Promotion of the mediterranean diet incancer long-survivors by means of the Med-Food Anticancer Program: a pilot study.

Abstract:
BACKGROUND\nThe intervention Med-Anticancer Food Program has proven to be effective in promoting the Mediterranean Diet, significantly increasing the Mediterranean Adequacy Index in healthy subjects. There are no studies that have investigated the effectiveness of this intervention in individuals who have had a diagnosis of cancer.\n\n\nOBJECTIVE\nTo perform a pilot study to assess the opportunity of employing the methodology of the Med-Anticancer Food Program in order to encourage long-term cancer survivors to adhere to the Mediterranean Diet, as well as healthy people, and this in order to apply the program to larger groups.\n\n\nMETHODS\nFrom the residents register of Foggia, a city in southern Italy, forty adults of both sexes, over 25 years of age, were recruited at random and assigned (1:1) as follows: - Twenty healthy subjects to the intervention-1 group - Twenty long-term cancer survivors to the intervention-2 group. The Med-Anticancer Food Program was applied to both groups with an articulated intervention 11 weeks long, followed by a 52-week period of follow up. By means of a food diary of the last 3 days, the Mediterranean Adequacy Index values were calculated before intervention (T0), after a period of 11 weeks of interventions (T1) and at the end of the 52 weeks of follow-up period (T2). The H0 hypothesis of the study was that there are no differences between the two interventions in reaching by T1, and maintaining at T2, values of Mediterranean Adequacy Index around 7, considered the optimum for adherence to the Mediterranean diet.\n\n\nRESULTS\nOut of the subjects assigned to the intervention-1 group (n = 20), 11 subjects have completed the 52-months follow-up (55.0% ); for intervention-2, 16 (80%) out of 20 have completed it. The average age of subjects was 52.1 years. The Mediterranean Adequacy Index, of intervention-1 group significantly increased from 2.8 (T0) to 9.2 (T1) and to 9.0 (T2) (p <0.0001); whereas, in the intervention-2 group, Mediterranean Adequacy Index moved from 2.4 (T0) to 10.2 (T1) and to 9.3 (T2) (p <0.0001). The difference of Mediterranean Adequacy Index between the two study groups at T1 and T2 was not significant. Such non-significance persists also after the stratification by sex and age obtained with Mantel-Haenszel procedure. The performance of the values of the laboratory parameters considered (folic acid, total cholesterol, alkyl resorcinol) was similar in the subjects of both intervention 1 and 2, without any difference, while considered at a basal level T0, at T1 and at the end of the follow-up period (T2).\n\n\nCONCLUSIONS\nThe results of our work suggest the feasibility of conducting the Med-Anticancer Food Program in long-term cancer survivors. The results of the pilot study show that such intervention, carried on a small number of long term cancer survivors, is adequate to assess its feasibility but, due to the limited size of our study, a confirmation is required through larger nutritional prevention intervention studies.
Author Listing： M Panunzio;R Caporizzi;E P Cela;A Antoniciello;V Di Martino;L R Ferguson
Volume： 31 1
Pages： \n 45-51\n
DOI： 10.7416/ai.2019.2258
Language： English
Journal： Annali di igiene : medicina preventiva e di comunita

Annali di Igiene Medicina Preventiva e di Comunita

ANN IG MED PREV COMU

影响因子：1.5 是否综述期刊：否 是否OA：否 是否预警：不在预警名单内 发行时间：- ISSN：1120-9135 发刊频率：- 收录数据库：ESCI/Scopus收录 出版国家/地区：- 出版社：Societa Editrice Universo

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年发文量 56
国人发稿量 -
国人发文占比 0%
自引率 6.7%
平均录取率 -
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偏重研究方向 HEALTH CARE SCIENCES & SERVICES-
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研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
94.64% 0.00% - -

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WOS期刊SCI分区是指SCI官方（Web of Science）为每个学科内的期刊按照IF数值排 序，将期刊按照四等分的方法划分的Q1-Q4等级，Q1代表质量最高，即常说的1区期刊。
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