Breast cancer patients who have a strong social support system in the first year after diagnosis are less likely to die or have a recurrence of cancer, according to new research from investigators at Vanderbilt-Ingram Cancer Center and the Shanghai Institute of Preventive Medicine. The study, led by first author Meira Epplein, Ph.D., assistant professor of Medicine, was published in a recent edition of the Journal of Clinical Oncology.
Patients in the study were enrolled in the Shanghai Breast Cancer Survivor Study, a large, population-based review of female breast cancer survivors in China, which Vanderbilt University Medical Center and the Shanghai Institute of Preventive Medicine have carried out since 2002 under the leadership of principal investigator Xiao Ou Shu, M.D., Ph.D., professor of Medicine, and senior author of the study.
From 2002 to 2004, a total of 2,230 breast cancer survivors completed a quality of life survey six months after diagnosis and a majority responded to a follow-up survey 36 months postdiagnosis. The women were asked about physical issues like sleep, eating, pain, psychological well-being, social support and material well-being. The answers were converted to an overall quality of life score. During a median follow-up of 4.8 years after the quality of life assessment, the investigators documented participants who had died or been diagnosed with a cancer recurrence.
Six months after diagnosis, only greater social well-being was significantly associated with a decreased risk of dying or having a cancer recurrence. Compared to women with the lowest scores, women who scored highest on the social well-being quality of life scale had a 48 percent reduction in their risk of a cancer recurrence and a 38 percent reduction in the risk of death.
Among the facets that comprise the social well-being domain, emotional support was the strongest predictor of cancer recurrence. Specifically, women reporting the highest satisfaction with marriage and family had a 43 percent risk reduction, while those with strong social support had a 40 percent risk reduction and those with favorable interpersonal relationships had a 35 percent risk reduction.
“We found that social well-being in the first year after cancer diagnosis is an important prognostic factor for breast cancer recurrence or death,” said Epplein. “This suggests that the opportunity exists for the design of treatment interventions to maintain or enhance social support soon after diagnosis to improve disease outcomes.” While a strong social support network influenced cancer recurrence and mortality during the first year, the association tapered off and was no longer statistically significant by the third year after diagnosis.
This may be related to a smaller sample size of patients who answered the questionnaire, or other factors beyond quality of life that take precedence in the later years of survival. The study was supported by grants from the U.S. Department of Defense Breast Cancer Research Program and the National Cancer Institute.
A GOURMET meal may be as bad for you as a Big Mac, according to diabetes researchers who are alarmed at the rise in young men diagnosed with the disease.Corporate lunches and dinners at restaurants dishing up rich, fatty foods, coupled with sedentary working lives are being blamed for the trend. Dr Neale Cohen, of the Baker IDI Heart and Diabetes Institute, said many patients were unaware meals at upmarket restaurants were often as high in fat, salt and sugar as fast food.
''Eating out is really code for eating badly,'' Dr Cohen said. ''Whether it's a fine French restaurant or McDonald's, it's the type of food that causes the problem.'' He said doctors at the institute are seeing men as young as 40 affected by type 2 diabetes, which is often triggered by obesity and linked to poor diet. ''Many of my patients will eat out three or four times a week for work and we are seeing 40-year-old businessmen who are in real trouble. To have diabetes at that age and otherwise be perfectly well with very little family history, is a really worrying thing.''
Dr Cohen recommends his patients only eat out once a week but said the ''MasterChef effect'' was encouraging people to re-create the elaborate dishes at home.
Georgetown University researchers suggest obese women can reduce their risk of endometrial cancer by taking vitamin D supplements.Scientists from Georgetown's Lombardi Comprehensive Cancer Center recently showed that 67 percent of obese mice fed a regular diet developed this cancer, versus only 25 percent of obese mice fed a vitamin D-supplemented diet. “In the obese mice, vitamin D offered a very strong, very significant protective effect,” says the study's lead investigator, professor of oncology Leena Hilakivi-Clarke. The findings, published in Cancer Prevention Research, also reported that vitamin D offers no protective effects for mice of normal weight. About 60 percent of mice predisposed to endometrial cancer developed it no matter what diet they were fed.
All of the mice in the study were genetically predisposed to develop endometrial cancer because they lacked one of two tumor suppressor genes. People without one of these genes are strongly predisposed to the cancer, and obesity adds a strong risk factor for the disease, researchers say. “Vitamin D has been shown to be helpful in a number of cancers, but for endometrial cancer, our study suggests it protects only against cancer that develops due to obesity,” Hilakivi-Clarke says. “Still, if these results are confirmed in women, use of vitamin D may be a wonderfully simple way to reduce endometrial cancer risk.”
Until further studies are conducted, she says women concerned about their risk of this disease may wish to take vitamin D supplements or spend a few more minutes each week in the sun, They also should strive to lose weight if they are carrying around too many pounds. The National Cancer Institute and the Department of Defense funded the research, which also included investigators from the National Cancer Institute, Northwestern University, Wake Forest University School of Medicine and Walter Reed Hospital.
