Dietary pattern of women with breast cancer: a posteriori study

Authors

  • Karin Sedó Sarkis Faculdade de Saúde Pública – FSP – São Paulo (SP)
  • Paula Maria Cals Theophilo Maciel Universidade Estadual do Ceará – UECE
  • Rute Mattos Dourado Esteves Justa Universidade de Fortaleza - UNIFOR
  • Leticia Lira Gomes Universidade de Fortaleza - UNIFOR
  • Carone Alves Universidade de Fortaleza - UNIFOR
  • Sara Maria Moreira Lima verde Universidade de Fortaleza - UNIFOR

DOI:

https://doi.org/10.5020/3264

Keywords:

Food Consumption, Breast Cancer, Diet, Nutrition Assessment

Abstract

Objective: To identify a posteriori dietary pattern of women with breast cancer. Methods: Observational, cross-sectional and analytical study. It evaluated 100 women with breast cancer, undergoing chemotherapy/radiotherapy, treated at a cancer center in the city of Fortaleza, from July to December 2012. The study collected clinical data (subtype, clinical stage - CS, treatment), socioeconomic (educational level and monthly income) and anthropometric data (weight, height, body mass index - BMI), and food consumption. To evaluate the consumption, a quantitative food frequency questionnaire (FFQ), validated for women of the Brazilian Northeast, was applied, and the daily consumption of each food was set in grams/ml, being grouped according to their nutritional composition, into 10 groups, following the food pyramid adapted to the Brazilian population. The dietary pattern was defined by food components from the exploratory factor analysis of those ten food groups, using the SPSS, version 20.0. Results: Mean age of 50.9±10.2 years, with prevalence of ductal carcinoma (n=83; 83%) in CS III (n=60; 60%). The mean BMI indicated overweight (28.3±4.4 kg/m2) and waist circumference was above the recommended (98.6±10.9 cm). Four food components were identified, and 21% of the diet variance was explained by food component 1 (Risk), with the matrix composed of red and processed meat, oils, fats and cereals. Conclusion: The patients’ dietary pattern was characterized by a risk diet, which can positively contribute to the disease recurrence. doi: 10.5020/18061230.2014.p365

Downloads

Download data is not yet available.

Author Biographies

Karin Sedó Sarkis, Faculdade de Saúde Pública – FSP – São Paulo (SP)

Nutricionista

Paula Maria Cals Theophilo Maciel, Universidade Estadual do Ceará – UECE

Nutricionista

Rute Mattos Dourado Esteves Justa, Universidade de Fortaleza - UNIFOR

Estudante de Nutrição

Leticia Lira Gomes, Universidade de Fortaleza - UNIFOR

Estudante de Nutrição

Carone Alves, Universidade de Fortaleza - UNIFOR

Nutricionista CRIO

Sara Maria Moreira Lima verde, Universidade de Fortaleza - UNIFOR

Professora/Doutora da Universidade de Fortaleza - UNIFOR

References

Instituto Nacional do Câncer José Alencar Gomes da Silva – INCA. Estimativa 2014: Incidência de Câncer no Brasil. Rio de Janeiro: INCA; 2014.

Collins TA, Rosenberg L, Makambi K, Palmer JR, Adams CL. Dietary patterns and breast cancer risk in women participating in the Black Women’s Health Study. Am J Clin Nutri. 2009;90(3):621-8.

Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL et al. Nutrition and physical activity guidelines for cancer survivors. CA - Cancer J Clin. 2012; 62(4):243-74

Sacheck JM, Blumberg JB. Vitamins and oxidative stress. Boston: USDA Human Nutrition Research Center on Aging; 2013

Kolling, FL, Santos JS. A influência dos fatores de risco nutricionais no desenvolvimento de câncer de mama em pacientes ambulatoriais do interior do Rio Grande do Sul, Brasil. Sci Med. 2009;19(3):115-21.

Brennan SF, Cantwell MM, Cardwell CR, Velentzis LS, Woodside JV. Dietary patterns and breast cancer risk: a systematic review and meta-analysis. Am J Clin Nutri. 2010;91(5):1294-302.

Azevedo ECC, Diniz AS, Monteiro JS, Cabral PC. Padrão alimentar de risco para as doenças crônicas não transmissíveis e sua associação com a gordura corporal: uma revisão sistemática. Ciênc Saúde Coletiva. 2014;19(5):1447-58.

Dias MCG, Horie LM, Waitzberg DL. Exame físico e antropometria. In: Waitzberg DL. Nutrição oral, enteral e parenteral na prática clínica. 4ª ed. São Paulo: Atheneu; 2002. p. 383-419.

World Health Organization – WHO. Report of a Joint FAO/WHO Consultation. Preparation and use of food-based dietary guidelines. Geneva; 1998.

Cibeira GH, Guaragna RM. Lipídio: fator de risco e prevenção do câncer de mama. Rev Nutr. 2006;19(1):65-75.

World Health Organization – WHO. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. Geneva; 2000. (Technical Report Series 894).

Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994;21(1): 55-67.

Lima FEL, Slater B, Latorre MRDO, Fisberg RM. Validade de um questionário quantitativo de freqüência alimentar desenvolvido para população feminina no nordeste do Brasil. Rev Bras Epidemiol. 2007;10(4):483-90.

