Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors

The role of a healthy diet in cancer prevention is well recognized. Recent data indicate that following the same advices can also improve cancer survivors’ quality of life. Breast cancer (BC) patients are commonly concerned about diet and nutrition and frequently express the need to obtain health-re...

Full description

Bibliographic Details
Main Authors: Greta Caprara, Maria Tieri, Alessandra Fabi, Valentina Guarneri, Cristina Falci, Maria Vittoria Dieci, Monica Turazza, Bettina Ballardini, Alessandra Bin, Saverio Cinieri, Patrizia Vici, Emilia Montagna, Claudio Zamagni, Cristina Mazzi, Alessandra Modena, Fabiana Marchetti, Matteo Verzè, Francesca Ghelfi, Lucilla Titta, Fabrizio Nicolis, Stefania Gori
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.705927/full
_version_ 1818510134091972608
author Greta Caprara
Maria Tieri
Maria Tieri
Alessandra Fabi
Alessandra Fabi
Valentina Guarneri
Valentina Guarneri
Cristina Falci
Maria Vittoria Dieci
Maria Vittoria Dieci
Monica Turazza
Bettina Ballardini
Alessandra Bin
Saverio Cinieri
Patrizia Vici
Emilia Montagna
Claudio Zamagni
Cristina Mazzi
Alessandra Modena
Fabiana Marchetti
Matteo Verzè
Francesca Ghelfi
Francesca Ghelfi
Lucilla Titta
Lucilla Titta
Fabrizio Nicolis
Stefania Gori
author_facet Greta Caprara
Maria Tieri
Maria Tieri
Alessandra Fabi
Alessandra Fabi
Valentina Guarneri
Valentina Guarneri
Cristina Falci
Maria Vittoria Dieci
Maria Vittoria Dieci
Monica Turazza
Bettina Ballardini
Alessandra Bin
Saverio Cinieri
Patrizia Vici
Emilia Montagna
Claudio Zamagni
Cristina Mazzi
Alessandra Modena
Fabiana Marchetti
Matteo Verzè
Francesca Ghelfi
Francesca Ghelfi
Lucilla Titta
Lucilla Titta
Fabrizio Nicolis
Stefania Gori
author_sort Greta Caprara
collection DOAJ
description The role of a healthy diet in cancer prevention is well recognized. Recent data indicate that following the same advices can also improve cancer survivors’ quality of life. Breast cancer (BC) patients are commonly concerned about diet and nutrition and frequently express the need to obtain health-related information and the will to change their diet and lifestyle. Hence, be aware of survivors’ dietary changes and information needs is crucial for healthcare professionals to guide them toward optimal lifestyle choices. In order to investigate eating habits changes in a BC survivors’ population, we conceived the cross-sectional multicentric study ECHO (Eating habits CHanges in Oncologic patients) Survey. Data were collected from 684 patients, diagnosed with invasive breast cancer, in order to investigate their changes in food consumption, use of supplements, or the beginning of a specific diet, after BC diagnosis. We also examined the sources of information used and if any modification in their diets was reported to the oncologist. We primarily observed that patients increased their consumption of vegetables, pulses, nuts, fruits, wholemeal bread/pasta, grains and fish; while decreasing red and processed meat, refined bread/pasta, baked good and animal fat consumption. Survivors also reported the use of dietary supplements, mainly vitamins, aimed at counteracting therapies’ side effects. Changes in nutritional habits were often adopted without asking or informing the oncologist. Despite BC survivors made some positive changes in their nutritional habits, those modifications were mostly pursued by less than half of them, while the majority of patients consumed nutritional supplements after diagnosis. These results, as well as the failure to communicate with the physicians, reinforce the need to both improve the patient-healthcare professional relationship and to develop tailored nutrition counselling and intervention programs for cancer survivors.
first_indexed 2024-12-10T22:55:03Z
format Article
id doaj.art-eb3296ead24640c9920820e375b39999
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-10T22:55:03Z
publishDate 2021-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-eb3296ead24640c9920820e375b399992022-12-22T01:30:18ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-11-011110.3389/fonc.2021.705927705927Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer SurvivorsGreta Caprara0Maria Tieri1Maria Tieri2Alessandra Fabi3Alessandra Fabi4Valentina Guarneri5Valentina Guarneri6Cristina Falci7Maria Vittoria Dieci8Maria Vittoria Dieci9Monica Turazza10Bettina Ballardini11Alessandra Bin12Saverio Cinieri13Patrizia Vici14Emilia Montagna15Claudio Zamagni16Cristina Mazzi17Alessandra Modena18Fabiana Marchetti19Matteo Verzè20Francesca Ghelfi21Francesca Ghelfi22Lucilla Titta23Lucilla Titta24Fabrizio Nicolis25Stefania Gori26Department of Experimental Oncology, Istituto Europeo di Oncologia (IEO), European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milano, ItalyDepartment of Experimental Oncology, Istituto Europeo di Oncologia (IEO), European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milano, ItalyFondazione Tera, Novara, ItalyMedical Oncology 1 - Istituto Nazionale Tumori Regina Elena Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyPrecision Medicine in Breast Cancer Unit, Fondazione Policlinico Universitario A. Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, ItalyDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, ItalyMedical Oncology 2 - Istituto Oncologico Veneto Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, ItalyMedical Oncology 2 - Istituto Oncologico Veneto Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, ItalyDepartment of Surgery, Oncology and Gastroenterology, University of Padova, Padova, ItalyMedical Oncology 2 - Istituto Oncologico Veneto Istituto Oncologico Veneto (IOV) Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Padova, ItalyDepartment of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, ItalyBreast Division, MultiMedica Breast Unit Multimedica Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milano, ItalyDipartimento di Oncologia, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy0Unità Operativa Complessa di Oncologia Medica, ASL Brindisi Senatore Antonio Perrino Hospital, Brindisi, Italy1Unità Operativa Semplice Dipartimentale (UOSD), Sperimentazioni di FASE IV, Istituto Nazionale Tumori Regina Elena Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Roma, Italy2Division of Medical Senology, Istituto Europeo di Oncologia (IEO), European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milano, Italy3Medical Oncology Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Azienda Ospedaliero-universitaria di Bologna, Bologna, Italy4Clinical