Abstract
Dietary intake is a modifiable behavior that may reduce the risk of recurrence and
death among breast cancer survivors. Cancer survivors are encouraged to consume a
diet rich in fruit, vegetables, and whole grains and limit red meat, processed meat,
and alcohol intake. Using data from the National Health and Nutrition Examination
Survey (2003-2006), this study examined whether breast cancer survivors and women
with no history of cancer differed in the distribution of usual intake of foods included
in the dietary recommendations for preventing cancer and recurrences. Participants
completed one or two 24-hour dietary recalls. The food groups included in this analysis
were whole fruit; total vegetables; dark green and orange vegetables; whole grains;
red meat; processed meat; alcohol; and calories from solid fat, alcohol, and added
sugar. The National Cancer Institute Method was used to estimate the distribution
of usual intake and to compare breast cancer survivors (n=102) to noncancer respondents
(n=2,684). Using age and cancer survivor as covariates, subgroup estimates of usual
intake were constructed. No significant group differences were found, except that
survivors reported a greater intake of whole grains. More than 90% of both groups
did not meet recommendations for fruits, vegetables, and whole grains; 75.4% and 70.2%,
respectively, consumed less than the red meat recommendation; and <10% of either group
met the recommendation for percent energy from solid fat, alcohol, and added sugar.
The diet of breast cancer survivors was not significantly different from women with
no history of cancer.
Keywords
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Biography
B.-J. Milliron is an assistant professor, Nutrition Sciences Department, College of Nursing and Health Professions at Drexel University, Philadelphia, PA; at the time of the study, she was a postdoctoral fellow, Cancer Control and Survivorship, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC.
Biography
M. Z. Vitolins is vice chair and a professor, Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC.
Biography
J. A. Tooze is a professor, Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC.
Article info
Publication history
Published online: October 26, 2013
Accepted:
August 8,
2013
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT This work was supported by the Comprehensive Cancer Center of Wake Forest Baptist Health Cancer Control Traineeship National Cancer Institute/National Institutes of Health grant no. R25CA122063 and the Comprehensive Cancer Center of Wake Forest Baptist Health (grant no. P30CA121970). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.
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Copyright
© 2014 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
