Female patients tend to alter their diet following the diagnosis of rheumatoid arthritis and breast cancer
Female patients tend to alter their diet following the diagnosis of rheumatoid arthritis and breast cancer
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DOI：
10.1006/pmed.2002.1015
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发表时间：
2002-05-01
影响因子：
5.1
通讯作者：
Salminen, S
中科院分区：
文献类型：
--
作者：
Salminen, E;Heikkilä, S;Salminen, S
背景资料。乳腺癌和类风湿性关节炎是改变女性日常生活的常见疾病。这项研究调查了女性患者对饮食的信念和态度，以及她们对饮食咨询的需求与确诊年限、年龄和教育程度的关系。对乳腺癌(BC)患者和类风湿关节炎(RA)患者进行了有效问卷的比较。使用Logistic回归模型对BC和RA患者的人口学特征差异进行调整。此外，在BC组和RA组中，进一步研究了人口统计学变量的影响，分别或合并。采用卡方检验分析人口统计学变量与膳食变量之间的关系。8%的BC患者和40%的RA患者认为饮食是导致他们疾病的一个因素(P<；0.0001)。30%的BC患者和51%的RA患者报告在确诊后改变了饮食(P=0.0003，x(2))。RA患者在饮食和疾病联系方面的假设是乳腺癌患者的3.9倍(OR=3.92，P=0.002)。确诊时间越长(5年)，患病几率增加2.6倍。改变饮食的主要原因是对治愈的渴望。报告的主要变化包括减少动物脂肪、糖和红肉的消费，增加水果和蔬菜的消费。最常见的信息来源是大众媒体，并表示需要更多与疾病有关的饮食因素的信息。我们观察到患者表达了对替代饮食习惯的兴趣，重点是更健康的饮食。人们强烈表示，缺乏针对个别疾病情况的准确饮食建议，患者依赖于治疗中心以外的信息。(C)2002年美国健康基金会和爱思唯尔科学公司(美国)。
Background. Breast cancer and rheumatoid arthritis are common diseases which change everyday life among women. This study investigated the beliefs and attitudes of female patients regarding diet and their need for dietary counseling in relation to years since diagnosis, age, and education.Methods. Breast cancer (BC) patients were compared to patients with rheumatoid arthritis (RA) with a validated questionnaire. Logistic regression models were used to adjust for the differences in demographic patient characteristics between BC and RA. In addition, the influence of demographic variables was studied further in the BC and RA groups, separately or combined. chi(2) testing was used to analyze the associations between demographic and dietary variables.Results. Eight percent of BC patients and 40% of RA patients considered diet a factor contributing to their disease (P < 0.0001). Thirty percent of BC patients and 51% of those with RA reported having changed their diet after their diagnosis (P = 0.0003, chi(2)). The patients with RA had a 3.9 times higher assumption on the diet and disease connection compared to breast cancer patients (OR = 3.92, P = 0.002). Longer (>5 years) time to diagnosis increased the probability 2.6 times. The main reason for the change in diet was the desire for cure. The main changes reported included reduced consumption of animal fat, sugar, and red meat and increased consumption of fruit and vegetables. The source of information was most commonly the mass media and a need for more information on dietary factors relating to disease was expressed.Conclusions. We observed the patients to express an interest in alternative dietary habits, with the focus on a healthier diet. The lack of precise dietary recommendations for individual disease situations was expressed strongly and patients depended on information from outside their treatment center. (C) 2002 American Health Foundation and Elsevier Science (USA).