Dietary Habits of Newly Diagnosed Patients with Breast Cancer in Korea
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Background: In patients with breast cancer, a healthy diet can help reduce breast cancer-specific recurrence, mortality, and comorbid chronic disease rates. There have been few studies on dietary habits immediately after breast cancer diagnosis, especially those involving the Asian population. Therefore, this study aimed to compare the nutritional habits of newly diagnosed patients with breast cancer and the general population without cancer in Korea using propensity score (PS) matching. Methods: We conducted a case-controlled study of 157 patients with breast cancer and 2,363 cancer-free control participants from the Korea National Health and Nutrition Examination Survey. The PS values for the predicted probability of patients with breast cancer and the general population were estimated using logistic regression analysis, including age and body mass index. The dietary patterns were assessed using a 24-hour recall of 1 day and the Food Frequency Questionnaire. Results: PS matching showed that patients with breast cancer consumed fewer calories and carbohydrates; however, they consumed more protein and fat compared to the general population. Compared to the general population, patients with breast cancer consumed more healthy foods such as fish, seaweed, vegetables, fruit, mixed-grain rice, and nuts; however, they also consumed more soup, stew, and red meat. Conclusion: Newly diagnosed patients with breast cancer have some healthy dietary habits compared to the general population. However, there is considerable room for improvement in their diet quality. Our results support the need to develop tailored dietary recommendations for patients with breast cancer during the diagnostic and posttreatment periods to improve their diet quality.
Abstract
Background: In patients with breast cancer, a healthy diet can help reduce breast cancer-specific recurrence, mortality, and comorbid chronic disease rates. There have been few studies on dietary habits immediately after breast cancer diagnosis, especially those involving the Asian population. Therefore, this study aimed to compare the nutritional habits of newly diagnosed patients with breast cancer and the general population without cancer in Korea using propensity score (PS) matching. Methods: We conducted a case-controlled study of 157 patients with breast cancer and 2,363 cancer-free control participants from the Korea National Health and Nutrition Examination Survey. The PS values for the predicted probability of patients with breast cancer and the general population were estimated using logistic regression analysis, including age and body mass index. The dietary patterns were assessed using a 24-hour recall of 1 day and the Food Frequency Questionnaire. Results: PS matching showed that patients with breast cancer consumed fewer calories and carbohydrates; however, they consumed more protein and fat compared to the general population. Compared to the general population, patients with breast cancer consumed more healthy foods such as fish, seaweed, vegetables, fruit, mixed-grain rice, and nuts; however, they also consumed more soup, stew, and red meat. Conclusion: Newly diagnosed patients with breast cancer have some healthy dietary habits compared to the general population. However, there is considerable room for improvement in their diet quality. Our results support the need to develop tailored dietary recommendations for patients with breast cancer during the diagnostic and posttreatment periods to improve their diet quality.
참고문헌 (30)
- Sung H, "Global cancer statistics 2020 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries", CA Cancer J Clin, 71, pp.209~249 (2021)
- Bray F, "The changing global patterns of female breast cancer incidence and mortality", Breast Cancer Res, 6, pp.229~239 (2004)
- "Cancer statistics" (2020)[URL]
- Kang SY, "Breast cancer statistics in Korea in 2017 : data from a breast cancer registry", J Breast Cancer, 23, pp.115~128 (2020)
- Mokhtari-Hessari P, "Health-related quality of life in breast cancer patients : review of reviews from 2008 to 2018", Health Qual Life Outcomes, 18, pp.338~ (2020)
- Kwan ML, "Dietary patterns and breast cancer recurrence and survival among women with early-stage breast cancer", J Clin Oncol, 27, pp.919~926 (2009)
- Chlebowski RT, "Association of low-fat dietary pattern with breast cancer overall survival : a secondary analysis of the women’s health initiative randomized clinical trial", JAMA Oncol, 4, pp.e181212~ (2018)
- Lunar KG, "Changes in eating habits in breast cancer patients", Zdr Varst, 60, pp.65~71 (2020)
- Lei YY, "Dietary changes in the first 3 years after breast cancer diagnosis : a prospective Chinese breast cancer cohort study", Cancer Manag Res, 10, pp.4073~4084 (2018)
- Keating XD, "Reliability and concurrent validity of Global Physical Activity Questionnaire(GPAQ) : a systematic review", Int J Environ Res Public Health, 16, pp.4128~ (2019)
- Spitzer RL, "Validation and utility of a self-report version of PRIME-MD : the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire", JAMA, 282, pp.1737~1744 (1999)
- Herdman M, "Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)", Qual Life Res, 20, pp.1727~1736 (2011)
- Grundy SM, "Diagnosis and management of the metabolic syndrome : an American Heart Association", National Heart, Lung, and Blood Institute Scientific Statement, 2005, pp.112, 2735~2752
- Yun SH, "Development of a food frequency questionnaire for the Korea National Health and Nutrition Examination Survey : data from the fourth Korea National Health and Nutrition Examination Survey(KNHANES IV)", Korean J Nutr, 46, pp.186~196 (2013)
- Komen JJ, "Greedy caliper propensity score matching can yield variable estimates of the treatment-outcome association : a simulation study", Pharmacoepidemiol Drug Saf, 30, pp.934~951 (2021)
- Siegel RL, "Cancer statistics, 2019", CA Cancer J Clin, 69, pp.7~34 (2019)
- Miller KD, "Cancer treatment and survivorship statistics, 2016", CA Cancer J Clin, 66, pp.271~289 (2016)
- Troeschel AN, "Associations of post-diagnosis lifestyle with prognosis in women with invasive breast cancer", Cancer Epidemiol Biomarkers Prev, 32, pp.963~975 (2023)
- "Diet, nutrition, physical activity and cancer: a global perspective: continuous update project expert report 2018" (2018)[URL]
- Ghelfi F, "Do cancer patients change their diet in the e-health information era? : a review of the literature and a survey as a proposal for the Italian population", Food Res Int, 104, pp.59~68 (2018)
- Giacosa A, "Cancer prevention in Europe : the Mediterranean diet as a protective choice", Eur J Cancer Prev, 22, pp.90~95 (2013)
- Li Q, "Dietary fiber intake and risk of breast cancer by menopausal and estrogen receptor status", Eur J Nutr, 52, pp.217~223 (2013)
- Xu K, "A dose-response meta-analysis of dietary fiber intake and breast cancer risk", Asia Pac J Public Health, 34, pp.331~337 (2022)
- Theinel MH, "The effects of omega-3 polyunsaturated fatty acids on breast cancer as a preventive measure or as an adjunct to conventional treatments", Nutrients, 15, pp.1310~ (2023)
- Lo JJ, "Association between meat consumption and risk of breast cancer : findings from the Sister Study", Int J Cancer, 146, pp.2156~2165 (2020)
- Farvid MS, "Adolescent meat intake and breast cancer risk", Int J Cancer, 136, pp.1909~1920 (2015)
- Wei Y, "The significances and clinical implications of cholesterol components in human breast cancer", Sci Prog, 104, pp.368504211028395~ (2021)
- Cook NR, "Sodium and health-concordance and controversy", BMJ, 369, pp.m2440~ (2020)
- Park YH, "A comparison of sources of sodium and potassium intake by gender, age and regions in Koreans : Korea National Health and Nutrition Examination Survey(KNHANES)2010-2012", Korean J Community Nutr, 21, pp.558~573 (2016)
- Staruschenko A, "Beneficial effects of high potassium : contribution of renal basolateral K+ channels", Hypertension, 71, pp.1015~1022 (2018)