Publicado

2022-07-01

Standards of adherence to cancer prevention guidelines in female breast cancer survivors

Estándares de adherencia a las guías de prevención del cáncer en mujeres sobrevivientes de cáncer de mama

DOI:

https://doi.org/10.15446/rsap.v24n4.101742

Palabras clave:

Breast neoplasms, obesity, diet, healthy, lifestyle (en)
Neoplasias de la mama, obesidad, dieta saludable, estilo de vida (es)

Descargas

Autores/as

Objective The aim of this study was to assess the main patterns of adherence to the cancer prevention guidelines proposed by the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) by breast cancer survivors.

Methods Cross-sectional study that used the Principal Component Factor Analysis to identify the adherence patterns and the highest (Q4) and lowest (Q1) quartiles of each pattern.

Results Two main adherence patterns were identified: ‘grains/fruits/fiber’ —adherence to a healthy body mass index (BMI), a diet rich in grains, vegetables, fruits and beans and total fiber—; a second, ‘fast-food/sugar’ —adherence to the BMI, limiting the consumption of fast food, processed foods, sugar and starch and the consumption of sugary drinks—. The ‘fast-food/sugar’ pattern has the greatest influence on BMI (0.4672). Lower weight (p=0.005; p=0.001) and BMI (p=0.001; p<0.001) are observed in women at the Q4 of the two patterns, respectively.

Conclusions Breast cancer survivors have a pattern of adherence to the guidelines characterized by greater consumption of grains, vegetables, fruits, beans, and fiber; and another characterized by a limited consumption of processed foods and sugary drinks, with a greater impact on BMI.

 

Objetivo El objetivo de este estudio fue evaluar los principales patrones de adherencia a las pautas de prevención del cáncer propuestas por el World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) de 2018 por sobrevivientes de cáncer de mama.

Métodos Estudio transversal que utilizó el Análisis Factorial de Componentes Principales para identificar los patrones de adherencia y los cuartiles más alto (Q4) y más bajo (Q1) de cada patrón.

Resultados Se identificaron dos patrones principales de adherencia: ‘granos/frutas/ fibra’ —adherencia a un índice de masa corporal saludable (IMC), una dieta rica en granos, verduras, frutas y frijoles y fibra total—; una segunda, ‘comida rápida/azúcar’ —adherencia al IMC, limitando el consumo de comida rápida, alimentos procesados, azúcar y fécula y el consumo de bebidas azucaradas—. El patrón ‘comida rápida/azúcar’ tiene la mayor influencia en el IMC (0,4672). Se observa menor peso (p=0,005; p=0,001) e IMC (p=0,001; p<0,001) en mujeres en el Q4 de los dos patrones, respectivamente.

Conclusiones Las sobrevivientes de cáncer de mama tienen un patrón de adherencia a las guías caracterizado por un mayor consumo de granos, verduras, frutas, frijoles y fibra y otro caracterizado por un consumo limitado de alimentos procesados y bebidasazucaradas, con mayor impacto en el IMC.

Referencias

World Cancer Research Fund/American Institute For Cancer Research. Cancer survivors [Internet]. Londres: WCRF; 2018 [cited 2022 June 18]. https://bit.ly/3CKkKnV.

Engmann NJ, Golmakani MK, Miglioretti DL, Sprague BL, Kerlikowske K, Breast cancer surveillance Consortium. Population-attributable risk proportion of clinical risk factors for breast cancer. JAMA Oncol. 2017; 3(9):1228-36. https://doi.org/10.1001%2Fjamaoncol.2016.6326. DOI: https://doi.org/10.1001/jamaoncol.2016.6326

Islami F, Sauer AG, Miller KD, Siegel RL, Fedewa SA, Jacobs EJ, et al. Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States. CA Cancer J Clin. 2018; 68(1):31-54. https://doi.org/10.3322/caac.21440. DOI: https://doi.org/10.3322/caac.21440

Brown JC, Ligibel JA. Lifestyle interventions for breast cancer prevention. Curr Breast Cancer Rep. 2018; 10(3):202-8. https://doi.org/10.1007%2Fs12609-018-0281-z. DOI: https://doi.org/10.1007/s12609-018-0281-z

Rezende LFM, Lee DH, Louzada MLC, Song M, Giovannucci E, Neto JE. Proportion of cancer cases and deaths attributable to lifestyle risk factors in Brazil. Cancer Epidemiol. 2019; 59:148-57. https://doi.org/10.1016/j.canep.2019.01.021. DOI: https://doi.org/10.1016/j.canep.2019.01.021

Pan H, Gray R, Braybrooke J, Davies C, Taylor C, McGale P, et al. 20- year risks of breast-cancer recurrence after stopping endocrine therapy at 5 years. N Engl J Med. 2017; 377:1836-46. https://doi.org/10.1056/nejmoa1701830. DOI: https://doi.org/10.1056/NEJMoa1701830

World Cancer Research Fund/American Institute For Cancer Research. The Third Expert Report [Internet]. Londres: WCRF; 2018 [ci- ted 2022 June 18]. https://bit.ly/3Ttv1LL.

