Low adherence to dietary recommendations in adult childhood cancer survivors.
- Belle F Swiss Childhood Cancer Registry, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012 Bern, Switzerland; Division of Chronic Diseases, Institute of Social and Preventive Medicine, Lausanne University Hospital CHUV, Route de la Corniche 10, 1010, Lausanne, Switzerland. Electronic address: fabien.belle@ispm.unibe.ch.
- Wengenroth L Institute for Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Munich, Germany. Electronic address: laura.wengenroth@med.uni-muenchen.de.
- Weiss A Swiss Childhood Cancer Registry, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012 Bern, Switzerland. Electronic address: annette.weiss@ispm.unibe.ch.
- Sommer G Swiss Childhood Cancer Registry, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012 Bern, Switzerland. Electronic address: grit.sommer@ispm.unibe.ch.
- Beck Popovic M Paediatric Haematology-Oncology Unit, Lausanne University Hospital CHUV, Bugnon 46, 1011, Lausanne, Switzerland. Electronic address: maja.beck-popovic@chuv.ch.
- Ansari M Department of Paediatrics, Onco-Haematology Unit, Geneva University Hospital HUG, Rue Willy-Donzé 6, 1211, Geneva 14, Switzerland. Electronic address: marc.ansari@hcuge.ch.
- Bochud M Division of Chronic Diseases, Institute of Social and Preventive Medicine, Lausanne University Hospital CHUV, Route de la Corniche 10, 1010, Lausanne, Switzerland. Electronic address: murielle.bochud@chuv.ch.
- Kuehni C Swiss Childhood Cancer Registry, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012 Bern, Switzerland. Electronic address: claudia.kuehni@ispm.unibe.ch.
- 2017-03-10
Published in:
- Clinical nutrition (Edinburgh, Scotland). - 2017
Cardiovascular diseases
Childhood cancer survivors
Diet
Dietary recommendations
Europe
Swiss Childhood Cancer Registry
Adult
Body Mass Index
Cancer Survivors
Case-Control Studies
Cross-Sectional Studies
Diet
Female
Humans
Incidence
Life Style
Male
Neoplasms
Nutrition Assessment
Patient Compliance
Recommended Dietary Allowances
Risk Factors
Socioeconomic Factors
Surveys and Questionnaires
Switzerland
Young Adult
English
BACKGROUND & AIMS
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.
METHODS
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).
RESULTS
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.
CONCLUSIONS
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.
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.
METHODS
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).
RESULTS
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.
CONCLUSIONS
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.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1016/j.clnu.2016.08.012
- PMID 28277304
- Persistent URL
- https://sonar.ch/global/documents/278701
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