Men with prostate cancer make positive dietary changes following diagnosis and treatment

Avery, Kerry; Donovan, Jenny; Gilbert, Rebecca; Davis, Michael J.; Emmett, Pauline M; Down, L; Oliver, Steven; Neal, David E.; Hamdy, Freddie C.; Lane, J. Athene

doi:10.1007/s10552-013-0189-x

Cited by 37 publications

(77 citation statements)

References 24 publications

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“…This supports findings from an interview study in which PC patients focused on diet as an adjunct therapy and self-management strategy to overcome AS-related anxiety, though there were no comparisons with radical treatments [25]. Recent research from the ProtecT trial further shows that men undergoing AM consumed more fruit/vegetable juice (including tomato juice) than those randomised to surgery [21]. …”

Section: Discussionsupporting

confidence: 52%

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The importance of dietary change for men diagnosed with and at risk of prostate cancer: a multi-centre interview study with men, their partners and health professionals

et al. 2014

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BackgroundThe diagnosis of prostate cancer (PC) can provide a trigger for dietary change, and there is evidence that healthier diets may improve quality of life and clinical outcomes. However, men’s views about dietary change in PC survivorship are largely unknown. This multi-centre qualitative interview study explored men’s views about dietary change in PC survivorship, to better understand motivations for, and barriers to, achieving desired changes. The role of radical and active surveillance treatments on dietary change and the influence of men’s partners were examined. Focus groups also evaluated stakeholder opinion, including healthcare professionals, about the provision of dietary advice to PC patients.MethodsA multi-centre interview study explored views about diet and motivations for, and barriers to, dietary change in men at elevated risk or diagnosed with PC following prostate specific antigen (PSA) testing. 58 men and 11 partners were interviewed. Interviews and focus groups were undertaken with 11 healthcare professionals, 5 patients and 4 partners to evaluate stakeholders’ opinions about the feasibility and acceptability of providing dietary advice to PC patients. Data were analysed using methods of constant comparison and thematic analysis.ResultsOver half of diagnosed men reported making dietary changes, primarily to promote general or prostate health or facilitate coping, despite their uncertainty about diet-PC links. Interest in dietary advice was high. Information needs varied depending on treatment received, with men on active surveillance more frequently modifying their diet and regarding this as an adjunct therapy. Men considered their partners integral to implementing changes. Provision of dietary advice to men diagnosed with PC was considered by healthcare professionals and men to be feasible and appropriate in the context of a holistic ‘care package’.ConclusionsMany men make positive dietary changes after PC diagnosis, which are perceived by men and their partners to bring psychological and general health benefits and could help future dietary intervention trials. Men and their partners desire more and better dietary information that may support PC survivorship, particularly among those embarking on active surveillance/monitoring programmes. There are opportunities for healthcare professionals to support PC patients both clinically and psychologically by the routine integration of healthy eating advice into survivorship care plans.

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Section: Discussionsupporting

confidence: 52%

“…increased fruit and vegetables, decreased fat and red meat). Recent findings from food questionnaire data from ProtecT showed that a PC diagnosis prompted one third of men to adopt healthier diets [21]. …”

Section: Discussionmentioning

confidence: 99%

The importance of dietary change for men diagnosed with and at risk of prostate cancer: a multi-centre interview study with men, their partners and health professionals

et al. 2014

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“…It was also noted that some control group AS patients pursued lifestyle changes. Men participating in the Prostate Testing for Cancer and Treatment (ProtecT) randomised trial of active monitoring (a surveillance strategy), radical prostatectomy, and radiotherapy, generally made healthy dietary changes following diagnosis (eg, less red meat) with greater changes made by those on active monitoring [45].…”

Section: Intervention Studiesmentioning

confidence: 99%

How Does Active Surveillance for Prostate Cancer Affect Quality of Life? A Systematic Review

et al. 2015

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We reviewed the published evidence for quality-of-life impact on men with prostate cancer being monitored by active surveillance. The men who were on active surveillance usually reported good levels of well-being and did not appear to suffer major negative psychological impacts. The research findings suggest little presence of anxiety and depression and high overall quality of life related to their disease. However, there are few long-term studies, so more high-quality research is needed to make definitive recommendations.

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“…Although some research suggests that UK men are interested in diet improvements as part of prostate cancer supportive care, (Avery et al, 2014) there is currently little research or services available to address this need for nutrition education and interventions. Consequently, little is known about what features of diet interventions would best contribute to changing men's diets favourably after a prostate cancer diagnosis (Demark--Wahnefried, 2009;Avery 2013;Carmody 2012).…”

Section: Introductionmentioning

confidence: 99%

Gender relations and couple negotiations of British men's food practice changes after prostate cancer

Mróz

Robertson

2015

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Nutrition plays an important role in the health of men diagnosed with prostate cancer and dietary interventions can therefore be a significant part of prostate cancer survivorship supportive care. Family food provision, however, involves complex social interactions, which shape how men engage with their diets and dietary interventions. The role that gender plays in shaping prostate cancer couples' food practices and men's diets after a prostate cancer diagnosis is thought to be important but is little understood.This study explored couples' accounts of nutrition information seeking and diet change to gain a better understanding of how gender relations shaped men's food practices after prostate cancer diagnosis. Qualitative health interviews with men and their partners were conducted and analysed using interpretive descriptive methods.Findings demonstrated how couples navigated food change journeys that involved seeking information, deciding what changes were warranted and implementing and regulating diet changes. Two overarching themes that illustrated couples' food negotiations were called 'Seeking information and deciding on food changes' and 'Monitoring food changes'. Additional sub--themes described who led food changes, women's filtering of information, and moderation or 'treats'. Throughout these food change journeys interactions between men and women were at play, demonstrating how gender relations and dynamics acted to shape couples food negotiations and men's food practices.Findings reveal that attention to gender relations and the men's family food dynamics should inform diet interventions for men with prostate cancer in order to improve uptake.

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Men with prostate cancer make positive dietary changes following diagnosis and treatment

Cited by 37 publications

References 24 publications

The importance of dietary change for men diagnosed with and at risk of prostate cancer: a multi-centre interview study with men, their partners and health professionals

The importance of dietary change for men diagnosed with and at risk of prostate cancer: a multi-centre interview study with men, their partners and health professionals

How Does Active Surveillance for Prostate Cancer Affect Quality of Life? A Systematic Review

Gender relations and couple negotiations of British men's food practice changes after prostate cancer

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