Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Diet and Physical Activity in Relation to Weight Change among Breast Cancer Patients

  • Yaw, Yong Heng (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Shariff, Zalilah Mohd (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Kandiah, Mirnalini (Department of Food Science and Nutrition, Faculty of Applied Sciences, UCSI University) ;
  • Weay, Yong Heng (Department of Quality, Health and Safety) ;
  • Saibul, Nurfaizah (Cancer Resource and Education Center (CARE), Universiti Putra Malaysia) ;
  • Sariman, Sarina (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Hashim, Zailina (Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia)
  • Published : 2014.01.15
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Abstract

Background: This study aimed to provide an overview of lifestyle changes after breast cancer diagnosis and to examine the relationship between dietary and physical activity changes with weight changes in breast cancer patients. Women with breast carcinomas (n=368) were recruited from eight hospitals and four breast cancer support groups in peninsular Malaysia. Dietary and physical activity changes were measured from a year preceding breast cancer diagnosis to study entry. Mean duration since diagnosis was $4.86{\pm}3.46$ years. Dietary changes showed that majority of the respondents had decreased their intake of high fat foods (18.8-65.5%), added fat foods (28.3-48.9%), low fat foods (46.8-80.7%), red meat (39.7%), pork and poultry (20.1-39.7%) and high sugar foods (42.1-60.9%) but increased their intake of fish (42.7%), fruits and vegetables (62.8%) and whole grains (28.5%). Intake of other food groups remained unchanged. Only a small percentage of the women (22.6%) had increased their physical activity since diagnosis where most of them (16.0%) had increased recreational activities. Age at diagnosis (${\beta}$= -0.20, p= 0.001), and change in whole grain (${\beta}$= -0.15, p= 0.003) and fish intakes (${\beta}$= 0.13, p= 0.013) were associated with weight changes after breast cancer diagnosis. In summary, the majority of the women with breast cancer had changed their diets to a healthier one. However, many did not increase their physical activity levels which could improve their health and lower risk of breast cancer recurrence.

