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Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors.

Publication ,  Journal Article
Christy, SM; Mosher, CE; Sloane, R; Snyder, DC; Lobach, DF; Demark-Wahnefried, W
Published in: J Am Diet Assoc
December 2011

BACKGROUND: Cancer survivors are at increased risk for secondary cancers and other diseases. Healthy dietary practices may improve cancer survivors' health and well-being. OBJECTIVE: The durability of the effects of the FRESH START intervention, a program of sequentially tailored mailed materials, and standardized mailed materials (for controls) on cancer survivors' dietary outcomes was assessed over a 2-year period. Greater dietary gains were expected for FRESH START participants relative to controls. DESIGN: Participants were randomized to receive tailored vs standardized 10-month mailed print interventions promoting diet and exercise behaviors. Data were collected at baseline and 1- and 2-year follow-ups. PARTICIPANTS/SETTING: Breast and prostate cancer survivors (n=543) were recruited from 39 states and two provinces within North America. A total of 489 participants completed the 2-year follow-up assessment (10% attrition). INTERVENTION: Participants were randomly assigned to either a 10-month program of tailored mailed print materials promoting fruit and vegetable consumption, reduced total and saturated fat intake, and/or increased exercise or to a 10-month program of publicly available mailed materials on diet and exercise. MAIN OUTCOME MEASURES: Telephone surveys (supported with blood biomarkers) assessed dietary habits at baseline and 1- and 2-year follow-ups. STATISTICAL ANALYSES PERFORMED: Paired-samples t tests were conducted to examine the durability of the intervention's effects on dietary outcomes within each study arm. Arm differences in follow-up outcomes were then tested with the general linear model, controlling for the baseline value of the outcomes. RESULTS: Both arms reported decreased saturated fat intake, increased servings of fruits and vegetables, and better overall diet quality at year 2 relative to baseline. However, FRESH START participants reported better overall diet quality and lower total and saturated fat intake compared to controls at the 2-year follow-up. CONCLUSIONS: Results suggest that mailed material interventions, especially those that are tailored, can produce long-term dietary improvement among cancer survivors.

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Published In

J Am Diet Assoc

DOI

EISSN

1878-3570

Publication Date

December 2011

Volume

111

Issue

12

Start / End Page

1844 / 1851

Location

United States

Related Subject Headings

  • Vegetables
  • Survivors
  • Prostatic Neoplasms
  • Patient Education as Topic
  • Outcome Assessment, Health Care
  • Nutrition & Dietetics
  • Middle Aged
  • Male
  • Humans
  • Health Promotion
 

Citation

APA
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ICMJE
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Christy, S. M., Mosher, C. E., Sloane, R., Snyder, D. C., Lobach, D. F., & Demark-Wahnefried, W. (2011). Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors. J Am Diet Assoc, 111(12), 1844–1851. https://doi.org/10.1016/j.jada.2011.09.013
Christy, Shannon M., Catherine E. Mosher, Richard Sloane, Denise C. Snyder, David F. Lobach, and Wendy Demark-Wahnefried. “Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors.J Am Diet Assoc 111, no. 12 (December 2011): 1844–51. https://doi.org/10.1016/j.jada.2011.09.013.
Christy SM, Mosher CE, Sloane R, Snyder DC, Lobach DF, Demark-Wahnefried W. Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors. J Am Diet Assoc. 2011 Dec;111(12):1844–51.
Christy, Shannon M., et al. “Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors.J Am Diet Assoc, vol. 111, no. 12, Dec. 2011, pp. 1844–51. Pubmed, doi:10.1016/j.jada.2011.09.013.
Christy SM, Mosher CE, Sloane R, Snyder DC, Lobach DF, Demark-Wahnefried W. Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors. J Am Diet Assoc. 2011 Dec;111(12):1844–1851.

Published In

J Am Diet Assoc

DOI

EISSN

1878-3570

Publication Date

December 2011

Volume

111

Issue

12

Start / End Page

1844 / 1851

Location

United States

Related Subject Headings

  • Vegetables
  • Survivors
  • Prostatic Neoplasms
  • Patient Education as Topic
  • Outcome Assessment, Health Care
  • Nutrition & Dietetics
  • Middle Aged
  • Male
  • Humans
  • Health Promotion