27,835 patients included, those with moderate alcohol consumption before and after cancer diagnosis were excluded. Problem drinking was defined as males under 65 years consuming over 14 glasses a week, and males over 65 years or females consuming over seven glasses a week. A t-test, chi-square test, and linear regression analysis were performed for differences in cardiovascular risk factors and differences according to cancer types.
Results
There was a difference in the body mass index, systolic and diastolic blood pressure, and total cholesterol among patients who became moderate drinkers after diagnosis, but fasting blood glucose did not show any significant changes. Risk factors for cardiovascular disease were analyzed in patients with liver, stomach, rectal, and breast cancer with improved drinking behavior, and there were significant differences in body mass index, systolic and diastolic blood pressure, fasting blood glucose, and total cholesterol in stomach cancer patients.
Conclusion
Moderate drinking can lower cardiovascular risk in cancer survivors, and among the many drinking-related cancers, stomach cancer patients demonstrated significantly reduced cardiovascular risk factors.

Citations

• Problem Drinking in Cancer Survivors
  Seung-Won Oh
  Korean Journal of Family Medicine.2020; 41(4): 205.     CrossRef

With the early detection of cancer and improvement in cancer therapy, the number of cancer survivors is rapidly increasing. This number is expected to reach 2 million by the end of 2019. Cancer survivors struggle with not only cancer-related health problems but also diverse acute and chronic diseases. These health issues make cancer survivorship more complex, and proper care coordination is necessary. This study aimed to summarize the definition of cancer experience and management of cancer survivors, specifically focused on gastric, colorectal, lung, breast, thyroid, prostate, and cervical cancers. Furthermore, it aimed to discuss the role of primary care in cancer survivorship and survivorship care models and the National Policy for Cancer Survivors and Future Challenges.

Citations

• Supporting Life Adjustment in Patients With Lung Cancer Through a Comprehensive Care Program: Protocol for a Controlled Before-and-After Trial
  Wonyoung Jung, Alice Ahn, Genehee Lee, Sunga Kong, Danbee Kang, Dongok Lee, Tae Eun Kim, Young Mog Shim, Hong Kwan Kim, Jongho Cho, Juhee Cho, Dong Wook Shin
  JMIR Research Protocols.2024; 13: e54707.     CrossRef
• It’s Not Always Easy: Cancer Survivorship Care in Primary Care Settings
  Mirna Becevic, Allison B. Anbari, Jane A. McElroy
  Journal of Cancer Education.2023; 38(5): 1592.     CrossRef
• Factors Associated with Sleep Disorder among Korean Cancer Survivors: A Cross-Sectional Study
  Hyeonjin Cho, Wonyoung Jung, Dong Wook Shin, Jinyoung Shin, Yun-Mi Song
  Korean Journal of Family Medicine.2023; 44(4): 224.     CrossRef
• Exploring socio-demographic, physical, psychological, and quality of life-related factors related with fear of cancer recurrence in stomach cancer survivors: a cross-sectional study
  Jinyoung Shin, Dong Wook Shin, Jungkwon Lee, JiHye Hwang, Ji Eun Lee, BeLong Cho, Yun–Mi Song
  BMC Cancer.2022;[Epub]     CrossRef
• Interdisciplinary Approaches to Survivorship with a Focus on the Low-grade and Benign Brain Tumor Populations
  Stacey L. Worrell, Michelle L. Kirschner, Rhonna S. Shatz, Soma Sengupta, Melissa G. Erickson
  Current Oncology Reports.2021;[Epub]     CrossRef

Background
Few studies have reported on the trends in influenza vaccination rates among cancer survivors in Korea. We investigated these trends over a recent 11-year period (2005–2015).
Methods
Data were obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) III– VI (2005–2015). After excluding individuals younger than 40 years of age, the participants included 2,210 cancer survivors (861 men and 1,349 women). We categorized these study participants into four groups according to age and sex.
Results
The influenza vaccination rate decreased significantly among male cancer survivors, with rates of 74.8, 64.7, 56.2, and 55.2% (β coefficient=-0.257, P for trend <0.001) in KNHANES III, VI, V, and VI, respectively. While influenza vaccination rates decreased significantly among older male cancer survivors (≥65 years) (β coefficient=-0.359, P for trend=0.017), they increased among older female cancer survivors (β coefficient=0.375, P for trend=0.011) from 2005 to 2015.
Conclusion
Influenza vaccination rates in older cancer survivors significantly decreased in men but increased in women in successive KNHANES phases. Efforts are needed to improve immunization education and awareness, especially in older male cancer survivors.

