Vol 10, No 3 (2019)
Research paper
Published online: 2019-12-20

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Nutritional behaviors of oncohaematological patients — a prospective single-center study

Anna Hanna Holopa1, Nicola Szeja1, Sebastian Grosicki1
Hematologia 2019;10(3):124-134.

Abstract

Introduction. Oncohaematological diseases are a special group of cancer diseases. An important role in their pathogenesis may play exposure to carcinogenic compounds, including substances present in food, such as polycyclic aromatic hydrocarbons (PAH), heterocyclic aromatic amines (HCA), acrylamide, nitrosamines or ethanol. Aims and assumptions were analysis of eating behaviours leading to the consumption of carcinogenic compounds and assessment of frequency of carcinogenic compounds intake.

Material and methods. 201 patients with haematological cancers participated in the study. The survey used authorial questionnaire. Selected eating habits and frequency of carcinogenic compounds intake were examined in the study. The results were developed in the Statistica 12 program.

Results. Patients presented different eating habits. 28.3% (N = 34) of the respondents did not read the compositions of the products they buy, regardless of their place of residence. 46.0% (N = 92) of respondents most often consumed fried products. Only 30% of men and women (N = 27) negated frying on the same fat. Most women — 44.3% (N = 39) declared consumption of pork, most men 44.2% (N = 50) of poultry. 58.2% of respondents (N = 117) were characterized by low frequency of PAH, HCA and nitrosamine intake. Only 0.5% (N = 1) of the patients had very low acrylamide intake; 56.2% (N = 113) average. 66.2% (N = 133) of the respondents had low frequency of alcohol consumption.

Conclusions. Eating habits leading to the consumption of carcinogens are: not reading labels, frying and pork consumption. Patients with hematological cancers had average frequency of carcinogen intake and low frequency of alcohol consumption.