Instituto Nacional de Câncer José Alencar Gomes da Silva. Dieta, nutrição, atividade física e câncer: uma perspectiva global: um resumo do terceiro relatório de especialistas com uma perspectiva brasileira. Rio de Janeiro: INCA; 2020 [cited 2022 June 18]. https://bit.ly/3TcFqf4.

Rock CL, Thomson C, Gansler T, Gapstur SM, McCullough ML, Patel AV, et al. American Cancer Society Guideline for Diet and Physical Activity for Cancer Prevention. CA Cancer J Clin. 2020; 70(4):245-71. https://doi.org/10.3322/caac.21591. DOI: https://doi.org/10.3322/caac.21591

Lampe JW. Diet and Cancer Prevention Research: From Mechanism to Implementation. J Cancer Prev. 2020; 25(2):65-9. https://doi.org/10.15430%2FJCP.2020.25.2.65. DOI: https://doi.org/10.15430/JCP.2020.25.2.65

Palazzo CC, Japur CC, Araújo LB, Diez-Garcia RW. Eating experiences, sweet preference, and weight gain in women during chemotherapy for breast cancer: a mixed methods study. Nutr Cancer. 2019; 71(4):594-604. https://doi.org/10.1080/01635581.2018.1529249. DOI: https://doi.org/10.1080/01635581.2018.1529249

Dias MCG, Horie LM, Waitzberg DL. Exame físico e antropometria. In: Waitzberg DL, ed. Nutrição oral, enteral e parenteral na prática clínica. 4a ed. São Paulo: Atheneu; 2002. p. 383-420.

World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation [Internet]. Ginebra: WHO; 2000 [cited 2022 June 18]. WHO Technical Report Series: 894. https://bit.ly/3CKHt2X.

Brasil. Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Estratégias para o cuidado da pessoa com doença crônica: obesidade. Brasília: Ministério da Saúde; 2014 [cited 2022 June 18]. https://bit.ly/2IRIdcG.

Lipschitz DA. Screening for nutritional status in the elderly. Prim Care [Internet]. 1994 [cited 2022 June 18]; 21(1):55-67. https://bit.ly/3etiZn3. DOI: https://doi.org/10.1016/S0095-4543(21)00452-8

Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade. 4a ed. São Paulo: Abeso; 2016 [cited 2022 June 18]. https://bit.ly/3ENqXSv.

Lima FEL, Slater B, Latorre MRDO, Fisberg RM. Validade de um questionário quantitativo de freqüência alimentar desenvolvido para população feminina no nordeste do Brasil. Rev Bras Epidemiol. 2007; 10(4):483-90. https://doi.org/10.1590/S1415-790X2007000400006. DOI: https://doi.org/10.1590/S1415-790X2007000400006

Shams-White MM, Brockton NT, Mitrou P, Romaguera D, Brown S, Bender A, et al. Operationalizing the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations: A standardized scoring system. Nutrients. 2019; 11(7):1572. https://doi.org/10.3390/nu11071572. DOI: https://doi.org/10.3390/nu11071572

World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013; 310(20):2191-4. https://doi.org/10.1001/jama.2013.281053. DOI: https://doi.org/10.1001/jama.2013.281053

Kanera IM, Bolman CAW, Mesters I, Willems RA, Beaulen AAJ, Lechner L. Prevalence and correlates of healthy lifestyle behaviors among early cancer survivors. BMC Cancer. 2016; 16:1-18. https://doi.org/10.1186%2Fs12885-015-2019-x. DOI: https://doi.org/10.1186/s12885-015-2019-x

Dieli-Conwright CM, Lee K, Kiwata JL. Reducing the risk of breast cancer recurrence: an evaluation of the effects and mechanisms of diet and exercise. Curr Breast Cancer Rep. 2016; 8:139-50. https://doi.org/10.1007/s12609-016-0218-3. DOI: https://doi.org/10.1007/s12609-016-0218-3

Ligibel JA, Basen-Engquist K, Bea JW. Weight management and physical activity for breast cancer prevention and control. Am Soc Clin Oncol Educ Book. 2019; 39:e22-e33. https://doi.org/10.1200/edbk_237423. DOI: https://doi.org/10.1200/EDBK_237423

