Korean J Community Nutr.  2014 Apr;19(2):163-175. 10.5720/kjcn.2014.19.2.163.

Dietary Intake Status among Korean Female Breast Cancer Survivors

Affiliations
  • 1Department of Food and Nutrition, Sookmyung Women's University, Seoul, Korea. junglee@sm.ac.kr
  • 2Breast Care Center, Seoul National University Hospital, Seoul, Korea.
  • 3Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVES
We aimed to evaluate dietary intake among female breast cancer survivors in a cross-sectional study.
METHODS
A total of 127 women who had breast cancer surgery at least 6 months before baseline were included. Dietary intake of female breast cancer survivors was assessed through self-reported 3 day-dietary records. To compare dietary intake between breast cancer survivors and general female population without cancer, we selected the 1:4 age matched women from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES). In the KNHANES, participants were asked about their dietary intake using the 24-hour dietary recalls. We also examined whether dietary intake varied by age group, cancer stage, or time since surgery among breast cancer survivors. We used the generalized linear model to compare their dietary intakes.
RESULTS
Intakes of total energy, beta-carotene, folate, vitamin C, plant iron and fruits were lower among breast cancer survivors with longer time since surgery compared to those with shorter time (p < 0.05). Breast cancer patients with higher stage at diagnosis tended to consume less legumes (p = 0.01) than those with lower stage. When we compared dietary intake between breast cancer survivors and the general female population without cancer, breast cancer survivors were more likely to consume most of macro- and micro-nutrients in larger quantity (p < 0.05) and adhere to healthier diet characterized by higher intakes of legumes, seed and nuts, vegetables and fishes and shells than the general female population who never had been diagnosed with cancer (p < 0.05).
CONCLUSIONS
Our study results suggested that the intakes of nutrients and foods varied by time since surgery and cancer stage among breast cancer survivors and dietary intakes among breast cancer survivors differed from that in the general population. Further prospective studies are warranted to explore the association between dietary intakes of specific food items and survival among Korean breast cancer survivors.

Keyword

breast cancer survivor; nutrient intake; food group intake

MeSH Terms

Ascorbic Acid
beta Carotene
Breast Neoplasms*
Cross-Sectional Studies
Diagnosis
Diet
Fabaceae
Female
Fishes
Folic Acid
Fruit
Humans
Iron
Linear Models
Nutrition Surveys
Nuts
Plants
Survivors*
Vegetables
Ascorbic Acid
Folic Acid
Iron
beta Carotene

Figure

  • Fig. 1 Flow chart of inclusion of study population.