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References

  1. Uchwała nr 208 Rady Ministrów z dnia 3 listopada 2015 r. w sprawie ustanowienia programu wieloletniego na lata 2016–2024 pod nazwą „Narodowy Program Zwalczania Chorób Nowotworowych” (M.P. z 2015 r. poz. 1165, z późn. zm.).
  2. Cieślik A. Epidemiologia białaczek w Polsce. Stud Med. 2011; 21(1): 53–60.
  3. Pudło H, Respondek M, Szefczyk-Polowczyk L, et al. The impact of diet on the occurrence of tumor diseases. J Educ Health Sport. 2015; 5(9): 549–558.
  4. Liu CY, Hsu YH, Wu MT, et al. Kaohsiung Leukemia Research Group. Cured meat, vegetables, and bean-curd foods in relation to childhood acute leukemia risk: a population based case-control study. BMC Cancer. 2009; 9: 15.
  5. WHO, IARC. Monographs on the evaluation of carcinogenic risk to humans. http://monographs.iarc.fr/ENG/Classification/latest_classif. (18.06.2018).
  6. Hu J, La Vecchia C, DesMeules M, et al. Canadian Cancer Registries Epidemiology Research Group. Meat and fish consumption and cancer in Canada. Nutr Cancer. 2008; 60(3): 313–324.
  7. Ochiai M, Wakabayashi K, Nagao M, et al. Tyramine is a major mutagen precursor in soy sauce, being convertible to a mutagen by nitrite. Gan. 1984; 75(1): 1–3.
  8. Cheng KW, Chen F, Wang M. Heterocyclic amines: chemistry and health. Mol Nutr Food Res. 2006; 50(12): 1150–1170.
  9. Bagnardi V, Blangiardo M, La Vecchia C, et al. A meta-analysis of alcohol drinking and cancer risk. Br J Cancer. 2001; 85(11): 1700–1705.
  10. Saberi Hosnijeh F, Peeters P, Romieu I, et al. Dietary intakes and risk of lymphoid and myeloid leukemia in the European Prospective Investigation into Cancer and Nutrition (EPIC). Nutr Cancer. 2014; 66(1): 14–28.
  11. Klimczak A, Malinowska K, Kubiak K. Choroby nowotworowe a żywienie. Pol Merkuriusz Lek. 2009; 27(159): 242–244.
  12. Liu P, Holman CD, Jin J, et al. Diet and risk of adult leukemia: a multicenter case-control study in China. Cancer Causes Control. 2015; 26(8): 1141–1151.
  13. Yamamura Y, Oum R, Gbito KY, et al. Dietary intake of vegetables, fruits, and meats/beans as potential risk factors of acute myeloid leukemia: a Texas case-control study. Nutr Cancer. 2013; 65(8): 1132–1140.
  14. Solans M, Castelló A, Benavente Y, et al. Adherence to the Western, Prudent, and Mediterranean dietary patterns and chronic lymphocytic leukemia in the MCC-Spain study. Haematologica. 2018; 103(11): 1881–1888.
  15. Chen GC, Lv DB, Pang Z, et al. Fruits and vegetables consumption and risk of non-Hodgkin's lymphoma: a meta-analysis of observational studies. Int J Cancer. 2013; 133(1): 190–200.
  16. Bertrand KA, Giovannucci E, Rosner BA, et al. Dietary fat intake and risk of non-Hodgkin lymphoma in 2 large prospective cohorts. Am J Clin Nutr. 2017; 106(2): 650–656.
  17. Dąbska O, Humeniuk E, Pawlikowska-Łagód K, et al. Ocena zachowań żywieniowych chorych na nowotwór. Pielęg Pol. 2018; 67(1): 51–57.
  18. Bojakowska U, Kalinowski P, Kowalska ME. Evaluation of selected health behaviors before and after the diagnosis among women with breast cancer based on the Health-Related Behaviour Inventory (HBI) questionnaire developed by Juczyński — preliminary study. J Educ Health Sport. 2016; 6(5): 29–37.
  19. Zabłocka-Słowińska K, Prescha A, Pieczyńska J, et al. Ocena częstotliwości spożycia warzyw i owoców przez chorych na raka płuca i osoby zdrowe. Probl Hig Epidemiol. 2012; 93(4): 838–843.
  20. Jakszyn P, Agudo A, Ibáñez R, et al. Development of a food database of nitrosamines, heterocyclic amines, and polycyclic aromatic hydrocarbons. J Nutr. 2004; 134(8): 2011–2014.
  21. Caini S, Masala G, Gnagnarella P, et al. Food of animal origin and risk of non-Hodgkin lymphoma and multiple myeloma: A review of the literature and meta-analysis. Crit Rev Oncol Hematol. 2016; 100: 16–24.
  22. Ma X, Park Y, Mayne ST, et al. Diet, lifestyle, and acute myeloid leukemia in the NIH-AARP cohort. Am J Epidemiol. 2010; 171(3): 312–322.
  23. WHO, FAO. Health Implications of acrylamide in food. Report of a Joint FAO/WHO Consultation WHO Headquarters, WHO, Geneva 2002.
  24. van den Brandt PA, Goldbohm RA, van 't Veer P, et al. A large-scale prospective cohort study on diet and cancer in the Netherlands. J Clin Epidemiol. 1990; 43(3): 285–295.
  25. Assessment of acrylamide intake by duplicate diet study. Swiss Federal Office of Public Health 2002 . http://www.bfr.bund.de/cm/343/assessment_of_acrylamide_intake_by_duplicate_diet_study (10.06.2018).
  26. Mojska H, Gielecińska I, Stoś K, et al. Europejskie ugrupowania współpracy terytorialnej w Polsce i w Unii Europejskiej. Zrozumieć terytorium. Idea i praktyka. Probl Hig Epidemiol. 2011; 92(3): 625–628.
  27. Kiciak A, Całyniuk B, Grochowska-Niedworok E, et al. Wybrane zachowania żywieniowe osób z chorobą nowotworową. Hygeia Public Health. 2012; 47(3): 354–359.
  28. Fassier P, Zelek L, Lécuyer L, et al. Modifications in dietary and alcohol intakes between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Santé cohort. Int J Cancer. 2017; 141(3): 457–470.
  29. Castillo JJ, Ingham RR, Reagan JL, et al. Obesity is associated with increased relative risk of diffuse large B-cell lymphoma: a meta-analysis of observational studies. Clin Lymphoma Myeloma Leuk. 2014; 14(2): 122–130.
  30. Saberi Hosnijeh F, Romieu I, Gallo V, et al. Anthropometric characteristics and risk of lymphoid and myeloid leukemia in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cancer Causes Control. 2013; 24(3): 427–438.
  31. Li S, Chen Li, Jin W, et al. Influence of body mass index on incidence and prognosis of acute myeloid leukemia and acute promyelocytic leukemia: a meta-analysis. Sci Rep. 2017; 7(1): 17998.
  32. Hébuterne X, Lemarié E, Michallet M, et al. Prevalence of malnutrition and current use of nutrition support in patients with cancer. JPEN J Parenter Enteral Nutr. 2014; 38(2): 196–204.
  33. Deluche E, Girault S, Jesus P, et al. Assessment of the nutritional status of adult patients with acute myeloid leukemia during induction chemotherapy. Nutrition. 2017; 41: 120–125.



Hematology in Clinical Practice