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Factors influencing adherence to healthy eating behaviors among adult colorectal cancer survivors: a systematic mixed method review. Support Care Cancer 2022; 31:88. [PMID: 36574042 DOI: 10.1007/s00520-022-07475-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 11/17/2022] [Indexed: 12/28/2022]
Abstract
PURPOSE Under the umbrella of social cognitive theory, we examined the influences of personal, environmental, and behavioral factors on adherence to healthy eating behaviors among colorectal cancer survivors. METHODS Based on Pluye and Hong's framework, a systematic mixed studies review was conducted. An extensive search strategy was applied in PubMed, Web of Science, Embase, CINAHL, and PsycINFO (from date of record to 2022 January 22). The pillar integration process was employed to integrate the extracted data. The Mixed Methods Appraisal Tool was used to appraise the quality of all retained studies. RESULTS Twenty-eight studies with a total sample size of 5106 were included in the analysis, with 15 quantitative studies, 12 qualitative studies, and 1 mixed method study. The critical appraisal showed that 22 of the 28 studies (79%) were rated with five stars, while 6 (21%) were rated with four stars. The personal factors influencing adherence to healthy eating behaviors among colorectal cancer survivors included outcome expectancies, self-efficacy, psychological factors, knowledge about healthy eating, demographic and disease characteristics, environmental factors incorporated outside information on healthy eating, power of surrounding people, social activities, cultural milieus, socioeconomic status, and education. The behavioral factors included self-regulation of diet, goals, and other behaviors closely related to healthy eating behaviors. CONCLUSIONS Adherence to healthy eating behaviors among colorectal cancer survivors was influenced collectively by personal factors, environmental factors and behavioral factors.
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Morales-Suárez-Varela M, Ruiz Simon A, Blanch Tormo S, Pastor Climente I, Redondo Bautista M, Peraita-Costa I, Llopis-Morales A, Llopis-Gonzalez A. Effect of Breast Cancer Treatment on Dietary Vitamin Intake Levels. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:ijerph18010019. [PMID: 33375141 PMCID: PMC7792964 DOI: 10.3390/ijerph18010019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 12/17/2020] [Accepted: 12/19/2020] [Indexed: 11/16/2022]
Abstract
Breast cancer is the most common tumor among women, representing the second cause of cancer deaths in women. Treatment with chemotherapy negatively interferes with nutritional status. The intake of vitamins before, during and after treatment in a pilot cohort of women with non-invasive breast cancer (type I, II) treated at the Valencian Institute of Oncology (IVO) is evaluated. A 3-day anthropometric and nutritional assessment was performed using the DIAL program. Nutritional intake is compared with the values of Estimated Average Requirements (EAR) and Dietary Reference Intake (DRI) provided by the United States Department of Agriculture (USDA) and the European Food Safety Authority (EFSA). There is an overall decrease in vitamin intake during treatment which worsens at the end of said treatment. The decrease is significant in the case of vitamins B2 (p = 0.006), B3 (p = 0.042), B5 (p = 0.001), and B8 (p = 0.021). The relative risk during and after treatment increases with respect to the reference timeframe, before treatment. Deficit risks are statistically significant in the case of vitamins B5 (p = 0.001), B8 (p = 0.001) and B12 (p = 0.001). Decreased vitamin intake during treatment suggests a negative change in the patients’ dietary behaviors during this time. Nutritional intervention and support may be beneficial to optimize overall dietary intake and maintain compliance with EAR and DRI for patients during a time in which adequate nutrition is important.
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Affiliation(s)
- María Morales-Suárez-Varela
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, School of Pharmacy, University of Valencia, 46100 Burjassot, Spain; (I.P.-C.); (A.L.-M.); (A.L.-G.)