Citations

• Influenza vaccine effectiveness in immunocompromised patients with cancer: A Danish nationwide register‐based cohort study
  Lau Amdisen, Lars Pedersen, Niels Abildgaard, Christine Stabell Benn, Deirdre Cronin‐Fenton, Signe Sørup
  Cancer.2025;[Epub]     CrossRef
• The coverage of influenza vaccination and predictors of influenza non-vaccination in Danish cancer patients: A nationwide register-based cohort study
  Lau Amdisen, Lars Pedersen, Niels Abildgaard, Christine Stabell Benn, Mikael Rørth, Deirdre Cronin-Fenton, Signe Sørup
  Vaccine.2024; 42(7): 1690.     CrossRef
• Vaccination uptake among post-treatment cancer survivors: A multi-vaccine scoping review
  Kavita Renduchintala, Mariana Arevalo, Gabriella Fonseca, Mary Katherine Haver, Clement K. Gwede, Smitha Pabbathi, Shannon M. Christy
  Vaccine.2024; 42(22): 125995.     CrossRef
• Seasonal influenza vaccination among cancer patients: A systematic review and meta-analysis of the determinants
  George N. Okoli, Otto L.T. Lam, Tiba Abdulwahid, Christine J. Neilson, Salaheddin M. Mahmud, Ahmed M. Abou-Setta
  Current Problems in Cancer.2021; 45(2): 100646.     CrossRef
• A cross‐sectional study of factors associated with influenza vaccination in Korean cancer survivors
  Ji Eun Lee, Dong Wook Shin, Jinyoung Shin, In Young Cho, Jungkwon Lee, JiHye Hwang, BeLong Cho, Yun‐Mi Song
  European Journal of Cancer Care.2021;[Epub]     CrossRef
• Influenza Vaccination Status and Its Affecting Factors among Stroke Survivors: Findings from the Korea National Health and Nutrition Examination Survey
  Eung-Joon Lee, Oh Deog Kwon, Seung Jae Kim
  Vaccines.2021; 9(7): 763.     CrossRef

Background
Cancer survivors are at a higher risk of primary cancer recurrence and development of second primary cancer. In both cases, early disease detection is crucial. This cross-sectional study assessed cancer screening participation rates according to cancer history.
Methods
Data were obtained from the 2010–2012 Korea National Health and Nutrition Examination Survey for 12,500 participants. Of these, 624 cancer survivors were enrolled in this study. Sampling weights were applied to maintain the representativeness of the Korean adult population.
Results
Overall 2-year cancer screening rates prior to the survey in male and female cancer survivors were 59.9% and 73.7%, respectively, while opportunistic cancer screening rates were 33.5% and 52.1%, respectively. The odds ratios (95% confidence interval) of the overall cancer screening among the cancer survivors, compared to others, were 1.16 (0.79–1.72) in male and 1.78 (1.20–2.63) in female participants, after the adjustment for confounding variables. The odds ratios (95% confidence interval) for opportunistic cancer screening and National Cancer Screening Program among cancer survivors were 1.56 (1.07–2.27) and 0.80 (0.53–1.21) in males and 2.05 (1.46–2.88) and 0.66 (0.46–0.95) in females.
Conclusion
Female cancer survivors showed a higher rate of overall and opportunistic cancer screening than did the male cancer survivors. Further efforts are required to improve cancer screening among male cancer survivors.

Citations

• Cancer screening and its associated factors in hypertensive individuals: new insights from the 2021 STEPs national study in Iran
  Dorsa Salabat, Sheida Sarrafzadeh, Ozra Tabatabaei-Malazy, Nazila Rezaei, Sepehr Khosravi, Ali Golestani, Farzad Kompani, Samaneh Akbarpour
  BMC Public Health.2025;[Epub]     CrossRef
• Temporal Trend in Uptake of the National General Health Checkups and Cancer Screening Program among Korean Women with Breast Cancer
  Thi Xuan Mai Tran, Soyeoun Kim, Chihwan Cha, Boyoung Park
  Cancer Research and Treatment.2024; 56(2): 522.     CrossRef
• Prediction Model for Hypertension and Diabetes Mellitus Using Korean Public Health Examination Data (2002–2017)
  Yong Whi Jeong, Yeojin Jung, Hoyeon Jeong, Ji Hye Huh, Ki-Chul Sung, Jeong-Hun Shin, Hyeon Chang Kim, Jang Young Kim, Dae Ryong Kang
  Diagnostics.2022; 12(8): 1967.     CrossRef

Background
It has been reported that in 62.5% of cases of incurable cancer pain, the complaint is due to myofascial pain syndrome. Trigger point injections using dibucaine hydrochloride help patients with such cancer pain. This study evaluated the efficacy of trigger point injections for alleviating pain in patients with advanced cancer.
Methods
Twenty patients with advanced cancer who had a life expectancy of 6 months or less and had been diagnosed with myofascial pain syndrome were treated with trigger point injections. Prior to treatment, a Visual Analog Scale (VAS) was used to measure the resting pain level and discomfort upon application of pressure on the site of pain. These values were compared with last treatment measurements.
Results
The mean pre-treatment VAS scores for pain at rest and upon application of pressure on the pain site were 7.3 and 9.0, respectively. These scores decreased significantly to 1.95 and 3.2, respectively, after the treatment (P<0.05).
Conclusion
Trigger point injection is an alternative and effective pain control modality for advanced cancer patients with myofascial pain syndrome.