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References

  1. Alfano CM, Day JM, Katz ML, et al (2009). Exercise and dietary change after diagnosis and cancer-related symptoms in longterm survivors of breast cancer. Psycho-Oncol. 18, 128-33. https://doi.org/10.1002/pon.1378
  2. Astrup A, Buemann B, Flint A, et al (2002). Low-fat diets and energy balance: how does the evidence stand in 2002? Proc Nutr Soc, 61, 299-309. https://doi.org/10.1079/PNS2002149
  3. Ball K, Brown W, Crawford D (2002). Who does not gain weight? Prevalence and predictors of weight maintenance inyoung women. Int J Obes Relat Metab Disord, 26, 1570-8. https://doi.org/10.1038/sj.ijo.0802150
  4. Bazzano L A, Song Y, Bubes V, et al (2005). Dietary intake of whole and refined grain breakfast cereals and weight gain in men. Obes Res, 13, 1952-60. https://doi.org/10.1038/oby.2005.240
  5. Beagan BL, Chapman GE. (2004). Eating after breast cancer: Influences on women's actions. J Nutr Educ Behav. 36, 181-8. https://doi.org/10.1016/S1499-4046(06)60232-7
  6. Bell EA, Castellanos VH, Pelkman CL, et al (1998). Energy densityof foods affects energy intake in normal-weight women. Am J Clin Nutr, 67, 412-20.
  7. Chen WJ and Anderson JW (1986). Hypocholesterolemic effects of soluble fibers. Dietary Fiber: Basic and Clinical Aspects. 275-86. New York, Plenum.
  8. Demark-Wahnefried W, Rimer BK, Winer EP. (1997). Weight gain in women diagnosed with breast cancer. Am Diet Assoc. 97, 519-29. https://doi.org/10.1016/S0002-8223(97)00133-8
  9. Demark-Wahnefried W, Peterson BL, Winer EP, et al (2001) Changes in weight, body composition, and factors influencing energy balance among premenopausal breast cancer patients receiving adjuvant chemotherapy. J Clin Oncol. 19, 2381-9.
  10. Eng SM, Gammon MD, Terry MB, et al (2005). Body size changes in relation to postmenopausal breast cancer among women on Long Island, New York. Am J Epidemiol. 162, 229-37. https://doi.org/10.1093/aje/kwi195
  11. Goodwin PJ, Ennis M, Pritchard KI, et al (1999). Adjuvant treatment and onset of menopause predict weight gain after breast cancer diagnosis. J Clin Oncol. 17, 120-9.
  12. Hallfrisch J and Behall KM. (2000) Mechanisms of the effects of grains on insulin and glucose responses. J Am Coll Nutr. 19, 320-5. https://doi.org/10.1080/07315724.2000.10718967
  13. Holick CN, Newcomb PA, Trentham-Dietz A, et al (2008). Physical activity and survival after diagnosis of invasive breast cancer. Cancer Epidemiol Biomarkers. 17, 379-86. https://doi.org/10.1158/1055-9965.EPI-07-0771
  14. Holmes MD, Chen WY, Feskanish D, et al (2005). Physical activity and survival after breast cancer diagnosis. J Am Med Assoc, 293, 2479-86. https://doi.org/10.1001/jama.293.20.2479
  15. Irwin ML, Crumley D, McTiernan A, et al (2003). Physical activity levels before and after a diagnosis of breast carcinoma: The Health, Eating, Activity, and Lifestyle (HEAL) Study. Cancer, 97, 1746-57. https://doi.org/10.1002/cncr.11227
  16. Irwin ML, McTiernan A, Bernstein L, et al (2004). Physical activity levels among breast cancer survivors. Med Sci Sport Exer, 36, 1484-91.
  17. Irwin ML, McTiernan A, Baumgartner RN, et al (2005). Changes in body fat and weight after abreast cancer diagnosis: Influence of demographic, prognostic, and lifestyle factors. J Clin Oncol, 23, 774-82. https://doi.org/10.1200/JCO.2005.04.036
  18. Irwin ML, Smith AW, McTiernan A, et al (2008). Influence of Pre-and postdiagnosis physical activity on mortality in breast cancer survivors: The Health, Eating, Activity, and Lifestyle Study. J Clin Oncol, 26, 3958-64. https://doi.org/10.1200/JCO.2007.15.9822
  19. Koh-Banerjee P, Franz M, Sampson L, et al (2004). Changes in whole-grain, bran, and cereal fiber consumption in relation to8-y weight gain among men. Am J Epidemiol, 159, 1150-9. https://doi.org/10.1093/aje/kwh167
  20. Kroenke CH, Chen WY, Rosner B, et al (2005). Weight, weight gain, and survival after breast cancer diagnosis. J Clin Oncol, 23, 1370-8. https://doi.org/10.1200/JCO.2005.01.079
  21. Lahmann PH, Lissner L, Gullberg B and Berglund, G. (2000). Sociodemographic factors associated with long-term weightgain, current body fatness and central adiposity in Swedishwomen. Int J Obes Relat Metab Disord, 24, 685-94. https://doi.org/10.1038/sj.ijo.0801219
  22. Liu S, Manson J, Lee I, et al (2000). Fruit and vegetable intake and risk of cardiovascular disease: the women's health study. Am J Clin Nutr, 72, 922-8.
  23. Liu S (2003). Whole-grain foods, dietary fiber, and type 2 diabetes: searchingfor a kernel of truth. Am J Clin Nutr. 77, 527-9.
  24. Malaysian Cancer Statistics-Data and Figure Peninsular Malaysia (2006). National Cancer Registry. Kuala Lumpur.
  25. Malaysian Dietary Guidelines (MDG) (2010). National Coordinating Committee on Food and Nutrition, Ministry of Health Malaysia.
  26. Maunsell E, Drolet M, Brisson J, et al (2002). Dietary change after breast cancer: extent, predictors, and relation with psychologial distress. Am Soc Clin Oncol, 20, 1017-25. https://doi.org/10.1200/JCO.20.4.1017
  27. Merchant AT, Vatanparast H, Barlas S, et al (2009). Carbohydrate intake and overweight and obesity among healthy adults. J Am Diet Assoc, 109, 1165-72. https://doi.org/10.1016/j.jada.2009.04.002
  28. Patternson R, Neuhouser ML, Hedderson MM, et al (2003). Changes in diet, physical activity, and supplement use among adults diagnosed with cancer. J Am Diet Assoc, 103, 323-8.
  29. Pierce JP, Stefanick ML, Flatt SW, et al (2007). Greater survival after breast cancer in physically active women with high vegetable-fruit intake regardless of obesity. J Clin Oncol, 25, 2345-51. https://doi.org/10.1200/JCO.2006.08.6819
  30. Pokorn J, Panek J, Trojakova L (2003). Effect of food component changes during frying on the nutrition value of fried food. Forum Nutr, 56, 348-50.
  31. Rock CL, Flatt SW, Newman V, et al (1999). Factors associated with weight gain in women after diagnosis of breast cancer. J Am Diet Assoc, 99, 1212-21. https://doi.org/10.1016/S0002-8223(99)00298-9
  32. Roberts SB. (2000). High-glycemic index foods, hunger and obesity:is there a connection? Nutr Rev, 58, 163-70.
  33. Salminen EK, Lagstrom HK, Heikkila SP, et al (2000). Does breast cancer change patients' dietary habits? Eur J Clin Nutr, 54, 844-8. https://doi.org/10.1038/sj.ejcn.1601103
  34. Saquib N, Flatt SW, Natarajan L, et al (2007). Weight gain and recovery of pre-cancer weight after breast cancer treatments: evidence from the women's healthy eating and living (WHEL) study. Breast Cancer Res Treat. 105, 177-86. https://doi.org/10.1007/s10549-006-9442-2
  35. Shahrudin, SH, Sulaiman S, Shahril MR, et al (2013). Dietary changes among breast cancer patients in Malaysia. Cancer Nurs, 36, 131-8. https://doi.org/10.1097/NCC.0b013e31824062d1
  36. Siega-Riz AM, Evenson KR and Dole N. (2008). Pregnancyrelated weight gain-a link to obesity? Nutr Rev, 62, 105-111.
  37. Thomson CA, Flatt SW, Rock CL, et al, (2002). Increased fruit, vegetable and fiber intake and lower fat intake reported among women previously treated for invasive breast cancer. J Am Diet Assoc, 102, 801-8. https://doi.org/10.1016/S0002-8223(02)90180-X
  38. Wayne SJ, Lopez ST, Butler LM, et al (2004). Changes in dietary intake after diagnosis of breast cancer. J Am Diet Assoc, 104, 1561-8. https://doi.org/10.1016/j.jada.2004.07.028
  39. World Cancer Research Fund/ American Institute for Cancer Research (WCRF/ AICR) (2007). Food, nutrition, physical activity and the prevention of cancer: A global perspective. Washington DC: AICR, United States.
  40. Williamson DF (1993). Descriptive epidemiology of body weight and weight change in U.S. adults. Ann Intern Med, 119, 646-9. https://doi.org/10.7326/0003-4819-119-7_Part_2-199310011-00004
  41. Zainal Ariffin O and Nor Saleha IT. NCR Report 2007 (2011). Ministry of Health, Malaysia.

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