Effect of diet on bladder cancer survivors.

2016 ◽  
Vol 34 (2_suppl) ◽  
pp. 437-437
Author(s):  
Thomas Andrew Longo ◽  
Ajay Gopalakrishna ◽  
Joseph J Fantony ◽  
Brant Allen Inman
Keyword(s):  
Bladder Cancer ◽  
Cancer Survivors ◽  
Sodium Intake ◽  
Dietary Guidelines ◽  
Healthy Diet ◽  
Portion Size ◽  
Dietary Recommendations ◽  
Cross Sectional Survey ◽  
Cancer Society

437 Background: Diet has been shown to affect cancer recurrence, progression, and overall survival. A reduction in overall mortality is associated with high intake of vegetables and whole grains, but little is known about the role of other macronutrients. Further, the role of macronutrients in bladder cancer survivors as they move beyond the treatment period is unknown. Methods: After IRB approval, an institutional database was used to identify a large cohort of bladder cancer patients. They were mailed a survey that included the Diet History Questionnaire II (DHQ II). This validated instrument is recommended by the American Cancer Society and National Cancer Institute. It involves 151 questions covering portion size over 134 food items and 8 supplements, and takes a patient roughly an hour to complete. Our cross-sectional survey used the results from the DHQ II to assess compliance with the US Dietary Guidelines for Americans. Results: Out of 962 subjects, 461 completed the survey (48%). Mean age was 73, 80% were male, and 87% were white. The recommended protein intake was met or exceeded 98% of respondents and 66.8% were able to meet the fruit and vegetable recommendations. Similarly, 62.9% met carbohydrate recommendations. Unfortunately, only 44.5% met fat recommendations, and 0.9% met the whole grain recommendations. Recommended sodium intake was exceeded by 62% of subjects. Conclusions: Bladder cancer survivors exhibit poor adherence to standard dietary recommendations, but they represent a unique metabolic state. It is unknown what constitutes a healthy diet in a bladder cancer survivor, but a healthy diet has potential to be a component of survivorship intervention and not merely sustenance. Cancer survivors are an important target population for health promotion efforts and we plan further investigation of diet and its impact on quality of life amongst other lifestyle factors.

The impact of age on general and bladder cancer-specific quality of life among bladder cancer survivors.

2020 ◽  
Vol 38 (6_suppl) ◽  
pp. 463-463
Author(s):  
Pauline Filippou ◽  
Sean McCabe ◽  
Hannah McCloskey ◽  
Kathryn Gessner ◽  
Judy Hamad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bladder Cancer ◽  
Cancer Survivors ◽  
Cancer Patients ◽  
Multivariable Analysis ◽  
Multiple Linear Regression Model ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

463 Background: Quality of life among cancer survivors has been shown to vary by age. Our objective was to evaluate differences in general and bladder cancer-specific quality of life based on age among a large cross-sectional bladder cancer cohort. Methods: We performed a cross-sectional survey of bladder cancer patients using the Bladder Cancer Advocacy Network Patient Survey Network and Inspire platforms to determine general and bladder cancer-specific quality of life (QOL) using the EORTC QLQ-C30 and Bladder Cancer Index. Patients were also queried regarding demographic, socioeconomic and clinical characteristics. We present descriptive statistics and a multiple linear regression model to identify factors independently associated with QOL domain score. Results: 972 respondents self-identified as patients with bladder cancer, of whom 41% were female and 97 % were white. The mean age was 67.6 years (range 29 to 93 years). Respondents were highly educated (67% completed college). 63% of patients identified as having non-invasive (NMIBC) cancer (n=578), 30% had MIBC (n=270), and 7% had metastatic bladder cancer (n=63). On multivariable analysis, older age was significantly associated with better generic QOL and urinary function ( Table), but not sexual function (p=0.19) or bowel function (p=0.73), controlling for sex, race, stage, comorbidity and years since diagnosis. Conclusions: Higher general and domain-specific QOL scores are more common among older bladder cancer patients. Differential impact by age may be important for the development of tailored interventions to improve QOL for bladder cancer patients. [Table: see text]

The religious/spiritual beliefs and needs of cancer survivors who underwent cancer-directed surgery

