Men With Prostate Cancer Make Positive Dietary Changes Following Diagnosis and Treatment.

Men with prostate cancer make positive dietary changes following diagnosis and treatment.

Cancer Causes Control. 2013 Mar 22;
Avery KN, Donovan JL, Gilbert R, Davis M, Emmett P, Down L, Oliver S, Neal DE, Hamdy FC, Lane JA

PURPOSE: Few studies have measured dietary changes made among men diagnosed with prostate cancer (PC) without formal dietary interventions, yet they may offer insight into the needs of PC survivors. This study examined dietary changes in men before and after treatment for PC within the prostate testing for cancer and treatment randomized trial. METHODS: This was a prospective cohort study in community-based men aged 50-69 tested for PC in nine UK areas. 3,935 men completed food frequency questionnaires before diagnosis and 678 with localized PC repeated the questionnaire 1 year later (response 82.7 %). RESULTS: Men subsequently diagnosed with or without PC all consumed similar diets before diagnosis. Diagnosis of PC led to dietary changes, with 234 (34.7 %) men eating more fresh tomatoes (p < 0.0001) and 156 (23.5 %) more tomato products (p = 0.01). 271 (40.0 %) men consumed more protein (p < 0.0001) and 193 (28.6 %) more fruit/vegetable juice (p < 0.0001). Fewer macronutrients were obtained from dairy products (p < 0.01). Men undergoing active monitoring increased their fruit/vegetable juice intake after diagnosis (p = 0.0023) more than men who had surgery or radiotherapy. CONCLUSIONS: Around one-third of men spontaneously adopted a healthier diet and also consumed more 'prostate-healthy' foods following a diagnosis of PC. Dietary choices also differed by radical or monitoring treatments, indicating that men undergoing active surveillance may be more likely to pursue dietary changes as an adjunct therapy. PC survivors can adopt healthier diets, thus providing clinicians with opportunities to support PC survivorship by providing targeted advice beneficial to general and potentially prostate-specific health. HubMed – eating


The Stigma of Obesity Surgery: Negative Evaluations Based on Weight Loss History.

Obes Surg. 2013 Mar 22;
Vartanian LR, Fardouly J

BACKGROUND: The present study investigated the stigma of obesity surgery by examining whether attitudes towards a lean person can change after learning that the person used to be obese but recently lost weight either through surgery or through diet and exercise. METHODS: Participants (total N?=?135) initially viewed an image of a lean woman or man and rated their impression of that individual on a variety of characteristics. Participants were then shown an image of the individual before she/he lost weight and were informed that the weight loss was achieved through surgery or through diet and exercise. Participants once again rated their impressions of that individual. RESULTS: After learning about the previous weight loss, participants rated the individual who lost weight through surgery as significantly more lazy and sloppy, less competent and sociable, less attractive, and having less healthy eating habits. The individual who lost weight through diet and exercise, in contrast, was not evaluated as harshly. Mediation analysis further showed that the difference between the two weight loss conditions in ratings of laziness, competence, and sociability was due to participants viewing surgery patients as less responsible for their weight loss. CONCLUSIONS: These findings suggest that learning about someone’s weight history can negatively impact the way that person is seen by others. Furthermore, these findings suggest that the stigma may be strongest for people who lose weight through obesity surgery because those individuals are not seen as being responsible for their weight loss. HubMed – eating


Experiences Accompanying Postpartum Weight Loss: Benefits, Successes, and Well-Being.

Health Care Women Int. 2012 Nov 8;
Montgomery KS, Aniello TD, Phillips JD, Kirkpatrick T, Catledge C, Braveboy K, O’Rourke C, Patel N, Prophet M, Cooper A, Parker C, Mosely L, Douglas GM, Schalles LF, Hatmaker-Flanigan E

Obesity is a growing problem in the United States, and research has supported the theory that pregnancy contributes to long-term weight gain. This phenomenological study investigated the postpartum weight loss experiences of 24 women. Women ranged in age from 25 to 35 years, were mostly Caucasian with adequate resources, and about half worked either full or part time. Women described both positive and negative experiences associated with weight loss. Themes included issues related to exercise, weight struggles, pregnancy contributions to weight gain, eating, breastfeeding, motivation for weight loss, time issues, miscellaneous struggles, realizing benefits, social support, quick weight loss, personal well-being, and successes. The overarching theme that represents these women’s experiences was the need to balance weight loss activity with other responsibilities, which resulted in challenges and triumphs in women’s pursuit of returning to their prepregnancy weights. Realizing benefits, successes, and personal well-being are addressed in this article. HubMed – eating


Insulin pump therapy in children and adolescents: Changes in dietary habits, composition and quality of life.

J Paediatr Child Health. 2013 Mar 21;
Peters JE, Mount E, Huggins CE, Rodda C, Silvers MA

AIM: Continuous subcutaneous insulin infusion (CSII) can improve glycaemic control and dietary flexibility compared with conventional insulin therapies. There is little information on whether users are utilising this increased dietary flexibility, and whether dietary quality is affected. METHODS: A pre-post observational study was undertaken in 28 children and adolescents with type 1 diabetes commencing CSII. Meal pattern and dietary composition was examined from 3-day food diaries completed before and 3-6 months after CSII commencement. Participants completed the Diabetes-Specific Quality of Life for Youth Short Form, and body mass index z-score, and glycated haemoglobin were measured. A second posttest was undertaken at 18 months with those who were still on CSII and contactable (n = 18). RESULTS: Energy and macronutrient intake before and 18 months after CSII commencement were unchanged. Mean snacking events decreased significantly by 1.2 snacks per day (P = 0.009), as did the percentage energy derived from snacks (28.8%, 95% confidence interval (CI) 21.5-36.1 vs. 19.3%, 95% CI 13.2-25.4; P = 0.045). Diabetes-Specific Quality of Life for Youth Short Form score was not significantly affected by pump commencement (25.9 95% CI 18.2-33.6), and body mass index z-score remained similar before and after CSII. Glycated haemoglobin decreased by 0.5% in the 3-6 months following CSII commencement, but was similar to baseline at 18 months. CONCLUSIONS: This study demonstrates that the commencement of CSII did not lead to an abandonment of healthy eating principles, and that patients utilised the increased dietary flexibility to make changes to their snacking pattern. HubMed – eating