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Krok-Schoen JL, Naughton MJ, Felix AS, Wiley Cené C, Springfield S, Yu M, McLaughlin EM, Shadyab AH, Nolan TS, Kroenke CH, Garcia L, Follis S, Jackson RD. Resiliency Among Women's Health Initiative Women Aged 80 and Older by Race, Ethnicity, and Neighborhood Socioeconomic Status. J Gerontol B Psychol Sci Soc Sci 2023; 78:1445-1458. [PMID: 36933001 PMCID: PMC10461531 DOI: 10.1093/geronb/gbad048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Indexed: 03/19/2023] Open
Abstract
OBJECTIVES A comprehensive examination of resilience by race, ethnicity, and neighborhood socioeconomic status (NSES) among women aged ≥80 is needed, given the aging of the U.S. population, increasing longevity, and growing racial and ethnic diversity. METHODS Participants were women aged ≥80 enrolled in the Women's Health Initiative. Resilience was assessed with a modified version of the Brief Resilience Scale. Descriptive statistics and multiple linear regression examined the association of demographic, health, and psychosocial variables with resilience by race, ethnicity, and NSES. RESULTS Participants (n = 29,367, median age = 84.3) were White (91.4%), Black (3.7%), Hispanic (1.9%), and Asian (1.7%) women. There were no significant differences by race and ethnicity on mean resiliency scores (p = .06). Significant differences by NSES were observed regarding mean resiliency scores between those with low NSES (3.94 ± 0.83, out of 5) and high NSES (4.00 ± 0.81). Older age, higher education, higher self-rated health, lower stress, and living alone were significant positive correlates of resilience in the sample. Social support was correlated with resilience among White, Black, and Asian women, but not for Hispanic women. Depression was a significant correlate of lower resilience, except among Asian women. Living alone, smoking, and spirituality were significantly associated with higher resilience among women with moderate NSES. DISCUSSION Multiple factors were associated with resilience among women aged ≥80 in the Women's Health Initiative. Despite some differing correlates of resilience by race, ethnicity, and NSES, there were many similarities. These results may aid in the design of resilience interventions for the growing, increasingly diverse population of older women.
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Affiliation(s)
- Jessica L Krok-Schoen
- Division of Health Sciences, School of Health and Rehabilitation Sciences, College of Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Michelle J Naughton
- Division of Cancer Prevention and Control, Department of Medicine, College of Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Ashley S Felix
- Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA
| | - Crystal Wiley Cené
- Division of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA
| | - Sparkle Springfield
- Parkinson School of Health Sciences and Public Health, Loyola University, Maywood, Illinois, USA
| | - Mengda Yu
- Center for Biostatistics, College of Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Eric M McLaughlin
- Center for Biostatistics, College of Medicine, The Ohio State University, Columbus, Ohio, USA
| | - Aladdin H Shadyab
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California at San Diego, La Jolla, California, USA
| | - Timiya S Nolan
- College of Nursing, The Ohio State University, Columbus, Ohio, USA
| | - Candyce H Kroenke
- Kaiser Permanente Northern California Division of Research, Oakland, California, USA
| | - Lorena Garcia
- Division of Epidemiology, Department of Public Health Sciences, University of California Davis School of Medicine, Medical Sciences 1-C, Davis, California, USA
| | - Shawna Follis
- Stanford Prevention Research Center, Department of Medicine, Stanford University, Palo Alto, California, USA
| | - Rebecca D Jackson
- Department of Internal Medicine/Endocrinology, Diabetes and Metabolism, College of Medicine, The Ohio State University, Columbus, Ohio, USA
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Gardner CD, Vadiveloo MK, Petersen KS, Anderson CAM, Springfield S, Van Horn L, Khera A, Lamendola C, Mayo SM, Joseph JJ. Popular Dietary Patterns: Alignment With American Heart Association 2021 Dietary Guidance: A Scientific Statement From the American Heart Association. Circulation 2023; 147:1715-1730. [PMID: 37128940 DOI: 10.1161/cir.0000000000001146] [Citation(s) in RCA: 22] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
The evolution of dietary guidelines from isolated nutrients to broader dietary pattern recommendations results from growing knowledge of the synergy between nutrients and their food sources as they influence health. Macronutrient and micronutrient needs can be met by consuming various dietary patterns, but guidance is often required to facilitate population-wide adherence to wise food choices to achieve a healthy dietary pattern. This is particularly true in this era with the proliferation of nutrition misinformation and misplaced emphasis. In 2021, the American Heart Association issued a scientific statement outlining key principles of a heart-healthy dietary pattern that could be operationalized in various ways. The objective of this scientific statement is to assess alignment of commonly practiced US dietary patterns with the recently published American Heart Association criteria, to determine clinical and cultural factors that affect long-term adherence, and to propose approaches for adoption of healthy dietary patterns. This scientific statement is intended to serve as a tool for clinicians and consumers to evaluate whether these popular dietary pattern(s) promote cardiometabolic health and suggests factors to consider when adopting any pattern to improve alignment with the 2021 American Heart Association Dietary Guidance. Numerous patterns strongly aligned with 2021 American Heart Association Dietary Guidance (ie, Mediterranean, DASH [Dietary Approaches to Stop Hypertension], pescetarian, vegetarian) can be adapted to reflect personal and cultural preferences and budgetary constraints. Thus, optimal cardiovascular health would be best supported by developing a food environment that supports adherence to these patterns wherever food is prepared or consumed.
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Krok-Schoen J, Naughton M, Cene C, Shadyab A, Springfield S, Nolan T, Felix A, Jackson R. RESILIENCY AMONG WHI WOMEN IN THE 80+ COHORT BY RACE AND NEIGHBORHOOD SOCIOECONOMIC STATUS. Innov Aging 2022. [PMCID: PMC9770577 DOI: 10.1093/geroni/igac059.367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Resilience, an individual’s ability to successfully adapt to adversity, is a multifaceted outcome that may be affected by individual and community factors. A comprehensive examination of resilience by race and neighborhood socioeconomic status (NSES) among women aged 80+ is needed to better understand longevity in diverse populations. Women aged 80+ in 2011, in the Women’s Health Initiative (WHI) study were included. Resilience was measured using the 3-item Brief Resilience Scale, with higher scores indicating better resiliency. Descriptive statistics and multivariable linear regression examined the association of demographic, psychosocial, and health variables with resilience by race (White, Black, Asian) and NSES. The majority of participants (n=29,367, median age=84.0) were non-Hispanic White (91.4%), and had multimorbidities (66%). There were no significant differences by race on mean resiliency scores (p=0.06). Mean resilience was higher among women with higher NSES (low NSES=3.94±0.83, moderate NSES=3.95±0.82, high NSES=4.00±0.81; p< 0.001). Optimism (p< 0.001), social support (p< 0.01), and physical/mental symptom burden (p< 0.05) were significant correlates of resilience among Asian, Black, and White women. Self-rated health (p< 0.001), depressive symptoms (p< 0.001), optimism (p< 0.001), social support (p< 0.001), physical/mental symptom burden (p< 0.001), and body mass index (p< 0.001) were significant correlates of resilience across women with low, moderate, and high NSES. Age was significantly associated with resilience among women with moderate (β=-0.004, p=0.019) and high NSES (β=-0.005, p=0.045). This study found several common correlates of resilience across race and NSES among women aged 80+ in the WHI. Future research to enhance resilience, such as through psychosocial and behavioral interventions, is warranted.
