Master of Science, The Ohio State University, 2017, Allied Medicine
Cancer survivors are at risk for suboptimal nutrition due to therapy, inadequate dietary patterns, and susceptibility to unproven dietary advice. Effective biobehavioral interventions aimed at increasing adherence to evidence-based survivorship recommendations are key in reducing cancer recurrence, comorbidities, and all-cause mortality. Data from a six-month phase II non-randomized trial were analyzed to determine pre- to post- changes in: (1) dietary patterns; (2) skin and plasma carotenoids; and (3) red blood cell fatty acid (RBC FA) composition. Overweight cancer survivors (N=29) were provided weekly produce harvesting, semi-monthly group education, remote motivational interviewing, and access to a secure web portal. Data were collected at baseline and post-intervention. Dietary patterns were assessed via 30-day food frequency questionnaires (FFQs) and Healthy Eating Index 2010 (HEI-2010) scores. Skin carotenoids were measured by resonance Raman spectroscopy, plasma carotenoids by high performance liquid chromatography, and RBC FAs by gas chromatography. Increases were documented in HEI-2010 total diet (p=0.006), total fruit (p=0.003), and fatty acids (p=0.007) scores. HEI-2010 scores for total vegetables also trended positively (p=0.054). As assessed by FFQ, survivors increased total dietary intakes of carotenoids by 66% (p<0.001) including increased individual intakes of all five carotenoids analyzed. Mean total dietary fat intakes decreased by 12.37 g (p=0.010), with survivors also decreasing intakes of saturated, unsaturated, and trans fats. Plasma concentrations of total carotenoids increased by 35% (p<0.001), as did as did plasma alpha-carotene, beta-carotene, and lycopene (p<0.001, p<0.001, p=0.017, respectively). Total skin carotenoids increased (p=0.015) and were highly correlated with total plasma carotenoids (r=0.728, p<0.001). Despite changes in dietary intakes of FAs, RBC FA composition was largely unchanged. However, relative abundance of omega-3 F (open full item for complete abstract)
Committee: Colleen Spees PhD, MEd, RDN, LD, FAND (Advisor); Martha Belury PhD (Committee Member); Rachel Kopec PhD (Committee Member)
Subjects: Health Education; Nutrition