본문 바로가기
KERD
논문KCI 등재

Association of dietary patterns with overweight risk and all-cause mortality in children with cancer

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

BACKGROUND/OBJECTIVES: This study aimed to investigate the association of dietary patterns with overweight risk and all-cause mortality in pediatric cancer patients. SUBJECTS/METHODS: Prospective cohort study was undertaken; 83 cancer patients admitted to the pediatric cancer ward at a university hospital in Seoul were included and followed for obesity and death over 24 months. Food consumption data were collected from patients using validated meal order sheets for breakfast, lunch, and dinner at the pediatric cancer ward over 3 days. Using principal component analysis, three dietary patterns were derived from 29 food groups. RESULTS: Eighteen deaths occurred among the patient cohort during the follow-up period. The “spicy & fried meat and fish” dietary pattern was positively associated with overweight risk at both baseline [odds ratio (OR) = 4.396, 95% confidence interval (CI) = 1.111-17.385, P for trend = 0.023] and after 6 months (OR = 4.088, 95% CI = 1.122-14.896, P for trend = 0.025) as well as all-cause mortality (hazard ratios = 5.124, 95% CI = 1.080-24.320, P for trend = 0.042), when comparing the highest and lowest tertiles after adjusting for covariates. The “fish, egg, meat, and fruits & vegetables” dietary pattern was associated with lower overweight risk after 24 months (OR = 0.157, 95% CI = 0.046-0.982, P for trend = 0.084). CONCLUSION: The results imply that dietary patterns might be associated with weight gain and premature death among pediatric cancer patients.

Abstract

BACKGROUND/OBJECTIVES: This study aimed to investigate the association of dietary patterns with overweight risk and all-cause mortality in pediatric cancer patients. SUBJECTS/METHODS: Prospective cohort study was undertaken; 83 cancer patients admitted to the pediatric cancer ward at a university hospital in Seoul were included and followed for obesity and death over 24 months. Food consumption data were collected from patients using validated meal order sheets for breakfast, lunch, and dinner at the pediatric cancer ward over 3 days. Using principal component analysis, three dietary patterns were derived from 29 food groups. RESULTS: Eighteen deaths occurred among the patient cohort during the follow-up period. The “spicy & fried meat and fish” dietary pattern was positively associated with overweight risk at both baseline [odds ratio (OR) = 4.396, 95% confidence interval (CI) = 1.111-17.385, P for trend = 0.023] and after 6 months (OR = 4.088, 95% CI = 1.122-14.896, P for trend = 0.025) as well as all-cause mortality (hazard ratios = 5.124, 95% CI = 1.080-24.320, P for trend = 0.042), when comparing the highest and lowest tertiles after adjusting for covariates. The “fish, egg, meat, and fruits & vegetables” dietary pattern was associated with lower overweight risk after 24 months (OR = 0.157, 95% CI = 0.046-0.982, P for trend = 0.084). CONCLUSION: The results imply that dietary patterns might be associated with weight gain and premature death among pediatric cancer patients.

참고문헌 (48)