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Affiliation(s)
| | - Michelle Naughton
- The Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States
| | - Crystal Cene
- University of North Carolina, Chapel Hill, North Carolina, United States
| | - Aladdin Shadyab
- University of California at San Diego, La Jolla, California, United States
| | | | - Timiya Nolan
- The Ohio State University, Columbus, Ohio, United States
| | - Ashley Felix
- The Ohio State University, Columbus, Ohio, United States
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Pichardo MS, Esserman D, Ferrucci LM, Molina Y, Chlebowski RT, Pan K, Garcia DO, Lane DS, Shadyab AH, Lopez-Pentecost M, Luo J, Kato I, Springfield S, Rosal MC, Bea JW, Cespedes Feliciano EM, Qi L, Nassir R, Snetselaar L, Manson J, Bird C, Irwin ML. Adherence to the American Cancer Society Guidelines on nutrition and physical activity for cancer prevention and obesity-related cancer risk and mortality in Black and Latina Women's Health Initiative participants. Cancer 2022; 128:3630-3640. [PMID: 35996861 DOI: 10.1002/cncr.34428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 06/29/2022] [Accepted: 07/14/2022] [Indexed: 11/08/2022]
Abstract
BACKGROUND Although adherence to the American Cancer Society (ACS) Guidelines on Nutrition and Physical Activity for Cancer Prevention associates with lower risk of obesity-related cancer (ORC) incidence and mortality, evidence in Black and Latina women is limited. This association was examined in Black and Latina participants in the Women's Health Initiative (WHI). METHODS Semi-Markov multistate model examined the association between ACS guideline adherence and ORC incidence and mortality in the presence of competing events, combined and separately, for 9301 Black and 4221 Latina postmenopausal women. Additionally, ACS guideline adherence was examined in a subset of less common ORCs and potential effect modification by neighborhood socioeconomic status and smoking. RESULTS Over a median of 11.1, 12.5, and 3.7 years of follow-up for incidence, nonconditional mortality, and conditional mortality, respectively, 1191 ORCs (Black/Latina women: 841/269), 1970 all-cause deaths (Black/Latina women: 1576/394), and 341 ORC-related deaths (Black/Latina women: 259/82) were observed. Higher ACS guideline adherence was associated with lower ORC incidence for both Black (cause-specific hazard ratio [CSHR]highvs.low : 0.72; 95% CI, 0.55-0.94) and Latina (CSHRhighvs.low : 0.58, 95% CI, 0.36-0.93) women; but not conditional all-cause mortality (Black hazard ratio [HR]highvs.low : 0.86; 95% CI, 0.53-1.39; Latina HRhighvs.low : 0.81; 95% CI, 0.32-2.06). Higher adherence was associated with lower incidence of less common ORC (Ptrend = .025), but conditional mortality events were limited. Adherence and ORC-specific deaths were not associated and there was no evidence of effect modification. CONCLUSIONS Adherence to the ACS guidelines was associated with lower risk of ORCs and less common ORCs but was not for conditional ORC-related mortality. LAY SUMMARY Evidence on the association between the American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention and cancer remains scarce for women of color. Adherence to the guidelines and risk of developing one of 13 obesity-related cancers among Black and Latina women in the Women's Health Initiative was examined. Women who followed the lifestyle guidelines had 28% to 42% lower risk of obesity-related cancer. These findings support public health interventions to reduce growing racial/ethnic disparities in obesity-related cancers.
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Affiliation(s)
- Margaret S Pichardo
- Yale School of Public Health, New Haven, Connecticut, USA.,Howard University College of Medicine, Washington, District of Columbia, USA
| | | | | | - Yamile Molina
- University of Illinois Chicago, Chicago, Illinois, USA
| | - Rowan T Chlebowski
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, California, USA
| | - Kathy Pan
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, California, USA
| | | | | | | | | | - Juhua Luo
- Indiana University, Bloomington, Indiana, USA
| | - Ikuko Kato
- Wayne State University School of Medicine, Detroit, Michigan, USA
| | | | - Milagros C Rosal
- University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA
| | | | | | - Lihong Qi
- University of California Davis, Davis, California, USA
| | - Rami Nassir
- Umm Al-Qura University, Makkah, Saudi Arabia
| | | | - JoAnn Manson
- Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Chloe Bird
- RAND Corporation, Santa Monica, California, USA
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Chrisinger BW, Springfield S, Whitsel EA, Shadyab AH, Krok-Schoen JL, Garcia L, Sealy-Jefferson S, Stefanick ML. The Association of Neighborhood Changes with Health-Related Quality of Life in the Women's Health Initiative. Int J Environ Res Public Health 2022; 19:5309. [PMID: 35564704 PMCID: PMC9103323 DOI: 10.3390/ijerph19095309] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 04/08/2022] [Accepted: 04/14/2022] [Indexed: 02/04/2023]
Abstract
Longitudinal studies can help us understand the effects of long-term neighborhood changes, as these can capture individual self-appraisal of current and future circumstances. We analyzed the association between neighborhood changes and health-related quality of life (HRQoL) outcomes among older women from the Women's Health Initiative (WHI) study. We used a subset (n = 49,254) of the longitudinal WHI dataset of female participants, aged 50-79 at baseline, recruited from 40 clinical centers across the U.S. beginning in 1993. Two HRQoL outcomes were explored: self-rated quality of life (SRQoL), and physical functioning-related quality of life (PFQoL). We used U.S. census tract-level changes in median household income between the 2000 census and 2007-2011 American Community Survey to classify neighborhoods as "upgrading," "declining," or "stable." Multi-level models were used to identify significant associations between neighborhood change and HRQoL outcomes over time. Compared to participants residing in upgrading neighborhoods, participants in stable and declining neighborhoods reported significantly lower PFQoL. A significant interaction was observed with income such that the effect of neighborhood change was greater at lower levels of income.