Citations

• Lidocaine Needling in Myofascial Pain Syndrome for Palliative Oncologic Care: A Randomized Clinical Study
  Laís Araujo dos Santos-Vilar, Isabella Fioravante Freitas-Passos, Beatriz Menin Rossi, Fernando Gioppo Blauth, Victor Carvalho Brito Pontes, Julio César Moriguti, Marcelo Riberto, Nereida Kilza da Costa Lima
  Journal of Palliative Medicine.2024; 27(7): 888.     CrossRef
• Myofascial pain syndrome in patients with cancer: a narrative review
  Naruaki Kawasaki, Hiroto Ishiki, Sayaka Arakawa, Eriko Satomi, Hiromichi Matsuoka, Hideaki Hasuo
  BMJ Supportive & Palliative Care.2024; : spcare-2024-005064.     CrossRef
• Development of evidence-based indicators for the detection of drug-related problems among ovarian cancer patients
  Kala Bahadur Rawal, Uday Venkat Mateti, Vijith Shetty, Chakrakodi Shashidhara Shastry, Mazhuvancherry Kesavan Unnikrishnan, Shraddha Shetty, Aparna Rajesh
  Frontiers in Pharmacology.2023;[Epub]     CrossRef
• Role of Trigger Point Injection in the Management of Proximal Tensor Fascia Lata Myofascial Trigger Point in a Stage 4 Breast Cancer Patient
  Sanjay Kumar, Pratibha Singh, Anil Agarwal, Prashant Kumar Singh
  Indian Journal of Pain.2023; 37(Suppl 1): S83.     CrossRef
• Prevalence of Myofascial Pain Syndrome and Efficacy of Trigger Point Injection in Patients with Incurable Cancer: A Multicenter, Prospective Observational Study (MyCar Study)
  Hiroto Ishiki, Hideaki Hasuo, Yoshinobu Matsuda, Hiromichi Matsuoka, Shuji Hiramoto, Masaki Higuchi, Kohei Yoshida, Akihiro Tokoro, Yutaka Hatano, Tetsuo Hori, Junya Kinkawa, Masanori Nojima
  Pain Medicine.2022; 23(7): 1259.     CrossRef
• Preliminary evidence of safety and effectiveness of Loxoprofen Sodium Cataplasm combined with physiotherapy for myofascial pain syndrome treatment: A randomized controlled pilot clinical trial
  Xuewen Zhou, Xuelian Li, Ziyang Wang, Dong Huang
  Frontiers in Neurology.2022;[Epub]     CrossRef
• Interventional Therapies for Pain in Cancer Patients: a Narrative Review
  David Hao, Shawn Sidharthan, Juan Cotte, Mary Decker, Mariam Salisu-Orhurhu, Dare Olatoye, Jay Karri, Jonathan M. Hagedorn, Peju Adekoya, Charles Odonkor, Amitabh Gulati, Vwaire Orhurhu
  Current Pain and Headache Reports.2021;[Epub]     CrossRef
• The Case for Comorbid Myofascial Pain—A Qualitative Review
  Simon Vulfsons, Amir Minerbi
  International Journal of Environmental Research and Public Health.2020; 17(14): 5188.     CrossRef

Citations

• Temporal Trend in Uptake of the National General Health Checkups and Cancer Screening Program among Korean Women with Breast Cancer
  Thi Xuan Mai Tran, Soyeoun Kim, Chihwan Cha, Boyoung Park
  Cancer Research and Treatment.2024; 56(2): 522.     CrossRef
• Screening Adherence for Second Primary Malignancies in Breast Cancer Survivors: Behaviors, Facilitators, and Barriers to Enhance Quality Care
  Fernanda Mesa-Chavez, Misael Salazar-Alejo, Cynthia Villarreal-Garza
  Seminars in Oncology.2024; 51(5-6): 156.     CrossRef
• RESEARCH ON THE IMPROVED IMAGE TRACKING ALGORITHM OF ATHLETES’ CERVICAL HEALTH
  Jingjing Jiang
  Revista Brasileira de Medicina do Esporte.2021; 27(5): 476.     CrossRef
• Basic Findings Regarding Breast Cancer in Korea in 2015: Data from a Breast Cancer Registry
  Sang Yull Kang, Yoo Seok Kim, Zisun Kim, Hyun-Yul Kim, Se Kyung Lee, Kyu-Won Jung, Hyun Jo Youn
  Journal of Breast Cancer.2018; 21(1): 1.     CrossRef

