Dietary Changes Among Breast Cancer Patients in Malaysia

Shaharudin, Soraya Hanie; Sulaiman, Suhaina; Shahril, Mohd Razif; Emran, Nurul A.; Akmal, Sharifah Noor

doi:10.1097/ncc.0b013e31824062d1

Cited by 40 publications

(74 citation statements)

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“…These changes in food consumption resulted in decreased energy intake, as shown in previous studies,12, 20, 25, 26 but also in poorer micronutrient and fiber intakes. Only 3 studies quantified nutrient intake variations between before and after diagnosis 20, 22, 27.…”

Section: Discussionsupporting

confidence: 74%

“…Among them, the decrease in vegetable intake was about 102 g/d (>1 serving of 80 g). Previous studies generally observed an increase in vegetable intake among cancer survivors 15, 20, 21, 22, 23, 24, 26, 28. However, most of them were based on qualitative and/or retrospective data.…”

Section: Discussionmentioning

confidence: 89%

“…Only 3 studies quantified nutrient intake variations between before and after diagnosis 20, 22, 27. They rather suggested a decrease in fatty acids and an increase in vitamin intakes, however, two of these studies were retrospective and the other focused on breast and colorectal cancers.…”

Section: Discussionmentioning

confidence: 99%

“…Dietary and alcohol intakes of cancer survivors have received increasing attention in the last decade 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29. Overall, these studies tended to suggest an improvement in dietary behavior after cancer diagnosis, as well as a strong motivation of cancer survivors to make lifestyle changes 4.…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, only one study conducted in Norway provided prospective information on the variation of dietary and alcohol intakes between before and after cancer diagnosis,22 focusing on breast and colorectal cancers. Moreover, very few studies provided detailed data on variations of food and nutrient intakes between before and after diagnosis measured by validated quantitative dietary assessment tools 20, 22, 27…”

Section: Introductionmentioning

confidence: 99%

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Modifications in dietary and alcohol intakes between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Santé cohort

et al. 2017

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Postdiagnosis diet and alcohol consumption may be associated with cancer prognosis, recurrence and mortality. Our aim was to investigate food, nutrient and alcohol intake variations between before and after cancer diagnosis and their determinants in a prospective cohort. Subjects (n = 696) were incident cancer cases diagnosed in the NutriNet‐Santé cohort between 2009 and 2016. Food, nutrient and alcohol intakes were prospectively collected using repeated nonconsecutive 24‐hr dietary records since subjects' inclusion (i.e. an average of 2 y before diagnosis). Mean number of dietary records per subject was 5.9 before and 8.1 after diagnosis. All dietary data before and after diagnosis were compared by mixed models. Factors associated with the main dietary changes observed were also investigated using multivariable logistic regressions. We observed a decrease in intakes of vegetables (mean decrease in intake in patients who decreased their intake=‐102.4 ± 79.8 g/d), dairy products (–93.9 ± 82.8 g/d), meat/offal (–35.5 ± 27.8/d), soy products (–85.8 ± 104.1 g/d), sweetened soft drinks (–77.9 ± 95.4 g/d), and alcoholic drinks (–92.9 ± 119.9 g/d), and an increase in broths (42.1 ± 34.9 g/d) and fats/sauces (18.0 ± 13.4 g/d). We observed a decrease in energy intake (–377.2 ± 243.5 kcal/d) and in intakes of alcohol (–7.6 ± 9.4 g/d) proteins (–17.4 ± 12.5 g/d), and several vitamins (p < 0.05) and micronutrients (p < 0.05). Conversely, lipid (19.4 ± 14.6 g/d), SFA (9.3 ± 7.0 g/d), MUFA (8.3 ± 6.3 g/d) and vitamin E (3.9 ± 3.3 mg/d) intakes increased after diagnosis. This large prospective study suggests that cancer diagnosis is a key period for nutritional changes. It highlights some healthy behaviors such as a decrease in alcohol and sweetened drink consumption, but also less favorable trends, such as a decrease in vegetable consumption and in many vitamin and mineral intakes. These results provide insights to identify and target recommendations to put forward for better nutritional care of cancer survivors.

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