Dietary patterns and their associations with sociodemographic and lifestyle factors in adult survivors of childhood cancer : a cross-sectional study
Copyright © 2024 American Society for Nutrition. Published by Elsevier Inc. All rights reserved..
BACKGROUND: Little is known about the specific dietary patterns in adult survivors of childhood cancer.
OBJECTIVES: We aimed to identify dietary patterns specific to childhood cancer survivors and examine their associations with sociodemographic and lifestyle factors.
METHODS: Adult survivors of childhood cancer (mean:31 ± 8 y; n = 3022) and noncancer controls (n = 497) in the St. Jude Lifetime Cohort self-reported diet over the past 12 mo using a validated food frequency questionnaire. Factor analysis with 48 predefined food groups was performed to identify foods consumed together. Subsequently, cluster analysis with energy-adjusted factor scores was used to categorize survivors into a mutually exclusive dietary pattern. Dietary patterns were the primary outcomes. Multivariable multinomial logistic regressions were used to cross-sectionally examine associations between sociodemographic and lifestyle factors and dietary patterns in cancer survivors.
RESULTS: Among the 4 dietary patterns identified, the fast-food pattern (36 %) was the most common, followed by the Western contemporary (30 %), the plant-based (20 %), and the animal-based (14 %) patterns in childhood cancer survivors. By contrast, the plant-based (38 %) and fast-food patterns (29 %) were prevalent in controls. In survivors, male sex, younger age, lower educational attainment, and physical inactivity were associated with the fast-food, Western contemporary, or animal-based pattern. Compared with non-Hispanic White survivors consuming the plant-based diet, non-Hispanic Black survivors were 2-5 times more likely to consume the fast-food [odds ratio (OR:= 2.76; 95 % CI: 1.82, 4.18) or the animal-based diet (OR: 5.61; 95 % CI: 3.58, 8.78)]. Moreover, survivors residing in the most deprived area were 2-3 times more likely to consume the fast-food, Western contemporary, or animal-based diet.
CONCLUSIONS: Unhealthy dietary patterns are prevalent in adult survivors of childhood cancer, especially those with lower socioeconomic status and racial minorities. Interventions to improve diet and health in childhood cancer survivors need to concurrently address disparities that contribute to adherence to healthy dietary practices. This trial was registered at clinicaltrials.gov as NCT00760656 (https://classic.
CLINICALTRIALS: gov/ct2/show/NCT00760656).
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:119 |
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| Enthalten in: |
The American journal of clinical nutrition - 119(2024), 3 vom: 01. März, Seite 639-648 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lan, Tuo [VerfasserIn] |
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| Links: |
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| Themen: |
Animal-based diet pattern |
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| Anmerkungen: |
Date Completed 05.03.2024 Date Revised 30.03.2024 published: Print-Electronic ClinicalTrials.gov: NCT00760656 Citation Status MEDLINE |
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| doi: |
10.1016/j.ajcnut.2024.01.012 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM36768781X |
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| 100 | 1 | |a Lan, Tuo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Dietary patterns and their associations with sociodemographic and lifestyle factors in adult survivors of childhood cancer |b a cross-sectional study |
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| 500 | |a Date Revised 30.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a ClinicalTrials.gov: NCT00760656 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 American Society for Nutrition. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: Little is known about the specific dietary patterns in adult survivors of childhood cancer | ||
| 520 | |a OBJECTIVES: We aimed to identify dietary patterns specific to childhood cancer survivors and examine their associations with sociodemographic and lifestyle factors | ||
| 520 | |a METHODS: Adult survivors of childhood cancer (mean:31 ± 8 y; n = 3022) and noncancer controls (n = 497) in the St. Jude Lifetime Cohort self-reported diet over the past 12 mo using a validated food frequency questionnaire. Factor analysis with 48 predefined food groups was performed to identify foods consumed together. Subsequently, cluster analysis with energy-adjusted factor scores was used to categorize survivors into a mutually exclusive dietary pattern. Dietary patterns were the primary outcomes. Multivariable multinomial logistic regressions were used to cross-sectionally examine associations between sociodemographic and lifestyle factors and dietary patterns in cancer survivors | ||
| 520 | |a RESULTS: Among the 4 dietary patterns identified, the fast-food pattern (36 %) was the most common, followed by the Western contemporary (30 %), the plant-based (20 %), and the animal-based (14 %) patterns in childhood cancer survivors. By contrast, the plant-based (38 %) and fast-food patterns (29 %) were prevalent in controls. In survivors, male sex, younger age, lower educational attainment, and physical inactivity were associated with the fast-food, Western contemporary, or animal-based pattern. Compared with non-Hispanic White survivors consuming the plant-based diet, non-Hispanic Black survivors were 2-5 times more likely to consume the fast-food [odds ratio (OR:= 2.76; 95 % CI: 1.82, 4.18) or the animal-based diet (OR: 5.61; 95 % CI: 3.58, 8.78)]. Moreover, survivors residing in the most deprived area were 2-3 times more likely to consume the fast-food, Western contemporary, or animal-based diet | ||
| 520 | |a CONCLUSIONS: Unhealthy dietary patterns are prevalent in adult survivors of childhood cancer, especially those with lower socioeconomic status and racial minorities. Interventions to improve diet and health in childhood cancer survivors need to concurrently address disparities that contribute to adherence to healthy dietary practices. This trial was registered at clinicaltrials.gov as NCT00760656 (https://classic | ||
| 520 | |a CLINICALTRIALS: gov/ct2/show/NCT00760656) | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Western contemporary diet pattern | |
| 650 | 4 | |a animal-based diet pattern | |
| 650 | 4 | |a education | |
| 650 | 4 | |a fast-food diet pattern | |
| 650 | 4 | |a plant-based diet pattern | |
| 650 | 4 | |a race/Hispanic origin | |
| 700 | 1 | |a Wang, Mei |e verfasserin |4 aut | |
| 700 | 1 | |a Ehrhardt, Matthew J |e verfasserin |4 aut | |
| 700 | 1 | |a Lanctot, Jennifer Q |e verfasserin |4 aut | |
| 700 | 1 | |a Jiang, Shu |e verfasserin |4 aut | |
| 700 | 1 | |a Armstrong, Gregory T |e verfasserin |4 aut | |
| 700 | 1 | |a Ness, Kirsten K |e verfasserin |4 aut | |
| 700 | 1 | |a Hudson, Melissa M |e verfasserin |4 aut | |
| 700 | 1 | |a Colditz, Graham A |e verfasserin |4 aut | |
| 700 | 1 | |a Robison, Leslie L |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Yikyung |e verfasserin |4 aut | |
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