Citations

• Regularity of cervical cancer screening in Korea: analysis using national public data for 12 years
  Jong-Yeup Kim, Jeeyoung Hong, Juhee Yoon, Jinsol Park, Tae-Hyun Kim
  Journal of Gynecologic Oncology.2024;[Epub]     CrossRef
• Association between Socioecological Status, Nutrient Intake, and Cancer Screening Behaviors in Adults Aged 40 and Over: Insights from the Eighth Korea National Health and Nutrition Examination Survey (KNHANES, 2019)
  Seungpil Jeong, Yean-Jung Choi
  Nutrients.2024; 16(7): 1048.     CrossRef
• Insurance Types and All-Cause Mortality in Korean Cancer Patients: A Nationwide Population-Based Cohort Study
  Jinyoung Shin, Yoon-Jong Bae, Hee-Taik Kang
  Journal of Personalized Medicine.2024; 14(8): 861.     CrossRef
• Role of breast cancer screening in the overdiagnosis of thyroid cancer: results from a cross-sectional nationwide survey
  Eunhye Lee, Sung Hoon Jeong, Chung Mo Nam, Jae Kwan Jun, Eun-Cheol Park
  BMC Women's Health.2023;[Epub]     CrossRef
• Occupational disparities in survival from common cancers in Japan: Analysis of Kanagawa cancer registry
  Masayoshi Zaitsu, Yasuki Kobayashi, Enkhtuguldur Myagmar-Ochir, Takumi Takeuchi, Gen Kobashi, Ichiro Kawachi
  Cancer Epidemiology.2022; 77: 102115.     CrossRef
• Financial Literacy, Financial Education, and Cancer Screening Behavior: Evidence from Japan
  Trinh Xuan Thi Nguyen, Sumeet Lal, Sulemana Abdul-Salam, Mostafa Saidur Rahim Khan, Yoshihiko Kadoya
  International Journal of Environmental Research and Public Health.2022; 19(8): 4457.     CrossRef
• Current Status of the National Health Screening Programs in South Korea
  Hee-Taik Kang
  Korean Journal of Family Medicine.2022; 43(3): 168.     CrossRef
• Cancer Incidence by Occupation in Korea: Longitudinal Analysis of a Nationwide Cohort
  Hye-Eun Lee, Masayoshi Zaitsu, Eun-A Kim, Ichiro Kawachi
  Safety and Health at Work.2020; 11(1): 41.     CrossRef
• Inverse Association between Statin Use and Stomach Cancer Incidence in Individuals with Hypercholesterolemia, from the 2002–2015 NHIS-HEALS Data
  Hyo-Sun You, Nayoung You, Jae-Woo Lee, Hyoung-Ji Lim, Joungyoun Kim, Hee-Taik Kang
  International Journal of Environmental Research and Public Health.2020; 17(3): 1054.     CrossRef
• Occupational Class and Cancer Survival in Korean Men: Follow-Up Study of Nation-Wide Working Population
  Hye-Eun Lee, Masayoshi Zaitsu, Eun-A Kim, Ichiro Kawachi
  International Journal of Environmental Research and Public Health.2020; 17(1): 303.     CrossRef
• Occupational disparities in survival in Korean women with cancer: a nationwide registry linkage study
  Hye-Eun Lee, Eun-A KIM, Masayoshi Zaitsu, Ichiro Kawachi
  BMJ Open.2020; 10(9): e039259.     CrossRef
• Эпидемиологические особенности рака шейки матки в Приморском крае
  Варвара Николаевна Журман , Татьяна Юрьевна Масленникова , Людмила Семеновна Матюшкина , Екатерина Валерьевна Елисеева
  Естественные и Технические Науки.2020; (№11): 148.     CrossRef
• Socioeconomic Disparities in Cancer Screening: Organized versus Opportunistic
  Young Gyu Cho
  Korean Journal of Family Medicine.2016; 37(5): 261.     CrossRef

Citations

• Analysis of Cancers in A University Hospital Employees between 2006 and 2022
  Serkan ÇELİKGÜN, Tülay KOÇ, Reyhan UÇKU
  Journal of Basic and Clinical Health Sciences.2023; 7(3): 174.     CrossRef
• Health and Mortality in Korean Healthcare Workers
  Yoonhee Shin, Ui Jeong Kim, Hye Ah Lee, Eun Jeong Choi, Hyun Jin Park, Hyeong Sik Ahn, Hyesook Park
  Journal of Korean Medical Science.2022;[Epub]     CrossRef
• Importance of lifestyle, stress, and chronic diseases in self-rated health of Korean doctors
  Su Hyun Oh, Jin Suk Kim
  Journal of the Korean Medical Association.2020; 63(9): 566.     CrossRef
• Cancer Incidence among Healthcare Workers in Cancer Centers: A 14-Year Retrospective Cohort Study in Thailand
  Chatchai Ekpanyaskul, Suleeporn Sangrajrang
  Annals of Global Health.2018; 84(3): 429.     CrossRef
• Comparison of Cancer Prevalence in Physicians with That of the General Population, and Important Considerations
  Yousef Veisani, Ali Delpisheh
  Korean Journal of Family Medicine.2016; 37(5): 308.     CrossRef