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Affiliation(s)
- Benjamin W Chrisinger
- Department of Social Policy and Intervention, University of Oxford, Oxford OX1 2ER, UK
| | - Sparkle Springfield
- Department of Public Health Sciences, Loyola University Chicago, Chicago, IL 60660, USA
| | - Eric A Whitsel
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599, USA
- Department of Medicine, School of Medicine, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599, USA
| | - Aladdin H Shadyab
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, CA 92093, USA
| | - Jessica L Krok-Schoen
- School of Health and Rehabilitation Sciences, Ohio State University, Columbus, OH 43210, USA
| | - Lorena Garcia
- Department of Public Health Sciences, School Medicine, University of California, Davis, CA 95616, USA
| | | | - Marcia L Stefanick
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA 94305, USA
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Crimarco A, Springfield S, Petlura C, Streaty T, Cunanan K, Lee J, Fielding-Singh P, Carter MM, Topf MA, Wastyk HC, Sonnenburg ED, Sonnenburg JL, Gardner CD. A randomized crossover trial on the effect of plant-based compared with animal-based meat on trimethylamine-N-oxide and cardiovascular disease risk factors in generally healthy adults: Study With Appetizing Plantfood-Meat Eating Alternative Trial (SWAP-MEAT). Am J Clin Nutr 2020; 112:1188-1199. [PMID: 32780794 PMCID: PMC7657338 DOI: 10.1093/ajcn/nqaa203] [Citation(s) in RCA: 110] [Impact Index Per Article: 27.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 06/29/2020] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Despite the rising popularity of plant-based alternative meats, there is limited evidence of the health effects of these products. OBJECTIVES We aimed to compare the effect of consuming plant-based alternative meat (Plant) as opposed to animal meat (Animal) on health factors. The primary outcome was fasting serum trimethylamine-N-oxide (TMAO). Secondary outcomes included fasting insulin-like growth factor 1, lipids, glucose, insulin, blood pressure, and weight. METHODS SWAP-MEAT (The Study With Appetizing Plantfood-Meat Eating Alternatives Trial) was a single-site, randomized crossover trial with no washout period. Participants received Plant and Animal products, dietary counseling, lab assessments, microbiome assessments (16S), and anthropometric measurements. Participants were instructed to consume ≥2 servings/d of Plant compared with Animal for 8 wk each, while keeping all other foods and beverages as similar as possible between the 2 phases. RESULTS The 36 participants who provided complete data for both crossover phases included 67% women, were 69% Caucasian, had a mean ± SD age 50 ± 14 y, and BMI 28 ± 5 kg/m2. Mean ± SD servings per day were not different by intervention sequence: 2.5 ± 0.6 compared with 2.6 ± 0.7 for Plant and Animal, respectively (P = 0.76). Mean ± SEM TMAO concentrations were significantly lower overall for Plant (2.7 ± 0.3) than for Animal (4.7 ± 0.9) (P = 0.012), but a significant order effect was observed (P = 0.023). TMAO concentrations were significantly lower for Plant among the n = 18 who received Plant second (2.9 ± 0.4 compared with 6.4 ± 1.5, Plant compared with Animal, P = 0.007), but not for the n = 18 who received Plant first (2.5 ± 0.4 compared with 3.0 ± 0.6, Plant compared with Animal, P = 0.23). Exploratory analyses of the microbiome failed to reveal possible responder compared with nonresponder factors. Mean ± SEM LDL-cholesterol concentrations (109.9 ± 4.5 compared with 120.7 ± 4.5 mg/dL, P = 0.002) and weight (78.7 ± 3.0 compared with 79.6 ± 3.0 kg, P < 0.001) were lower during the Plant phase. CONCLUSIONS Among generally healthy adults, contrasting Plant with Animal intake, while keeping all other dietary components similar, the Plant products improved several cardiovascular disease risk factors, including TMAO; there were no adverse effects on risk factors from the Plant products.This trial was registered at clinicaltrials.gov as NCT03718988.
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Affiliation(s)
- Anthony Crimarco
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
| | - Sparkle Springfield
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
| | - Christina Petlura
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
| | - Taylor Streaty
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
| | - Kristen Cunanan
- Quantitative Sciences Unit, Stanford University School of Medicine, Stanford, CA, USA
| | - Justin Lee
- Quantitative Sciences Unit, Stanford University School of Medicine, Stanford, CA, USA
| | - Priya Fielding-Singh
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
| | - Matthew M Carter
- Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA
| | - Madeline A Topf
- Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA
| | - Hannah C Wastyk
- Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA
- Department of Bioengineering, Stanford University School of Medicine, Stanford, CA, USA
| | - Erica D Sonnenburg
- Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA
- Center for Human Microbiome Studies, Stanford University, Stanford, CA, USA
| | - Justin L Sonnenburg
- Microbiology and Immunology, Stanford University School of Medicine, Stanford, CA, USA
- Center for Human Microbiome Studies, Stanford University, Stanford, CA, USA
- Chan Zuckerberg Biohub, San Francisco, CA, USA
| | - Christopher D Gardner
- Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA
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Bozeman JF, Springfield S, Theis TL. Meeting EAT-Lancet Food Consumption, Nutritional, and Environmental Health Standards: A U.S. Case Study across Racial and Ethnic Subgroups. Environ Justice 2020; 13:160-172. [PMID: 33101580 PMCID: PMC7580058 DOI: 10.1089/env.2020.0018] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
In 2019, The EAT-Lancet Commission developed criteria to assist policymakers and health care systems worldwide in sustaining natural resources to feed a forecasted 10 billion people through the year 2050. Although American dietary habits and underlying food production practices have a disproportionately negative impact on land, greenhouse gas (GHG), and water resources, there is limited information on how this population can meet the EAT-Lancet criteria. To address this, we measured adherence to an adapted version of the EAT-Lancet diet score criteria in United States (U.S.) populations overall and across racial/ethnic subgroups (i.e., black, Latinx, and white). In addition, we assessed the benefits of adherence in terms of saved environmental resources (i.e., land, GHG, and water). By performing these objectives, we provide vital information for the development of effective intervention strategies in the U.S. with enough refinement to address the human health and environmental implications of marginalized populations. Our results demonstrate that, on average, Americans do not meet EAT-Lancet criteria overall or across racial/ethnic subgroups. Shifting dietary intakes to meet the criteria could reduce environmental degradation between 28% and 38%. Furthermore, these methods can be adapted to other nations for the development of meaningful strategies that address the food, energy, and water challenges of our time.
