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Fasting and weight-loss restrictive diet practices among 2,700 cancer survivors: results from the NutriNet-Santé cohort

Philippine Fassier 1, * Bernard Srour 1 Bruno Raynard 2 Laurent Zelek 1 Patrice Cohen 3, 4 Patrick Bachmann 5 Marina Touillaud 6, 5 Nathalie Druesne-Pecollo 1 Laura Bellenchombre 3, 4 Florence Cousson-Gélie 7, 8 Vanessa Cottet 9, 10 François Féliu 3, 4 Sébastien Mas 7, 8 Mélanie Deschasaux 1 Pilar Galan 11 Serge Hercberg 1 Paule Latino-Martel 1 Mathilde Touvier 1
* Auteur correspondant
1 CRESS (U1153 / UMR_A_1125 / UMR_S_1153) - Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité
2 DISSPO - Département Interdisciplinaire de Soins de Support aux Patients en Onco-hématologie [Gustave Roussy]
3 UNIROUEN - Université de Rouen Normandie
4 DySoLab - Laboratoire des Dynamiques Sociales
5 Centre Léon Bérard [Lyon]
6 UNICANCER/CRCL - Centre de Recherche en Cancérologie de Lyon
7 EPSYLON - Dynamique des capacités humaines et des conduites de santé
8 ICM - UNICANCER - Institut régional du Cancer [Montpellier]
9 Registre Bourguignon des Cancers Digestifs
LNC - Lipides - Nutrition - Cancer (U866), CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
10 LNC - Lipides - Nutrition - Cancer [Dijon - U1231]
11 CRESS - U1153 - Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle
UP13 - Université Paris 13, INRA - Institut National de la Recherche Agronomique, CNAM - Conservatoire National des Arts et Métiers [CNAM], CRESS (U1153 / UMR_A_1125 / UMR_S_1153) - Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité
Abstract : Nutrition is often used by cancer survivors as a lever to take charge of their own health. However, some dietary behaviors are not currently recommended for patients without medical supervision. Our study aimed at evaluating weight-loss restrictive diets and fasting practices among cancer survivors of the NutriNet-Santé cohort, as well as related socio-demographic and lifestyle factors. In October 2016, 2,741 cancer survivors had completed a specific questionnaire about their practices. Fasting and non-fasting patients (respectively dieting and non-dieting) were compared using logistic regression models. Analyses were weighted according to the age, gender, and cancer location distribution of French cancer cases. 13.8% had already practiced weight-loss restrictive diet as their diagnosis. They were more likely to be women, professionally active, overweight/obese, to use dietary supplements and to have breast cancer (all p < 0.05). 6.0% had already fasted, 3.5% as their diagnosis. They were more likely to be younger, with higher educational level, higher incomes, professionally active, to have a healthy weight, and to use dietary supplements (all p < 0.05). Fasting was associated with the opinion that such practice could improve cancer prognosis (p < 0.0001). Patients who received nutritional information from health care professionals were less likely to practice fasting or weight-loss restrictive diet (0.42[0.27-0.66], p < 0.0001 and 0.49[0.38-0.64], p < 0.0001 respectively). Our study provided original results suggesting that weight-loss restrictive diets are widely practiced by cancer survivors. Fasting was less common in our study though non negligible. Sources of nutritional information received as cancer diagnosis seemed to be a key determinant of these practices.
Keywords : Fasting cancer survivors weight-loss restrictive diet
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https://hal-univ-bourgogne.archives-ouvertes.fr/hal-01943649
Contributeur : Lnc - Université de Bourgogne <>
Soumis le : mardi 4 décembre 2018 - 09:25:02
Dernière modification le : mercredi 14 octobre 2020 - 03:44:53

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UNIV-BOURGOGNE | LNC-EPICAD | IGR | FNCLCC | CNRS | CNAM | INRA | VALDAURELLE | UNIV-PARIS13 | LNC-UMR866 | UNIV-LYON1 | NUTRINET | BS | COMUE-NORMANDIE | UNIV-MONTPELLIER | CRCL | UNIROUEN | DYSOLAB | IRIHS | USPC | UNIV-PARIS-SACLAY | UNIV-HESAM | UNIV-PARIS5 | UNIV-PARIS7 | UNIV-MONTP3 | UDL | INRAE | UNIV-PARIS | UP-SANTE

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Philippine Fassier, Bernard Srour, Bruno Raynard, Laurent Zelek, Patrice Cohen, et al.. Fasting and weight-loss restrictive diet practices among 2,700 cancer survivors: results from the NutriNet-Santé cohort. International Journal of Cancer, Wiley, 2018, 143 (11), pp.2687-2697. ⟨10.1002/ijc.31646⟩. ⟨hal-01943649⟩

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