Citations

• A cross-sectional study to evaluate hypovitaminosis C prevalence and risk factors in an acute geriatric unit in Lyon, France: the HYPO-VIT-C protocol
  Alfred Quillon, Laure Guittard, Karine Goldet, Madeleine Etienne, Emilie Blond, Mikail Nourredine, Géraldine Martin-Gaujard, Sébastien Doh
  BMJ Open.2023; 13(8): e075924.     CrossRef
• Vitamin C – a scoping review for Nordic Nutrition Recommendations 2023
  Jens Lykkesfeldt, Anitra C. Carr
  Food & Nutrition Research.2023;[Epub]     CrossRef
• Vitamin C Intake and Cancers: An Umbrella Review
  Zeyu Chen, Yin Huang, Dehong Cao, Shi Qiu, Bo Chen, Jin Li, Yige Bao, Qiang Wei, Ping Han, Liangren Liu
  Frontiers in Nutrition.2022;[Epub]     CrossRef
• Role of Vitamin C in Selected Malignant Neoplasms in Women
  Anna Markowska, Michał Antoszczak, Janina Markowska, Adam Huczyński
  Nutrients.2022; 14(4): 882.     CrossRef
• From Foods to Chemotherapeutics: The Antioxidant Potential of Dietary Phytochemicals
  Michelle A. Briggs
  Processes.2022; 10(6): 1222.     CrossRef
• Utilization of redox modulating small molecules that selectively act as pro-oxidants in cancer cells to open a therapeutic window for improving cancer therapy
  M.S. Petronek, J.M. Stolwijk, S.D. Murray, E.J. Steinbach, Y. Zakharia, G.R. Buettner, D.R. Spitz, B.G. Allen
  Redox Biology.2021; 42: 101864.     CrossRef
• Promising directions of non-drug and drug cancer prevention. Current state of the problem
  A.A. Svistunov, M.A. Osadchuk, A.M. Osadchuk, I.D. Loranskaya, E.D. Mironova
  Profilakticheskaya meditsina.2021; 24(5): 118.     CrossRef
• The Role of Vitamin C in Cancer Prevention and Therapy: A Literature Review
  Marcelo Villagran, Jorge Ferreira, Miquel Martorell, Lorena Mardones
  Antioxidants.2021; 10(12): 1894.     CrossRef
• Different Effects of Vitamin C-Based Supplements on the Advance of Linseed Oil Component Oxidation and Lipolysis during In Vitro Gastrointestinal Digestion
  Bárbara Nieva-Echevarría, Encarnación Goicoechea, Patricia Sopelana, María D. Guillén
  Foods.2021; 11(1): 58.     CrossRef
• The vitamin epidemic: what is the evidence for harm or value?
  Michael Kennedy
  Internal Medicine Journal.2018; 48(8): 901.     CrossRef
• Liposome-based drug co-delivery systems in cancer cells
  Sepideh Zununi Vahed, Roya Salehi, Soodabeh Davaran, Simin Sharifi
  Materials Science and Engineering: C.2017; 71: 1327.     CrossRef
• Vitamin C regulates stem cells and cancer
  Peter G. Miller, Benjamin L. Ebert
  Nature.2017; 549(7673): 462.     CrossRef

