Adherence to the American Cancer Society guidelines on nutrition and physical activity for cancer survivors and biomarkers of inflammation among breast cancer survivors
3
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
OBJECTIVES This study investigated whether adherence to the overall lifestyle recommendations in the American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors was associated with inflammation in breast cancer survivors. METHODS The study included 409 women who had undergone breast cancer surgery at least 1 year before enrollment. A generalized linear model was used to estimate the least square means and 95% confidence intervals of plasma levels of inflammatory markers according to lifestyle factors defined in terms of adherence to the ACS guidelines. RESULTS Higher overall adherence scores were associated with lower levels of high-sensitivity C-reactive protein (hs-CRP) (p for trend=0.015) and higher levels of adiponectin (p for trend=0.009). Similar significant associations of hs-CRP (p for trend= 0.004) and adiponectin (p for trend=0.010) levels were observed with the score for the body mass index (BMI) component of the adherence score. A higher diet component score was associated with a higher adiponectin level (p for trend=0.020), but there was no significant association for the physical activity component score. CONCLUSIONS The present study’s findings suggest that maintaining a healthy lifestyle according to the ACS guidelines was associated with beneficial effects on inflammatory marker levels, especially hs-CRP and adiponectin, among breast cancer survivors. Among the 3 components of lifestyle guidelines, the BMI component exhibited the most similar tendency to the overall adherence score in relation to inflammatory indicators. Further prospective and intervention studies are needed to investigate longitudinal associations between lifestyle factors and inflammatory markers among breast cancer survivors.
Abstract
OBJECTIVES This study investigated whether adherence to the overall lifestyle recommendations in the American Cancer Society (ACS) guidelines on nutrition and physical activity for cancer survivors was associated with inflammation in breast cancer survivors. METHODS The study included 409 women who had undergone breast cancer surgery at least 1 year before enrollment. A generalized linear model was used to estimate the least square means and 95% confidence intervals of plasma levels of inflammatory markers according to lifestyle factors defined in terms of adherence to the ACS guidelines. RESULTS Higher overall adherence scores were associated with lower levels of high-sensitivity C-reactive protein (hs-CRP) (p for trend=0.015) and higher levels of adiponectin (p for trend=0.009). Similar significant associations of hs-CRP (p for trend= 0.004) and adiponectin (p for trend=0.010) levels were observed with the score for the body mass index (BMI) component of the adherence score. A higher diet component score was associated with a higher adiponectin level (p for trend=0.020), but there was no significant association for the physical activity component score. CONCLUSIONS The present study’s findings suggest that maintaining a healthy lifestyle according to the ACS guidelines was associated with beneficial effects on inflammatory marker levels, especially hs-CRP and adiponectin, among breast cancer survivors. Among the 3 components of lifestyle guidelines, the BMI component exhibited the most similar tendency to the overall adherence score in relation to inflammatory indicators. Further prospective and intervention studies are needed to investigate longitudinal associations between lifestyle factors and inflammatory markers among breast cancer survivors.
참고문헌 (44)
- Ferlay J, "Estimating the global cancer incidence and mortality in 2018 : GLOBOCAN sources and methods", Int J Cancer, 144, pp.1941~1953 (2019)[DOI]
- Hong S, "Cancer statistics in Korea : incidence, mortality, survival, and prevalence in 2017", Cancer Res Treat, 52, pp.335~350 (2020)[DOI]
- Rock CL, "Nutrition and physical activity guidelines for cancer survivors", CA Cancer J Clin, 62, pp.243~274 (2012)[DOI]
- "Diet, activity and cancer"[URL]
- Coussens LM, "Inflammation and cancer", Nature, 420, pp.860~867 (2002)[DOI]
- Shacter E, "Chronic inflammation and cancer", Oncology(Williston Park), 16, pp.217~226 (2002)[DOI]
- Ridker PM, "Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events", N Engl J Med, 347, pp.1557~1565 (2002)[DOI]
- Tracy RP, "Emerging relationships of inflammation, cardiovascular disease and chronic diseases of aging", Int J Obes Relat Metab Disord, 27(Suppl 3), pp.S29~S34 (2003)[DOI]
- Pradhan AD, "C-reactive protein, interleukin 6, and risk of developing type 2 diabetes mellitus", JAMA, 286, pp.327~334 (2001)[DOI]
- Sjöholm A, "Inflammation and the etiology of type 2 diabetes", Diabetes Metab Res Rev, 22, pp.4~10 (2006)[DOI]
- Pierce BL, "Elevated biomarkers of inflammation are associated with reduced survival among breast cancer patients", J Clin Oncol, 27, pp.3437~3444 (2009)[DOI]
- Knüpfer H, "Significance of interleukin-6(IL-6)in breast cancer(review)", Breast Cancer Res Treat, 102, pp.129~135 (2007)[DOI]
