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Greenlee H, Gaffney AO, Aycinena AC, et al. ¡Cocinar Para Su Salud!: Randomized Controlled Trial of a Culturally Based Dietary Intervention among Hispanic Breast Cancer Survivors. J Acad Nutr Diet. 2015;115(5):S42-S56.e3doi: 10.1016/j.jand.2015.02.027.
Greenlee, H., Gaffney, A. O., Aycinena, A. C., Koch, P., Contento, I., Karmally, W., Richardson, J. M., Lim, E., Tsai, W. Y., Crew, K., Maurer, M., Kalinsky, K., & Hershman, D. L. (2015). ¡Cocinar Para Su Salud!: Randomized Controlled Trial of a Culturally Based Dietary Intervention among Hispanic Breast Cancer Survivors. Journal of the Academy of Nutrition and Dietetics, 115(5), S42-S56.e3. https://doi.org/10.1016/j.jand.2015.02.027
Greenlee, Heather, et al. "¡Cocinar Para Su Salud!: Randomized Controlled Trial of a Culturally Based Dietary Intervention among Hispanic Breast Cancer Survivors." Journal of the Academy of Nutrition and Dietetics vol. 115,5 (2015): S42-S56.e3. doi: https://doi.org/10.1016/j.jand.2015.02.027
Greenlee H, Gaffney AO, Aycinena AC, Koch P, Contento I, Karmally W, Richardson JM, Lim E, Tsai WY, Crew K, Maurer M, Kalinsky K, Hershman DL. ¡Cocinar Para Su Salud!: Randomized Controlled Trial of a Culturally Based Dietary Intervention among Hispanic Breast Cancer Survivors. J Acad Nutr Diet. 2015 May;115(5):S42-S56.e3. doi: 10.1016/j.jand.2015.02.027. PMID: 25911520; PMCID: PMC5369235.
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J Acad Nutr Diet. 2015 May;115(5):S42-S56.e3. doi: 10.1016/j.jand.2015.02.027.

¡Cocinar Para Su Salud!: Randomized Controlled Trial of a Culturally Based Dietary Intervention among Hispanic Breast Cancer Survivors.

Journal of the Academy of Nutrition and Dietetics

Heather Greenlee, Ann Ogden Gaffney, A Corina Aycinena, Pam Koch, Isobel Contento, Wahida Karmally, John M Richardson, Emerson Lim, Wei-Yann Tsai, Katherine Crew, Matthew Maurer, Kevin Kalinsky, Dawn L Hershman

PMID: 25911520 PMCID: PMC5369235 DOI: 10.1016/j.jand.2015.02.027

Abstract

BACKGROUND: There is a need for culturally relevant nutrition programs targeted to underserved cancer survivors.

OBJECTIVE: Our aim was to examine the effect of a culturally based approach to dietary change on increasing fruit/vegetable (F/V) intake and decreasing fat intake among Hispanic breast cancer survivors.

DESIGN: Participants were randomized to Intervention and Control groups. Diet recalls, detailed interviews, fasting blood, and anthropometric measures were collected at baseline, 3, 6, and 12 months.

PARTICIPANTS/SETTING: Hispanic women (n=70) with stage 0 to III breast cancer who completed adjuvant treatment and lived in New York City were randomized between April 2011 and March 2012.

INTERVENTION: The Intervention group (n=34) participated in ¡Cocinar Para Su Salud!, a culturally based nine-session (24 hours over 12 weeks) intervention including nutrition education, cooking classes, and food-shopping field trips. The Control group (n=36) received written dietary recommendations for breast cancer survivors.

MAIN OUTCOME MEASURES: Change at 6 months in daily F/V servings and percent calories from total fat were the main outcome measures.

STATISTICAL ANALYSES: Linear regression models adjusted for stratification factors and estimated marginal means were used to compare changes in diet from baseline to 3 and 6 months.