2020 ◽  
pp. 1-7
Author(s):  
Elizabeth Palmer Kelly ◽  
Anghela Z. Paredes ◽  
Stephanie DiFilippo ◽  
Madison Hyer ◽  
Diamantis I. Tsilimigras ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Cancer Treatment ◽  
Cancer Care ◽  
Breast Cancer Survivors ◽  
Perioperative Period ◽  
Care Plan ◽  
Significant Other ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Objective We sought to characterize patients’ preferences for the role of religious and spiritual (R&S) beliefs and practices during cancer treatment and describe the R&S resources desired by patients during the perioperative period. Method A cross-sectional survey was administered to individuals who underwent cancer-directed surgery. Data on demographics and R&S beliefs/preferences were collected and analyzed. Results Among 236 participants, average age was 58.8 (SD = 12.10) years; the majority were female (76.2%), white (94.1%), had a significant other or spouse (60.2%), and were breast cancer survivors (43.6%). Overall, more than one-half (55.9%) of individuals identified themselves as being religious, while others identified as only spiritual (27.9%) or neither (16.2%). Patients who identified as religious wanted R&S integrated into their care more often than patients who were only spiritual or neither (p < 0.001). Nearly half of participants (49.6%) wanted R&S resources when admitted to the hospital including the opportunity to speak with an R&S leader (e.g., rabbi; 72.1%), R&S texts (64.0%), and journaling materials (54.1%). Irrespective of R&S identification, 68.0% of patients did not want their physician to engage with them about R&S topics. Significance of results Access to R&S resources is important during cancer treatment, and incorporating R&S into cancer care may be especially important to patients that identify as religious. R&S needs should be addressed as part of the cancer care plan.

scholarly journals Role of Adjuvant and Posttreatment Exercise Programs in Breast Health

2011 ◽  
Vol 9 (2) ◽  
pp. 251-256 ◽  
Author(s):  
Jennifer A. Ligibel
Keyword(s):  
Breast Cancer ◽  
Physical Activity ◽  
Cancer Survivors ◽  
Sports Medicine ◽  
Breast Cancer Survivors ◽  
Early Stage ◽  
Moderate Intensity ◽  
Cancer Society ◽  
Breast Cancer Death

Growing evidence suggests that physical activity may be an important part of survivorship care for women with a history of breast cancer. Observational evidence suggests that women who are physically active after breast cancer diagnosis have a 30% to 50% lower risk of breast cancer recurrence, breast cancer death, and overall death compared with sedentary individuals. Although randomized controlled trials have not been performed to test the ability of exercise to improve outcomes in women with early-stage breast cancer, many small intervention studies have shown the safety and potential benefits of exercise in the adjuvant and posttreatment settings. These studies have shown that physical activity can be performed safely both during and after adjuvant treatment for breast cancer, and that women who increase physical activity in these settings experience improvements in fitness, strength, quality of life, and other end points. Although more research is needed to fully define the role of exercise in breast cancer survivors, the many proven benefits of physical activity have led the American Cancer Society and American College of Sports Medicine to encourage regular participation in moderate-intensity recreational activity for most breast cancer survivors. This article reviews the growing evidence that exercise could be an important part of breast cancer survivorship, and describes current exercise guidelines for breast cancer survivors.

scholarly journals Systematic Evaluation of Nutrition Indicators for Use within Food LCA Studies

2020 ◽  
Vol 12 (21) ◽  
pp. 8992
Author(s):  
Marta Bianchi ◽  
Anna Strid ◽  
Anna Winkvist ◽  
Anna-Karin Lindroos ◽  
Ulf Sonesson ◽  
...  
Keyword(s):  
Nutritional Quality ◽  
Functional Unit ◽  
Dietary Guidelines ◽  
Portion Size ◽  
Systematic Evaluation ◽  
Methodological Choices ◽  
Nutrient Density ◽  
Density Index ◽  
Food Lca

