Exercise, tea consumption, and depression among breast cancer survivors

Xiaoli Chen, Wei Lu, Ying Zheng, Kai Gu, Zhi Chen, Wei Zheng, Xiao Ou Shu

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Purpose: To examine the association of lifestyle factors and supplement use with depression among breast cancer survivors. Patients and Methods: In a population-based cohort study conducted between April 2002 and December 2006 in Shanghai, China, a total of 1,399 women who were diagnosed with stage 0 to III breast cancer completed 6-month and 18-month postdiagnosis, in-person interviews. Information on sociodemographic, clinical, and lifestyle factors were collected through the interviews and through review of medical charts at approximately 6 months postdiagnosis. A metabolic equivalent (MET) score was calculated from reported exercise activities. Quality of life (QOL) was evaluated by the Medical Outcomes Short Form-36 Health Survey at 6 months postdiagnosis. Depressive symptoms were measured by using a 20-item Center for Epidemiological Studies-Depression Scale at approximately 18 months postdiagnosis. Results: Overall, 26% of women reported depressive symptoms and 13% met the criteria of clinical depression at 18 months postdiagnosis. Women with a higher exercise level (ie, ≥ 8.3 MET h/wk) were less likely to have depression than nonexercisers; the multivariate adjusted odds ratios (ORs) were 0.71 (95% CI, 0.47 to 1.07) for mild depression and 0.56 (95% CI, 0.35 to 0.88) for clinical depression in analyses controlled for sociodemographic and clinical factors and baseline QOL. Women who increased their exercise level had lower risk for depression. Regular tea consumption (ie, > 100 g dried tea leaves/mo) was inversely associated with overall depression (OR, 0.39; 95% CI, 0.19 to 0.84). No associations were found for dietary intake or supplement use with depression. Conclusion: Regular exercise participation and tea consumption may play an important role in the prevention of depression among breast cancer survivors.

Original languageEnglish (US)
Pages (from-to)991-998
Number of pages8
JournalJournal of Clinical Oncology
Issue number6
StatePublished - Feb 20 2010
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Cancer Research


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