Association of dietary patterns with overweight risk and all-cause mortality in children with cancer.
10.4162/nrp.2017.11.6.492
- Author:
Eunjin SO
1
;
Jeeyeon KIM
;
Sehwa JOO
;
Jisun LEE
;
Hyojee JOUNG
Author Information
1. Department of Clinical Nutrition, The Catholic University of Korea Seoul St, Mary's Hospital, Seoul 06591, Korea.
- Publication Type:Original Article
- Keywords:
Child;
neoplasms;
obesity;
diet;
mortality
- MeSH:
Breakfast;
Child*;
Cohort Studies;
Diet;
Follow-Up Studies;
Fruit;
Humans;
Lunch;
Meals;
Meat;
Mortality*;
Mortality, Premature;
Obesity;
Overweight*;
Ovum;
Principal Component Analysis;
Prospective Studies;
Seoul;
Weight Gain
- From:Nutrition Research and Practice
2017;11(6):492-499
- CountryRepublic of Korea
- Language:English
-
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.