  1. 정규원, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2012", Cancer Research and Treatment, 47(2), pp.127~141 (2015), 대한암학회[DOI]
  2. Haddy TB, "Late effects in long-term survivors after treatment for childhood acute leukemia", Clin Pediatr (Phila), 48, pp.601~608 (2009)
  3. Diller L, "Chronic disease in the Childhood Cancer Survivor Study cohort: a review of published findings", J Clin Oncol, 27, pp.2339~2355 (2009)
  4. Oeffinger KC, "Chronic health conditions in adult survivors of childhood cancer", N Engl J Med, 355, pp.1572~1582 (2006)
  5. Essig S, "Risk of late effects of treatment in children newly diagnosed with standard-risk acute lymphoblastic leukaemia: a report from the Childhood Cancer Survivor Study cohort", Lancet Oncol, 15, pp.841~851 (2014)
  6. Zhang FF, "Obesity in pediatric ALL survivors: a meta-analysis", Pediatrics, 133, pp.e704~e715 (2014)
  7. Lange BJ, "Mortality in overweight and underweight children with acute myeloid leukemia", JAMA, 293, pp.203~211 (2005)
  8. Rogers PC, "Obesity in pediatric oncology", Pediatr Blood Cancer, 45, pp.881~891 (2005)
  9. Gelelete CB, "Overweight as a prognostic factor in children with acute lymphoblastic leukemia", Obesity (Silver Spring), 19, pp.1908~1911 (2011)
  10. Kanellopoulos A, "Factors associated with poor quality of life in survivors of childhood acute lymphoblastic leukemia and lymphoma", Pediatr Blood Cancer, 60, pp.849~855 (2013)
  11. Iughetti L, "Obesity in patients with acute lymphoblastic leukemia in childhood", Ital J Pediatr, 38, pp.4~ (2012)
  12. Robien K, "Poor adherence to dietary guidelines among adult survivors of childhood acute lymphoblastic leukemia", J Pediatr Hematol Oncol, 30, pp.815~822 (2008)
  13. Fuemmeler BF, "Demark-Wahnefried W. Diet, physical activity, and body composition changes during the first year of treatment for childhood acute leukemia and lymphoma", J Pediatr Hematol Oncol, 35, pp.437~443 (2013)
  14. Zhang FF, "Comparison of childhood cancer survivors' nutritional intake with US dietary guidelines", Pediatr Blood Cancer, 62, pp.1461~1467 (2015)
  15. Tylavsky FA, "Nutritional intake of long-term survivors of childhood acute lymphoblastic leukemia: evidence for bone health interventional opportunities", Pediatr Blood Cancer, 55, pp.1362~1369 (2010)
  16. Badr H, "Demark-Wahnefried W. Health behaviors and weight status of childhood cancer survivors and their parents: similarities and opportunities for joint interventions", J Am Diet Assoc, 111, pp.1917~1923 (2011)
  17. Hu FB, "Dietary pattern analysis: a new direction in nutritional epidemiology", Curr Opin Lipidol, 13, pp.3~9 (2002)
  18. Rogers PC, "Children's Oncology Group (COG) Nutrition Committee", Pediatr Blood Cancer, 50, pp.447~450 (2008)
  19. Shin S, "A milk and cereal dietary pattern is associated with a reduced likelihood of having a low bone mineral density of the lumbar spine in Korean adolescents", Nutr Res, 33, pp.59~66 (2013)
  20. Shams-White M, "Food craving and obesity in survivors of pediatric ALL and lymphoma", Appetite, 96, pp.1~6 (2016)
  21. Okkels SL, "An investigation into between-meal food desires among hospitalised haematological cancer patients", Clin Nutr, 35, pp.440~445 (2016)
  22. Kim JO, "Factor Analysis: Statistical Methods and Practical Issues" (1978), Sage
  23. McCann SE, "Analysis of patterns of food intake in nutritional epidemiology: food classification in principal components analysis and the subsequent impact on estimates for endometrial cancer", Public Health Nutr, 4, pp.989~997 (2001)
  24. Nurliyana AR, "Dietary patterns and cognitive ability among 12- to 13 year-old adolescents in Selangor, Malaysia", Public Health Nutr, 18, pp.303~312 (2015)
  25. McNaughton SA, "Dietary patterns of adolescents and risk of obesity and hypertension", J Nutr, 138, pp.364~370 (2008)
  26. 노화영, "Dietary patterns are associated with physical growth among school girls aged 9-11 years", Nutrition Research and Practice, 5(6), pp.569~577 (2011), 한국영양학회
  27. Song Y, "Secular trends in dietary patterns and obesity-related risk factors in Korean adolescents aged 10-19 years", Int J Obes (Lond), 34, pp.48~56 (2010)
  28. Kim JA, "Dietary patterns and the metabolic syndrome in Korean adolescents: 2001 Korean National Health and Nutrition Survey", Diabetes Care, 30, pp.1904~1905 (2007)
  29. 정효지, "Dietary patterns and metabolic syndrome risk factors among adolescents", Korean Journal of Pediatrics, 55(4), pp.128~135 (2012), 대한소아과학회
  30. Song Y, "A traditional Korean dietary pattern and metabolic syndrome abnormalities", Nutr Metab Cardiovasc Dis, 22, pp.456~462 (2012)
  31. Patrick H, "A review of family and social determinants of children's eating patterns and diet quality", J Am Coll Nutr, 24, pp.83~92 (2005)
  32. Pérez-Escamilla R, "Dietary energy density and body weight in adults and children: a systematic review", J Acad Nutr Diet, 112, pp.671~684 (2012)
  33. Naja F, "A western dietary pattern is associated with overweight and obesity in a national sample of Lebanese adolescents (13-19 years): a crosssectional study", Br J Nutr, 114, pp.1909~1919 (2015)
  34. Ambrosini GL, "Childhood dietary patterns and later obesity: a review of the evidence", Proc Nutr Soc, 73, pp.137~146 (2014)
  35. Sun D, "Spicy food consumption is associated with adiposity measures among half a million Chinese people: the China Kadoorie Biobank study", BMC Public Health, 14, pp.1293~ (2014)
  36. Lee J, "Diet and lifestyle in survivors of colorectal cancer", Hematol Oncol Clin North Am, 29, pp.1~27 (2015)
  37. Tonorezos ES, "Contribution of diet and physical activity to metabolic parameters among survivors of childhood leukemia", Cancer Causes Control, 24, pp.313~321 (2013)
  38. Chow EJ, "Obesity and hypertension among children after treatment for acute lymphoblastic leukemia", Cancer, 110, pp.2313~2320 (2007)
  39. Collins L, "Growth in children with acute lymphoblastic leukemia during treatment", J Pediatr Hematol Oncol, 32, pp.e304~e307 (2010)
  40. Ogden CL, "Prevalence of overweight and obesity in the United States, 1999-2004", JAMA, 295, pp.1549~1555 (2006)
  41. Withycombe JS, "Weight change during childhood acute lymphoblastic leukemia induction therapy predicts obesity: a report from the Children's Oncology Group", Pediatr Blood Cancer, 62, pp.434~439 (2015)
  42. Withycombe JS, "Weight patterns in children with higher risk ALL: a report from the Children's Oncology Group (COG) for CCG 1961", Pediatr Blood Cancer, 53, pp.1249~1254 (2009)
  43. Meyerhardt JA, "Association of dietary patterns with cancer recurrence and survival in patients with stage III colon cancer", JAMA, 298, pp.754~764 (2007)
  44. Ollberding NJ, "Dietary intake of fruits and vegetables and overall survival in non-Hodgkin lymphoma", Leuk Lymphoma, 54, pp.2613~2619 (2013)
  45. Yang M, "Dietary patterns after prostate cancer diagnosis in relation to disease-specific and total mortality", Cancer Prev Res (Phila), 8, pp.545~551 (2015)
  46. Vrieling A, "Dietary patterns and survival in German postmenopausal breast cancer survivors", Br J Cancer, 108, pp.188~192 (2013)
  47. Wang X, "Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response metaanalysis of prospective cohort studies", BMJ, 349, pp.g4490~ (2014)
  48. Schwedhelm C, "Effect of diet on mortality and cancer recurrence among cancer survivors: a systematic review and meta-analysis of cohort studies", Nutr Rev, 74, pp.737~748 (2016)

관련 논문AI추천

이 간행물의 다른 논문 (10건)