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JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS

Dietary Patterns Differ between Urban & Rural Older, Long-Term Survivors of Breast, Prostate, and Colorectal Cancer and Are Associated with Body Mass Index (BMI). Paige E. Miller, Ph.D., M.P.H., R.D.: National Cancer Institute

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JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS

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  1. Dietary Patterns Differ between Urban & Rural Older, Long-Term Survivors of Breast, Prostate, and Colorectal Cancer and Are Associated with Body Mass Index (BMI) Paige E. Miller, Ph.D., M.P.H., R.D.: National Cancer Institute Miriam C. Morey, Ph.D.: Durham VA Medical Center, Duke University School of Medicine (DUSM) Terry J. Hartman, Ph.D., M.P.H., R.D.: The Pennsylvania State University Denise C. Snyder, M.S., R.D.: Duke University School of Nursing Richard Sloane, M.P.H.: University of Alabama at Birmingham (UAB) Harvey Jay Cohen, M.D.: DUSM Wendy Demark-Wahnefried, Ph.D., R.D. UAB, UAB Comprehensive Cancer Center JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  2. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI Background Serum Vitamin C (mg/dl) by Salad Intake • More than 1/2 of the 13 million cancer survivors in the US are > 65 years • Survivors are at increased risk for cancer recurrence, new primary & secondary tumors, cardiovascular disease, diabetes, & other chronic diseases • Excess weight & suboptimal dietary patterns may contribute to increased risk • Dietary patterns are defined as the nature, quality, quantity, proportions, & frequency of foods & beverages consumed in the diet • Patterns likely differ between urban & rural survivors due to differences in educational attainment, financial resources, & access to healthier food options, among other factors JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  3. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI Objectives Serum Vitamin C (mg/dl) by Salad Intake • To compare dietary patterns of urban & rural cancer survivors • To examine whether these dietary patterns were associated with BMI JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  4. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI Study Design & Population Serum Vitamin C (mg/dl) by Salad Intake • Secondary analysis of existing data from the Reach Out to Enhance Wellness (RENEW) trial, a distance-based diet & physical activity intervention • n = 729 survivors who underwent screening for RENEW • long-term (>5y), older adult (>65y), overweight/ obese (BMI: 25-40 mg/k2), survivors of colorectal, breast, & prostate cancer • Geographically diverse population from 20 US states JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  5. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI Data Collection & Statistical Analysis • Data Collection • Two 45-60 minute telephone surveys as part of the screening assessment • Included two 24-hour dietary recalls • Statistical Analysis • PCA to derive dietary patterns separately for rural & urban residents • Multivariable linear regression to evaluate associations between patterns & BMI JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J AcadNutr Diet. 2012; 112 (June).

  6. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  7. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  8. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  9. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  10. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI Conclusions • Dietary patterns differ in composition between rural & urban survivors & are associated with BMI • Findings from our study support an important role of dietary patterns on weight status • Greater adherence to the “high reduced-fat dairy, cereal, fruits, & nuts” pattern among rural survivors & the “high fruits & vegetables” pattern among urban survivors was associated with lower BMI (P-trend < 0.05 for both) JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

  11. Dietary Patterns Differ Between Urban And Rural Cancer Survivors & Are Associated With BMI Future Implications • Rural/urban differences should be considered when designing public health interventions targeting diet modification & weight management • Continued research efforts are needed to examine the role of geographic location on both diet & obesity in this population • Longitudinal research that examines the effect of dietary patterns, as well as change in dietary patterns, on BMI & other health-related endpoints would greatly extend the current findings. JOURNAL OFTHE ACADEMY OF NUTRITION AND DIETETICS Miller P, et al.J Acad Nutr Diet. 2012; 112 (June).

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