title: Feasibility of a randomized trial of a high-vegetable diet to prevent breast cancer recurrence.
abstract: Epidemiologic evidence supports the concept that diet influences risk for breast cancer and suggests that prognosis after the diagnosis of breast cancer may also be related to modifiable nutritional factors. The purpose of this study was to investigate the feasibility of a randomized trial of a high-vegetable, reduced-fat, and increased-fiber diet intervention to reduce risk for recurrence among breast cancer survivors. This major change in dietary pattern was promoted through intensive telephone counseling. Participants were 93 women who had been diagnosed with breast cancer (stages I, II, and IIIA) within the previous four years and who had completed their initial treatment. We assessed adherence to the study diet using repeated 24-hour dietary recalls at 6 and 12 months and measurement of circulating carotenoid concentrations. Six months after randomization, the intervention group had significantly increased their mean intake of vegetables (+4.6 servings/day), fruit (+0.7 servings/day), and fiber (+6.4 g/1,000 kcal) and significantly reduced their intake of dietary fat (-9.9% of energy) compared with the control group. Circulating concentrations of carotenoids also increased in the intervention group. These changes persisted at the 12-month visit. Results of this study demonstrate that telephone counseling can be a useful approach in diet intervention and that breast cancer survivors can adopt and maintain a high-vegetable, reduced-fat dietary pattern.
authors.affiliation: Cancer Prevention and Control Program, University of California, San Diego, La Jolla 92093-0901, USA. jppierce@ucsd.edu
authors.forename: J P
authors.initials: JP
authors.lastname: Pierce
authors.forename: S
authors.initials: S
authors.lastname: Faerber
authors.forename: F A
authors.initials: FA
authors.lastname: Wright
authors.forename: V
authors.initials: V
authors.lastname: Newman
authors.forename: S W
authors.initials: SW
authors.lastname: Flatt
authors.forename: S
authors.initials: S
authors.lastname: Kealey
authors.forename: C L
authors.initials: CL
authors.lastname: Rock
authors.forename: W
authors.initials: W
authors.lastname: Hryniuk
authors.forename: E R
authors.initials: ER
authors.lastname: Greenberg
mesh_terms: D015415:Biomarkers; D001943:Breast Neoplasms / Q000517:prevention & control*; D002338:Carotenoids / Q000097:blood; D004032:Diet; D004041:Dietary Fats / Q000008:administration & dosage; D004043:Dietary Fiber / Q000008:administration & dosage; D005240:Feasibility Studies; D005260:Female; D005638:Fruit; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D010349:Patient Compliance; D016032:Randomized Controlled Trials as Topic; D014675:Vegetables
chemical_list: D015415:Biomarkers; D004041:Dietary Fats; D004043:Dietary Fiber; D002338:Carotenoids