Post-Diagnostic Diet Quality and Mortality in Females with Self-Reported History of Breast or Gynecological Cancers: Results from the Third National Health and Nutrition Examination Survey (NHANES III)

Karavasiloglou, Nena; Pestoni, Giulia; Fäh, David; Rohrmann, Sabine (2019). Post-Diagnostic Diet Quality and Mortality in Females with Self-Reported History of Breast or Gynecological Cancers: Results from the Third National Health and Nutrition Examination Survey (NHANES III) Nutrients, 11(11), pp. 1-11. Molecular Diversity Preservation International 10.3390/nu11112558

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High quality diets are associated with favorable disease and mortality outcomes in various populations; little and conflicting information is available for female cancer survivors. We investigated the association of post-diagnostic diet quality with mortality in female cancer survivors. Data from 230 women with a previous breast, or gynecological (i.e., ovarian, cervical or uterine) cancer diagnosis in the Third National Health and Nutrition Examination Survey were analyzed. The Healthy Eating Index (HEI) and the Mediterranean Diet Score (MDS) were calculated based on a 24-hour dietary recall interview. Cox proportional hazards regression models were used to calculate multivariable-adjusted hazard ratios (HR) and 95% confidence intervals (CI). Higher HEI score was associated with lower mortality (HRHEI total = 0.97, 95% CI: 0.95–0.98, 1 unit increase), but the association for MDS failed to reach statistical significance (HRMDS total = 0.87, 95% CI: 0.74–1.04). In subgroup analyses, a statistically significant inverse association was observed between the HEI and mortality; for the MDS, no statistically significant association was apparent. Higher post-diagnostic HEI score was inversely associated with mortality in female cancer survivors, suggesting a protective e�ect when adhering to the diet captured by the HEI. Additional studies are required in order to investigate underlying mechanisms of the mortality-adherence association.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions School of Health Professions > Nutrition and Dietetics
Name:	Karavasiloglou, Nena; Pestoni, Giulia; Fäh, David and Rohrmann, Sabine
ISSN:	2072-6643
Publisher:	Molecular Diversity Preservation International
Language:	English
Submitter:	David Fäh
Date Deposited:	14 Jan 2020 12:26
Last Modified:	14 Jan 2020 12:26
Publisher DOI:	10.3390/nu11112558
ARBOR DOI:	10.24451/arbor.10058
URI:	https://arbor.bfh.ch/id/eprint/10058