A culturally specific dietary plan to manage weight gain among African American breast cancer survivors: A feasibility study
A culturally specific dietary plan to manage weight gain among African American breast cancer survivors: A feasibility study
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DOI：
10.1177/0260106012459938
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发表时间：
2012-04-01
期刊：
影响因子：
--
通讯作者：
Ryan, Alice S.
中科院分区：
文献类型：
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作者：
Griffith, Kathleen A.;Royak-Schaler, Renee;Ryan, Alice S.
非裔美国人（AAs）的乳腺癌生存率低于白人，部分原因是前者肥胖的患病率较高，这增加了复发和死亡的风险。妇女干预营养研究（Women's Intervention Nutrition Study）发现，遵循低脂饮食计划的高加索妇女癌症复发率低于保持日常饮食的妇女。本研究的目的是测试一个适合AA乳腺癌幸存者文化需求的康复计划的可行性。这项可行性试点研究是在一所大学国家癌症研究所指定的综合癌症中心门诊进行的，患者为AA乳腺癌幸存者。文化特定的心理咨询（WINS-C）计划包括8个单独的咨询会议，5个教育小组会议，并在一年内的后续电话。结果指标包括膳食脂肪，甘油三酯，胰岛素和葡萄糖水平，水果和蔬菜的摄入量。参与者（n = 8）的平均年龄为61.1岁（平均值的标准误差（SEM）3.1岁），平均BMI为32 kg/m（2）（SEM 4.25 kg/m）（2）。基线日脂肪消耗量从64.6 g（范围36.8- 119.6 g）降至52周时的44.0 g（21.6- 73.4 g）（p = 0.07）。水果和蔬菜的平均每日消费量分别增加了36%和15%。平均甘油三酯水平在12个月时降低（p < 0.05）。在大多数参与者中观察到持续的高胰岛素血症，包括那些没有糖尿病的人。在1年的研究期间，平均钙和维生素D消耗量下降。在AA乳腺癌幸存者中，WINS-c计划导致了脂肪消耗减少的趋势，可能代表了这一人群在乳腺癌后改善饮食质量的可持续方法。
Breast cancer survival rates are lower in African Americans (AAs) than in Caucasians, owing in part to a higher prevalence of obesity in the former, which increases the risk of recurrence and mortality. The Women's Intervention Nutrition Study (WINS) found that Caucasian women who followed a low-fat eating plan experienced a lower rate of cancer recurrence than women who maintained their usual diets. The purpose of this study was to test the feasibility of a WINS plan tailored to the cultural needs of AA breast cancer survivors. This feasibility pilot study was conducted at a university National Cancer Institute-designated comprehensive cancer center outpatient clinic with AA breast cancer survivors. The culturally specific WINS (WINS-c) plan included eight individual counseling sessions, five educational group meetings, and follow-up telephone calls over a 1-year period. Outcome measures included dietary fat, triglyceride, insulin and glucose levels, and fruit and vegetable intake. Participants (n = 8) had a mean age of 61.1 years (standard error of the mean (SEM) 3.1 years) and a mean BMI of 32 kg/m(2) (SEM 4.25 kg/m)(2). Baseline daily fat consumption decreased from 64.6 g (range 36.8-119.6g) to 44.0 g (21.6-73.4g) at 52 weeks (p = 0.07). Mean daily consumption of fruits and vegetables increased by 36% and 15%, respectively. Mean triglyceride levels decreased at 12 months (p < 0.05). Sustained hyperinsulinemia was noted in most participants, including those without diabetes. Mean calcium and vitamin D consumption decreased over the 1-year study period. In AA breast cancer survivors, the WINS-c program resulted in a trend toward reduced fat consumption and may represent a sustainable approach in this population for improvement of diet quality after breast cancer.