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Affiliation(s)
- Joe F. Bozeman
- Dr. Bozeman III is a Research Associate at Civil and Materials Engineering Department and Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, Illinois. Dr. Springfield is an Assistant Professor at Department of Public Health, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, Illinois, USA. Dr. Theis is a Professor at Civil and Materials Engineering Department and Director at Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Sparkle Springfield
- Dr. Bozeman III is a Research Associate at Civil and Materials Engineering Department and Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, Illinois. Dr. Springfield is an Assistant Professor at Department of Public Health, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, Illinois, USA. Dr. Theis is a Professor at Civil and Materials Engineering Department and Director at Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Thomas L. Theis
- Dr. Bozeman III is a Research Associate at Civil and Materials Engineering Department and Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, Illinois. Dr. Springfield is an Assistant Professor at Department of Public Health, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, Illinois, USA. Dr. Theis is a Professor at Civil and Materials Engineering Department and Director at Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, Illinois, USA
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8
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Luo J, Chen X, Tindle H, Shadyab AH, Saquib N, Hale L, Garcia L, Springfield S, Liu B, Nassir R, Snetselaar L, Hendryx M. Do health behaviors mediate associations between personality traits and diabetes incidence? Ann Epidemiol 2020; 53:7-13.e2. [PMID: 32805399 DOI: 10.1016/j.annepidem.2020.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 07/17/2020] [Accepted: 08/10/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Personality traits have been reported to be associated with type 2 diabetes (T2DM) risk. The objective of this study was to examine whether and to what extent the associations between personality traits (dispositional optimism, hostility, and negative emotional expressiveness) and risk of T2DM were mediated by health behaviors and obesity. METHODS Postmenopausal women (n = 110,992) aged 50-79 years without diabetes at enrollment in the Women's Health Initiative study (1993-1998) were followed up to 25 years. Incident diabetes was assessed via a validated self-report of physician-diagnosed diabetes treated with insulin or other hypoglycemic medications. Mediation analyses were performed using approaches under a counterfactual framework. RESULTS An inverse association of optimism with diabetes was significantly mediated by a factor primarily extracted from physical activity, diet quality, and sleep quality with a mediated proportion of 28%. Positive associations for hostility and negative emotional expressiveness were substantially mediated by a factor primarily composed of body mass index and waist circumference with mediated proportions of 32% and 44%, respectively. CONCLUSIONS Our data revealed that less than half of the associations between personality traits and risk of T2DM were explained by indirect health behavior pathways. Women's personality traits should be considered in prevention of diabetes in addition to promoting health behaviors.
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Affiliation(s)
- Juhua Luo
- Department of Epidemiology and Biostatistics, School of Public Health, Indiana University Bloomington, Bloomington, IN.
| | - Xiwei Chen
- Department of Epidemiology and Biostatistics, School of Public Health, Indiana University Bloomington, Bloomington, IN
| | - Hilary Tindle
- Department of Medicine, Vanderbilt Univeristy, Nashville, TN
| | - Aladdin H Shadyab
- Department of Family Medicine and Public Health, University of California, San Diego School of Medicine, La Jolla
| | - Nazmus Saquib
- Research Unit, College of Medicine, Sulaiman AlRajhi University, Saudi Arabia
| | - Lauren Hale
- Department of Family, Population and Preventive Medicine, School of Medicine, Stony Brook University, NY
| | - Lorena Garcia
- Department of Public Health Sciences, School of Medicine University of California, Davis
| | - Sparkle Springfield
- Department of Public Health, Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, IL
| | - Buyun Liu
- Department of Epidemiology, College of Public Health, University of Iowa, IA
| | - Rami Nassir
- Department of Pathology, School of Medicine, Umm Al-Qura University, Saudi Arabia
| | - Linda Snetselaar
- Department of Epidemiology, College of Public Health, Univeristy of Iowa, IA
| | - Michael Hendryx
- Department of Environmental and Occupational Health, School of Public Health, Indiana University Bloomington, Bloomington, IN
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Springfield S, Qin F, Hedlin H, Eaton CB, Rosal MC, Taylor H, Staudinger UM, Stefanick ML. Resilience and CVD-protective Health Behaviors in Older Women: Examining Racial and Ethnic Differences in a Cross-Sectional Analysis of the Women's Health Initiative. Nutrients 2020; 12:E2107. [PMID: 32708626 PMCID: PMC7400950 DOI: 10.3390/nu12072107] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/02/2020] [Accepted: 07/09/2020] [Indexed: 11/09/2022] Open
Abstract
Little is known about the relationship between self-reported psychological resilience (resilience) and health behaviors shown to reduce the risk of cardiovascular disease (CVD). This study examines the associations between resilience and CVD-related risk factors, such as diet, smoking, physical activity, sleep, and alcohol consumption among older American women from diverse backgrounds. METHODS A cross-sectional secondary analysis was conducted on 77,395 women (mean age 77 years, Black (N = 4475, 5.8%), non-Hispanic white (N = 69,448, 89.7%), Latina (N = 1891, 2.4%), and Asian or Pacific Islander (N = 1581, 2.0%)) enrolled in the Women's Health Initiative Extension Study II. Resilience was measured using an abbreviated version of the brief resilience scale. Multivariable logistic regression models were used to evaluate the association between resilience and health behaviors associated with risk for CVD, while adjusting for stressful life events and sociodemographic information. To test whether these associations varied among racial/ethnic groups, an interaction term was added to the fully adjusted models between resilience and race/ethnicity. RESULTS High levels of resilience were associated with better diet quality (top 2 quintiles of the Healthy Eating Index 2015) (OR = 1.22 (95% Confidence Interval (1.15-1.30)), adhering to recommended physical activity (≥ 150 min per week) (1.56 (1.47, 1.66)), sleeping the recommended hours per night (7-9) (1.36 (1.28-1.44)), and moderate alcohol intake (consuming alcoholic drink(s) 1-7 days per week) (1.28 (1.20-1.37)). The observed association between resilience and sleep is modified by race/ethnicity (p = 0.03). CONCLUSION Irrespective of race/ethnicity, high resilience was associated with CVD-protective health behaviors. This warrants further investigation into whether interventions aimed at improving resilience could increase the effectiveness of lifestyle interventions.
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Affiliation(s)
- Sparkle Springfield
- Parkinson School of Health Sciences and Public Health, Department of Public Health, Loyola University Chicago, 2160 S N 1st Ave, Maywood, IL 60153, USA
| | - FeiFei Qin
- Quantitative Sciences Unit, Stanford University, Alto, CA 94304, USA; (F.Q.); (H.H.)
| | - Haley Hedlin
- Quantitative Sciences Unit, Stanford University, Alto, CA 94304, USA; (F.Q.); (H.H.)
