Dietary assessment of women surviving breast cancer according to the Dietary Guidelines for the Brazilian Population
Keywords:
Breast neoplasms, Cancer survivors, Food guide, Healthy dietAbstract
Objective
Review the diet and nutritional status of women surviving breast cancer following the Dietary Guidelines for the Brazilian Population.
Methods
A cross-sectional study was conducted with 201 women, who underwent anthropometric measurements to determine body mass index, waist circumference and waist/hip ratio. Dietary assessment was performed using a food frequency questionnaire. Consumption was stratifi ed into four groups: fresh/minimally processed food (Group 1), processed food ingredients (Group 2), processed food (Group 3) and ultra-processed food (Group 4).The ratio of daily contribution of each food group to total calories and macronutrients supply was calculated. Statistical analysis was performed using Chi-square tests and Spearman correlation, with p<0.05 as significance level.
Results
The mean age was 50 ± 11 years. An abdominal fat accumulation with a high excess weight condition in women under 60 years of age (p=0.003) was observed. A greater intake of group 1 food, but contributing with about 1/3 of the calories and macronutrients total intake as compared to food groups 3 and 4 was also observed.
Conclusion
The women assessed consumed a higher proportion of calories and macronutrients from fresh/minimally processed food. There is no theoretical reference that allows to affirm that the amount of processed and ultra-processed food consumed represents a health hazard for those women. There was no association between dietary intake, nutritional status and age group.
References
Instituto Nacional do Câncer. Estimativa 2018: incidência de câncer no Brasil. Rio de Janeiro: Inca; 2018. [citado 2018 set. 13]. Disponível em: http://www.inca.gov.br/estimativa/2018/
World Cancer Research Fund/American Institute for Cancer Research. Diet, nutrition, physical activity, and cancer: a global perspective. A summary of the third Expert Report. 2018. [cited 2018 Jul 30]. Available from: https://www.wcrf.org/sites/default/files/Summary-third-expert-report.pdf
Patterson RE, Marinac CR, Sears DD, Kerr J, Hartman SJ, Cadmus-Bertram L, et al. The Effects of metformin and weight loss on biomarkers associated with breast cancer outcomes. J Natl Cancer Inst. 2018 110:11. http:dx.doi org/10.1093/jnci/djy040
Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Guia Alimentar para a população brasileira. 2. ed. Brasília: Ministério da Saúde; 2014 [citado 2018 jul 17]. Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/guia_alimentar_populacao_brasileira.pdf
Fiolet T, Srour B, Sellem L, Kesse-Guyot E, Allès B, Méjean C, et al. Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort. BMJ. 2018;360:k322. http://dx.doi.org/10.1136/bmj.k322
Monteiro CA, Cannon G, Levy RB, Moubarac JC, Jaime P, Martinset AP et al. NOVA: a estrela brilha. World Rev Nutr Diet. 2016 [citado 2018 nov 26]; 7(1-3):28-40. Disponível em: http://www.cookie.com.br/site/wcontent/uploads/2016/12/ NOVA-Classifica%C3%A7%C3%A3o-dos-Alimentos.pdf
Molina MCB, Benseñor IM, Cardoso LO, Velasquez-Melendez G, Drehmer M, Pereira TSS, et al. Reprodutibilidade e validade relativa do Questionário de Frequência Alimentar do ELSA-Brasil. Cad Saúde Pública. 2013;29(2):379-89 http://dx.doi.org/10.1590/S0102-311X2013000200024
Norton K, Olds T. Anthropometrica. Sydney: NSW Press; 1996.
World Health Organization. Physical status: The use and interpretation of anthropometry. Geneva: WHO; 1995.
World Health Organization. Obesity: Preventing and managing the global epidemic. Report of a WHO consultation, Geneva, 3-5 Jun 1997. Geneva: WHO; 1998.