- CIBER of Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, 28029 Madrid, Spain
- Correspondence: ; Tel.: +34-96-3544951; Fax: +34-96-3544954
| | - Amparo Ruiz Simon
- Medical Oncology Department, Fundación Instituto Valenciano de Oncología (IVO), 46009 Valencia, Spain; (A.R.S.); (S.B.T.)
| | - Salvador Blanch Tormo
- Medical Oncology Department, Fundación Instituto Valenciano de Oncología (IVO), 46009 Valencia, Spain; (A.R.S.); (S.B.T.)
| | - Ismael Pastor Climente
- Pharmacology Department, Fundación Instituto Valenciano de Oncología (IVO), 46009 Valencia, Spain;
| | - Maximino Redondo Bautista
- Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Hospital Costa del Sol, 29600 Marbella, Spain;
- Department of Biochemistry, Molecular Biology and Immunology, School of Medicine, University of Málaga, 29071 Málaga, Spain
| | - Isabel Peraita-Costa
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, School of Pharmacy, University of Valencia, 46100 Burjassot, Spain; (I.P.-C.); (A.L.-M.); (A.L.-G.)
- CIBER of Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, 28029 Madrid, Spain
| | - Agustin Llopis-Morales
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, School of Pharmacy, University of Valencia, 46100 Burjassot, Spain; (I.P.-C.); (A.L.-M.); (A.L.-G.)
| | - Agustin Llopis-Gonzalez
- Unit of Public Health, Hygiene and Environmental Health, Department of Preventive Medicine and Public Health, Food Science, Toxicology and Legal Medicine, School of Pharmacy, University of Valencia, 46100 Burjassot, Spain; (I.P.-C.); (A.L.-M.); (A.L.-G.)
- CIBER of Epidemiology and Public Health (CIBERESP), Institute of Health Carlos III, 28029 Madrid, Spain
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Tang JWC, Lam WWT, Ma ASY, Law WL, Wei R, Fielding R. Dietary changes adopted by Chinese colorectal cancer patients: A qualitative study. Eur J Cancer Care (Engl) 2019; 28:e13159. [DOI: 10.1111/ecc.13159] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Revised: 07/05/2019] [Accepted: 08/01/2019] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | - Wai Lun Law
- Division of Colorectal Surgery, Department of Surgery University of Hong Kong Hong Kong Hong Kong
| | - Rockson Wei
- Division of Colorectal Surgery, Department of Surgery University of Hong Kong Hong Kong Hong Kong
| | - Richard Fielding
- School of Public Health University of Hong Kong Hong Kong Hong Kong
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Fassier P, Zelek L, Lécuyer L, Bachmann P, Touillaud M, Druesne‐Pecollo N, Galan P, Cohen P, Hoarau H, Latino‐Martel P, Kesse‐Guyot E, Baudry J, Hercberg S, Deschasaux M, Touvier M. Modifications in dietary and alcohol intakes between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Santé cohort. Int J Cancer 2017; 141:457-470. [PMID: 28335085 PMCID: PMC5655904 DOI: 10.1002/ijc.30704] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 02/20/2017] [Accepted: 03/08/2017] [Indexed: 12/19/2022]
Abstract
Postdiagnosis diet and alcohol consumption may be associated with cancer prognosis, recurrence and mortality. Our aim was to investigate food, nutrient and alcohol intake variations between before and after cancer diagnosis and their determinants in a prospective cohort. Subjects (n = 696) were incident cancer cases diagnosed in the NutriNet-Santé cohort between 2009 and 2016. Food, nutrient and alcohol intakes were prospectively collected using repeated nonconsecutive 24-hr dietary records since subjects' inclusion (i.e. an average of 2 y before diagnosis). Mean number of dietary records per subject was 5.9 before and 8.1 after diagnosis. All dietary data before and after diagnosis were compared by mixed models. Factors associated with the main dietary changes observed were also investigated using multivariable logistic regressions. We observed a decrease in intakes of vegetables (mean decrease in intake in patients who decreased their intake=-102.4 ± 79.8 g/d), dairy products (-93.9 ± 82.8 g/d), meat/offal (-35.5 ± 27.8/d), soy products (-85.8 ± 104.1 g/d), sweetened soft drinks (-77.9 ± 95.4 g/d), and alcoholic drinks (-92.9 ± 119.9 g/d), and an increase in broths (42.1 ± 34.9 g/d) and fats/sauces (18.0 ± 13.4 g/d). We observed a decrease in energy intake (-377.2 ± 243.5 kcal/d) and in intakes of alcohol (-7.6 ± 9.4 g/d) proteins (-17.4 ± 12.5 g/d), and several vitamins (p < 0.05) and micronutrients (p < 0.05). Conversely, lipid (19.4 ± 14.6 g/d), SFA (9.3 ± 7.0 g/d), MUFA (8.3 ± 6.3 g/d) and vitamin E (3.9 ± 3.3 mg/d) intakes increased after diagnosis. This large prospective study suggests that cancer diagnosis is a key period for nutritional changes. It highlights some healthy behaviors such as a decrease in alcohol and sweetened drink consumption, but also less favorable trends, such as a decrease in vegetable consumption and in many vitamin and mineral intakes. These results provide insights to identify and target recommendations to put forward for better nutritional care of cancer survivors.