| | - Charles B. Eaton
- Warren Alpert Medical School, Department of Family Medicine School of Public Health Brown, Providence University, Providence, RI 02912, USA;
| | - Milagros C. Rosal
- Department of Population and Quantitative Health Sciences, Medical School of Massachusetts University, Massachusetts University, Worcester, MA 01605, USA;
| | - Herman Taylor
- Research Wing Room, Morehouse School of Medicine Cardiovascular Research Institute, Atlanta, GA 30310, USA;
| | - Ursula M. Staudinger
- Columbia Aging Center & Department of Socio medical Science, Mailman School of Public Health, Columbia University, New York, NY 10032, USA;
| | - Marcia L. Stefanick
- Stanford Prevention Research Center, Stanford University, Alto, CA 94304, USA;
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10
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Springfield S, Cunanan K, Heaney C, Peng K, Gardner C. The WELL diet score correlates with the alternative healthy eating index-2010. Food Sci Nutr 2020; 8:2710-2718. [PMID: 32566188 PMCID: PMC7300046 DOI: 10.1002/fsn3.1558] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2019] [Revised: 11/22/2019] [Accepted: 01/05/2020] [Indexed: 01/04/2023] Open
Abstract
The quality of one's overall diet has proven to be of great importance to health and well-being. Unfortunately, diet quality is time-consuming to assess. The Stanford Wellness Living Laboratory (WELL) administered an online survey that included the WELL Diet Score (a novel diet quality assessment calculated from 12 diet-related items). Subsequently, WELL participants were asked to complete the 127-item Block Food Frequency Questionnaire (FFQ) online. The present study's primary objective was to compare the WELL Diet Score with the established FFQ-based Alternative Healthy Eating Index-2010 (AHEI-2010), in a subset of WELL participants (n = 248) who completed both dietary measures through WELL's online platform. The two scores were significantly correlated (r = .69; p < .0001). Regression analyses demonstrated that the WELL Diet Score was positively significantly associated with sociodemographic determinants of diet quality and protective health factors, including older age, higher education, lower BMI, and higher physical activity. In summary, the WELL Diet Score, derived from 12 small diet-related items that can be completed in 5 min, was significantly positively correlated with the AHEI-2010 derived from the lengthy 127-item FFQ, suggesting the potential utility of the WELL Diet Score in future large-scale studies, including future WELL studies.
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Affiliation(s)
- Sparkle Springfield
- Stanford Prevention Research CenterSchool of MedicineStanford UniversityPalo AltoCAUSA
| | | | - Catherine Heaney
- Stanford Prevention Research CenterSchool of MedicineStanford UniversityPalo AltoCAUSA
| | - Katy Peng
- Stanford Prevention Research CenterSchool of MedicineStanford UniversityPalo AltoCAUSA
| | - Christopher Gardner
- Stanford Prevention Research CenterSchool of MedicineStanford UniversityPalo AltoCAUSA
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Springfield S, Odoms-Young A, Tussing-Humphreys L, Freels S, Stolley M. Adherence to American Cancer Society and American Institute of Cancer Research dietary guidelines in overweight African American breast cancer survivors. J Cancer Surviv 2019; 13:257-268. [PMID: 30982113 PMCID: PMC6612676 DOI: 10.1007/s11764-019-00748-y] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Accepted: 02/27/2019] [Indexed: 12/12/2022]
Abstract
PURPOSE The American Cancer Society (ACS) and the American Institute for Cancer Research (AICR) each created dietary and physical activity guidelines to improve cancer survivorship. Despite African American breast cancer survivors (AABCS) having the lowest survival rates of any racial or ethnic group, limited information exists on their adherence to cancer-specific lifestyle recommendations. The study's purpose was to measure adherence to ACS/AICR dietary recommendations in AABCS. METHODS Two hundred ten AABCS enrolled in the Moving Forward intervention trial, a randomized, community-based, 6-month weight loss study, were assessed for socio-demographics, dietary intake (via food frequency questionnaire), and related health factors at baseline. We operationalized the dietary recommendations put forth by ACS/AICR and created component and total adherence index scores. Descriptive statistics were used to calculate the proportion of women who met recommendations. Student's t test and χ2 tests were used to compare participant characteristics by median adherence scores. RESULTS The mean total ACS/AICR score was 12.7 ± 2.5 out of 21 points (median, 13; range, 5 to 21). Over 90% were moderately or completely adherent to limiting alcohol and red & processed meat consumption, but the majority failed to meet the other recommendations to eat whole grains, legumes, fruits, vegetables, and avoid added sugars. Women with total scores below the median were younger, with higher BMI, had fewer years of education, and lower income levels. IMPLICATIONS FOR CANCER SURVIVORS The present study extends the literature on AABCS adherence to cancer survivor-specific dietary guidelines. Findings will inform future dietary lifestyle interventions in this population.
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Affiliation(s)
- Sparkle Springfield
- Stanford Prevention Research Center, School of Medicine, Stanford University, 3300 Hillview Ave, Palo Alto, CA, 94304, USA.
| | - Angela Odoms-Young
- Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, University of Illinois at Chicago, 1919 West Taylor Street MC 517, Chicago, IL, 60612, USA
- Division of Academic and Internal Medicine, College of Medicine, University of Illinois, Chicago, IL, USA
- University of Illinois Cancer Center, Chicago, IL, USA
| | - Lisa Tussing-Humphreys
- Division of Academic and Internal Medicine, College of Medicine, University of Illinois, Chicago, IL, USA
- University of Illinois Cancer Center, Chicago, IL, USA
- Institute for Health Research and Policy, 416 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL, 60608, USA
| | - Sally Freels
- School of Public Health, University of Illinois at Chicago, 1603 W Taylor St, Chicago, IL, 60612, USA
| | - Melinda Stolley
- Department of Medicine, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA
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12
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Springfield S, Odoms-Young A, Tussing-Humphreys LM, Freels S, Stolley MR. A Step toward Understanding Diet Quality in Urban African-American Breast Cancer Survivors: A Cross-sectional Analysis of Baseline Data from the Moving Forward Study. Nutr Cancer 2019; 71:61-76. [PMID: 30775929 PMCID: PMC6527422 DOI: 10.1080/01635581.2018.1557217] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 10/27/2018] [Accepted: 11/06/2018] [Indexed: 01/09/2023]
Abstract
PURPOSE Little is known about the dietary behaviors of African-American breast cancer survivors (AABCS). We sought to describe dietary intake and quality in AABCS and examine associations with demographic, social, lifestyle, and body composition factors to potentially inform the development of effective dietary interventions. METHODS Baseline data from a prospective weight loss trial of 210 AABCS were assessed. A food frequency questionnaire was used to evaluate dietary intake and diet quality via the Healthy Eating Index 2010 (HEI-2010) and Alternative Healthy Eating Index 2010 (AHEI-2010). Linear regression analysis was conducted to determine the most influential variables on diet quality. RESULTS Mean HEI- and AHEI-2010 total scores were 65.11 and 56.83 indicating that diet quality needs improvement. Women were the least adherent to recommendations for intake of whole grains, dairy, sodium, empty calories, sugary beverages, red/processed meats, and trans-fat. Increased self-efficacy for healthy eating behaviors, more years of education (AHEI only), negative smoking status, smaller waist circumference, and increased physical activity (HEI only) were significantly associated with higher diet quality scores. CONCLUSION Our findings suggest the diet quality of AABCS needs improvement. Intervention programs may achieve higher diet quality in AABCS by focusing on increasing self-efficacy for healthy eating behaviors.
