TY - JOUR
T1 - Influence of a cancer diagnosis on changes in fruit and vegetable consumption according to cancer site, stage at diagnosis and socioeconomic factors
T2 - Results from the large E3N-EPIC study
AU - Affret, Aurélie
AU - His, Mathilde
AU - Severi, Gianluca
AU - Mancini, Francesca Romana
AU - Arveux, Patrick
AU - Clavel-Chapelon, Françoise
AU - Boutron-Ruault, Marie Christine
AU - Fagherazzi, Guy
N1 - Publisher Copyright:
© 2018 UICC
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Many studies have demonstrated that lifestyle factors, including diet, may influence cancer survival. The number of cancer survivors is increasing worldwide and little is known about long-term diet changes in people who had cancer. We studied 53,981 women from the prospective E3N-EPIC cohort study with available dietary data in 1993 and 2005, among whom 4,619 had a cancer diagnosis inbetween (including n = 2,699 breast cancers). We evaluated the potential impact of a cancer diagnosis (comparing women with cancer to women with no cancer) on changes in FV consumption using multivariable linear regression models considering cancer site, stage at diagnosis and socioeconomic factors. Compared to women with no cancer, a statistically significant increase in FV consumption (β=+2.65%, [1.22–4.09]) was observed in women who had cancer, and this association appeared to be driven by breast cancer exclusively. The increase in FV consumption was larger in women who had an advanced stage of breast cancer (stages II–IV) (β=+7.23%, [3.92–10.5]) than in women with stages 0–I (β=+2.03%, [−0.20 to 4.26]). Women with no partner and no children were those having the highest increase in FV consumption (β=+18.71%, [6.51–30.91]). These changes were only observed in specific SE groups. When considering adherence to guidelines, the proportion of women who consumed less than 7.5 portions a day in 1993 and more in 2005 was greater in women with advanced breast cancer. More research is now needed to understand how the inequities we observed impact the long-term health after cancer.
AB - Many studies have demonstrated that lifestyle factors, including diet, may influence cancer survival. The number of cancer survivors is increasing worldwide and little is known about long-term diet changes in people who had cancer. We studied 53,981 women from the prospective E3N-EPIC cohort study with available dietary data in 1993 and 2005, among whom 4,619 had a cancer diagnosis inbetween (including n = 2,699 breast cancers). We evaluated the potential impact of a cancer diagnosis (comparing women with cancer to women with no cancer) on changes in FV consumption using multivariable linear regression models considering cancer site, stage at diagnosis and socioeconomic factors. Compared to women with no cancer, a statistically significant increase in FV consumption (β=+2.65%, [1.22–4.09]) was observed in women who had cancer, and this association appeared to be driven by breast cancer exclusively. The increase in FV consumption was larger in women who had an advanced stage of breast cancer (stages II–IV) (β=+7.23%, [3.92–10.5]) than in women with stages 0–I (β=+2.03%, [−0.20 to 4.26]). Women with no partner and no children were those having the highest increase in FV consumption (β=+18.71%, [6.51–30.91]). These changes were only observed in specific SE groups. When considering adherence to guidelines, the proportion of women who consumed less than 7.5 portions a day in 1993 and more in 2005 was greater in women with advanced breast cancer. More research is now needed to understand how the inequities we observed impact the long-term health after cancer.
KW - breast cancer
KW - cancer site
KW - cancer survivors
KW - cohort study
KW - evolution of diet
KW - fruit and vegetable
KW - socioeconomic factors
KW - stage at diagnosis
UR - http://www.scopus.com/inward/record.url?scp=85050464708&partnerID=8YFLogxK
U2 - 10.1002/ijc.31572
DO - 10.1002/ijc.31572
M3 - Article
C2 - 29717489
AN - SCOPUS:85050464708
SN - 0020-7136
VL - 143
SP - 1678
EP - 1687
JO - International Journal of Cancer
JF - International Journal of Cancer
IS - 7
ER -