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Affiliation(s)
- Philippine Fassier
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Laurent Zelek
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
- Oncology DepartmentAvicenne HospitalBobignyF‐93017France
| | - Lucie Lécuyer
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | | | - Marina Touillaud
- Léon Bérard Cancer CenterLyonF‐69008France
- Cancer Research Centre of Lyon UMR Inserm 1052 CNRS 5286 CLBLyonF‐69003France
| | - Nathalie Druesne‐Pecollo
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Pilar Galan
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Patrice Cohen
- Sociology DepartmentUniversity of Rouen, DySolaEA 4701RouenF‐76821France
| | - Hélène Hoarau
- Sociology DepartmentUniversity of Rouen, DySolaEA 4701RouenF‐76821France
| | - Paule Latino‐Martel
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Emmanuelle Kesse‐Guyot
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Julia Baudry
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Serge Hercberg
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
- Public Health DepartmentAvicenne HospitalBobignyF‐93017France
| | - Mélanie Deschasaux
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
| | - Mathilde Touvier
- Sorbonne Paris Cité Epidemiology and Statistics Research Center, Nutritional Epidemiology Research Team (EREN): Inserm U1153Inra U1125, Cnam, Paris 5, 7 and 13 UniversitiesBobignyF‐93017France
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Åsli LA, Olsen A, Braaten T, Lund E, Skeie G. Potato Consumption and Risk of Colorectal Cancer in the Norwegian Women and Cancer Cohort. Nutr Cancer 2017; 69:564-572. [PMID: 28323437 DOI: 10.1080/01635581.2017.1295086] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Potatoes are the fourth most plentiful food crop in the world, yet the scientific literature on the health effects of potato consumption is scarce. This study aimed to investigate the association between potato consumption and the risk of colorectal cancer (CRC) among 79,778 women aged 41-70, in the Norwegian Women and Cancer study. Information on diet, lifestyle, and health was collected by questionnaire. CRC cases (n = 912) were identified through registry linkage. Adjusted Cox proportional hazard models were used to estimate the association between potato consumption and the risk of CRC. Results showed that high potato consumption was associated with a higher risk of CRC (hazard ratio [HR]: 1.32, 95% confidence interval [CI]: 1.10, 1.60 for ≥3 potatoes per day versus 0-7 potatoes per week). The same association was found for rectal cancer (HR: 1.68, 95% CI: 1.19, 2.36), and same tendencies were found for colon cancer (HR: 1.20, 95% CI: 0.96, 1.50). When stratified by body mass index (BMI) (<25 and ≥25 kg/m2), significant associations were found with BMI <25 kg/m2 for CRC (HR: 1.48, 95% CI: 1.15, 1.89) and rectal cancer (HR: 1.95, 95% CI: 1.25, 3.06). No significant interaction between potato consumption and BMI (P = 0.49) was found.