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Affiliation(s)
- Sparkle Springfield
- Stanford Prevention Research Center, School of Medicine, 3300 Hillview Ave (MC 5411), Palo Alto, CA 94304, US
| | - Angela Odoms-Young
- Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street (MC 517), Chicago, IL 60612, US
- University of Illinois Cancer Center, 486 Westside Research Office Bldg., 1747 West Roosevelt Road (MC 275), Chicago, IL 60608, US
- School of Public Health, Division of Epidemiology and Biostatistics, 953 SPHP1, 1603 W Taylor St (MC 923), Chicago, IL 60612, US
| | - Lisa M. Tussing-Humphreys
- University of Illinois Cancer Center, 486 Westside Research Office Bldg., 1747 West Roosevelt Road (MC 275), Chicago, IL 60608, US
- School of Public Health, Division of Epidemiology and Biostatistics, 953 SPHP1, 1603 W Taylor St (MC 923), Chicago, IL 60612, US
| | - Sally Freels
- School of Public Health, Division of Epidemiology and Biostatistics, 953 SPHP1, 1603 W Taylor St (MC 923), Chicago, IL 60612, US
| | - Melinda R. Stolley
- Medical College of Wisconsin, Department of Medicine, 8701 Watertown Plank Road, Milwaukee, WI 53226, US
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13
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Buscemi J, Pugach O, Springfield S, Jang J, Tussing-Humphreys L, Schiffer L, Stolley MR, Fitzgibbon ML. Associations between fiber intake and Body Mass Index (BMI) among African-American women participating in a randomized weight loss and maintenance trial. Eat Behav 2018; 29:48-53. [PMID: 29510372 PMCID: PMC6637407 DOI: 10.1016/j.eatbeh.2018.02.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 01/31/2018] [Accepted: 02/15/2018] [Indexed: 02/02/2023]
Abstract
INTRODUCTION African-American women are at increased risk for obesity, and therefore it is important to identify dietary factors that have the potential to prevent weight gain within this population. The purpose of the current study was to examine associations between daily fiber intake and Body Mass Index (BMI) over the course of an 18-month weight loss intervention for African-American women. METHODS Anthropometric measures and the Block Food Frequency Questionnaire were administered at baseline, 6-month, and 18-month follow-up between 2008 and 2010. A mixed-effects linear regression model with random intercept and time slope was used to model associations between fiber consumption and BMI controlling for time trend. RESULTS Associations between fiber consumption and BMI were significantly different over time (β̂Fiber∗Time=-0.07,p-value=0.003). There was no association between fiber intake and BMI at baseline; however, there was a significant inverse relation between fiber consumption and BMI at 6 months, and the association was even stronger at 18 months. CONCLUSIONS Results from this study suggest that dietary fiber consumption may be particularly important within weight loss interventions tailored for African-American women.
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Affiliation(s)
- Joanna Buscemi
- DePaul University, 2219 N Kenmore Ave, Chicago, IL 60614, United States.
| | - Oksana Pugach
- University of Illinois at Chicago, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608
| | - Sparkle Springfield
- Stanford University, School of Medicine, Stanford Prevention Research Center, 1215 Welch Rd., Palo Alto, CA 94304, United States
| | - Jiyeong Jang
- University of Illinois at Chicago, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608
| | - Lisa Tussing-Humphreys
- University of Illinois at Chicago, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608
| | - Linda Schiffer
- University of Illinois at Chicago, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608
| | - Melinda R. Stolley
- Medical College of Wisconsin, Department of Medicine, 8701 Watertown Plank Rd., Milwaukee, WI 53226, United States
| | - Marian L. Fitzgibbon
- University of Illinois at Chicago, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608
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14
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Stolley M, Sheean P, Gerber B, Arroyo C, Schiffer L, Banerjee A, Visotcky A, Fantuzzi G, Strahan D, Matthews L, Dakers R, Carridine-Andrews C, Seligman K, Springfield S, Odoms-Young A, Hong S, Hoskins K, Kaklamani V, Sharp L. Efficacy of a Weight Loss Intervention for African American Breast Cancer Survivors. J Clin Oncol 2017; 35:2820-2828. [PMID: 28628363 PMCID: PMC5562172 DOI: 10.1200/jco.2016.71.9856] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Purpose African American women with breast cancer have higher cancer-specific and overall mortality rates. Obesity is common among African American women and contributes to breast cancer progression and numerous chronic conditions. Weight loss interventions among breast cancer survivors positively affect weight, behavior, biomarkers, and psychosocial outcomes, yet few target African Americans. This article examines the effects of Moving Forward, a weight loss intervention for African American breast cancer survivors (AABCS) on weight, body composition, and behavior. Patients and Methods Early-stage (I-III) AABCS were randomly assigned to a 6-month interventionist-guided (n = 125) or self-guided (n = 121) weight loss program supporting behavioral changes to promote a 5% weight loss. Anthropometric, body composition, and behavioral data were collected at baseline, postintervention (6 months), and follow-up (12 months). Descriptive statistics and mixed models analyses assessed differences between groups over time. Results Mean (± standard deviation) age, and body mass index were 57.5 (± 10.1) years and 36.1 (± 6.2) kg/m2, respectively, and 82% had stage I or II breast cancer. Both groups lost weight. Mean and percentage of weight loss were greater in the guided versus self-guided group (at 6 months: 3.5 kg v 1.3kg; P < .001; 3.6% v 1.4%; P < .001, respectively; at 12 months: 2.7 kg v 1.6 kg; P < .05; 2.6% v 1.6%; P < .05, respectively); 44% in the guided group and 19% in the self-guided group met the 5% goal. Body composition and behavioral changes were also greater in the interventionist-guided group at both time points. Conclusion The study supports the efficacy of a community-based interventionist-guided weight loss program targeting AABCS. Although mean weight loss did not reach the targeted 5%, the mean loss of > 3% at 6 months is associated with improved health outcomes. Affordable, accessible health promotion programs represent a critical resource for AABCS.
