Dietary factors and cancers of breast, endometrium, and ovary: Strategies for modifying fat intake in African American women

1997 ◽  
Vol 176 (6) ◽  
pp. s255-s264 ◽  
Author(s):  
Margaret K. Hargreaves ◽  
Maciej S. Buchowski ◽  
Robert E. Hardy ◽  
Susan R. Rossi ◽  
Joseph S. Rossi
2005 ◽  
Vol 12 (4_suppl) ◽  
pp. 84-90 ◽  
Author(s):  
Cheryl L. Holt ◽  
Debra L. Haire-Joshu ◽  
Susan N. Lukwago ◽  
Laura A. Lewellyn ◽  
Matthew W. Kreuter

The relationship between religiosity and health has been investigated in many studies, with most finding positive associations. However, little is known about the role of religiosity in dietary factors, particularly among African American women. We used a self-administered questionnaire to examine the association between religiosity and dietary beliefs and behaviors among African American women. Women with strong religious beliefs and behaviors reported more interest in eating more fruits and vegetables, perceived their consumption as being more important, and consumed more fruits and vegetables than women low in religious beliefs and behaviors. These findings highlight the role of both religious beliefs and behaviors as they relate to diet-related beliefs and behaviors in this population.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1512-1512
Author(s):  
Yi Zhao ◽  
Gitanjali Singh

Abstract Objectives Cardiovascular disease (CVD) is the leading cause of premature morbidity and mortality among African American women, and diet plays a crucial role in its prevention. Diet consists of a complex mixture of foods and nutrients, yet few existing statistical methods can account for potential nonlinear and interactive relationships between multiple dietary factors and their effects on health. To realistically assess dietary impacts on CVD risk among African American women, we utilized an innovative statistical approach, Bayesian Kernel Machine Regression (BKMR), which takes into consideration the relationship between multiple dietary factors, as mixtures and as individual components, and CVD risk. Methods Using data from 2724 healthy African American participants of the Women's Health Initiative Observational Study, we examined the association of nine dietary factors (fruits, vegetables, fish, red meat, poultry, nuts, whole grains, dairy, and sodium), collected through a validated food frequency questionnaire, with both systolic blood pressure (SBP) and CVD incidence. Through a kernel machine representation, BKMR regresses the outcome on a smooth function of the exposures, adjusting for potential confounders and allowing for possible nonlinearities and interactions. We used BKMR for modeling the continuous outcome, SBP, and its probit extension for the binary outcome, CVD incidence. Results Whole grain and fish had the strongest associations with SBP. SBP decreased by 0.78 mmHg (95% credible interval (CI): −1.70, 0.14) and increased by 0.70 mmHg (95% CI: −0.12, 1.52) for an interquartile range (IQR) increase in whole grain and fish consumption, respectively. We saw a linear and increasing association between the diet mixture and CVD incidence. This trend was mainly driven by red meat consumption as the primary dietary risk factor to CVD incidence: an IQR increase in red meat consumption was associated with a 0.06-unit (95% CI: −0.02, 0.14) increase in the probit CVD risk. No evidence for interactions and nonlinearities was observed. Conclusions BKMR is a novel method for modeling complex dietary mixtures by incorporating potential nonlinearities and interactions, allowing identification of major dietary factors associated with elevated SBP and CVD incidence among a population disproportionally affected by CVD. Funding Sources NHLBI.


2000 ◽  
Vol 10 (1) ◽  
pp. 78-97 ◽  
Author(s):  
Wendy Auslander ◽  
Debra Haire-Joshu ◽  
Cheryl Houston ◽  
James Herbert Williams ◽  
Hope Krebill

Objective: The purpose of this study is to describe the results of a process and outcome evaluation of a culturally specific, peer-led, dietary change program designed to reduce the risk of noninsulin-dependent diabetes mellitus (NIDDM) among low-income African American women. Method: Using an experimental, control-group design, 239 African American women completed pretest and posttest interviews that included measures of nutrition-related knowledge, attitudes, behaviors, fat intake, and weight. Results: Significant reductions in fat intake were found among women in the treatment condition. Participants significantly increased low-fat dietary patterns and showed higher levels of nutrition-related knowledge. Examination of physical data indicates that no significant weight differences were found between the treatment and control groups. Conclusions: This model of health promotion, which individually tailors the intervention content through staging and used community organization strategies, has potential for reducing the risk of diet-related diseases among African American women.


2011 ◽  
Vol 15 (4) ◽  
pp. 738-748 ◽  
Author(s):  
Urmila Chandran ◽  
Kim M Hirshfield ◽  
Elisa V Bandera

AbstractObjectiveWhile the role of nutrition, physical activity and body size on breast cancer risk has been extensively investigated, most of these studies were conducted in Caucasian populations. However, there are well-known differences in tumour biology and the prevalence of these factors between African-American and Caucasian women. The objective of the present paper was to conduct a review of the role of dietary factors, anthropometry and physical activity on breast cancer risk in African-American women.DesignTwenty-six research articles that presented risk estimates on these factors in African-American women and five articles involving non-US black women were included in the current review.SettingRacial disparities in the impact of anthropometric and nutritional factors on breast cancer risk.SubjectsAfrican-American and non-US black women.ResultsBased on the few studies that presented findings in African-American women, an inverse association with physical activity was found for pre- and postmenopausal African-American women, while the association for anthropometric and other dietary factors, such as alcohol, was unclear. Studies assessing the effect by molecular subtypes in African-American women were too few and based on sample sizes too small to provide definitive conclusions.ConclusionsThe effect of certain nutrition and lifestyle factors on breast cancer in African-American women is not starkly distinct from those observed in white women. However, there is an enormous need for further research on this minority group to obtain more confirmatory findings.


2014 ◽  
Vol 18 (11) ◽  
pp. 1932-1940 ◽  
Author(s):  
Iris Alcantara ◽  
Regine Haardörfer ◽  
Julie A Gazmararian ◽  
Terry J Hartman ◽  
Brenda Greene ◽  
...  

AbstractObjectiveTo compare commonly used dietary screeners for fat intake and fruit and vegetable intake with 24 h dietary recalls among low-income, overweight and obese African-American women.DesignThree telephone interviews were completed; measures included two 24 h dietary recalls (a weekday and weekend day) using the Nutrition Data System for Research software, the Behavioral Risk Factor Surveillance System’s (BRFSS) Fruit and Vegetable Consumption Module and the National Cancer Institute’s (NCI) Percentage Energy from Fat Screener.SettingParticipants were recruited from three federally qualified health centres in south-west Georgia, USA.SubjectsParticipants (n 260) were African-American women ranging in age from 35 to 65 years. About half were unemployed (49·6 %) and 58·7 % had a high-school education or less. Most were obese (88·5 %), with 39·6 % reporting a BMI≥40·0 kg/m2.ResultsMean fruit and vegetable intake reported from the 24 h dietary recall was 2·66 servings/d compared with 2·79 servings/d with the BRFSS measure. The deattenuated Pearson correlation was 0·22, with notable variation by weight status, education level and age. Mean percentage of energy from fat was 35·5 % as reported from the 24 h dietary recall, compared with 33·0 % as measured by the NCI fat screener. The deattenuated Pearson correlation was 0·38, also with notable variation by weight status, education level and age.ConclusionsValidity of brief dietary intake measures may vary by demographic characteristics of the sample. Additional measurement work may be needed to accurately measure dietary intake in obese African-American women.


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