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Affiliation(s)
- Lene A Åsli
- a Department of Community Medicine , University of Tromsø-The Arctic University of Norway , Tromsø , Norway
| | - Anja Olsen
- b Danish Cancer Society Research Center , Copenhagen , Denmark
| | - Tonje Braaten
- a Department of Community Medicine , University of Tromsø-The Arctic University of Norway , Tromsø , Norway
| | - Eiliv Lund
- a Department of Community Medicine , University of Tromsø-The Arctic University of Norway , Tromsø , Norway
| | - Guri Skeie
- a Department of Community Medicine , University of Tromsø-The Arctic University of Norway , Tromsø , Norway
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Nøst TH, Breivik K, Wania F, Rylander C, Odland JØ, Sandanger TM. Estimating Time-Varying PCB Exposures Using Person-Specific Predictions to Supplement Measured Values: A Comparison of Observed and Predicted Values in Two Cohorts of Norwegian Women. ENVIRONMENTAL HEALTH PERSPECTIVES 2016; 124:299-305. [PMID: 26186800 PMCID: PMC4786984 DOI: 10.1289/ehp.1409191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Accepted: 07/13/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND Studies on the health effects of polychlorinated biphenyls (PCBs) call for an understanding of past and present human exposure. Time-resolved mechanistic models may supplement information on concentrations in individuals obtained from measurements and/or statistical approaches if they can be shown to reproduce empirical data. OBJECTIVES Here, we evaluated the capability of one such mechanistic model to reproduce measured PCB concentrations in individual Norwegian women. We also assessed individual life-course concentrations. METHODS Concentrations of four PCB congeners in pregnant (n = 310, sampled in 2007-2009) and postmenopausal (n = 244, 2005) women were compared with person-specific predictions obtained using CoZMoMAN, an emission-based environmental fate and human food-chain bioaccumulation model. Person-specific predictions were also made using statistical regression models including dietary and lifestyle variables and concentrations. RESULTS CoZMoMAN accurately reproduced medians and ranges of measured concentrations in the two study groups. Furthermore, rank correlations between measurements and predictions from both CoZMoMAN and regression analyses were strong (Spearman's r > 0.67). Precision in quartile assignments from predictions was strong overall as evaluated by weighted Cohen's kappa (> 0.6). Simulations indicated large inter-individual differences in concentrations experienced in the past. CONCLUSIONS The mechanistic model reproduced all measurements of PCB concentrations within a factor of 10, and subject ranking and quartile assignments were overall largely consistent, although they were weak within each study group. Contamination histories for individuals predicted by CoZMoMAN revealed variation between study subjects, particularly in the timing of peak concentrations. Mechanistic models can provide individual PCB exposure metrics that could serve as valuable supplements to measurements.
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Affiliation(s)
- Therese Haugdahl Nøst
- Department of Community Medicine, UiT–The Arctic University of Norway, Tromsø, Norway
- NILU–Norwegian Institute for Air Research, Fram Centre, Tromsø, Norway
- University Hospital of North Norway, Tromsø, Norway
| | - Knut Breivik
- NILU–Norwegian Institute for Air Research, Kjeller, Norway
- Department of Chemistry, University of Oslo, Oslo, Norway
| | - Frank Wania
- Department of Physical and Environmental Sciences, University of Toronto Scarborough, Toronto, Ontario, Canada
| | - Charlotta Rylander
- Department of Community Medicine, UiT–The Arctic University of Norway, Tromsø, Norway
| | - Jon Øyvind Odland
- Department of Community Medicine, UiT–The Arctic University of Norway, Tromsø, Norway
| | - Torkjel Manning Sandanger
- Department of Community Medicine, UiT–The Arctic University of Norway, Tromsø, Norway
- NILU–Norwegian Institute for Air Research, Fram Centre, Tromsø, Norway
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Lay WA, Vickery CR, Ward-Ritacco CL, Johnson KB, Berg AC, Evans EM, Johnson MA. Comparison of Intake of Animal and Plant Foods and Related Nutrients in Postmenopausal Breast Cancer Survivors and Controls. J Nutr Gerontol Geriatr 2016; 35:15-31. [PMID: 26885943 DOI: 10.1080/21551197.2015.1084258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study's objective is to assess differences in dietary intakes in breast cancer survivors (n = 13) and women without a history of breast cancer (controls, n = 71). In a cross-sectional design, intake of foods, food groups, nutrients, and non-nutritive sweeteners was assessed using participant-completed three-day food records. All women were postmenopausal (mean age (SD) 58.5 (±3.8) y, 95% White, 2.4% Asian Pacific, and 2.4% Black). The two groups did not differ in age, energy intake, or body mass index (p > 0.05). Compared to controls, survivors consumed less dairy products, animal protein, total protein, and calcium, but more legumes, noncitrus fruit, and carbohydrates (p ≤ 0.05). Calcium intakes were of particular concern in survivors who consumed an average of 686 mg calcium/d, which is <60% of the recommended 1200 mg/d. Given the important role of calcium in bone health and protein in muscle function among aging women, breast cancer survivors may benefit from consultation with a Registered Dietitian or other health professional knowledgeable in nutritional recommendations for postmenopausal breast cancer survivors.
