PDF(Pubmed)
Abstract：
OBJECTIVE: This study aimed to explore levels of adherence to dietary guidelines, and factors associated with dietary guideline adherence, among rural Australian cancer survivors.
METHODS: A cross-sectional study was undertaken. We recruited a convenience sample of adults with cancer who attended the chemotherapy day unit or allied health appointments at a rural hospital in Baw Baw Shire, Victoria, Australia, between August 2017 and December 2021. Dietary guideline adherence was assessed by cross-referencing participants\' responses to an adapted version of the Dietary Questionnaire for Epidemiological Studies with dietary recommendations in Australian dietary guidelines. Binary logistic regression was used to assess factors associated with dietary guideline adherence for fruits and whole red meats.
RESULTS: There were 107 rural cancer survivors (median age, 67 years). Dietary guideline adherence was highest for alcohol (88%) followed by whole red meats (63%), fruits (56%), processed red meats (24%), cereals/breads/grains (7%), and vegetables (4%). Relative to those aged < 65 years, 65-74-year-olds had 5.7-fold greater odds (adjusted odds ratio (aOR) = 5.74, 95% confidence interval (CI) = 1.91-17.17) of adhering to the dietary guideline for fruits. Relative to those who had completed/ceased treatment, participants who were currently receiving treatment had 78% lower odds (aOR = 0.22, 95% CI = 0.09-0.59) of adhering to the dietary guideline for fruits.
CONCLUSIONS: This study contributes preliminary data on adherence to dietary guidelines and associated factors among rural Australian cancer survivors. Dietary guideline adherence varied across food groups and was mostly low, albeit not markedly worse than Australia\'s national population for the fruits and vegetables groups. The mostly low adherence in our sample suggests a potential need to increase provision of dietary information, supportive care screening, and, wherever necessary, dietetics referrals, assessments, and interventions among rural cancer survivors. Larger, longitudinal studies of adherence to dietary guidelines and/or tailored, cancer-specific dietary recommendations should be undertaken in future.
METHODS: A cross-sectional study was undertaken. We recruited a convenience sample of adults with cancer who attended the chemotherapy day unit or allied health appointments at a rural hospital in Baw Baw Shire, Victoria, Australia, between August 2017 and December 2021. Dietary guideline adherence was assessed by cross-referencing participants\' responses to an adapted version of the Dietary Questionnaire for Epidemiological Studies with dietary recommendations in Australian dietary guidelines. Binary logistic regression was used to assess factors associated with dietary guideline adherence for fruits and whole red meats.
RESULTS: There were 107 rural cancer survivors (median age, 67 years). Dietary guideline adherence was highest for alcohol (88%) followed by whole red meats (63%), fruits (56%), processed red meats (24%), cereals/breads/grains (7%), and vegetables (4%). Relative to those aged < 65 years, 65-74-year-olds had 5.7-fold greater odds (adjusted odds ratio (aOR) = 5.74, 95% confidence interval (CI) = 1.91-17.17) of adhering to the dietary guideline for fruits. Relative to those who had completed/ceased treatment, participants who were currently receiving treatment had 78% lower odds (aOR = 0.22, 95% CI = 0.09-0.59) of adhering to the dietary guideline for fruits.
CONCLUSIONS: This study contributes preliminary data on adherence to dietary guidelines and associated factors among rural Australian cancer survivors. Dietary guideline adherence varied across food groups and was mostly low, albeit not markedly worse than Australia\'s national population for the fruits and vegetables groups. The mostly low adherence in our sample suggests a potential need to increase provision of dietary information, supportive care screening, and, wherever necessary, dietetics referrals, assessments, and interventions among rural cancer survivors. Larger, longitudinal studies of adherence to dietary guidelines and/or tailored, cancer-specific dietary recommendations should be undertaken in future.
摘要：
目的：本研究旨在探讨饮食指南的遵守程度，以及与饮食指南依从性相关的因素，在澳大利亚农村癌症幸存者中。
方法：进行横断面研究。我们在BawBawShire的一家乡村医院招募了一个方便的癌症成年人样本，他们参加了化疗日单元或联合医疗预约，维多利亚,澳大利亚,2017年8月至2021年12月。通过交叉引用参与者对适应版本的流行病学研究饮食问卷的回应以及澳大利亚饮食指南中的饮食建议来评估饮食指南的依从性。二元逻辑回归用于评估与水果和全红肉类饮食指南依从性相关的因素。
结果：有107名农村癌症幸存者（中位年龄，67年）。饮食指南依从性最高的是酒精（88％），其次是全红肉类（63％）。水果（56%），加工红肉(24%)，谷物/面包/谷物（7%），蔬菜（4%）。相对于年龄<65岁的人，65-74岁的人遵守水果饮食指南的几率高5.7倍（调整后的优势比（aOR）=5.74，95％置信区间（CI）=1.91-17.17）。相对于那些已经完成/停止治疗的人，目前正在接受治疗的参与者遵守水果饮食指南的几率降低了78%(aOR=0.22,95%CI=0.09~0.59).
结论：这项研究提供了澳大利亚农村癌症幸存者遵守饮食指南和相关因素的初步数据。饮食指南的依从性因食物组而异，而且大多很低，尽管水果和蔬菜群体并不比澳大利亚的全国人口明显差。在我们的样本中，大多数依从性较低，这表明有可能需要增加饮食信息的提供，支持性护理筛查，and,如有必要，营养学推荐，评估,以及农村癌症幸存者的干预措施。较大,遵守饮食指南和/或量身定制的纵向研究，未来应采取针对癌症的饮食建议.
方法：进行横断面研究。我们在BawBawShire的一家乡村医院招募了一个方便的癌症成年人样本，他们参加了化疗日单元或联合医疗预约，维多利亚,澳大利亚,2017年8月至2021年12月。通过交叉引用参与者对适应版本的流行病学研究饮食问卷的回应以及澳大利亚饮食指南中的饮食建议来评估饮食指南的依从性。二元逻辑回归用于评估与水果和全红肉类饮食指南依从性相关的因素。
结果：有107名农村癌症幸存者（中位年龄，67年）。饮食指南依从性最高的是酒精（88％），其次是全红肉类（63％）。水果（56%），加工红肉(24%)，谷物/面包/谷物（7%），蔬菜（4%）。相对于年龄<65岁的人，65-74岁的人遵守水果饮食指南的几率高5.7倍（调整后的优势比（aOR）=5.74，95％置信区间（CI）=1.91-17.17）。相对于那些已经完成/停止治疗的人，目前正在接受治疗的参与者遵守水果饮食指南的几率降低了78%(aOR=0.22,95%CI=0.09~0.59).
结论：这项研究提供了澳大利亚农村癌症幸存者遵守饮食指南和相关因素的初步数据。饮食指南的依从性因食物组而异，而且大多很低，尽管水果和蔬菜群体并不比澳大利亚的全国人口明显差。在我们的样本中，大多数依从性较低，这表明有可能需要增加饮食信息的提供，支持性护理筛查，and,如有必要，营养学推荐，评估,以及农村癌症幸存者的干预措施。较大,遵守饮食指南和/或量身定制的纵向研究，未来应采取针对癌症的饮食建议.