RESULTS: Baseline characteristics were the following: mean age 56.6 years (standard deviation 9.7 years), mean time since diagnosis 3.4 years (standard deviation 2.7 years), mean body mass index (calculated as kg/m(2)) 30.9 (standard deviation 6.0), 62.9% with annual household income ≤$15,000, mean daily servings of all F/V was 5.3 (targeted F/V 3.7 servings excluding legumes/juices/starchy vegetables/fried foods), and 27.7% of daily calories from fat. More than 60% in the Intervention group attended seven or more of nine classes, with overall study retention of 87% retention at 6 months. At month 6, the Intervention group compared with Control group reported an increase in mean servings of F/V from baseline (all F/V: +2.0 vs -0.1; P=0.005; targeted F/V: +2.7 vs +0.5; P=0.002) and a nonsignificant decrease in percent calories from fat (-7.5% vs -4.4%; P=0.23) and weight (-2.5 kg vs +3.8 kg; P=0.22).

CONCLUSIONS: ¡Cocinar Para Su Salud! was effective at increasing short-term F/V intake in a diverse population of Hispanic breast cancer survivors.

Copyright © 2015 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Keywords: Breast cancer; Clinical trial; Dietary intervention; Minority; Nutrition education

References

  1. J Nutr. 2003 Feb;133(2):590S-600S - PubMed
  2. Am Psychol. 1989 Sep;44(9):1175-84 - PubMed
  3. CA Cancer J Clin. 2012 Jan-Feb;62(1):30-67 - PubMed
  4. Int J Obes Relat Metab Disord. 1992 Jun;16(6):397-415 - PubMed
  5. J Clin Oncol. 2008 May 1;26(13):2198-204 - PubMed
  6. Int J Obes Relat Metab Disord. 1997 Mar;21 Suppl 1:S5-9 - PubMed
  7. Diabetes Care. 2011 Jul;34(7):1481-6 - PubMed
  8. Vital Health Stat 10. 2008 Nov;(238):1-104 - PubMed
  9. Am J Clin Nutr. 2014 Jun;99(6):1487-98 - PubMed
  10. Am J Health Promot. 1997 Sep-Oct;12(1):38-48 - PubMed
  11. Obesity (Silver Spring). 2013 Jan;21(1):65-76 - PubMed
  12. JAMA. 2007 Jul 18;298(3):289-98 - PubMed
  13. MMWR Morb Mortal Wkly Rep. 2007 Apr 6;56(13):301-4 - PubMed
  14. JAMA. 2014 Feb 26;311(8):806-14 - PubMed
  15. Stat Med. 2012 Feb 20;31(4):328-40 - PubMed
  16. J Natl Cancer Inst. 2006 Dec 20;98(24):1767-76 - PubMed
  17. J Adolesc Health. 2010 Nov;47(5):472-8 - PubMed
  18. J Natl Compr Canc Netw. 2010 Dec;8(12):1343-51 - PubMed
  19. Asia Pac J Clin Nutr. 2008;17 Suppl 1:176-9 - PubMed
  20. Obes Res. 2000 May;8(3):270-8 - PubMed
  21. J Gen Intern Med. 2010 Nov;25(11):1172-7 - PubMed
  22. Natl Health Stat Report. 2009 Jul 8;(16):1-31 - PubMed
  23. Am J Prev Med. 2000 May;18(4):284-8 - PubMed
  24. Nutr Health. 2012 Apr;21(2):97-105 - PubMed
  25. JAMA. 2010 Jan 20;303(3):235-41 - PubMed
  26. Breast Cancer Res Treat. 2011 Jun;127(3):729-38 - PubMed
  27. Ann Fam Med. 2005 Nov-Dec;3(6):514-22 - PubMed
  28. Am J Epidemiol. 2008 May 15;167(10 ):1247-59 - PubMed
  29. Cancer. 2011 Aug 15;117(16):3805-13 - PubMed

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