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Association of dietary patterns with overweight risk and all-cause mortality in children with cancer.

Abstract：

BACKGROUND/OBJECTIVES:This study aimed to investigate the association of dietary patterns with overweight risk and all-cause mortality in pediatric cancer patients. SUBJECTS/METHODS:Prospective cohort study was undertaken; 83 cancer patients admitted to the pediatric cancer ward at a university hospital in Seoul were included and followed for obesity and death over 24 months. Food consumption data were collected from patients using validated meal order sheets for breakfast, lunch, and dinner at the pediatric cancer ward over 3 days. Using principal component analysis, three dietary patterns were derived from 29 food groups. RESULTS:Eighteen deaths occurred among the patient cohort during the follow-up period. The "spicy & fried meat and fish" dietary pattern was positively associated with overweight risk at both baseline [odds ratio (OR) = 4.396, 95% confidence interval (CI) = 1.111-17.385, P for trend = 0.023] and after 6 months (OR = 4.088, 95% CI = 1.122-14.896, P for trend = 0.025) as well as all-cause mortality (hazard ratios = 5.124, 95% CI = 1.080-24.320, P for trend = 0.042), when comparing the highest and lowest tertiles after adjusting for covariates. The "fish, egg, meat, and fruits & vegetables" dietary pattern was associated with lower overweight risk after 24 months (OR = 0.157, 95% CI = 0.046-0.982, P for trend = 0.084). CONCLUSION:The results imply that dietary patterns might be associated with weight gain and premature death among pediatric cancer patients.

journal_name

Nutr Res Pract

journal_title

Nutrition research and practice

authors

So E,Kim J,Joo S,Lee J,Joung H

doi

10.4162/nrp.2017.11.6.492

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

492-499

issue

6

eissn

1976-1457

issn

2005-6168

journal_volume

11

pub_type

杂志文章

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