Citations

• Does the coexistence of pain and depressive symptoms accelerate cognitive decline?
  Patrícia Silva Tofani, Roberta de Oliveira Máximo, Natália Cochar-Soares, Paula Camila Ramírez, Mariane Marques Luiz, Sara Souza Lima, Thaís Barros Pereira da Silva, Thales Batista de Souza, Letícia Coelho Silveira, Valdete Regina Guandalini, Andrew Stept
  Aging & Mental Health.2025; 29(2): 334.     CrossRef
• Patient-Controlled Analgesia for Managing Pain in Adults Receiving Palliative Care: A Scoping Review
  Courtney M. Hicks, Megan A. Dyck, Lynn Martin, Dawn M. Guthrie, Shannon L. Stewart, John P. Hirdes
  Pain Management Nursing.2025;[Epub]     CrossRef
• Cognitive function and its associated factors among patients with cancer pain: a multicentre cross-sectional study in China
  Hongyu Zhu, Rongbo Lin, Jianyi Wang, ShuFang Ruan, Tingting Hu, Yan Lei, Xi Ke, Huiyu Luo
  BMJ Open.2024; 14(1): e071417.     CrossRef
• Worse Depression Profiles Are Associated With Higher Symptom Burden and Poorer Quality of Life in Patients With Gynecologic Cancer
  Alejandra Calvo-Schimmel, Marilyn J. Hammer, Alexi A. Wright, Stephanie V. Blank, Bevin Cohen, Carolyn Harris, Joosun Shin, Yvette Conley, Steven Paul, Bruce Cooper, Jon D. Levine, Christine Miaskowski
  Cancer Nursing.2024; 47(6): E404.     CrossRef
• Top Ten Tips Palliative Care Clinicians Should Know About the Physical Manifestations of Psychiatric Illness and Treatment
  Gregg A. Robbins-Welty, Daniel Shalev, Paul A. Riordan, Paul Noufi, Jason A. Webb, Keri O. Brenner, William E. Rosa, Danielle Chammas
  Journal of Palliative Medicine.2024; 27(11): 1531.     CrossRef
• Pain and Cognition of Breast Cancer Survivors Treated with Chemotherapy: The Mediating Role of Depression
  Yesol Yang, Jeehee Han, Todd B. Monroe, Sue Kim
  Seminars in Oncology Nursing.2024; 40(5): 151693.     CrossRef
• Effect of mHealth plus occupational therapy on cognitive function, mood and physical function in people after cancer: Secondary analysis of a randomized controlled trial
  Mario Lozano-Lozano, Noelia Galiano-Castillo, Angela Gonzalez-Santos, Lucía Ortiz-Comino, Marc Sampedro-Pilegaard, Lydia Martín-Martín, Manuel Arroyo-Morales
  Annals of Physical and Rehabilitation Medicine.2023; 66(2): 101681.     CrossRef
• Impact of worst pain severity and morning fatigue profiles on oncology outpatients’ symptom burden and quality of life
  Brittany Bouvron, Lynda Mackin, Kord M. Kober, Steven M. Paul, Bruce A. Cooper, Yvette P. Conley, Marilyn J. Hammer, Fay Wright, Jon D. Levine, Christine Miaskowski
  Supportive Care in Cancer.2022; 30(12): 9929.     CrossRef
• Cancer Pain
  Marzieh Khatooni
  Professional Case Management.2021; 26(6): 275.     CrossRef
• Evidence for Cognitive Decline in Chronic Pain: A Systematic Review and Meta-Analysis
  Xueying Zhang, Rui Gao, Changteng Zhang, Hai Chen, Ruiqun Wang, Qi Zhao, Tao Zhu, Chan Chen
  Frontiers in Neuroscience.2021;[Epub]     CrossRef
• Item-level psychometrics of a brief self-reported memory problem screening measure in breast cancer survivors
  Pascal Jean-Pierre, Ying Cheng, Raheem J. Paxton
  Acta Oncologica.2020; 59(3): 358.     CrossRef
• The Relationship between Depressive Symptoms and Demographic-Medical Characteristics among Elder People with Cancer
  Sepideh Ladaninejad, Ehteramsadat Ilali, Nouroeddin Mousavinasab, Zohreh Taraghi
  Asia-Pacific Journal of Oncology Nursing.2019; 6(4): 424.     CrossRef
• Relationship between physicians' perceived stigma toward depression and physician referral to psycho‐oncology services on an oncology/hematology ward
  Won‐Hyoung Kim, Jae‐Nam Bae, Joohan Lim, Moon‐Hee Lee, Bong‐Jin Hahm, Hyeon Gyu Yi
  Psycho-Oncology.2018; 27(3): 824.     CrossRef
• Brain gray matter alterations in Chinese patients with chronic knee osteoarthritis pain based on voxel-based morphometry
  Xia Liao, Cuiping Mao, Yuan Wang, Qingfeng Zhang, Dongyuan Cao, David A. Seminowicz, Ming Zhang, Xiaoli Yang
  Medicine.2018; 97(12): e0145.     CrossRef
• Prevalence and Pattern of Craniofacial Pain and Headache in Danish Patients with Neuromyelitis Optica Spectrum Disorder
  Gebbie Ann Rodriguez Nielsen, Helle Hvilsted Nielsen, Zsolt Laszlo Illés, Parisa Gazerani
  European Neurological Review.2018; 13(1): 44.     CrossRef
• Postoperative Cognitive Dysfunction Induced by Different Surgical Methods and Its Risk Factors
  Guo-Liang Gong, Bin Liu, Jia-Xuan Wu, Ji-Yuan Li, Bai-Qing Shu, Zhi-Jian You
  The American Surgeon™.2018; 84(9): 1531.     CrossRef
• Health-related quality of life effects of enzalutamide in patients with metastatic castration-resistant prostate cancer: an in-depth post hoc analysis of EQ-5D data from the PREVAIL trial
  Nancy Devlin, Michael Herdman, Marco Pavesi, De Phung, Shevani Naidoo, Tomasz M. Beer, Bertrand Tombal, Yohann Loriot, Cristina Ivanescu, Teresa Parli, Mark Balk, Stefan Holmstrom
  Health and Quality of Life Outcomes.2017;[Epub]     CrossRef
• Cognitive deficits in chronic pain patients, in a brief screening test, are independent of comorbidities and medication use
  Karen dos Santos Ferreira, Gabriela Zucatto Oliver, Débora Carinhato Thomaz, Caroliny Trevisan Teixeira, Maria Paula Foss
  Arquivos de Neuro-Psiquiatria.2016; 74(5): 361.     CrossRef
• Mutual relationship between anxiety and pain in the intensive care unit and its effect on medications
  Jooyoung Oh, Jeong-Hyun Sohn, Cheung Soo Shin, Se Hee Na, Hyung-Jun Yoon, Jae-Jin Kim, Sunyoung Park, Jin Young Park
  Journal of Critical Care.2015; 30(5): 1043.     CrossRef

Background
Adequate bowel preparation is essential for accurate double-contrast barium enema (DCBE) examination. Several protocols have been performed including controlled diet, split dosage of cathartic, fasting dinner 1 day before the exam. The aim of this study was to compare the effect of remind calls on the quality of bowel preparation. Methods: We conducted a clinical trial for 248 subjects who did DCBE at the health promotion center of a single hospital. One hundred and seven patients received instructions and remind calls one day before starting bowel preparation, and the others received only instructions. Two specialized radiologists rated the quality of bowel preparation on a scale of excellent/good/fair/poor. In addition, we collected data for age, sex, education, income, and the reason for the exam with a detailed questionnaire. Results: The basal characteristics of subjects between 'remind call' and 'no remind call' groups were similar except age (57.0 ± 9.8 years, 54.4 ± 8.1 years, respectively P = 0.021). The proportion of 'excellent' was higher in the 'remind call' group (35.5%) than in the 'no remind call' group (23.4%) with statistical significance (P = 0.037). The adjusted odds ratio was 2.015 for 'remind calls' (P = 0.017), and 0.958 for age (P = 0.011). Conclusion: Remind calls and age were associated with the quality of bowel preparation. Remind calls increased the proportion of 'excellent' quality of bowel preparation, which can help accurate assessment.

