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.
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.
Authors: Lee Hooper; Carolyn D Summerbell; Rachel Thompson; Deirdre Sills; Felicia G Roberts; Helen J Moore; George Davey Smith Journal: Cochrane Database Syst Rev Date: 2012-05-16
Authors: David B Buller; W Gill Woodall; Donald E Zimmerman; Michael D Slater; Jerianne Heimendinger; Emily Waters; Joan M Hines; Randall Starling; Barbara Hau; Patricia Burris-Woodall; Glenna Sue Davis; Laura Saba; Gary R Cutter Journal: J Health Commun Date: 2008 Apr-May
Authors: Jennifer A Emond; John P Pierce; Loki Natarajan; Laarni R Gapuz; John Nguyen; Barbara A Parker; Nissi M Varki; Ruth E Patterson Journal: Cancer Epidemiol Biomarkers Prev Date: 2014-04-22 Impact factor: 4.254
Authors: E Sidahmed; M L Cornellier; J Ren; L M Askew; Y Li; N Talaat; M S Rapai; M T Ruffin; D K Turgeon; D Brenner; A Sen; Z Djuric Journal: J Hum Nutr Diet Date: 2013-09-20 Impact factor: 3.089
Authors: Ellen B Gold; John P Pierce; Loki Natarajan; Marcia L Stefanick; Gail A Laughlin; Bette J Caan; Shirley W Flatt; Jennifer A Emond; Nazmus Saquib; Lisa Madlensky; Sheila Kealey; Linda Wasserman; Cynthia A Thomson; Cheryl L Rock; Barbara A Parker; Njeri Karanja; Vicky Jones; Richard A Hajek; Minya Pu; Joanne E Mortimer Journal: J Clin Oncol Date: 2008-12-15 Impact factor: 44.544
Authors: Joseph A Hyder; Cynthia A Thomson; Loki Natarajan; Lisa Madlensky; Minya Pu; Jennifer Emond; Sheila Kealey; Cheryl L Rock; Shirley W Flatt; John P Pierce Journal: Am J Health Behav Date: 2009 Sep-Oct
Authors: Lisa Madlensky; Loki Natarajan; Shirley W Flatt; Susan Faerber; Vicky A Newman; John P Pierce Journal: Health Psychol Date: 2008-09 Impact factor: 4.267
Authors: Brian N Fink; Jeffrey G Weiner; Timothy R Jordan; Amy J Thompson; Timothy C Salvage; Mina Coman; Joyce Balls-Berry Journal: Breast Cancer (Auckl) Date: 2010-11-18