Expressing the environmental impact of foods in relation to the nutritional quality is a promising approach in the search for methods integrating interdisciplinary sustainability perspectives. However, the lack of standardized methods regarding how to include nutrient metrics can lead to unharmonized results difficult to interpret. We evaluated nutrient density indexes by systematically assessing the role of methodological variables with the purpose of identifying the index able to rank foods with the highest coherence with the Swedish dietary guidelines. Among 45 variants of the nutrient density index NRF (Nutrient Rich Food), a Sweden-tailored NRF11.3 index, including 11 desirable nutrients and 3 undesirable nutrients, calculated per portion size or 100 kcal with the application of weighting, ranked foods most coherently with the guidelines. This index is suggested to be suitable as complementary functional unit (FU) in comparative life cycle assessment (LCA) studies across food categories. The results clarify implications of methodological choices when calculating nutrient density of foods and offer guidance to LCA researchers on which nutrition metric to use when integrating nutritional aspects in food LCA.

scholarly journals Food Implications in Central Sensitization Syndromes

2020 ◽  
Vol 9 (12) ◽  
pp. 4106
Author(s):  
Elena Aguilar-Aguilar ◽  
Helena Marcos-Pasero ◽  
Maria P. Ikonomopoulou ◽  
Viviana Loria-Kohen
Keyword(s):  
Quality Of Life ◽  
Central Sensitization ◽  
Multiple Chemical Sensitivity ◽  
Dietary Guidelines ◽  
Current Status ◽  
Micronutrient Deficiencies ◽  
Dietary Recommendations ◽  
Dietary Interventions

Fibromyalgia (FM), chronic fatigue syndrome (CFS) and multiple chemical sensitivity (MCS) are some of the central sensitization syndromes (CSSs). The complexity of their diagnosis, the high interindividual heterogeneity and the existence of multi-syndromic patients requires a multifaceted treatment. The scientific literature is contradictory regarding the role of food in CSS, and evidence on the role of nutrition in MCS is particularly scarce. This review consists in gathering information about the current status of dietary recommendations (i.e., special dietary interventions, the role of additives, presence of micronutrient deficiencies, nutritional supplements and elimination of other nutrients and substances) and discussing the scientific evidence in depth to shed light on appropriate nutritional treatment managements for CSS patients. Current indications show that dietary modifications may vastly improve the patients’ quality of life at a low cost. We suggest personalized treatment, taking into consideration the severity of the disease symptoms, quality of life, coexistence with other diseases, pharmacological treatment, changing clinical characteristics, nutritional status, energy requirements and food tolerances, among others, as the best ways to tailor specific dietary interventions. These approaches will partially overcome the lack of scientific and clinical research on MSC. Patients should also be advised on the serious consequences of following dietary guidelines without a dietitian’s and clinician’s supervision.

scholarly journals Sodium Intake During Pregnancy, but Not Other Diet Recommendations Aimed at Preventing Cardiovascular Disease, Is Positively Related to Risk of Hypertensive Disorders of Pregnancy

2019 ◽  
Vol 150 (1) ◽  
pp. 159-166 ◽  
Author(s):  
Mariel Arvizu ◽  
Anne A Bjerregaard ◽  
Marie T B Madsen ◽  
Charlotta Granström ◽  
Thorhallur I Halldorsson ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Gestational Hypertension ◽  
Sodium Intake ◽  
Hypertensive Disorders Of Pregnancy ◽  
Dietary Recommendations ◽  
National Patient Registry ◽  
Hypertensive Disorders ◽  
Strategic Impact ◽  
National Patient

ABSTRACT Background The role of diet on hypertensive disorders of pregnancy (HDPs), including preeclampsia and gestational hypertension (GHTN), remains unclear. Objectives We evaluated whether adherence during pregnancy to dietary recommendations that reduce cardiovascular disease (CVD) in the general population is related to the risk of HDPs. Methods We followed 66,651 singleton pregnancies from 62,774 women participating in the Danish National Birth Cohort. Diet was assessed during week of gestation 25 with an FFQ from which we created 2 dietary pattern scores: 1) AHA, based on the diet recommendations from the AHA 2020 Strategic Impact Goals; and 2) the Dietary Approaches to Stop Hypertension (DASH) diet. Cases of HDPs were identified through linkage with the Danish National Patient Registry. RRs and 95% CIs of HDPs were estimated by increasing quintiles of adherence to the AHA and DASH scores using log-Poisson regression models with generalized estimating equations—to account for repeated pregnancies per woman—while adjusting for potential confounders. Results We identified 1809 cases of HDPs: n = 1310 preeclampsia (n = 300 severe preeclampsia) and n = 499 cases of GHTN. Greater adherence to AHA or DASH scores was not related to the risk of HDPs. However, when each component of the scores was separately evaluated, there were positive linear relations of sodium intake with HDPs (P-linearity &lt; 0.01). Women with the highest sodium intake [median 3.70 g/d (range: 3.52, 7.52 g/d)] had 54% (95% CI:16%, 104%) higher risk of GHTN and 20% (95% CI:1%, 42%) higher risk of preeclampsia than women with the lowest intake [median 2.60 g/d (range: 0.83, 2.79 g/d)]. In addition, intake of whole grains was positively related to the risk of GHTN but not to preeclampsia ( P-heterogeneity = 0.002). Conclusion Sodium intake during pregnancy, but no other diet recommendations to prevent CVD among nonpregnant adults, is positively related to the occurrence of HDPs among pregnant Danish women.

