Low adherence to dietary recommendations in adult childhood cancer survivors.

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Version: Author's accepted manuscript
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Download: Belle F_20160805_FINAL_Supplementary_items_Dietary_Adherence_Belle.pdf (977.83 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_2A9E49313E22
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Low adherence to dietary recommendations in adult childhood cancer survivors.
Journal
Clinical nutrition
Author(s)
Belle F., Wengenroth L., Weiss A., Sommer G., Beck Popovic M., Ansari M., Bochud M., Kuehni C.
Working group(s)
Swiss Paediatric Oncology Group (SPOG)
Contributor(s)
Ammann R., Angst R., Ansari M., Beck Popovic M., Bergstraesser E., Brazzola P., Greiner J., Grotzer M., Hengartner H., Kuehne T., Leibundgut K., Niggli F., Rischewski J., von der Weid N.
ISSN
1532-1983 (Electronic)
ISSN-L
0261-5614
Publication state
Published
Issued date
10/2017
Peer-reviewed
Oui
Volume
36
Number
5
Pages
1266-1274
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Poor diet may increase the risk that childhood cancer survivors (CCS) will suffer from chronic disease. We compared adherence to national dietary recommendations between CCS, their siblings and the Swiss population, identified determinants of adherence, and assessed the association of adherence with cardiovascular disease (CVD) risk profiles.
As part of the Swiss Childhood Cancer Survivor Study (SCCSS), a questionnaire was sent to all Swiss resident CCS aged <21 years at diagnosis, who survived ≥5 years and were 16-45 years old at the time of the survey. We compared dietary adherence between CCS, their siblings and participants in the Swiss Health Survey (SHS), a representative survey of the general population. A multivariable logistic regression was used to assess characteristics associated with dietary adherence. We sorted CCS into four kinds of CVD risk groups based on type of treatment (anthracyclines, chest irradiation, a combination, or neither).
We included 1864 CCS, 698 siblings and 8258 participants of the general population. Only 43% of the CCS met the recommended dietary intakes for meat, 34% for fruit, 30% for fish, 18% for dairy products, 11% for vegetables, and 7% for combined fruit and vegetables. Results were similar for both control groups. In all groups, dietary adherence was associated with gender, parental education, migration background, language region in Switzerland, smoking, alcohol consumption and sport participation. CCS with a higher CVD risk profile because of cardiotoxic treatment had no better adherence.
CCS have similar food patterns as their siblings and the general population, and poorly adhere to current recommendations. Awareness of the importance of a healthy diet should be raised among CCS, to prevent chronic diseases like CVD.
Keywords
Adult, Body Mass Index, Cancer Survivors, Case-Control Studies, Cross-Sectional Studies, Diet, Female, Humans, Incidence, Life Style, Male, Neoplasms/epidemiology, Nutrition Assessment, Patient Compliance, Recommended Dietary Allowances, Risk Factors, Socioeconomic Factors, Surveys and Questionnaires, Switzerland/epidemiology, Young Adult, Cardiovascular diseases, Childhood cancer survivors, Dietary recommendations, Europe, Swiss Childhood Cancer Registry
Pubmed
Web of science
Open Access
Yes
Create date
19/01/2017 14:25
Last modification date
20/08/2019 13:10
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