“But we really don't know why dietary vitamin D works so well in our obese mice,” Hilakivi-Clarke says. “We are currently investigating the mechanisms, and we are hopeful that we can find an answer.”
Whole-fat dairy products containing high levels of a natural fatty acid might help lower the risk of type 2 diabetes, according to a recent research by U.S. scientists. A diet rich in milk, cheese, yogurt and butter contains trans-palmitoleic acid which is known to shield against insulin resistance and diabetes. “Our results demonstrate an inverse relationship between levels of trans-palmitoleate and metabolic risk factors and diabetes incidence,” Dariush Mozaffarian, MD, DrPH, of the Harvard School of Public Health, and coauthors wrote in conclusion. “The small differences in trans-palmitoleate levels raise questions about whether this is the active compound or a marker for some other, unknown protective constituent of dairy or other ruminant foods.”
The study looked at 3,736 American seniors from Medicare eligibility lists aged 65 years or older. Physical tests, diagnostic testing, questionnaires on health status, and laboratory evaluation was conducted to evaluate the levels of 45 different fatty acids in the participants. They were further followed for 10 years with the help of annual clinic visits and interim telephone calls.
Trans-palmitoleate was responsible for an average of 0.18 percent of total fatty acid levels, with whole-fat dairy consumption accounting for the highest trans-palmitoleatele proportions. Participants who had consumed high levels of whole-fat dairy products revealed higher levels of trans-palmitoleate acid in their blood three years later, Dariush and his co-authors reported in the December issue of the journal ‘Annals of Internal Medicine.’ Further, participants with the highest levels of the acid circulating in their blood faced two-third the risk of suffering from type 2 diabetes as compared to the ones with the lowest levels. Such people also had lesser fat on their bodies, higher proportions of good cholesterol and lower levels of C-reactive protein.
“This is an extremely strong protective effect, stronger than other things we know can be beneficial against diabetes,” said Gökhan Hotamisligil, the study’s senior author and chair of the department of genetics and complex diseases at Harvard School of Public Health. “The next step is to move forward with an intervention trial to see if there is therapeutic value in people,” he added in a statement.
The research has been funded by the U.S. National Heart, Lung and Blood Institute, the U.S. National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Health Office of Dietary Supplements and National Institute of Neurological Disorders and Stroke.
Eating a diet rich in omega-3 fatty acids appears to protect seniors against the onset of a serious eye disease known as age-related macular degeneration (AMD), a new analysis indicates.”Our study corroborates earlier findings that eating omega-3-rich fish and shellfish may protect against advanced AMD,” study lead author Sheila K. West, of the Wilmer Eye Institute at Johns Hopkins School of Medicine in Baltimore, said in a news release from the American Academy of Ophthalmology.
“While participants in all groups, including controls, averaged at least one serving of fish or shellfish per week, those who had advanced AMD were significantly less likely to consume high omega-3 fish and seafood,” she added.
The observations are published in the December issue of Ophthalmology.
West and her colleagues based their findings on a fresh analysis of a one-year dietary survey conducted in the early 1990s. The poll involved nearly 2,400 seniors between the ages of 65 and 84 living in Maryland's Eastern Shore region, where fish and shellfish are eaten routinely. After their food intake was assessed, participants underwent eye exams. About 450 had AMD, including 68 who had an advanced stage of the disease, which can lead to severe vision impairment or blindness. In the United States, AMD is the major cause of blindness in whites, according to background information in the news release.
Prior evidence suggested that dietary zinc is similarly protective against AMD, so the researchers looked to see if zinc consumption from a diet of oysters and crabs reduced risk of AMD, but no such association was seen. However, the study authors theorized that the low dietary zinc levels relative to zinc supplements could account for the absence of such a link.
Anand Swaroop, chief of the neurobiology, neuro-degeneration, and repair laboratory at the U.S. National Eye Institute, interpreted the findings with caution. “It does make huge sense theoretically,” he said. “Photoreceptors have a very high concentration of a specific type of fatty acids and lipids, relative to many other cell types. So it would make sense that omega-3 consumption would be beneficial. The theory is sound.”
“However, I wouldn't want people to start taking grams of omega-3 to protect against AMD based on this finding because I'm not really sure that this study has sufficient power to draw any conclusions,” Swaroop added. “This is just a one-year analysis and AMD is a long-term disease. The correlation is important, and it should be explored further. But we need larger studies with longer term follow-up before being able to properly assess the impact.”
SOURCE: Anand Swaroop, Ph.D senior investigator and chief of neurobiology, neurodegneration, and repair laboratory, U.S. National Eye Institute, Bethesda, Md.; American Academy of Ophthalmology, news release, Dec. 1, 2010
Mothers who did not breastfeed their children have significantly higher rates of type 2 diabetes later in life than moms who breastfed, report University of Pittsburgh researchers in a study published in the September issue of the American Journal of Medicine.