scholarly journals The Role of Resilience and Basic Hope in the Adherence to Dietary Recommendations in the Polish Population during the COVID-19 Pandemic

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2108
Author(s):  
Beata Sińska ◽  
Mariusz Jaworski ◽  
Mariusz Panczyk ◽  
Iwona Traczyk ◽  
Alicja Kucharska
Keyword(s):  
Dietary Guidelines ◽  
Dietary Behaviors ◽  
Psychological Characteristics ◽  
Psychological Profile ◽  
Dietary Recommendations ◽  
Online Questionnaire ◽  
Mental Load ◽  
Cross Sectional ◽  
Professional Literature

(1) Background: The COVID-19 pandemic exerts a negative influence on dietary behaviors, which may lead to health deterioration. Dietary behaviors may be determined by psychological characteristics, such as basic hope and resilience, which facilitate the effective adjustment to new difficult conditions. The professional literature includes no research on the role of basic hope and resilience in the context of undertaken dietary behaviors in the situations of mental load associated with pandemics. The study aimed at the description of the dietary behaviors of individuals with various intensities of the discussed psychological characteristics (basic hope and resilience); (2) The observational cross-sectional online questionnaire study was conducted with the participation of 1082 adult Polish inhabitants. Three psychological scales were used: PSS-10, the Brief Resilient Coping Scale (BRCS) and BHI-12 questionnaire. The assessment of the adherence to dietary recommendations was performed with the present authors’ Dietary Guidelines Adherence Index (DGA Index); (3) Results: The value of DGA Index was variable depending on the psychological profile of study participants. The highest adherence to the principles of appropriate nutrition was observed in individuals characterized by the ability to cope with difficult situations and those who quickly adapted to new changing circumstances. The DGA Index values became poorer with the deterioration of the coping ability as regards stress and mental load; (4) Conclusions: Nutritional education during pandemics should encompass the psychological profile of the patients. It requires the implementation of a different psychodietetic approach which will facilitate a more effective introduction of a well-balanced diet.

The role of meat in the European diet: current state of knowledge on dietary recommendations, intakes and contribution to energy and nutrient intakes and status

2020 ◽  
Vol 33 (2) ◽  
pp. 181-189 ◽  
Author(s):  
Chris Cocking ◽  
Janette Walton ◽  
Laura Kehoe ◽  
Kevin D. Cashman ◽  
Albert Flynn
Keyword(s):  
Meat Consumption ◽  
Dietary Guidelines ◽  
Present Review ◽  
Processed Meat ◽  
Dietary Recommendations ◽  
Nutrient Intakes ◽  
Comprehensive Overview ◽  
Processed Meat Consumption ◽  
Red And Processed Meat

AbstractThe role of meat in the diet has come under scrutiny recently due to an increased public emphasis on providing healthy diets from sustainable food systems and due to health concerns relating to the consumption of red and processed meat. The present review aimed to summarise dietary guidelines relating to meat, actual meat intakes and the contribution of meat to energy and nutrient intakes of children, teenagers and adults in Europe. The available literature has shown that food-based dietary guidelines for most countries recommend consuming lean meat in moderation and many recommend limiting red and processed meat consumption. Mean intakes of total meat in Europe range from 40 to 160 g/d in children and teenagers and from 75 to 233 g/d in adults. Meat contributes to important nutrients such as protein, PUFA, B vitamins, vitamin D and essential minerals such as Fe and Zn; however, processed meat contributes to significant proportions of saturated fat and Na across population groups. While few data are available on diaggregated intakes of red and processed meat, where data are available, mean intakes in adults are higher than the upper limits recommended by the UK Scientific Advisory Committee on Nutrition (70 g/d) and the World Cancer Research Fund (500 g/week). While there are no recommendations for red and processed meat consumption in children and teenagers, intakes currently range from 30 to 76 g/d. The present review provides a comprehensive overview of the role of meat in the European diet which may be of use to stakeholders including researchers, policy makers and the agri-food sector.