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Affiliation(s)
- Whitney A Lay
- a Department of Foods and Nutrition , University of Georgia , Athens , Georgia , USA
| | - Courtney R Vickery
- a Department of Foods and Nutrition , University of Georgia , Athens , Georgia , USA
| | | | - Kristen B Johnson
- a Department of Foods and Nutrition , University of Georgia , Athens , Georgia , USA
| | - Alison C Berg
- a Department of Foods and Nutrition , University of Georgia , Athens , Georgia , USA
| | - Ellen M Evans
- c Department of Kinesiology , University of Georgia , Athens , Georgia , USA
| | - Mary Ann Johnson
- a Department of Foods and Nutrition , University of Georgia , Athens , Georgia , USA
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Åsli LA, Braaten T, Olsen A, Lund E, Skeie G. What characterises women who eat potatoes? A cross-sectional study among 74,208 women in the Norwegian Women and Cancer cohort. Food Nutr Res 2015; 59:25703. [PMID: 25701150 PMCID: PMC4336352 DOI: 10.3402/fnr.v59.25703] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2014] [Revised: 12/10/2014] [Accepted: 01/22/2015] [Indexed: 11/24/2022] Open
Abstract
Background Studies of potato consumption have shown that age, region, socioeconomic status, and household structure are important determinants. Objective This study aims to map which factors influence potato consumption among women in the Norwegian Women and Cancer (NOWAC) study. Design A cross-sectional study using a postal questionnaire among 74,208 NOWAC participants aged 41–70. Results Results showed that 56% of the women ate at least two potatoes a day. A north–south gradient in potato consumption was observed in logistic regression models (OR: 3.41, 95% CI: 3.19–3.64 for the north compared to the capital). Women in households with children had lower odds of high potato consumption than women living only with a partner, and women who lived alone had the lowest odds of all (OR: 0.39, 95% CI: 0.37–0.41). Smokers had higher odds of high potato consumption, while diabetics had lower odds. The odds of high potato consumption were greater among older women, and among those with lower income and education. In a sub-cohort, women who were dieting had lower odds of high potato consumption. Consumption of different foods varied in the low versus the high potato consumption group, with largest effect for fish and pasta/rice. The groups had similar nutrient densities. Conclusions In addition to lifestyle and socioeconomic factors, health-related factors like smoking and diabetes were found to influence potato consumption. The high potato consumption group had an especially high consumption of fish and a low consumption of pasta/rice, though the nutrient density in the groups was similar.