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Affiliation(s)
- Melinda Stolley
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Patricia Sheean
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Ben Gerber
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Claudia Arroyo
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Linda Schiffer
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Anjishnu Banerjee
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Alexis Visotcky
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Giamila Fantuzzi
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Desmona Strahan
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Lauren Matthews
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Roxanne Dakers
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Cynthia Carridine-Andrews
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Katya Seligman
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Sparkle Springfield
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Angela Odoms-Young
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Susan Hong
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Kent Hoskins
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Virginia Kaklamani
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
| | - Lisa Sharp
- Melinda Stolley, Anjishnu Banerjee, Alexis Visotcky, Lauren Matthews, Medical College of Wisconsin, Milwaukee WI; Patricia Sheean, Loyola University Chicago, Maywood; Ben Gerber, Claudia Arroyo, Linda Schiffer, Giamila Fantuzzi, Desmona Strahan, Roxanne Dakers, Katya Seligman, Sparkle Springfield, Angela Odoms-Young, Kent Hoskins, and Lisa Sharp, University of Illinois at Chicago; Cynthia Carridine-Andrews, Chicago Park District; Susan Hong, University of Chicago, Chicago IL; and Virginia Kaklamani, University of San Antonio, San Antonio TX
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Springfield S, Odoms-Young A, Tussing-Humphreys L, Freels S, Fantuzzi G, Stolley M. Abstract B52: Describing Adherence to Dietary Guidelines in Overweight African American Breast Cancer Survivors. Cancer Epidemiol Biomarkers Prev 2017. [DOI: 10.1158/1538-7755.disp16-b52] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
Background
African American women have the greatest breast cancer mortality and shortest survival rates of any racial or ethnic group. Increased adherence to general population dietary guidelines has been linked to improved breast cancer outcomes. Limited information exists on the dietary habits and level of adherence to general population dietary recommendations in African American breast cancer survivors (AABCS).
Objective
We explored differences in diet quality assessed via HEI and AHEI by demographic and anthropometric characteristics.
Design
A cross-sectional analysis of the baseline interview including a food frequency questionnaire.
Participants/setting
Study participants were recruited and enrolled in the Moving Forward intervention study. Moving Forward was a randomized, community-based, 6-month weight management intervention for AABCS.
Main outcome measures
Adherence to population-based dietary recommendations was assessed by the Healthy Eating Index-2010 (HEI) and the Alternate Healthy Eating Index-2010 (AHEI).
Statistical analyses performed
We calculated standard descriptive statistics for nutrient intakes, including total and components scores from HEI and AHEI. Linear regression analysis was conducted to determine the relationship between socio-demographic factors and dietary adherence.
Results
Participants had a mean age of 57 and were approximately seven years post-initial breast cancer diagnosis. The mean HEI total score was 65.1 (range: 38.9-93.9; max score 100) and mean AHEI total score was 56.8 (range: 25.00 - 85.8; max score 110) indicating sub-optimal diet quality. In the adjusted analysis, HEI and AHEI total scores were positively associated with education, income, moderate physical activity (HEI only) and negatively associated with waist-hip ratio, and smoking status.
Conclusion
Generally, non-smokers, who reported more moderate physical activity, more years of education, and smaller waist circumferences had better quality diets compared to other participants. Understanding deficiencies in the diet of AABCS will help to inform the development of effective lifestyle interventions for this at-risk group.
Citation Format: Sparkle Springfield, Angela Odoms-Young, Lisa Tussing-Humphreys, Sally Freels, Giamila Fantuzzi, Melinda Stolley. Describing Adherence to Dietary Guidelines in Overweight African American Breast Cancer Survivors. [abstract]. In: Proceedings of the Ninth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2016 Sep 25-28; Fort Lauderdale, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2017;26(2 Suppl):Abstract nr B52.
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Affiliation(s)
| | | | | | - Sally Freels
- 1University of Illinois at Chicago, Chicago, Illinois,
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16
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Abstract
Increasing attention has been given to the role of retail food environments in shaping dietary behavior and obesity risk. Studies have generally shown an association between living in a neighborhood with or in close proximity to certain types of food outlets and/or the availability of healthy food options and better dietary quality, higher fruit/vegetable intakes, and a lower risk of overweight, even after controlling for individual/family level characteristics. However, research in this area has yielded mixed results, overall. Future research needs to identify consistent approaches for defining and measuring food retail environments.
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Affiliation(s)
- Angela Odoms-Young
- College of Applied Health Sciences, Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 W. Taylor MC 517, Chicago, Illinois, 60612, USA.
- Office of Community Engagement and Neighborhood Health Partnerships, University of Illinois Hospital and Health Sciences System, Chicago, IL, USA.
- The Cancer Education and Cancer Development Program, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA.
| | - Chelsea R Singleton
- The Cancer Education and Cancer Development Program, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA
| | - Sparkle Springfield
- College of Applied Health Sciences, Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 W. Taylor MC 517, Chicago, Illinois, 60612, USA
- The Cancer Education and Cancer Development Program, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, USA
| | - Leilah McNabb
- College of Applied Health Sciences, Department of Kinesiology and Nutrition, University of Illinois at Chicago, 1919 W. Taylor MC 517, Chicago, Illinois, 60612, USA
| | - Terry Thompson
- Public Health and Health Sciences, University of Michigan-Flint, Flint, MI, USA
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Springfield S, Murphy A, Chukwudozie BI, Martin I, Ahaghotu C, Kittles R. Abstract B41: Hyperlipidemia and prostate cancer in African American men. Cancer Epidemiol Biomarkers Prev 2015. [DOI: 10.1158/1538-7755.disp14-b41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
Background: African American men suffer disproportionately from prostate cancer. Evidence suggests that hyperlipidemia may increase prostate cancer risk; however, studies examining the disease processes within African American men are limited. We evaluated hyperlipidemia in African American men with and without prostate cancer (PCa) to investigate new and existing associations of serum lipid levels and prostate cancer risk.
Methods: From 2000 to 2004, 250 African American men, aged 40-97 years were recruited from an urban academic urology clinic. Cases had histologically confirmed prostate cancer. Controls were men without clinical cancer who were seen at the same clinic. Hyperlipidemia was defined as patient having one or more of the following: high triglycerides (>200mg/dL), high LDL (>160mg/dL), and/or high total cholesterol(>240mg/dL) serum levels. Binary logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) between lipid exposures and PCa. The adjusted model included age,family history of prostate cancer, obesity, alcohol use, annual income, and Gleason index.
Results: From the patient population, we obtained 141 incident PCa cases and 109 healthy controls. We observed a significant association between hyperlipidemia (OR= 1.7 [1.0-3.1]; unadjusted) and PCa, as well as hypertriglyceridemia (OR= 2.1[1.0-4.5]; adjusted) and PCa. Hypertriglyceridemia showed significant associations with aggressive disease (Gleason≥7) in both unadjusted (OR = 2.8[1.1–7.4]) and adjusted models (OR = 3.5 [1.1–10.7]). Both income (OR=2.2[1.1-4.0]) and alcohol (OR=0.5[0.3-0.9]) were significantly associated with PCa. Furthermore, we observed significant interaction between hyperlipidemia and obesity (OR=4.7[1.0-21.8]; adjusted). There were no associations found between hypercholesterolemia or elevated LDL serum and PCa.