scholarly journals The evolution of the heart-healthy diet for vascular health: A walk through time

2020 ◽  
Vol 25 (2) ◽  
pp. 184-193 ◽  
Author(s):  
Nicole Mercado Fischer ◽  
Vincent A Pallazola ◽  
Helen Xun ◽  
Miguel Cainzos-Achirica ◽  
Erin D Michos
Keyword(s):  
Dietary Patterns ◽  
Healthcare Spending ◽  
The United States ◽  
Vegetarian Diet ◽  
Dietary Guidelines ◽  
Healthy Diet ◽  
Vascular Health ◽  
Dietary Recommendations ◽  
Cvd Risk ◽  
Obesity Epidemic

The rate of cardiovascular disease (CVD) mortality reduction in the United States has plateaued recently, despite the development of novel preventive pharmacotherapies, increased access to care, and healthcare spending. This is largely due to American’s poor dietary patterns and practices causing increasing trends in the prevalence of obesity and type 2 diabetes mellitus. For decades, dietary guidelines on ‘healthy diets’ to reduce CVD risk, grounded in epidemiological research, have been nationally distributed to Americans. In this review, we highlight landmark events in modern nutrition science and how these have framed past and current understandings of diet and health. We also follow the evolution of dietary recommendations for Americans throughout the years, with an emphasis on recommendations aimed to reduce risk for CVD and mortality. Secondly, we examine how the low-fat ideology came to dominate America in the last decades of the 20th century and subsequently contributed to an excess intake of refined carbohydrates which, in the context of an increasingly sedentary lifestyle, may have fueled the obesity epidemic. We then examine the current major evidence-based dietary patterns and specific dietary approaches to reduce CVD risk, reviewing the literature surrounding nutritional components of the heart-healthy diet and discussing the dietary patterns proven most effective for CVD prevention: the Dietary Approaches to Stop Hypertension (DASH) diet, the Mediterranean diet, and the healthy vegetarian diet. Finally, we discuss emerging dietary trends, considerations for nutrition counseling, and future directions within the important field of nutrition, with the ultimate goal of improving vascular health.

scholarly journals Is a Healthy Diet Also Suitable for the Prevention of Fragility Fractures?

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2642
Author(s):  
Eva Warensjö Lemming ◽  
Liisa Byberg
Keyword(s):  
Dietary Patterns ◽  
Bone Health ◽  
A Priori ◽  
Fragility Fractures ◽  
Dietary Guidelines ◽  
Healthy Diet ◽  
Dietary Recommendations ◽  
Beneficial Effects ◽  
Inflammatory Index ◽  
Healthy Diets

Osteoporosis and sarcopenia contribute to the risk of fracture in the population. These conditions share common features, and it is known that a healthy diet may have beneficial effects on both, theoretically resulting in fewer fractures. The present narrative review gives an overview of recent epidemiological research related to the association between healthy diets/dietary patterns, bone health and fragility fractures. The review also gives a brief overview on general dietary recommendations and advice as the cornerstone of public health nutrition. Although muscle health and sarcopenia contribute to the risk of fractures, these endpoints were not the focus of this review. Healthy diets are nutrient dense and contain bioactive components that are needed for the constant remodeling of the skeleton and to slow the rate of bone loss and muscle wasting, thus contributing to the prevention of fragility fractures. Compliance with healthy dietary patterns were predominantly found to be inversely associated with bone outcomes, although this was not entirely consistent across all studies. Different a priori diet scores, such as the Mediterranean diet score and the Dietary Inflammatory Index, as well as a posteriori data driven dietary patterns, such as the prudent or healthy dietary pattern, were inversely associated with fragility fractures in different populations. In conclusion, different healthy dietary patterns may contribute to bone health and less fractures. Following current dietary guidelines is thus advisable for the prevention of fragility fractures.

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