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Affiliation(s)
- Lene A Åsli
- Department of Community Medicine, University of Tromsø - The Arctic University of Norway, Tromsø, Norway;
| | - Tonje Braaten
- Department of Community Medicine, University of Tromsø - The Arctic University of Norway, Tromsø, Norway
| | - Anja Olsen
- Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Eiliv Lund
- Department of Community Medicine, University of Tromsø - The Arctic University of Norway, Tromsø, Norway
| | - Guri Skeie
- Department of Community Medicine, University of Tromsø - The Arctic University of Norway, Tromsø, Norway
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Park M, Hwang E, Moon HG, Noh DY, Lee JE. Dietary Intake Status among Korean Female Breast Cancer Survivors. ACTA ACUST UNITED AC 2014. [DOI: 10.5720/kjcn.2014.19.2.163] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Myungsook Park
- Department of Food and Nutrition, Sookmyung Women's University, Seoul, Korea
| | - Eunkyung Hwang
- Breast Care Center, Seoul National University Hospital, Seoul, Korea
| | - Hyeong-Gon Moon
- Breast Care Center, Seoul National University Hospital, Seoul, Korea
- Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Dong-Young Noh
- Breast Care Center, Seoul National University Hospital, Seoul, Korea
- Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Jung Eun Lee
- Department of Food and Nutrition, Sookmyung Women's University, Seoul, Korea
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10
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Fruit and vegetable intake among older adults: a scoping review. Maturitas 2013; 75:305-12. [PMID: 23769545 DOI: 10.1016/j.maturitas.2013.05.005] [Citation(s) in RCA: 127] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Accepted: 05/06/2013] [Indexed: 11/23/2022]
Abstract
Older adults are the fastest growing segment of the world population. Older adults are also at heightened risk of chronic conditions (such as diabetes, heart disease, and cancer) and specific geriatric conditions (such as cognitive impairment, frailty, and falls). Research studies have examined the relationship between fruit and vegetable intake and subsequent health outcomes and the correlates of fruit and vegetable intake in the U.S. population. However, relatively few studies have specifically examined health impacts and correlates of fruit and vegetable intake among older adults, who have unique biophysical and socioeconomic circumstances. Evidence is reviewed to (1) describe findings related to consumption and chronic, geriatric, and other health outcomes among older adults and (2) describe patterns in fruit and vegetable consumption among older adults and how these patterns vary within and among populations. This review addresses specific barriers faced by older adults in obtaining and consuming fruits and vegetables in community settings. Recommendations for practice and policy are discussed.
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Racial and ethnic differences in health status and health behavior among breast cancer survivors--Behavioral Risk Factor Surveillance System, 2009. J Cancer Surviv 2012; 7:93-103. [PMID: 23212604 DOI: 10.1007/s11764-012-0248-4] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2012] [Accepted: 10/08/2012] [Indexed: 12/19/2022]
Abstract
PURPOSE Differences in health status and behavioral risk factors may explain racial/ethnic breast cancer disparities. We examined racial/ethnic differences in health status and behaviors among female breast cancer survivors compared to females without breast cancer. METHODS Using cross-sectional data from the 2009 Behavioral Risk Factor Surveillance System, a national state-based, random sample telephone survey, we explored differences in self-rated health, obesity and selected behaviors (physical activity, smoking, alcohol use, fruit, and vegetable consumption) among females aged 18 years and older, who reported a previous breast cancer diagnosis (survivors, n = 10,035) and those who reported no breast cancer history (n = 234,375) by race/ethnicity. Adjusted prevalences of health status and behaviors, accounting for sociodemographics, comorbidities and health care access, were estimated by race/ethnicity. RESULTS Compared to all other racial/ethnic groups, more white females reported heavy alcohol consumption and more black females reported obesity regardless of their breast cancer status. Among breast cancer survivors, more whites (33.7 %) were former smokers compared to blacks (24.5 %), "others" (20.5 %), and Hispanics (16.2 %) (p = 0.001). Racial/ethnic differences in obesity also varied by reported time since diagnosis (p value = 0.018). Among long-term survivors (diagnosed >5 years before interview), more black survivors (34.8 %) reported obesity compared to white survivors (23.0 %). Also, among "other" race survivors, long-term survivors (22.0 %) reported more obesity than survivors diagnosed less than 5 years before interview (7.8 %). CONCLUSIONS These findings suggest opportunities to increase health behaviors and reduce racial disparities among breast cancer survivors. IMPLICATIONS FOR CANCER SURVIVORS Engaging in healthy behaviors can play a significant role in enhancing health outcomes and quality of life of breast cancer survivors. More research is needed to better understand racial differences in obesity, smoking and alcohol consumption in order to develop effective, culturally appropriate interventions to promote a healthy lifestyle after a breast cancer diagnosis.
