TY - JOUR
T1 - Achieving substantial changes in eating behavior among women previously treated for breast cancer - An overview of the intervention
AU - Newman, Vicky A.
AU - Thomson, Cynthia A.
AU - Rock, Cheryl L.
AU - Flatt, Shirley W.
AU - Kealey, Sheila
AU - Bardwell, Wayne A.
AU - Caan, Bette J.
AU - Pierce, John P.
N1 - Funding Information:
The authors thank Shu Hong Zhu, PhD, Gary Tedeschi, PhD, and Susan Faerber for their help in developing the structured telephone-counseling protocol for the study and the counselors who implemented the counseling protocol so effectively: Christine Alcala, Leslie Barbier, Joyce Bertaux, Sharon Bonner, LaVetta Buchanan, Sheila Fisher, Carrie Gonzales, Prudy Galagan, Pam Herskovitz, Lori Koller, Natalie (Lagomarcino) Ledesma, Carolyn Mondro, Susan Newmiller, Conley Peck, Terri Reed, Kathy Rosso-Cavna, Rachel Sandoval, Lita Simmons, Eniko Voss, Susan Wancewicz. We also thank the Women’s Healthy Eating and Living Study clinical site dietitians who taught the cooking classes so effectively: Center for Health Research-Portland, Portland, OR: Colleen Flattum, Lucy Fulton; Kaiser Permanente Northern California, Oakland, CA: Adrienne Castillo, Sarah Josef, Kathy Sampel; Northern California Cancer Center, Stanford University, Stanford, CA: Vicki Castelli, Gwen D’Antoni, Andrea Lee, Monique Schloetter, Andrea Vintro; University of Arizona, Tucson and Phoenix: Nancy Adamowicz, Allison (Nichols) Chalecki, Emily Nardi, Anna Reinwand, Anne Marie Stears, Sarah Stewart; University of California, Davis: Connie Barnes, Lorna Belden, Jill Burns, Valerie Haack; University of California, San Diego Cancer Center, San Diego, CA: Barbara Grant, Barbara Haggerty, Diana Wiggins; University of Texas MD Anderson Cancer Center, Houston: Cathy Foreman, Rebecca Steele, Taylor Tran. This study was initially supported by the Walton Family Foundation and has been supported since 1997 by NCI grant CA069375. Additional support has been provided by the University of California, San Diego General Clinical Research Center NIH grant M01-RR00827; University of California, San Francisco General Clinical Research Center NIH grant M01-RR00079; and Stanford University General Clinical Research Center NIH grant M01-RR0070.
PY - 2005/3
Y1 - 2005/3
N2 - Objective: To describe the intervention in a clinical trial examining the effect of a plant-based diet on breast cancer recurrence. To report baseline to 12-month dietary change and investigate whether cooking-class attendance influenced adherence to the study's dietary targets. Design: A descriptive analysis of baseline and 12-month dietary intake data and other variables from a subcohort of participants in the Women's Healthy Eating and Living Study. Subjects/Setting: Seven hundred thirty-nine women (primarily non-Hispanic white and well educated) who had been treated for early stage breast cancer. All were intervention group participants and had adhered to the Women's Healthy Eating and Living Study counseling and dietary assessment protocols. Mean age at study entry was 54 years, and mean body mass index was 26.7. Intervention: Telephone counseling, complemented by an orientation meeting, cooking classes, and newsletters. Main Outcome Measures: The change in intake of vegetables, vegetable juice, fruit, fiber, and fat between baseline and 12 months is reported, and the association between cooking classes attended and overall dietary adherence is examined. Statistical Analyses Performed: Mean intake for vegetables, vegetable juice, fruit, fiber, and fat were calculated. Percentage of women meeting select Healthy People 2010 objectives were tabulated. Results: Total daily vegetable, vegetable juice, fruit, and fiber intake increased significantly (P<.01), while fat decreased significantly (P<.01). The percentage of women meeting the Healthy People 2010 fruit and vegetable objectives increased substantially. Overall dietary adherence was associated with increased cooking-class attendance (P for trend <.01). Conclusions: A multimodal approach to dietary modification, based largely on individualized telephone counseling, can substantially change the overall dietary pattern of women previously treated for breast cancer.
AB - Objective: To describe the intervention in a clinical trial examining the effect of a plant-based diet on breast cancer recurrence. To report baseline to 12-month dietary change and investigate whether cooking-class attendance influenced adherence to the study's dietary targets. Design: A descriptive analysis of baseline and 12-month dietary intake data and other variables from a subcohort of participants in the Women's Healthy Eating and Living Study. Subjects/Setting: Seven hundred thirty-nine women (primarily non-Hispanic white and well educated) who had been treated for early stage breast cancer. All were intervention group participants and had adhered to the Women's Healthy Eating and Living Study counseling and dietary assessment protocols. Mean age at study entry was 54 years, and mean body mass index was 26.7. Intervention: Telephone counseling, complemented by an orientation meeting, cooking classes, and newsletters. Main Outcome Measures: The change in intake of vegetables, vegetable juice, fruit, fiber, and fat between baseline and 12 months is reported, and the association between cooking classes attended and overall dietary adherence is examined. Statistical Analyses Performed: Mean intake for vegetables, vegetable juice, fruit, fiber, and fat were calculated. Percentage of women meeting select Healthy People 2010 objectives were tabulated. Results: Total daily vegetable, vegetable juice, fruit, and fiber intake increased significantly (P<.01), while fat decreased significantly (P<.01). The percentage of women meeting the Healthy People 2010 fruit and vegetable objectives increased substantially. Overall dietary adherence was associated with increased cooking-class attendance (P for trend <.01). Conclusions: A multimodal approach to dietary modification, based largely on individualized telephone counseling, can substantially change the overall dietary pattern of women previously treated for breast cancer.
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U2 - 10.1016/j.jada.2004.12.008
DO - 10.1016/j.jada.2004.12.008
M3 - Article
C2 - 15746825
AN - SCOPUS:14744279907
SN - 0002-8223
VL - 105
SP - 382
EP - 391
JO - Journal of the American Dietetic Association
JF - Journal of the American Dietetic Association
IS - 3
ER -