Abstract | Uvod i cilj istraživanja: Karcinom dojke je čest maligni tumor među ženama u Hrvatskoj i drugim razvijenim zemljama svijeta. Različiti faktori kao što su dob, genetika, reproduktivna aktivnost, prehrana, rasna pripadnost i socioekonomski status igraju ulogu u riziku za razvoj ovog karcinoma. Debljina se također smatra rizičnim faktorom. Ovo istraživanje se bavi analizom prehrambenih navika i pretilošću pacijentica oboljelih od karcinoma dojke u Primorsko-goranskoj i Istarskoj županiji, s ciljem boljeg razumijevanja njihove povezanosti s karcinomom dojke.
Materijali i metode: Ovo istraživanje obuhvatilo je pedeset pacijentica s karcinomom dojke iz Primorsko-goranske i Istarske županije koje se liječe u Kliničkom bolničkom centru Rijeka. Istraživanje je trajalo od 28. srpnja do 28. kolovoza 2023. godine i uključivalo je mjerenje tjelesnih komponenti pomoću BIA vage i centimetarske vrpce te ispunjavanje samoprocjenskog MEDAS upitnika. Podaci su obrađeni statistički.
Rezultati: U istraživanju su sudjelovale ispitanice iz Primorsko-goranske (n-31, 62%) i Istarske (n-19, 38%) županije. Ispitanice su bile prosječne dobi 62 godina (42 – 77), TV 166,6 cm (150 – 185), TM 74,7 kg (46,2 – 105,7), ITM 26,92 kg/m² (39,3 – 18,5). Većina ispitanica imala je prekomjernu tjelesnu masu (64%) prema raspodjeli ITM-a, a 62% ispitanica imalo je povećani udio tjelesne masti. Većina ispitanica (98%) imala je normalnu razinu visceralne masti. Rezultat MEDAS upitnika pokazuje kako je većina ispitanica (62%) imala dobru kvalitetu prehrane i slaganja s mediteranskom prehranom. Nema statistički značajne razlike među županijama u rezlutatima MEDAS upitnika prema Hi-kvadrat tesu (p=0,20) i Mann Whitney testu (p=0,12). Također, nema statistički značajne razlike u raspodijeli ITM-a između županija prema Hi-kvadrat testu (p=0,20) i Mann Whitney testu (p=0,21). Nije dokazana povezanost između vrijednosti ITM i rezultata MEDAS upitnika.
Zaključak: Istaživanje je dokazalo kako postoji poveznica između debljine i karcinoma dojke. Poveznica prehrambenih navika i karcinoma dojke nije utvrđena. |
Abstract (english) | Aim: Breast cancer is one of the most common malignancies among women in Croatia and other developed countries. Various factors such as age, genetics, reproductive activity, diet, lifestyle, ethnicity and socioeconomic status contribute to the risk of developing breast cancer. Obesity is also considered a risk factor. This research focuses on the dietary habits and obesity of breast cancer patients in the Primorsko-goranska and Istria counties in Croatia, aiming to better understand their association with breast cancer.
Methods:This study included fifty breast cancer patients from Primorsko-Goranska and Istria counties undergoing treatment at the Clinical Hospital Center Rijeka. The research was conducted from July 28th to August 28th, 2023, and involved measuring body components and completing a self-assessment MEDAS questionnaire.
Results: The study included female participants from the Primorsko-goranska County (n=31, 62%) and Istria County (n=19, 38%). The participants had an average age of 62 years (ranging from 42 to 77), average height of 166.6 cm (ranging from 150 to 185), average weight of 74.7 kg (ranging from 46.2 to 105.7), and an average BMI (Body Mass Index) of 26.92 kg/m² (ranging from 18.5 to 39.3). The majority of participants were classified as overweight (64%) based on BMI distribution. Approximately 62% of participants had an elevated body fat percentage. The majority of participants (98%) had a normal level of visceral fat. The results of the MEDAS questionnaire indicated that the majority of participants (62%) had a good-quality diet and adherence to a Mediterranean diet. There were no statistically significant differences between the counties in the results of the MEDAS questionnaire based on the Chi-square test (p=0.20) and Mann-Whitney test (p=0.12). Similarly, there were no statistically significant differences in the distribution of BMI between the counties based on the Chi-square test (p=0.20) and Mann-Whitney test (p=0.21). There was not correlation between BMI values and the results of the MEDAS questionnaire.
Conclusion: The research has shown that there is a link between obesity and breast cancer. The connection between dietary habits and breast cancer has not been established. |