Beslay M, Srour B, Méjean C, Allès B, Fiolet T, Debras C, et al. Ultra-processed food intake in association with BMI change and risk of overweight and obesity: A prospective analysis of the French NutriNet-Santé cohort. PLoS Med. 2020; 17:1-19. https://doi.org/10.1371/journal.pmed.1003256. DOI: https://doi.org/10.1371/journal.pmed.1003256

Mendonça RG, Pimenta AM, Gea A, de la Fuente-Arrillaga C, Martinez-Gonzalez MA, Lopes ACS, et al. Ultraprocessed food consumption and risk of overweight and obesity: the University of Navarra Follow-Up (SUN) cohort study. Am J Clin Nutr. 2016; 104(5):1433-40. https://doi.org/10.3945/ajcn.116.135004. DOI: https://doi.org/10.3945/ajcn.116.135004

Costa TFM, Sampaio HAC, Henriques EMV, Arruda SPM, Carioca AAF, Farias BO. Adesão de pacientes com câncer de próstata às diretrizes preventivas de recidiva da doença. Nutr Clín Diet Hosp. 2020; 40(1):49-55. https://doi.org/10.12873/401moura.

Turati F, Dalmartello M, Bravi F, Serraino D, Augustin L, Giacosa A, et al. Adherence to the World Cancer Research Fund/American Institute for Cancer research recommendations and the risk of breast cancer. Nutrients. 2020; 12(3):607. https://doi.org/10.3390/nu12030607. DOI: https://doi.org/10.3390/nu12030607

Barrios-Rodríguez R, Toledo E, Martinez-Gonzalez MA, Aguilera-Buenosvinos I, Romanos-Nanclares A, Jiménez-Moleón JJ. Adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research Recommendations and Breast Cancer in the SUN Project. Nutrients. 2020; 12(7):2076. https://doi.org/10.3390/nu12072076. DOI: https://doi.org/10.3390/nu12072076

Sales JN, Barbosa MC, Bezerra IL, Verde SMML. Consumo de Alimentos Ultraprocessados por Mulheres Sobreviventes do Câncer de Mama. Rev Bras Cancerol. 2020; 66(3):e141092. https://doi.org/10.32635/2176-9745.RBC.2020v66n3.1092. DOI: https://doi.org/10.32635/2176-9745.RBC.2020v66n3.1092

Brasil. Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamentos familiares 2017-2018: primeiros resultados [Internet]. Rio de Janeiro: IBGE; 2019 [cited 2022 June 18]. https://bit.ly/3eE5wZs.

Monteiro CA, Cannon G, Lawrence M, Costa Louzada ML, Machado PP. Ultra-processed foods, diet quality, and health using the NOVA classification system [Internet]. Roma: FAO; 2019 [cited 2022 June 18]. https://bit.ly/3TadGaZ.

Monteiro CA, Cannon G, Levy R, Moubarac JC, Jaime P, Martins MP, et al. NOVA. The star shines bright. World Nutrition [Internet]. 2016 [cited 2022 June 18]; 7(1-3):28-38. https://bit.ly/2Jv4gr4.

De Cicco P, Catani MV, Gasperi V, Sibilano M, Quaglietta M, Savini I. Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients. 2019; 11(7):1514. https://doi.org/10.3390/nu11071514. DOI: https://doi.org/10.3390/nu11071514

Brenner DR, Brockton NT, Kotsopoulos J, Cotterchio M, Boucher BA, Courneya KS, et al. Breast cancer survival among young women: a review of the role of modifiable lifestyle factors. Cancer Causes Control. 2016; 27:459-72. https://doi.org/10.1007/s10552-016-0726-5. DOI: https://doi.org/10.1007/s10552-016-0726-5

Nechuta S, Chen WY, Cai H, Poole EM, Kwan ML, Flatt SW, et al. A pooled analysis of post-diagnosis lifestyle factors in association with late estrogen-receptor-positive breast cancer prognosis. Int J Cancer. 2016; 138(9):2088-97. https://doi.org/10.1002/ijc.29940. DOI: https://doi.org/10.1002/ijc.29940

Bering T, Maurício SF, Silva JB, Correia MITDC. Nutritional and metabolic status of breast cancer women. Nutr Hosp. 2015; 31(2):751-8. https://doi.org/10.3305/nh.2015.31.2.8056.

Oliva ACA, Cantero RHA, García SJC. Dieta, obesidad y sedentarismo como factores de riesgo del cáncer de mama. Revista Cubana de Cirugía [Internet]. 2015 [cited 2022 June 18]; 54(3):274-84. https://bit.ly/3gj6Hy3.

