{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:30:21Z","timestamp":1760059821012,"version":"build-2065373602"},"reference-count":43,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T00:00:00Z","timestamp":1752192000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"114 World Excellence 100 Support Program","award":["#NTU-114L910204"],"award-info":[{"award-number":["#NTU-114L910204"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Objective: This study aimed to examine the mediating and moderating roles of quality of life, mindfulness, and savoring in the relationship between sugar intake and depression among women with breast cancer undergoing active treatment. Methods: This prospective observational study recruited seventy-eight women diagnosed with breast cancer within six months from a medical center in Taiwan. The participants completed patient-reported health surveys and dietary recalls. Results: Sugar consumption (\u03b2 = 0.22, p &lt; 0.01) and breast symptoms (\u03b2 = 0.28, p &lt; 0.01) were significantly associated with depressive symptoms. Simple mediation analysis indicated that quality of life fully mediated the relationship between sugar intake and depression (indirect effect = 0.15, 95% CI = 0.05 to 0.25), while breast symptoms played a partial mediating role (indirect effect = 0.10, 95% CI = 0.02 to 0.18). Moderated mediation analysis revealed that after-event savoring moderated the path between quality of life and depression (interaction effect = \u22120.04, 95% CI = \u22120.08 to \u22120.01). Furthermore, non-judgment mindfulness significantly attenuated the indirect effect of sugar consumption on depression via quality of life functions (moderated mediation index = \u22120.03, 95% CI = \u22120.06 to \u22120.00). Conclusions: Mindfulness and momentary savoring may act as protective factors, moderating the relationship between sugar consumption and depression. These findings support the proposal to integrate nutrition and mindfulness-based support into clinical care for women receiving active breast cancer treatment.<\/jats:p>","DOI":"10.3390\/bs15070940","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T15:19:31Z","timestamp":1752247171000},"page":"940","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Influencing the Relationship Between Sugar Consumption and Depression Among Women Under Breast Cancer Treatment"],"prefix":"10.3390","volume":"15","author":[{"given":"Yu-Chen","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing, College of Medicine, National Taiwan University, Taipei 100233, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Hung","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital, Taipei 110225, Taiwan"},{"name":"Department of Surgery, College of Medicine, National Taiwan University, Taipei 100233, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-9234","authenticated-orcid":false,"given":"Chiao","family":"Lo","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital, Taipei 110225, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiun-Sheng","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Surgery, National Taiwan University Hospital, Taipei 110225, Taiwan"},{"name":"Department of Surgery, College of Medicine, National Taiwan University, Taipei 100233, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meei-Shyuan","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Public Health, National Defense Medical Centre, Taipei 114201, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5357-708X","authenticated-orcid":false,"given":"Jen-Ho","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Psychology, National Taiwan University, Taipei 106319, Taiwan"},{"name":"Institute of Ethnology, Academia Sinica, Taipei 115201, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9529-6593","authenticated-orcid":false,"given":"Chia-Chen","family":"Hsieh","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing, Taipei Medical University, Taipei 100233, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3295-5373","authenticated-orcid":false,"given":"Fei-Hsiu","family":"Hsiao","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine, National Taiwan University, Taipei 100233, Taiwan"},{"name":"Department of Nursing, National Taiwan University Hospital, Taipei 110225, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"ref_1","unstructured":"American Cancer Society (2025, March 13). 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