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Borch KB, Braaten T, Lund E, Weiderpass E. Physical activity and mortality among Norwegian women - the Norwegian Women and Cancer Study. Clin Epidemiol 2011; 3:229-35. [PMID: 21857790 PMCID: PMC3157493 DOI: 10.2147/clep.s22681] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2011] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Physical activity (PA) and its relationship with all-cause mortality suggest a strong and consistent inverse association. This study prospectively investigated the association between PA level and mortality among participants of the Norwegian Women and Cancer (NOWAC) Study. METHODS A total of 66,136 NOWAC participants were followed-up until December 31st 2008. PA level and possible confounding factors were obtained through a self-administered questionnaire at enrolment. Cox proportional hazards regression was used to calculate adjusted relative risks (RRs) and 95% confidence intervals (CIs) for all-cause, cardiovascular disease (CVD) and cancer mortality and PA levels defined from 1 to 10 on a global scale. RESULTS PA levels 1-4 were associated with a significantly increased risk of all-cause mortality (level 1 RR = 2.35; 95% CI: 1.94-2.84, level 2 RR = 1.71; 95% CI: 1.45-2.00, level 3 RR = 1.30; 95% CI: 1.14-1.49, level 4 RR = 1.07; 95% CI: 0.95-1.22), compared with PA level 5. CVD mortality risk increased in PA levels 1-3 (level 1 RR = 3.50; 95% CI: 2.41-5.10, level 2 RR = 1.50; 95% CI: 0.99-2.25, level 3 RR = 1.12; 95% CI: 0.79-1.60) as did cancer mortality risk (RR = 1.32; 95% CI: 0.96-1.81, RR = 1.48; 95% CI: 1.19-1.84, RR = 1.26; 95% CI: 1.06-1.50, respectively). The magnitude of the associations was consistent across strata of age, smoking, and body mass index. The population attributable fractions for PA levels 1-4 were: all-cause mortality, 11.5%; CVD mortality, 11.3%; cancer mortality, 7.8%. CONCLUSION There is a significant trend of increased risk of all-cause, CVD and cancer mortality in relation to low PA levels among Norwegian women.
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Ronco AL, De Stéfani E, Stoll M. Hormonal and metabolic modulation through nutrition: towards a primary prevention of breast cancer. Breast 2010; 19:322-32. [PMID: 20542695 DOI: 10.1016/j.breast.2010.05.005] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2010] [Revised: 05/11/2010] [Accepted: 05/12/2010] [Indexed: 01/04/2023] Open
Abstract
Breast cancer (BC) is a polygenic and multifactorial disease for which estrogens have been recognized as the main risk factor, and for which lifestyle plays a key role. Previous epidemiologic cancer research performed in Uruguayan population delimited its dietary and anthropometric profiles. Recognizing the difficulty for universalizing a nutritional basis for prevention due to different eating patterns among regions and countries, we summarize the existent knowledge linking nutrition, estrogens, metabolism and BC. As an attempt towards primary prevention of BC, we present recommendations mainly based on country-specific research findings and modifiable putative risk and protective factors, proposing to modify the intake of meats and other fatty foods--especially sources of Ω-6 and Ω-3 fatty acids--adding olive oil, selected vegetables, citrus fruits and working towards adequate body fat/muscle proportions. From a medical and ethical viewpoint, it is justified to recommend certain nutritional changes to women, because no adverse side effects are expected to occur.
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Affiliation(s)
- Alvaro L Ronco
- Depto. de Epidemiología, Facultad de Medicina, IUCLAEH, Prado and Salt Lake P.16, Maldonado, Uruguay.
