title: Brazilian healthy eating index revised (BHEI-R) of women before and during adjuvant treatment for breast cancer.
abstract: BACKGROUND
  Different therapeutic modalities for cancer trigger side effects that affect the selection of food by changing dietary patterns.
  
  
  OBJECTIVE
  To evaluate changes in the diet quality of women in adjuvant treatment for breast cancer.
  
  
  METHODS
  Sociodemographic, clinical and anthropometric data of 78 women were collected. The Brazilian Healthy Eating Index Revised and its components were obtained from food frequency questionnaire applied before and after the treatment. At baseline, participants were classified according to tertiles of diet quality.
  
  
  CONCLUSIONS
  The score of the Brazilian Healthy Eating Index Revised (BHEI-R) in the lowest tertile was 48.4 to 75.2 points, the second tertile was 75.7 to 81.8 points, and the upper tertile was 82.0 to 95.7 points. During treatment, of the women classified in the first tertile, 62% improved their diet score quality passing to the upper tertiles. Women classified in the second tertile, did not significantly alter the diet quality during the treatment, although 46% went to the third tertile. Patients classified in the third tertile significantly reduced the average score of the Index by 7.3 points during the treatment. Among these women, 38% and 20% decreased their score for the second and first tertiles respectively, where the reduction in the diet quality was due to reducing the score of components Total fruits, Total vegetables, Dark Green and orange vegetables and Legumes, Total grains and Solid fats, Alcohol and Added sugar.
  
  
  CONCLUSIONS
  Dietary changes, which were observed after breast cancer diagnosis, significantly altered the quality of diet among the women participating in the study. Future nutrition interventions are important to aid in food choices during the treatment.
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. vanessaceccatto@hotmail.com.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Ceccatto
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. patricia.di.pietro@ufsc.br.
authors.forename: Patricia
authors.initials: P
authors.lastname: Faria Di Pietro
authors.affiliation: Post-Graduate Program in Nutrition. School of Public Health, University of São Paulo. São Paulo, Brazil.. agatha.previ@hotmail.com.
authors.forename: Agatha
authors.initials: A
authors.lastname: Nogueira Previdelli
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. frankunradi@gmail.com.
authors.forename: Francilene Gracieli
authors.initials: FG
authors.lastname: Kunradi Vieira
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. cissacesa@gmail.com.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Cesa Schiavon
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. raquelengel_nutri@hotmail.com.
authors.forename: Raquel
authors.initials: R
authors.lastname: Engel
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. alyne.cardoso@hotmail.com.
authors.forename: Alyne
authors.initials: A
authors.lastname: Lizane Cardoso
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. malicedeassis@gmail.com.
authors.forename: Maria Alice
authors.initials: MA
authors.lastname: Altenburg de Assis
authors.affiliation: Post-Graduate Program in Nutrition. School of Public Health, University of São Paulo. São Paulo, Brazil. Catarina. Florianópolis. Santa Catarina. Brazil.. cgcrippa@terra.com.br.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gilberto Crippa
authors.affiliation: Post-Graduate Program in Nutrition. Santa Catarina Federal University. Florianópolis. SC. Brazil.. david.epidemio@gmail.com.
authors.forename: David Alejandro
authors.initials: DA
authors.lastname: Gonzalez Chica
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D001943:Breast Neoplasms / Q000188:drug therapy*; D059186:Chemoradiotherapy, Adjuvant; D004032:Diet; D004435:Eating; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008875:Middle Aged; D015596:Nutrition Assessment; D009752:Nutritional Status; D012959:Socioeconomic Factors