Organización Pan-Americana de la Salud. XXXVI Reunión del Comitê Asesor de Ivestigaciones en Salud – Encuestra Multicêntrica – Salud Beinestar y Envejecimeiento (SABE) en América Latina e el Caribe – Informe preliminar. Washington (DC): OPAS; 2001 [citado 2018 ago 24]. Disponible in: http://envejecimiento.csic.es/documentos/documentos/paho-salud-01.pdf
Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamentos familiares 2008-2009: análise do consumo alimentar pessoal no Brasil. Rio de Janeiro: IBGE; 2011 [citado 2018 set 5]. Disponível em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv50063.pdf
Shoshana M, Rosenberg, Ann HP. Management of breast cancer in very young women. Breast. 2015 [cited 2019 Mar 22];24:154-8. Available from: https://www.thebreastonline.com/article/S0960-9776(15)00174-5/fulltext
Eugênio DSG, Souza JA, Chojniak R, Bitencourt AGV, Graziano L, Souza EF. Breast cancer features in women under the age of 40 years. Rev Assoc Méd Bras. 2016 [cited 2018 Oct 27]; 62(8):755-61. Available from: http://www.scielo.br/pdf/ramb/v62n8/0104-4230-ramb-62-08-0755.pdf
Sociedade Brasileira de Cardiologia. 7º Diretriz Brasileira de Hipertensão Arterial. Arq Bras de Cardiol. [citado 2018 out 29];107(3 supl 3). Disponível em: http://publicacoes.cardiol.br/2014/diretrizes/2016/05_HIPERTENSAO_ARTERIAL.pdf
Diretrizes da Sociedade Brasileira de Diabetes 2017 - 2018. São Paulo: Editora Clannad; 2017 [citado 2018 out 29]. Disponível em: https://www.diabetes.org.br/profissionais/images/2017/diretrizes/diretrizessbd-2017-2018.pdf
Sze S, Pellicori P, Kamzi S, Anton A, Clark AL. Effect of beta-adrenergic blockade on weight changes in patients with chronic heart failure. Int J Cardiol. 2018;264:104-12. http://dx.doi.org/10.1016/j.ijcard.2018.03.089
Rouquet T, Clément P, Gaigé S, Tardivel C, Roux J, Dallaporta M, et al. Acute oral metformin enhances satiation and activates brainstem nesfatinergic neurons. Obesity (Silver Spring). 2014,22(12):2552-62. http://dx.doi.org/10.1002/oby.20902
Komori T, Yoshida F, Nakamura J, Miyazaki S, Miura H, Iguchi A. Metformin ameliorates treatment of obese type 2 diabetic patients with mental retardation; its effects on eating behavior and serum leptin levels. Exp Clin Endocrinol Diabetes. 2004;112(8):422-8. http://dx.doi.org/10.1055/s-2004-821187
Luciano-Mateo F, Hernández-Aguilera A, Cabre N, Camps J, Fernández-Arroyo S, Lopez-Miranda J, et al. Nutrients in energy and one-carbon metabolism: Learning from metformin users. nutrients. 2017 [cited 2019 Jun 13];9:121. http://dx.doi.org/10.3390/nu9020121
Bhardwaj P, Au CC, Benito-Martin A, Ladumor H, Oshchepkova S, Moges R, et al. Estrogens and breast cancer: Mechanisms involved in obesity-related development, growth and progression. J Steroid Biochem Mol Biol. 2019;189:161-70. http://dx.doi.org/10.1016/j.jsbmb.2019.03.002
Louzada MLC, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM, et al. Ultra-processed foods and the nutritional dietary profile in Brazil. Rev Saúde Pública. 2015 [cited 2018 Nov 18];49:38. Available from: http://www.scielo.br/pdf/rsp/v49/0034-8910-rsp-S0034-89102015049006132.pdf
Adams J, White M. Characterization of UK diets according to degree of food processing and associations with socio-demographics and obesity: Cross-sectional analysis of UK National Diet and Nutrition Survey (2008–12). Int J Behav Nutr Phys Act. 2015 [cited 2018 Nov 28];12:160. Available from: https://ijbnpa.biomedcentral.com/track/pdf/10.1186/s12966-015-0317-y
Moubarac JC, Batal M, Louzada ML, Martinez Steele E, Monteiro CA. Consumption of ultra-processed foods predicts diet quality in Canada. Appetite. 2017;108:512-20. http://dx.doi.org/10.1016/j.appet.2016.11.006
Martínez Steele E, Baraldi LG, Louzada ML, Moubarac JC, Mozaffarian D, Monteiro CA. Ultraprocessed foods and added sugars in the US diet: evidence from a nationally representative cross-sectional study. BMJ Open. 2016; [cited 2018 Nov 14];6:e009892. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC4785287/pdf/bmjopen-2015-009892.pdf
