Document Detail

Contribution of diet and physical activity to metabolic parameters among survivors of childhood leukemia.
MedLine Citation:
PMID:  23187859     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Determine the relationship between diet and metabolic abnormalities among adult survivors of childhood acute lymphoblastic leukemia (ALL).
METHODS: We surveyed 117 adult survivors of childhood ALL using the Harvard Food Frequency Questionnaire. Physical activity energy expenditure (PAEE) was measured with the SenseWear Pro2 Armband. Insulin resistance was estimated using the Homeostasis Model for Insulin Resistance (HOMA-IR). Visceral and subcutaneous adiposity were measured by abdominal CT. Adherence to a Mediterranean diet pattern was calculated using the index developed by Trichopoulou. Subjects were compared using multivariate analysis adjusted for age and gender.
RESULTS: Greater adherence to a Mediterranean diet pattern was associated with lower visceral adiposity (p = 0.07), subcutaneous adiposity (p < 0.001), waist circumference (p = 0.005), and body mass index (p = 0.04). For each point higher on the Mediterranean Diet Score, the odds of having the metabolic syndrome fell by 31 % (OR 0.69; 95 % CI 0.50, 0.94; p = 0.019). Higher dairy intake was associated with higher HOMA-IR (p = 0.014), but other individual components of the Mediterranean diet, such as low intake of meat or high intake of fruits and vegetables, were not significant. PAEE was not independently associated with metabolic outcomes, although higher PAEE was associated with lower body mass index.
CONCLUSIONS: Adherence to a Mediterranean diet pattern was associated with better metabolic and anthropometric parameters in this cross-sectional study of ALL survivors.
Emily S Tonorezos; Kim Robien; Debra Eshelman-Kent; Chaya S Moskowitz; Timothy S Church; Robert Ross; Kevin C Oeffinger
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-11-28
Journal Detail:
Title:  Cancer causes & control : CCC     Volume:  24     ISSN:  1573-7225     ISO Abbreviation:  Cancer Causes Control     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-28     Completed Date:  2013-10-30     Revised Date:  2014-06-27    
Medline Journal Info:
Nlm Unique ID:  9100846     Medline TA:  Cancer Causes Control     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  313-21     Citation Subset:  IM    
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MeSH Terms
Motor Activity / physiology*
Precursor Cell Lymphoblastic Leukemia-Lymphoma / metabolism*
Young Adult
Grant Support
K05 CA160724/CA/NCI NIH HHS; K05- CA165702/CA/NCI NIH HHS; M01-RR-00633/RR/NCRR NIH HHS; P30 CA008748/CA/NCI NIH HHS; R01 CA100474/CA/NCI NIH HHS; R01-CA 100474/CA/NCI NIH HHS; UL1-RR-024982/RR/NCRR NIH HHS

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