Cómo citar

APA

Barbosa , M. C. ., Carneiro, P. C. P. D. M. C., Soares, I. F. de M. ., Da Costa, S. L. ., Arruda, S. P. M. . y Verde, S. M. M. L. V. (2022). Standards of adherence to cancer prevention guidelines in female breast cancer survivors. Revista de Salud Pública, 24(4), 1–7. https://doi.org/10.15446/rsap.v24n4.101742

ACM

[1]
Barbosa , M.C. , Carneiro, P.C.P.D.M.C., Soares, I.F. de M. , Da Costa, S.L. , Arruda, S.P.M. y Verde, S.M.M.L.V. 2022. Standards of adherence to cancer prevention guidelines in female breast cancer survivors. Revista de Salud Pública. 24, 4 (jul. 2022), 1–7. DOI:https://doi.org/10.15446/rsap.v24n4.101742.

ACS

(1)
Barbosa , M. C. .; Carneiro, P. C. P. D. M. C.; Soares, I. F. de M. .; Da Costa, S. L. .; Arruda, S. P. M. .; Verde, S. M. M. L. V. Standards of adherence to cancer prevention guidelines in female breast cancer survivors. Rev. salud pública 2022, 24, 1-7.

ABNT

BARBOSA , M. C. .; CARNEIRO, P. C. P. D. M. C.; SOARES, I. F. de M. .; DA COSTA, S. L. .; ARRUDA, S. P. M. .; VERDE, S. M. M. L. V. Standards of adherence to cancer prevention guidelines in female breast cancer survivors. Revista de Salud Pública, [S. l.], v. 24, n. 4, p. 1–7, 2022. DOI: 10.15446/rsap.v24n4.101742. Disponível em: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/101742. Acesso em: 30 jul. 2024.

Chicago

Barbosa , Manuella Cunha, Priscila Carmelita Paiva Dias Mendes Carneiro Carneiro, Ingryd Fernandes de Macêdo Soares, Sâmia Lopes Da Costa, Soraia Pinheiro Machado Arruda, y Sara Maria Moreira Lima Verde Verde. 2022. «Standards of adherence to cancer prevention guidelines in female breast cancer survivors». Revista De Salud Pública 24 (4):1-7. https://doi.org/10.15446/rsap.v24n4.101742.

Harvard

Barbosa , M. C. ., Carneiro, P. C. P. D. M. C., Soares, I. F. de M. ., Da Costa, S. L. ., Arruda, S. P. M. . y Verde, S. M. M. L. V. (2022) «Standards of adherence to cancer prevention guidelines in female breast cancer survivors», Revista de Salud Pública, 24(4), pp. 1–7. doi: 10.15446/rsap.v24n4.101742.

IEEE

[1]
M. C. . Barbosa, P. C. P. D. M. C. Carneiro, I. F. de M. . Soares, S. L. . Da Costa, S. P. M. . Arruda, y S. M. M. L. V. Verde, «Standards of adherence to cancer prevention guidelines in female breast cancer survivors», Rev. salud pública, vol. 24, n.º 4, pp. 1–7, jul. 2022.

MLA

Barbosa , M. C. ., P. C. P. D. M. C. Carneiro, I. F. de M. . Soares, S. L. . Da Costa, S. P. M. . Arruda, y S. M. M. L. V. Verde. «Standards of adherence to cancer prevention guidelines in female breast cancer survivors». Revista de Salud Pública, vol. 24, n.º 4, julio de 2022, pp. 1-7, doi:10.15446/rsap.v24n4.101742.

Turabian

Barbosa , Manuella Cunha, Priscila Carmelita Paiva Dias Mendes Carneiro Carneiro, Ingryd Fernandes de Macêdo Soares, Sâmia Lopes Da Costa, Soraia Pinheiro Machado Arruda, y Sara Maria Moreira Lima Verde Verde. «Standards of adherence to cancer prevention guidelines in female breast cancer survivors». Revista de Salud Pública 24, no. 4 (julio 1, 2022): 1–7. Accedido julio 30, 2024. https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/101742.

Vancouver

1.
Barbosa MC, Carneiro PCPDMC, Soares IF de M, Da Costa SL, Arruda SPM, Verde SMMLV. Standards of adherence to cancer prevention guidelines in female breast cancer survivors. Rev. salud pública [Internet]. 1 de julio de 2022 [citado 30 de julio de 2024];24(4):1-7. Disponible en: https://revistas.unal.edu.co/index.php/revsaludpublica/article/view/101742

Descargar cita

CrossRef Cited-by

CrossRef citations0

Dimensions

PlumX

Visitas a la página del resumen del artículo

218

Descargas

Los datos de descargas todavía no están disponibles.

Licencia

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

Esta revista provee acceso libre inmediato a su contenido bajo el principio de que hacer disponible gratuitamente investigación al publico apoya a un mayor intercambio de conocimiento global.

Todos los contenidos de esta revista, excepto dónde está identificado, están publicados bajo una Licencia Creative Commons Atribución 4.0.