Associations Between Dietary Patterns and Quality of Life in a Longitudinal Cohort of Colorectal Cancer Survivors

被引:1
|
作者
Smith, Kristen S. [1 ]
Gudenkauf, Lisa M. [1 ]
Hoogland, Aasha I. [1 ]
Li, Xiaoyin [1 ]
Hoobler, Rachel [2 ,3 ]
Playdon, Mary C. [2 ,3 ]
Gigic, Biljana [4 ]
Small, Brent J. [5 ]
Gonzalez, Brian D. [1 ]
Oswald, Laura B. [1 ]
Byrd, Doratha A. [6 ]
Greathouse, K. Leigh [7 ]
Ulrich, Cornelia M. [8 ,9 ]
Li, Christopher I. [10 ]
Shibata, David [11 ]
Toriola, Adetunji T. [12 ]
Peoples, Anita R. [8 ,9 ]
Siegel, Erin M. [6 ]
Figueiredo, Jane C. [13 ]
Jim, Heather S. L. [1 ]
Crowder, Sylvia L. [1 ]
机构
[1] H Lee Moffitt Canc Ctr & Res Inst, Dept Hlth Outcomes & Behav, Tampa, FL 33612 USA
[2] Univ Utah, Coll Hlth, Dept Nutr & Integrat Physiol, Salt Lake City, UT 84112 USA
[3] Huntsman Canc Inst, Canc Control & Populat Sci Program, Salt Lake City, UT 84103 USA
[4] Heidelberg Univ Hosp, Dept Gen Visceral & Transplantat Surg, D-69120 Heidelberg, Germany
[5] Univ North Carolina Chapel Hill, Sch Nursing, Chapel Hill, NC 27599 USA
[6] H Lee Moffitt Canc Ctr & Res Inst, Dept Canc Epidemiol, Tampa, FL 33612 USA
[7] Baylor Univ, Robbins Coll Hlth & Human Sci, Human Sci & Design, Waco, TX 76798 USA
[8] Univ Utah, Huntsman Canc Inst, Salt Lake City, UT 84103 USA
[9] Univ Utah, Dept Populat Hlth Sci, Salt Lake City, UT 84112 USA
[10] Fred Hutchinson Canc Ctr, Div Publ Hlth Sci, Seattle, WA 98109 USA
[11] Univ Tennessee, Hlth Sci Ctr, Dept Surg, Memphis, TN 38163 USA
[12] Washington Univ St Louis, Dept Surg, St Louis, MO 63110 USA
[13] Cedars Sinai Med Ctr, Samuel Oschin Comprehens Canc Inst, Dept Med, Los Angeles, CA 90048 USA
基金
美国国家卫生研究院;
关键词
cancer survivors; dietary patterns; quality of life; colorectal cancer; GENERAL-POPULATION; HEALTH; DIAGNOSIS;
D O I
10.3390/nu16223860
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Purpose: To characterize dietary patterns and examine associations with cross-sectional and longitudinal changes in quality of life (QOL) over approximately one year after colorectal cancer (CRC) diagnosis. Methods: The ColoCare Study is an international, multi-center, prospective cohort study of newly diagnosed CRC survivors of any stage. A subset of participants with CRC in the United States completed patient-reported outcome measures at 6- and 12-months post-enrollment, including the Food Frequency Questionnaire (FFQ) and European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Dietary patterns at 6 months (around the time of treatment completion) were identified using Principal Component Analysis (PCA) with varimax rotation. Adherence scores were calculated for participants within each dietary pattern, with higher scores indicating higher adherence. Mixed models were used to examine the effect of each dietary pattern on changes in QOL at 6- and 12-month follow-ups, controlling for cancer stage, biological sex, body mass index (BMI), smoking status, and age. Results: Participants (N = 174) were, on average, 56 +/- 14 years old and were mostly female (51.5%), stage III or IV (51.7%), never smokers (60.2%), non-Hispanic (97.1%), and White (83.3%) with a BMI of 27.9 +/- 6.1 kg/m(2). PCA revealed two emerging dietary patterns: "Western diet", characterized by processed meats, refined grains, and sugars, and "Prudent diet" characterized by lean proteins, fruits, and vegetables. Higher adherence to a Western diet was associated with worse social functioning at 6-month follow-up (FE = -12.6, p = 0.010). Loss of appetite from 6 to 12 months was associated with higher adherence to both the Western and Prudent dietary patterns (FE = 1.5, p = 0.044; FE = 1.3, p = 0.046, respectively). Neither dietary pattern was associated with global QOL score at 6- or 12-month follow-up (p's > 0.05). Conclusions: Among CRC survivors in the United States, the Western diet was concurrently associated with worse social functioning. Loss of appetite was reported by CRC survivors following both dietary patterns, suggesting that loss of appetite may be a global experience for CRC survivors during this timeframe. Further research is needed to understand specific social challenges experienced by CRC survivors and develop supportive care interventions to address appetite and nutritional concerns.
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页数:11
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