Luiten CM, Steenhuis IH, Eyles H, Ni Mhurchu C, Waterlander WE. Ultra-processed foods have the worst nutrient profile, yet they are the most available packaged products in a sample of New Zealand supermarketsCORRIGENDUM. Public Health Nutr. 2016;19:539. http://dx.doi.org/10.1017/S1368980015002840
Louzada MLDC, Ricardo CZ, Steele EM, Levy RB, Cannon G, Monteiro CA. The share of ultra-processed foods determines the overall nutritional quality of diets in Brazil. Public Health Nutr. 2017 [cited 2018 Nov. 4];21(1):94-102. Available from: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/5EBC43CD883291F89BCE0B25794FF983/S1368980017001434a.pdf/share_of_ultraprocessed_foods_determines_the_overall_nutritional_quality_of_diets_in_brazil.pdf
Poti JM, Braga B, Qin B. Ultra-processed food intake and obesity: What really matters for health: Processing or nutrient content? Curr Obes Rep. 2017;6(4):420-31. http://dx.doi.org/10.1007/s13679-017-0285-4
Julia C, Martinez L, Allès B, Touvier M, Hercberg S, Méjean C, et al. Contribution of ultra-processed foods in the diet of adults from the French NutriNet-Santé study. Public Health Nutr. 2017;21(1):27-37. http://dx.doi.org/10.1017/S1368980017001367
Bielemann RM, Motta JVS, Minten GC, Horta BL, Gigante DP. Consumption of ultra-processed foods and their impact on the diet of young adults. Rev Saúde Pública. 2015; 49:28. http://doi.org/10.1590/S0034-8910.2015049005572
Rauber F, Louzada MLC, Steele EM, Millett C, Monteiro CA, Levy RB. Ultra-Processed Food Consumption and Chronic Non-Communicable Diseases-Related Dietary Nutrient Profile in the UK (2008–2014). Nutrients. 2018;10(5):587. http://dx.doi.org/10.3390/nu10050587
Instituto Nacional do Câncer. Consenso Nacional de Nutrição Oncológica. Rio de Janeiro: Inca; 2015 [citado 2018 nov 4]. Disponível em: https://www.sbno.com.br/UploadsDoc/consensonacional-de-nutricaooncologica-2-edicao_2015_completo.pdf
SchiavonCC, Vieira FG, Ceccatto V, Liz S, Cardoso AL, Sabel C, et al. Nutrition education intervention for women with breast cancer: Effect on nutritional factors and oxidative stress. J Nutr Educ Behav. 2015; 47(1):2-9. http://dx.doi.org/10.1016/j.jneb.2014.09.005
Arpino G, De Angelis C, Buono G, Colao A, Giuliano M, Malgieri S, et al. Metabolic and anthropometric changes in early breast cancer patients receiving adjuvant therapy. Breast Cancer Res Treat. 2015 [cited 2018 Nov 14];154:127-32. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4621696/pdf/10549_2015_Article_3586.pdf
Alves PC, Carioca AAF, Sabry MOD, Pinheiro LGP, Oliveira AJN, Tavares NH C, et al. Análise vetorial de bioimpedância elétrica: uma comparação entre sobreviventes de câncer de mama e mulheres saudáveis. Nutr Clín Diet Hosp. 2017;37(2):50-5. http://dx.doi.org/10.12873/372candido
Silva EYK, Carioca AAF, Verde SMML, Quintaneiro EC, Damasceno NRT. Effect of chemotherapy on dietary glycemic index and load in patients with breast cancer and their relationships to body fat and phase angle. Nutr Cancer. 2015;67(4),587-93. http://dx.doi.org/10.1080/01635581.2015.1019638
Sampaio HAC, Oliveira NM, Sabry MOD, Carioca AAF, Pinheiro LGP. Influência do tipo de terapia antineoplásica sobre marcadores antropométricos e dietéticos em mulheres portadoras de câncer de mama. Rev Bras Cancerol. 2012 [citado 2019 jun 10];58(2):223-30. Disponível em: http://www1.inca.gov.br/rbc/n_58/v02/pdf/12_artigo_influencia_tipo_terapia_antineoplasica_sobre_marcadores_antropometricos_dieteticos_mulheres_portadoras_cancer_mama.pdf
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Copyright (c) 2023 Patrícia Cândido ALVES, Helena Alves de Carvalho SAMPAIO, Eliane Mara Viana HENRIQUES, Soraia Pinheiro Machado ARRUDA, Antônio Augusto Ferreira CARIOCA
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