Conclusions: This study adds to recent evidence that hyperlipidemia has a positive relationship with PCa in African American men.
Citation Format: Sparkle Springfield, Adam Murphy, Beverly Ifeanyi Chukwudozie, Iman Martin, Chiledum Ahaghotu, Rick Kittles. Hyperlipidemia and prostate cancer in African American men. [abstract]. In: Proceedings of the Seventh AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; Nov 9-12, 2014; San Antonio, TX. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2015;24(10 Suppl):Abstract nr B41.
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Affiliation(s)
| | | | | | - Iman Martin
- 1University of Illinois at Chicago (UIC), Chicago, IL,
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Springfield S, Buscemi J, Fitzgibbon ML, Stolley MR, Zenk SN, Schiffer L, Sampson J, Jones Q, Murdock T, Davis I, Holland L, Watkins A, Odoms-Young A. A randomized pilot study of a community-based weight loss intervention for African-American women: Rationale and study design of Doing Me! Sisters Standing Together for a Healthy Mind and Body. Contemp Clin Trials 2015; 43:200-8. [PMID: 26079196 DOI: 10.1016/j.cct.2015.06.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2015] [Revised: 06/05/2015] [Accepted: 06/09/2015] [Indexed: 01/09/2023]
Abstract
INTRODUCTION Despite the high prevalence of obesity among African-American women and modest success in behavioral weight loss interventions, the development and testing of weight management interventions using a community-based participatory research (CBPR) approach have been limited. Doing Me!: Sisters Standing Together for Healthy Mind and Body (Doing Me!) is an intervention adapted from an evidence-based behavioral obesity intervention using a CBPR approach. The purpose of Doing Me! is to test the feasibility and acceptability of this adapted intervention and determine its efficacy in achieving improvements in anthropometrics, diet, and physical activity. METHODS Sixty African-American women, from a low-income, urban community, aged 30-65 years will be randomized to one of two arms: 16-week Doing Me! (n = 30) or waitlist control (n = 30). Doing Me! employs CBPR methodology to involve community stakeholders and members during the planning, development, implementation, and evaluation phases of the intervention. There will be thirty-two 90-minute sessions incorporating 45 min of instruction on diet, physical activity, and/or weight management plus 45 min of physical activity. Data will be collected at baseline and post-intervention (16 weeks). DISCUSSION Doing Me! is one of the first CBPR studies to examine the feasibility/acceptability of an adapted evidence-based behavioral weight loss intervention designed for obese African-American women. CBPR may be an effective strategy for implementing a weight management intervention among this high-risk population.
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Affiliation(s)
- Sparkle Springfield
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States; Cancer Education and Career Development Program, Institute for Health Research and Policy, 1747 West Roosevelt Road MC275, Chicago, IL 60608, United States.
| | - Joanna Buscemi
- University of Illinois at Chicago, Division of Health Promotion Research Program, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608, United States
| | - Marian L Fitzgibbon
- University of Illinois at Chicago, Division of Health Promotion Research Program, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608, United States
| | - Melinda R Stolley
- University of Illinois at Chicago, Division of Health Promotion Research Program, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608, United States
| | - Shannon N Zenk
- University of Illinois at Chicago, Division of Health Promotion Research Program, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608, United States; University of Illinois at Chicago, Department of Health Systems Science, 914 College of Nursing, 845 South Damen Ave. MC 802, Chicago, IL 60612, United States
| | - Linda Schiffer
- University of Illinois at Chicago, Division of Health Promotion Research Program, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608, United States
| | - Jameika Sampson
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States
| | - Quiana Jones
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States
| | - Tanine Murdock
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States
| | - Iona Davis
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States
| | - Loys Holland
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States; Englewood Neighborhood Health Clinic, Chicago Department of Public Health, 641 W 63rd St, Chicago, IL 60621, United States
| | - April Watkins
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States
| | - Angela Odoms-Young
- University of Illinois at Chicago, Department of Kinesiology and Nutrition, 646 Applied Health Sciences Building, 1919 West Taylor Street MC 517, Chicago, IL 60612, United States; University of Illinois at Chicago, Division of Health Promotion Research Program, College of Medicine, Institute for Health Research and Policy, 486 Westside Research Office Bldg., 1747 West Roosevelt Road, Chicago, IL 60608, United States
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Dabbous F, Al-alem U, Springfield S, Mahmoud AM, Batai K, Shah E, Ahaghotu C, Kittles RA. Abstract 3621: Dietary zinc and prostate cancer: a case-control study in African Americans men. Cancer Res 2013. [DOI: 10.1158/1538-7445.am2013-3621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Introduction: Prostate cancer is a solid malignancy that disproportionately affects men of African descent. Zinc, an essential dietary trace mineral, has been implicated in the pathogenesis of prostate cancer. Total zinc intake is lower in older African American men compared to European Americans (NHANES III). Despite the high prevalence of prostate cancer and decreased levels of zinc intake among African Americans, very little is known about the relationship between zinc intake and prostate cancer in this group. This is significant because dietary factors such as zinc intake are potentially modifiable risk factors. Here, we examine the association between self-reported zinc intake and prostate cancer in a hospital-based case-control study.
Methods: Newly diagnosed African American men with histologically confirmed prostate cancer (n=141) were recruited from an urban academic urology clinic in Washington, DC. Controls (n=109) were unaffected volunteers. Usual dietary intake was assessed at the time of recruitment (2000 to 2004) with the use of a food-frequency questionnaire. Two tailed T-Test was used to compare characteristic means between cases and controls. Unconditional logistic regression was used to calculate the unadjusted and adjusted odds ratio (OR) and 95% confidence intervals (95%CI).
Results: In this population, cases were older and had higher levels of PSA. Controls had higher zinc intake, with a mean of 13.23 mg/day (SD±13.9) versus 10.67 mg/day (SD±7.3) for cases. An increase of 1 mg/day of zinc decreased the odds of prostate cancer by 3% (OR=0.97 and 95% CI: 0.95-1.002). Controlling for age, body mass index (BMI), PSA and total food energy intake did not affect the observed association.
Conclusions: Overall, these results suggest that zinc intake may have slight protective effect on prostate cancer. These analyses should be repeated in large studies to confirm these findings.
Citation Format: Firas Dabbous, Umaima Al-alem, Sparkle Springfield, Abeer M. Mahmoud, Ken Batai, Ebony Shah, Chiledum Ahaghotu, Rick A. Kittles. Dietary zinc and prostate cancer: a case-control study in African Americans men. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 3621. doi:10.1158/1538-7445.AM2013-3621
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Affiliation(s)
| | | | | | | | - Ken Batai
- 1University of Illinois at Chicago, Chicago, IL
| | - Ebony Shah
- 1University of Illinois at Chicago, Chicago, IL
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