Marchioni DML, Latorre MRDO, Eluf-Neto J, Wünsch-Filho V, Fisberg RM. Identification of dietary patterns using factor analysis in an epidemiological study in São Paulo. Sao Paulo Med J. 2005;123(3):124-27.

Hair JJ, Anderson RE, Tatham RL. Análise multivariada de dados. 5ª ed. Porto Alegre: Bookman; 2005.

Cecchini RS, Costantino JP, Cauley JA, Cronin WM, Wickerham DL, Land SR, et al. Body Mass Index and the Risk for Developing Invasive Breast Cancer among High-Risk Women in NSABP P-1 and STAR Breast Cancer Prevention Trials. Cancer Prev Res. 2012;5(4):583-92.

Kwan ML, Chen WY, Kroenke CH, Weltzien EK, Beasley JM, Nechuta SJ, et al. Pre-diagnosis body mass index and survival after breast cancer in the after breast cancer pooling project. Breast Cancer Res Treat. 2012;132(2):729-39.

Menezes TN, Rocha FL, Belém PLO, Pedraza DF. Obesidade abdominal: revisão crítica das técnicas de aferição e dos pontos de corte de indicadores antropométricos adotados no Brasil. Ciênc Saúde Coletiva. 2014;19(6):1-14.

Ewertz M, Gray KP, Regan MM, Ejlertsen B, Price KN, Thürlimann B, et al. Obesity and Risk of recurrence or death after adjuvant endocrine therapy with letrozole or tamoxifen in the Breast International Group 1-98 Trial. J Clin Oncol. 2012;30(32):3967-75.

Garrisi VM, Tufaro A, Trerotoli P, Bongarzone I, Quaranta M, Ventrella V, et al. Body mass index and serum proteomic profile in breast cancer and healthy women: a prospective study. PLoS One. 2012;7(11):1-5.

Chen D, Zhao H, Coon VJS, Ono M, Pearson EK, Bulun SE. Weight gain increases human aromatase expression in mammary gland. Mol Cell Endocrinol. 2012; 355(1):114-20.

Rubin BA, Stein AT, Zelmanowicz AM, Rosa DD. Perfil antropométrico e conhecimento nutricional de mulheres sobreviventes de câncer de mama do Sul do Brasil. Rev Bras Cancerol. 2010;56(3):303-9.

Fung TT, Schulze MB, Hu FB, Hankinson SE, Holmes MD. A dietary pattern derived to correlate with estrogens and risk of postmenopausal breast cancer. Breast Cancer Res Treat. 2012;132(3):1157-62.

Isabelle R. Diet and breast cancer. Salud Pública Mex. 2011;53(5):430-9.

Abdull Razis AF, Noor NM. Cruciferous vegetables: dietary phytochemicals for cancer prevention. Asian Pac J Cancer Prev. 2013;14(3):1565-70.

Demetriou CA, Hadjisavvas A, Loizidou MA, Loucaides G, Neophytou I, Sieri S, et al. The mediterranean dietary pattern and breast cancer risk in Greek-Cypriot women: a case-control study. BMC Cancer. 2012;12(113):1-12.

Kwan ML, Weltzien E, Kushi LH, Castillo A, Slattery ML, Caan BJ. Dietary patterns and breast cancer recurrence and survival among women with early-stage breast cancer. J Clin Oncol. 2009;27(6):919-26.

Cottet V, Touvier M, Fournier A, Touillaud MS, Lafay L, Clavel-Chapelon F, et al. Postmenopausal breast cancer risk and dietary patterns in the E3N-EPIC prospective cohort study. Am J Epidemiol. 2009;170(10):1257-67.

Taylor VH, Misra M, Mukherjee SD. Is red meat intake a risk factor for breast cancer among premenopausal women? Breast Cancer Res Treat. 2009;117(1):1-8.

Zhang CX, Ho SC, Fu JH, Cheng SZ, Chen YM, Lin FY. Dietary patterns and breast cancer risk among Chinese women. Cancer Causes Control. 2011;22(1):115-24.

Rockenbach G, Di Pietro PF, Ambrosi C, Boaventura BCB, Vieira FGK, Crippa CG, et al. Dietary intake and oxidative stress in breast cancer: before and after treatments. Nutr Hosp. 2011;26(4):737-44.

Marques AC, Valente TB, Rosa CS. Formação de toxinas durante o processamento de alimentos e as possíveis consequências para o organismo humano. Rev Nutr. 2009; 2(22):283-293.

Baglietto L, Krishnan K, Severi G, Hodge A,Brinkman M, English DR et al. Dietary patterns and risk of breast cancer. Br J Cancer. 2011;104(3):524-31.

Brennan SF, Cantwell MM, Cardwell CR,Velentzis LS, Woodside JV. Dietary patterns and breast cancer risk: a systematic review and metaanalysis. Am J Clin Nutr. 2010;91(5):1294-302.

Published

2014-12-22

How to Cite

Sarkis, K. S., Maciel, P. M. C. T., Justa, R. M. D. E., Gomes, L. L., Alves, C., & verde, S. M. M. L. (2014). Dietary pattern of women with breast cancer: a posteriori study. Brazilian Journal in Health Promotion, 27(3), 365–373. https://doi.org/10.5020/3264

Issue

Section

Original Articles