Contribution of diet and physical activity to metabolic parameters among survivors of childhood leukemia.

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...

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Published in:Cancer Causes & Control Vol. 24; no. 2; pp. 313 - 322
Main Authors: Tonorezos ES, Robien K, Eshelman-Kent D, Moskowitz CS, Church TS, Ross R, Oeffinger KC, Tonorezos, Emily S, Robien, Kim, Eshelman-Kent, Debra, Moskowitz, Chaya S, Church, Timothy S, Ross, Robert, Oeffinger, Kevin C
Format: research Journal Article
Published: Springer Nature Feb2013
Online Access:View this record in EBSCOhost
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      dt: Feb2013
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10552-012-0116-6
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        atl: Contribution of diet and physical activity to metabolic parameters among survivors of childhood leukemia.
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          Tonorezos ES
          Robien K
          Eshelman-Kent D
          Moskowitz CS
          Church TS
          Ross R
          Oeffinger KC
          Tonorezos, Emily S
          Robien, Kim
          Eshelman-Kent, Debra
          Moskowitz, Chaya S
          Church, Timothy S
          Ross, Robert
          Oeffinger, Kevin C
        affil: Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA
      sug:
        subj:
          Diet
          Leukemia, Lymphocytic, Acute Metabolism
          Motor Activity Physiology
          Adolescence
          Adult
          Female
          Human
          Male
          Questionnaires
          Survivors
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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