Background
Breast cancer is the one of the commonly diagnosed female cancer in Korea. Numerous factors have been noted to be associated with risk of breast cancer: body mass index, menarche, menopause, family history, pregnancy and delivery, breastfeeding, alcohol use, smoking habits, diet, education and use of oral contraceptives. Little is known about hair minerals in breast cancer patient and about correlation between hair minerals and body mass index. Methods: We compared hair mineral analysis data of 37 breast cancer subject with age and body mass index-matched normal control data (N = 144) by cross-sectional analysis. All breast cancer patients were newly diagnosed at one Breast Cancer Center in Ajou University and had their hair cut before anti-cancer chemotherapy, and the normal controls (without breast cancer) also had their hair cut for various reasons in out-patient clinics of the Department of Family Practice and Community Health. Results: Breast cancer patients had low calcium, magnesium, and zinc, whereas they had high arsenic, sodium, and potassium compared with the normal controls. Only hair zinc level had significant negative correlation with body mass index (r = -0.705, P < 0.001) in breast cancer patients, not in normal controls. Conclusion: We observed the difference of hair mineral patterns in newly diagnosed breast cancer patients compared to normal controls and the correlation between these minerals and body mass index in breast cancer patient. Especially hair zinc concentration was significantly reduced and had significant negative correlation with body mass index in breast cancer patients.

Citations

• Study of toxic and essential elemental imbalances at more advance stage of breast carcinoma patients
  Muhammad Abdul Qayyum, Sajid Mahmood, Ali Bahadur, Shahid Iqbal, Ammar Zidan, Muhammad Saad, Mian HR Mahmood, Tahir Farooq, Marrium Batool, Muhammad Atif, Fadi Jaber, KK Mujeeb Rahman, Zahid Farooq, Yousif A. Asiri, Abd-ElAziem Farouk, Salman Aloufi
  Pathology - Research and Practice.2025; 269: 155866.     CrossRef
• A meta-analysis of zinc levels in breast cancer
  Leila Jouybari, Faezeh Kiani, Akbar Akbari, Akram Sanagoo, Fatemeh Sayehmiri, Jan Aaseth, Max Stanley Chartrand, Kourosh Sayehmiri, Salvatore Chirumbolo, Geir Bjørklund
  Journal of Trace Elements in Medicine and Biology.2019; 56: 90.     CrossRef
• Hair analysis in health assessment
  Paulina Wołowiec, Izabela Michalak, Katarzyna Chojnacka, Marcin Mikulewicz
  Clinica Chimica Acta.2013; 419: 139.     CrossRef

Background
s: In terminally ill cancer patients, delirium must be considered to be important clinically and for the quality of life. We reviewed cases of delirium in hospitalized cancer patients with the aim to recognize and treat delirium. Methods: We reviewed retrospectively the medical records of patients admitted with terminal cancer from April 2003 to April 2004 in the department of family medicine, National Health Insurance Corporation Ilsan Hospital. A total of 71 patients were evaluated with age, sex, oncological diagnosis, metastases, morphine (oral morphine equivalents/day, OME) use and amount, sedatives use, duration from delirium to death, and laboratory fi ndings. Analysis was conducted to fi nd the characteristics of delirium patients and to quantify the relationship between delirium and predicting factors. Results: Among 71 cases, those patients who developed delirium were 41 (57.7%). Among them, gastric cancer was the most common diagnosis with 10 patients (24.4%), followed by colon and lung cancers (9: 22%, 5: 12.2%). The patients receiving sedatives or morphines were 24 (58.5%) and 28 (68.3%), respectively. The mean amount of morphine was 168.6 ± 125.5 mg OME/day. Hyperbilirubinemia (4.2 ± 9.2 mg/dL) and hyponatremia (132.5 ± 4.5 mM/L) were found. Not only bone metastasis and the use of morphine or sedatives but serum Na were signifi cant (P = 0.047; P < 0.001; P = 0.069; P = 0.029). By logistic regression analyses, the occurrence of delirium was increased with decreased serum Na (odds ratio [95% CI] 0.798 [0.649-0.981]) and increased use of sedatives (5.955 [1.080-32.835]).Conclusion: In terminally ill cancer patients, the risk factors of delirium were bone metastasis, the use of morphine or sedatives, and serum Na level. Among these, the use of sedatives and serum Na level were independent risk factors.

Citations

• Risk factors for delirium in advanced cancer patients: A systematic review and meta-analysis
  Yating Guo, Yan Mu, Tingting Wu, Qian Xu, Xiuxia Lin
  European Journal of Oncology Nursing.2023; 62: 102267.     CrossRef
• Validation of Modified Models of Objective Prognostic Score in Patients With Advanced Cancer
  Seok-Joon Yoon, Sang-Yeon Suh, Yusuke Hiratsuka, Sung-Eun Choi, Sun-Hyun Kim, Su-Jin Koh, Shin Ae Park, Ji-Yeon Seo, Jung Hye Kwon, Jeanno Park, Youngmin Park, Sun Wook Hwang, Eon Sook Lee, Hong-Yup Ahn, Shao-Yi Cheng, Ping-Jen Chen, Takashi Yamaguchi, Sa
  Journal of Palliative Medicine.2023; 26(8): 1064.     CrossRef
• Association between Principal Diagnosis with Mental Diseases among Inpatients
  Sung-Soo Kim
  Journal of Health Informatics and Statistics.2022; 47(1): 57.     CrossRef
• Retrospective Cohort Study on the Administration of Sedative for Delirium in Terminally Ill Cancer Patients and Survival Time
  Hyoung Sook Park, Dae Sook Kim, Eun Hee Bae, Jung Rim Kim, Jung Hwa Seo, Jung Mi Yun
  The Korean Journal of Hospice and Palliative Care.2016; 19(2): 119.     CrossRef
• Risk Factors Related to Development of Delirium in Hospice Patients
  Hae Jin Ko, Chang Ho Youn, Seung Eun Chung, A Sol Kim, Hyo Min Kim
  The Korean Journal of Hospice and Palliative Care.2014; 17(3): 170.     CrossRef