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Use of dietary supplements in the European Prospective Investigation into Cancer and Nutrition calibration study. Eur J Clin Nutr 2009; 63 Suppl 4:S226-38. [DOI: 10.1038/ejcn.2009.83] [Citation(s) in RCA: 170] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Skeie G, Braaten T, Hjartåker A, Brustad M, Lund E. Cod liver oil, other dietary supplements and survival among cancer patients with solid tumours. Int J Cancer 2009; 125:1155-60. [PMID: 19444919 DOI: 10.1002/ijc.24422] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The effect of various dietary supplements on chronic diseases and mortality has been widely studied, but few convincing results have emerged from studies in well-nourished populations. In Norway, both cod liver oil and other dietary supplements are frequently used. In the Norwegian Women and Cancer cohort study, we explored if supplement use before diagnosis affected survival of cancer patients with solid tumours. We performed Cox proportional hazards analyses, adjusting for age at diagnosis, smoking and stage. Cod liver oil was the most frequently used dietary supplement, followed by multivitamins and minerals. Whole year daily use of cod liver oil was associated with lower risk of death in patients with solid tumours [RR = 0.77 (95% CI 0.61-0.97)] and in lung cancer patients [RR=0.56 (95% CI 0.34-0.92)]. Also daily and occasional use of other dietary supplements decreased the risk of death among lung cancer patients [RR = 0.70 (95% CI 0.49-0.99) and 0.55 (95% CI 0.31-0.97)]. More research is needed to clarify the association; meanwhile adjustment for dietary supplement use should be performed in survival analyses of lung cancer patients.
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Affiliation(s)
- Guri Skeie
- Institute of Community Medicine, University of Tromsø, Norway.
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Dietary change among breast and colorectal cancer survivors and cancer-free women in the Norwegian Women and Cancer cohort study. Cancer Causes Control 2009; 20:1955-66. [DOI: 10.1007/s10552-009-9390-3] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2008] [Accepted: 06/18/2009] [Indexed: 10/20/2022]
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Robien K, Ness KK, Klesges LM, Baker KS, Gurney JG. Poor adherence to dietary guidelines among adult survivors of childhood acute lymphoblastic leukemia. J Pediatr Hematol Oncol 2008; 30:815-22. [PMID: 18989158 PMCID: PMC2633871 DOI: 10.1097/mph.0b013e31817e4ad9] [Citation(s) in RCA: 95] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Recent studies indicate that survivors of childhood acute lymphoblastic leukemia (ALL) are at increased risk of obesity and cardiovascular disease, conditions that healthy dietary patterns may help ameliorate or prevent. To evaluate the usual dietary intake of adult survivors of childhood ALL, food frequency questionnaire data were collected from 72 participants, and compared with the 2007 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Cancer Prevention recommendations, the Dietary Approaches to Stop Hypertension (DASH) diet, and the 2005 United States Department of Agriculture (USDA) Food Guide. Mean daily energy intake was consistent with estimated requirements; however, mean body mass index was 27.1 kg/m2 (overweight). Dietary index scores averaged fewer than half the possible number of points on all 3 scales, indicating poor adherence to recommended guidelines. No study participant reported complete adherence to any set of guidelines. Although half the participants met minimal daily goals for 5 servings of fruits and vegetables (WCRF/AICR recommendations) and
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Affiliation(s)
- Kim Robien
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. Second St, 300 WBOB, Minneapolis, MN 55454, USA.
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Shatenstein B. Impact of Health Conditions on Food Intakes Among Older Adults. ACTA ACUST UNITED AC 2008; 27:333-61. [DOI: 10.1080/01639360802265889] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Lund E, Dumeaux V, Braaten T, Hjartåker A, Engeset D, Skeie G, Kumle M. Cohort profile: The Norwegian Women and Cancer Study--NOWAC--Kvinner og kreft. Int J Epidemiol 2007; 37:36-41. [PMID: 17644530 DOI: 10.1093/ije/dym137] [Citation(s) in RCA: 160] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Affiliation(s)
- Eiliv Lund
- Institute of Community Medicine, University of Tromsø, 9037 Tromsø, Norway.
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