- Frydenberg H, "Pre-diagnostic high-sensitive C-reactive protein and breast cancer risk, recurrence, and survival", Breast Cancer Res Treat, 155, pp.345~354 (2016)[DOI]
- George SM, "Postdiagnosis diet quality is inversely related to a biomarker of inflammation among breast cancer survivors", Cancer Epidemiol Biomarkers Prev, 19, pp.2220~2228 (2010)[DOI]
- Negrati M, "Mediterranean diet affects blood circulating lipid-soluble micronutrients and inflammatory biomarkers in a cohort of breast cancer survivors : results from the SETA study", Nutrients, 13, pp.3482~ (2021)[DOI]
- Orchard TS, "Diet quality, inflammation, and quality of life in breast cancer survivors : a cross-sectional analysis of pilot study data", J Acad Nutr Diet, 118, pp.578~588 (2018)[DOI]
- Nimmo MA, "The effect of physical activity on mediators of inflammation", Diabetes Obes Metab, 15(Suppl 3), pp.51~60 (2013)[DOI]
- Kushi LH, "American Cancer Society guidelines on nutrition and physical activity for cancer prevention : reducing the risk of cancer with healthy food choices and physical activity", CA Cancer J Clin, 62, pp.30~67 (2012)[DOI]
- "The Asia-Pacific perspective: redefining obesity and its treatment" (2000)[URL]
- Ainsworth BE, "2011 Compendium of Physical Activities : a second update of codes and MET values", Med Sci Sports Exerc, 43, pp.1575~1581 (2011)[DOI]
- Shin WK, "Development of a FFQ for breast cancer survivors in Korea", Br J Nutr, 116, pp.1781~1786 (2016)[DOI]
- Moon SE, "Validity and reproducibility of a food frequency questionnaire for breast cancer survivors in Korea", Nutr Res Pract, 16, pp.789~800 (2022)[DOI]
- Tabung FK, "Associations between adherence to the World Cancer Research Fund", American Institute for Cancer Research cancer prevention recommendations and biomarkers of inflammation, hormonal, and insulin response, 2017, pp.140, 764~776
- Morimoto Y, "Adherence to cancer prevention recommendations and antioxidant and inflammatory status in premenopausal women", Br J Nutr, 114, pp.134~143 (2015)[DOI]
- Bruno E, "Adherence to WCRF", AICR cancer prevention recommendations and metabolic syndrome in breast cancer patients, 2016, pp.138, 237~244
- Druesne-Pecollo N, "Excess body weight and second primary cancer risk after breast cancer : a systematic review and meta-analysis of prospective studies", Breast Cancer Res Treat, 135, pp.647~654 (2012)[DOI]
- Kistorp C, "Plasma adiponectin, body mass index, and mortality in patients with chronic heart failure", Circulation, 112, pp.1756~1762 (2005)[DOI]
- Duggan C, "Associations of insulin resistance and adiponectin with mortality in women with breast cancer", J Clin Oncol, 29, pp.32~39 (2011)[DOI]
- Lambert M, "An investigation into socio-demographic-, health-, and cancer-related factors associated with cortisol and C-reactive protein levels in breast cancer survivors : a longitudinal study", Breast Cancer, 27, pp.1096~1106 (2020)[DOI]
- Khosravi N, "Exercise training, circulating cytokine levels and immune function in cancer survivors : a meta-analysis", Brain Behav Immun, 81, pp.92~104 (2019)[DOI]
- de Jesus Leite MA, "Application of physical exercise therapies in breast cancer survivors and their effects on the inflammatory profile : a narrative review", J Bodyw Mov Ther, 24, pp.536~545 (2020)[DOI]
- Mills RC 3rd, "Breast cancer survivors, common markers of inflammation, and exercise : a narrative review", Breast Cancer(Auckl), 11, pp.1178223417743976~ (2017)[DOI]
- Kiecolt-Glaser JK, "Yoga’s impact on inflammation, mood, and fatigue in breast cancer survivors : a randomized controlled trial", J Clin Oncol, 32, pp.1040~1049 (2014)[DOI]
- Jones SB, "Effect of exercise on markers of inflammation in breast cancer survivors : the Yale exercise and survivorship study", Cancer Prev Res(Phila), 6, pp.109~118 (2013)[DOI]
- Janiszewska J, "The influence of nutrition on adiponectin-a narrative review", Nutrients, 13, pp.1394~ (2021)[DOI]
- Forsythe LK, "Obesity and inflammation : the effects of weight loss", Nutr Res Rev, 21, pp.117~133 (2008)[DOI]
- Galland L, "Diet and inflammation", Nutr Clin Pract, 25, pp.634~640 (2010)[DOI]
- 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)[DOI]
- Tang Y, "The baseline levels and risk factors for high-sensitive C-reactive protein in Chinese healthy population", Immun Ageing, 15, pp.21~ (2018)[DOI]
- Mikkelsen MK, "Systematic review and meta-analysis of C-reactive protein as a biomarker in breast cancer", Crit Rev Clin Lab Sci, 59, pp.480~500 (2022)[DOI]
- Beaton GH, "Approaches to analysis of dietary data : relationship between planned analyses and choice of methodology", Am J Clin Nutr, 59(1 Suppl), pp.253S~261S (1994)[DOI]
- Freedman LS, "Dealing with dietary measurement error in nutritional cohort studies", J Natl Cancer Inst, 103, pp.1086~1092 (2011)[DOI]
- Hancox RJ, "Correlation between measures of insulin resistance in fasting and non-fasting blood", Diabetol Metab Syndr, 3, pp.23~ (2011)[DOI]
- Alves Dias J, "Plasma variation and reproducibility of oxidized LDL-cholesterol and low-grade inflammation biomarkers among participants of the Malmö Diet and Cancer cohort", Biomarkers, 21, pp.562~571 (2016)[DOI]