Research Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, ItalyDepartment of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy4Clinical Research Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy5Medical Direction, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy6Fondazione De Marchi-Department of Pediatrics, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy7The Need For Nutrition Education/Innovation Programme (NNEdPro) Global Centre for Nutrition and Health, St John’s Innovation Centre, Cambridge, United KingdomDepartment of Experimental Oncology, Istituto Europeo di Oncologia (IEO), European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milano, ItalyFondazione Tera, Novara, Italy8Associazione Italiana di Oncologia Medica (AIOM) Foundation Past President, Medical Direction, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy9Associazione Italiana di Oncologia Medica (AIOM) Foundation President, Department of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, ItalyThe role of a healthy diet in cancer prevention is well recognized. Recent data indicate that following the same advices can also improve cancer survivors’ quality of life. Breast cancer (BC) patients are commonly concerned about diet and nutrition and frequently express the need to obtain health-related information and the will to change their diet and lifestyle. Hence, be aware of survivors’ dietary changes and information needs is crucial for healthcare professionals to guide them toward optimal lifestyle choices. In order to investigate eating habits changes in a BC survivors’ population, we conceived the cross-sectional multicentric study ECHO (Eating habits CHanges in Oncologic patients) Survey. Data were collected from 684 patients, diagnosed with invasive breast cancer, in order to investigate their changes in food consumption, use of supplements, or the beginning of a specific diet, after BC diagnosis. We also examined the sources of information used and if any modification in their diets was reported to the oncologist. We primarily observed that patients increased their consumption of vegetables, pulses, nuts, fruits, wholemeal bread/pasta, grains and fish; while decreasing red and processed meat, refined bread/pasta, baked good and animal fat consumption. Survivors also reported the use of dietary supplements, mainly vitamins, aimed at counteracting therapies’ side effects. Changes in nutritional habits were often adopted without asking or informing the oncologist. Despite BC survivors made some positive changes in their nutritional habits, those modifications were mostly pursued by less than half of them, while the majority of patients consumed nutritional supplements after diagnosis. These results, as well as the failure to communicate with the physicians, reinforce the need to both improve the patient-healthcare professional relationship and to develop tailored nutrition counselling and intervention programs for cancer survivors.https://www.frontiersin.org/articles/10.3389/fonc.2021.705927/fulleating habits surveyhealth informationdietary changescancer patientscancer survivorsbreast cancer
spellingShingle Greta Caprara
Maria Tieri
Maria Tieri
Alessandra Fabi
Alessandra Fabi
Valentina Guarneri
Valentina Guarneri
Cristina Falci
Maria Vittoria Dieci
Maria Vittoria Dieci
Monica Turazza
Bettina Ballardini
Alessandra Bin
Saverio Cinieri
Patrizia Vici
Emilia Montagna
Claudio Zamagni
Cristina Mazzi
Alessandra Modena
Fabiana Marchetti
Matteo Verzè
Francesca Ghelfi
Francesca Ghelfi
Lucilla Titta
Lucilla Titta
Fabrizio Nicolis
Stefania Gori
Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors
Frontiers in Oncology
eating habits survey
health information
dietary changes
cancer patients
cancer survivors
breast cancer
title Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors
title_full Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors
title_fullStr Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors
title_full_unstemmed Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors
title_short Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors
title_sort results of the echo eating habits changes in oncologic patients survey an italian cross sectional multicentric study to explore dietary changes and dietary supplement use in breast cancer survivors
topic eating habits survey
health information
dietary changes
cancer patients
cancer survivors
breast cancer
url https://www.frontiersin.org/articles/10.3389/fonc.2021.705927/full
work_keys_str_mv AT gretacaprara resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT mariatieri resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT mariatieri resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT alessandrafabi resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT alessandrafabi resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT valentinaguarneri resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT valentinaguarneri resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT cristinafalci resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT mariavittoriadieci resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT mariavittoriadieci resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT monicaturazza resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT bettinaballardini resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT alessandrabin resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT saveriocinieri resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT patriziavici resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT emiliamontagna resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT claudiozamagni resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT cristinamazzi resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT alessandramodena resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT fabianamarchetti resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT matteoverze resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT francescaghelfi resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT francescaghelfi resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT lucillatitta resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT lucillatitta resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT fabrizionicolis resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors
AT stefaniagori resultsoftheechoeatinghabitschangesinoncologicpatientssurveyanitaliancrosssectionalmulticentricstudytoexploredietarychangesanddietarysupplementuseinbreastcancersurvivors