Although vulnerable population such as cancer survivors, terminal patients, caregivers and immigrants have greater health needs, they don't receive enough health care services in our health care system. Continuous advances in cancer treatment have led to a marked improvement in cure rates and thus, an increased population of long-term cancer survivors. Due to both original and treatment-related risk factors, survivors are at increased risk for second primary cancers. In addition, pre-diagnosis smoking, alcohol, obesity and insulin resistance, which are well-known risk factors for cancer development, also appear to affect cancer outcome. To improve the health promotion of cancer survivors, developing shared care model between oncologist and primary care physician is needed. Chronic disease has not only a great effect on the affected patients but also on their caregivers. Caregiving burden was associated with impaired physical function and increased emotional distress. Caregiving burden also increase the risk of cardiovascular disease incidence among caregivers. More attention should be focused on these caregivers to improve their health. Recently, as increasing social needs to develop the health care system for terminal patients, Korean Government began to support palliative care units with implementing the National Cancer Control Program for Terminal Cancer Care. With these social movements, the needs for human resources in the area of palliative care are continuosly increasing, and active participation of primary care physician is needed. Due to rapid changes of population structure in South Korea, the number of multi-cultures family has continuously increased. Especially, more than 15,000 North Korean defectors settled in South Korea in 2008. North Korean defectors are more likely to have unhealthy behaviors, poor quality of life and comorbidities, while they have poor primary care accessibility. Good primary health requires a population perspective, and there has been great change of population structure in South Korea. As prevalence of vulnerable population is seemed to continuously increasing, the planning and development of tailored primary care program for this population to reflect their actual unmet needs is essentially required.

Citations

• The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study
  Jihyun Lee, Yui Park, Dong-Hun Han, Ji Won Yoo, Wenlian Zhou, Pearl Kim, Jay J. Shen
  BMC Public Health.2021;[Epub]     CrossRef
• Risks of cancer in the Rohingya community of Bangladesh: An issue still remains unaddressed
  Fahad Jubayer, Shahidullah Kayshar, Tariqul Islam Limon
  Public Health in Practice.2020; 1: 100040.     CrossRef
• Social Accountability of Medical Schools: Concept and Implementation
  Yoon Min Gil, Woo Taek Jeon
  Korean Medical Education Review.2019; 21(3): 127.     CrossRef
• Health literacy and use of preventive health services among North Korean defectors in the Republic of Korea
  In Gyu Song, Haewon Lee, Jinseon Yi, Min Sun Kim, Ichiro Kawachi, Sang Min Park, Markus M. Bachschmid
  PLOS ONE.2018; 13(6): e0195964.     CrossRef
• Influenza Vaccination Coverage and Its Associated Factors among North Korean Defectors Living in the Republic of Korea
  In Gyu Song, Haewon Lee, Jinseon Yi, Min Sun Kim, Sang Min Park
  Journal of Korean Medical Science.2015; 30(9): 1226.     CrossRef
• Factors associated with the frequency of physician visits among North Korean defectors residing in South Korea: a cross-sectional study
  Bo-Ram Wang, Young Dae Kwon, Wootack Jeon, Jin-Won Noh
  BMC Health Services Research.2015;[Epub]     CrossRef
• Preference and Awareness of Telemedicine in Primary Care Patients
  Sung-Gwon Jung, Hyuk-Jung Kweon, Eun-Tae Kim, Seun-Ah Kim, Jae-Kyung Choi, Dong-Yung Cho
  Korean Journal of Family Medicine.2012; 33(1): 25.     CrossRef

Background: There have been very few studies on the relationship between obesity and dense breast as risk factors of breast cancer in Korean women. Therefore, we evaluated the relationship between BMI and mammographic density in Korean women. Methods: We recruited 332 women without prior history of breast cancer, breast surgery, radiotherapy, hormone replacement therapy, and family history of breast cancer who underwent screening for mammography and completed a self-administered questionnaire in one general hospital. On the basis of ACR BI-RADS breast composition, four density patterns were classified repeatedly by a radiologist. Results: The mean age, Body Mass Index (BMI), the proportion of postmenopausal women of the study population were 50.4 years, 23.2 kg/m², and 29.8%, respectively. The proportion of extremely dense breast women was 100% in the underweight group, 77.3% in the normal weight group, 41.4% in class 1 obesity group, and 25% in class 2 obesity group, decreased with increasing BMI. The odds Ratio of BMI to extremely dense breast was 0.82 (95% CI: 0.72∼0.93, P value=0.002) after adjustment for age, menache, menopause, and BI-RADS assessment category in logistic regression. Conclusion: Our findings showed that the BMI was negatively correlated with mammographic density as well in Korea. Therefore, primary physicians should consider sensitive additional method for breast cancer screening especially in underweight and normal weight Korean women. (J Korean Acad Fam Med 2008;29:831-837)