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Reference

1. Barrera R. Nutritional support in cancer patients. JPEN J Parenter Enteral Nutr. 2002; 26:5 suppl. S63–S71.
2. Beasley JM, Newcomb PA, Trentham-Dietz A, Hampton JM, Bersch AJ, Passarelli MN, Holick CN, Titus-Ernstoff L, Egan KM, Holmes MD, Willett WC. Post-diagnosis dietary factors and survival after invasive breast cancer. Breast Cancer Res Treat. 2011; 128(1):229–236.
3. Belle FN, Kampman E, McTiernan A, Bernstein L, Baumgartner K, Baumgartner R, Ambs A, Ballard-Barbash R, Neuhouser ML. Dietary fiber, carbohydrates, glycemic index, and glycemic load in relation to breast cancer prognosis in the heal cohort. Cancer Epidemiol Biomarkers Prev. 2011; 20(5):890–899.
4. Bozzetti F, Migliavacca S, Scotti A, Bonalumi M, Scarpa D, Baticci F, Ammatuna M, Pupa A, Terno G, Sequeira C. Impact of cancer, type, site, stage and treatment on the nutritional status of patients. Ann Surg. 1982; 196(2):170.
5. Brown J, Byers T, Thompson K, Eldridge B, Doyle C, Williams AM. Nutrition during and after cancer treatment: a guide for informed choices by cancer survivors. CA Cancer J Clin. 2001; 51(3):153–181.
6. Carey LA, Perou CM, Livasy CA, Dressler LG, Cowan D, Conway K, Karaca G, Troester MA, Tse CK, Edmiston S. Race, breast cancer subtypes, and survival in the carolina breast cancer study. JAMA. 2006; 295(21):2492–2502.
7. Chlebowski RT, Blackburn GL, Thomson CA, Nixon DW, Shapiro A, Hoy MK, Goodman MT, Giuliano AE, Karanja N, McAndrew P, Hudis C, Butler J, Merkel D, Kristal A, Caan B, Michaelson R, Vinciguerra V, Del Prete S, Winkler M, Hall R, Simon M, Winters BL, Elashoff RM. Dietary fat reduction and breast cancer outcome: interim efficacy results from the women's intervention nutrition study. J Natl Cancer Inst. 2006; 98(24):1767–1776.
8. Clemons M, Goss P. Estrogen and the risk of breast cancer. N Engl J Med. 2001; 344(4):276–285.
9. Demark-Wahnefried W, Hars V, Conaway MR, Havlin K, Rimer B, McElveen G, Winer E. Reduced rates of metabolism and decreased physical activity in breast cancer patients receiving adjuvant chemotherapy. Am J Clin Nutr. 1997; 65(5):1495–1501.
10. Dong JY, Qin LQ. Soy isoflavones consumption and risk of breast cancer incidence or recurrence: a meta-analysis of prospective studies. Breast Cancer Res Treat. 2011; 125(2):315–323.
11. GLOBOCAN. GLOBOCAN 2012 cancer fact sheet, International agency for research on cancer. 2012. cited December 20, 2013. Available from http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx.
12. Goodwin PJ, Ennis M, Pritchard KI, Trudeau M, Hood N. Risk of menopause during the first year after breast cancer diagnosis. J Clin Oncol. 1999; 17(8):2365–2365.
13. Grindel C, Cahill C, Walker M. Food intake of women with breast cancer during their first six month of chemotherapy. Oncol Nurs Forum. 1989; 16(3):401–407.
14. Hunter DJ, Spiegelman D, Adami HO, Beeson L, van den Brandt PA, Folsom AR, Fraser GE, Goldbohm RA, Graham S, Howe GR. Cohort studies of fat intake and the risk of breast cancer-a pooled analysis. N Engl J Med. 1996; 334(6):356–361.
15. Jung KW, Won YJ, Kong HJ, Oh CM, Seo HG, Lee JS. Cancer statistics in Korea: incidence, mortality, survival and prevalence in 2010. Cancer Res Treat. 2013; 45(1):1–14.
16. Korean Breast Cancer Society. Breast cancer knowledge. 2013. cited 2013 September 26. Available from http://www.kbcs.or.kr/journal/common_sense_14.html.
17. Kroenke CH, Fung TT, Hu FB, Holmes MD. Dietary patterns and survival after breast cancer diagnosis. J Clin Oncol. 2005; 23(36):9295–9303.
18. Kroenke CH, Kwan ML, Sweeney C, Castillo A, Caan BJ. High- and low-fat dairy intake, recurrence, and mortality after breast cancer diagnosis. J Natl Cancer Inst. 2013; 105(9):616–623.
19. Kuiper GG, Lemmen JG, Carlsson B, Corton JC, Safe SH, van der Saag PT, van der Burg B, Gustafsson JA. Interaction of estrogenic chemicals and phytoestrogens with estrogen receptor beta. Endocrinology. 1998; 139(10):4252–4263.
20. Kwan ML, Weltzien E, Kushi LH, Castillo A, Slattery ML, Caan BJ. Dietary patterns and breast cancer recurrence and survival among women with early-stage breast cancer. J Clin Oncol. 2009; 27(6):919–926.
21. Maskarinec G, Murphy S, Shumay D, Kakai H. Dietary changes among cancer survivors. Eur J Cancer Care (Engl). 2001; 10(1):12–20.
22. Maunsell E, Drolet M, Brisson J, Robert J, Deschênes L. Dietary change after breast cancer: Extent, predictors, and relation with psychological distress. J Clin Oncol. 2002; 20(4):1017–1025.
23. Messina MJ, Loprinzi CL. Soy for breast cancer survivors: a critical review of the literature. J Nutr. 2001; 131:11 Suppl. 3095S–3108S.
24. Nechuta SJ, Caan BJ, Chen WY, Lu W, Chen Z, Kwan ML, Flatt SW, Zheng Y, Zheng W, Pierce JP, Shu XO. Soy food intake after diagnosis of breast cancer and survival: an in-depth analysis of combined evidence from cohort studies of US and Chinese women. Am J Clin Nutr. 2012; 96(1):123–132.
25. Patterson RE, Neuhouser ML, Hedderson MM, Schwartz SM, Standish LJ, Bowen DJ. Changes in diet, physical activity, and supplement use among adults diagnosed with cancer. J Am Diet Assoc. 2003; 103(3):323–328.
26. Patterson RE, Flatt SW, Newman VA, Natarajan L, Rock CL, Thomson CA, Caan BJ, Parker BA, Pierce JP. Marine fatty acid intake is associated with breast cancer prognosis. J Nutr. 2011; 141(2):201–206.
27. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, Bandera EV, Hamilton KK, Grant B, McCullough M. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012; 62(4):243–274.
28. Skeie G, Hjårtaker A, Lund E. Diet among breast cancer survivors and healthy women. the norwegian women and cancer study. Eur J Clin Nutr. 2006; 60(9):1046–1054.
29. Skeie G, Hjartåker A, Braaten T, Lunc E. 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(10):1955–1966.
30. The Korean Nutrition Society. Dietary reference intakes for Koreans (DRIs for Koreans). 2010.
31. Velentzis LS, Keshtgar MR, Woodside JV, Leathem AJ, Titcomb A, Perkins KA, Mazurowska M, Anderson V, Wardell K, Cantwell MM. Significant changes in dietary intake and supplement use after breast cancer diagnosis in a uk multicentre study. Breast Cancer Res Treat. 2011; 128(2):473–482.
32. Vrieling A, Buck K, Seibold P, Heinz J, Obi N, Flesch-Janys D, Chang-Claude J. Dietary patterns and survival in German postmenopausal breast cancer survivors. Br J Cancer. 2013; 108(1):188–192.
33. Willett WC, Stampfer MJ. Total energy intake: implications for epidemiologic analyses. Am J Epidemiol. 1986; 124(1):17–27.
34. Willett WC, Hunter DJ, Stampfer MJ, Colditz G, Manson JE, Spiegelman D, Rosner B, Hennekens CH, Speizer FE. Dietary fat and fiber in relation to risk of breast cancer. JAMA. 1992; 268(15):2037–2044.
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