“We have seen dramatic increases in the prevalence of type 2 diabetes over the last century,” said Eleanor Bimla Schwarz, MD, MS, assistant professor of medicine, epidemiology, and obstetrics, gynecology and reproductive sciences at the University of Pittsburgh. She also has a secondary appointment in epidemiology at the GSPH. “Diet and exercise are widely known to impact the risk of type 2 diabetes, but few people realize that breastfeeding also reduces mothers’ risk of developing the disease later in life by decreasing maternal belly fat.”
The study included 2,233 women between the ages of 40 and 78. Overall, 56 percent of mothers reported they had breastfed an infant for at least one month. Twenty-seven percent of mothers who did not breastfeed developed type 2 diabetes and were almost twice as likely to develop the disease as women who had breastfed or never given birth. In contrast, mothers who breastfed all of their children were no more likely to develop diabetes than women who never gave birth. These long-term differences were notable even after considering age, race, physical activity and tobacco and alcohol use.
“Our study provides another good reason to encourage women to breastfeed their infants, at least for the infant’s first month of life,” said Schwarz. “Clinicians need to consider women’s pregnancy and lactation history when advising women about their risk for developing type 2 diabetes.”
Schwarz also is an assistant investigator at the Magee-Womens Research Institute. Co-authors of the study include Jeanette Brown, MD, Jennifer M. Creasman, MPH, and David Thom, MD, PhD, University of California, San Francisco; Alison Stuebe, MD, MSc, University of North Carolina School of Medicine; Candace K. McClure, PhD, University of Pittsburgh; and Stephen K. Van Den Eeden, PhD, Kaiser Permanente, CA.
The research was funded by grants from the National Institutes of Health’s National Institute of Diabetes and Digestive and Kidney Diseases and the National Institute of Child Health and Development.
According to a new study by researchers at the National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Cancer Institute (NCI), and the USDA, conducted a study with 15,000 adults in the United States, and found that people who drink too many alcoholic beverages are more likely to eat less fruit and consume more calories from a combination of alcoholic beverages and foods high in unhealthy fats and sugar.
“Heavy drinking and dietary factors have independently been associated with cardiovascular disease, certain cancers, and other chronic health problems,” said NIAAA Acting Director Kenneth R. Warren, Ph.D. “This finding raises questions about whether the combination of alcohol misuse and poor diet might interact to further increase health risks.”
“We found that as alcoholic beverage consumption increased, Healthy Eating Index scores decreased, an indication of poorer food choices,” said first author Rosalind A. Breslow, Ph.D., an epidemiologist in NIAAA's Division of Epidemiology and Prevention Research.
A previous study by Dr. Breslow showed that the more alcohol people drink, the poorest quality diets they had. In addition to eating less fruits and vegetables, the researchers also found that increased alcoholic beverage consumption was associated with a decreased intake of whole grains and milk among men.
“Our findings underscore the importance of moderation for individuals who choose to consume alcoholic beverages, and a greater awareness of healthy food choices among such individuals,” says Dr. Breslow.
It is very important to control the amount of alcohol you consume. It could greatly affect you health.
Light has been cast on the interaction between broccoli consumption and reduced prostate cancer risk. Researchers writing in BioMed Central's open access journal Molecular Cancer have found that sulforaphane, a chemical found in broccoli, interacts with cells lacking a gene called PTEN to reduce the chances of prostate cancer developing.
Richard Mithen, from the Institute of Food Research, an institute of BBSRC, worked with a team of researchers on Norwich Research Park, UK, to carry out a series of experiments in human prostate tissue and mouse models of prostate cancer to investigate the interactions between expression of the PTEN gene and the anti-cancer activity of sulforaphane. He said, “PTEN is a tumour suppressor gene, the deletion or inactivation of which can initiate prostate carcinogenesis, and enhance the probability of cancer progression. We've shown here that sulforaphane has different effects depending on whether the PTEN gene is present”.
The research team found that in cells which express PTEN, dietary intervention with SF has no effect on the development of cancer. In cells that don't express the gene, however, sulforaphane causes them to become less competitive, providing an explanation of how consuming broccoli can reduce the risk of prostate cancer incidence and progression. According to Mithen, “This also suggests potential therapeutic applications of sulforaphane and related compounds”.
Since the 1960s, researchers have been studying how the water-soluble vitamin supports the healthy functioning of cells. They discovered that it's essential for cell division and replication, making it especially important for expectant mothers.
It's also important to proper replication of DNA and RNA — a lack of folate has been linked to genetic mutations that can lead to cancer.
Folate is commonly found in leafy green vegetables like spinach and turnip greens. Since 1998, the U.S. Food and Drug Administration has mandated that many foods, such as rice, flour and cornmeal, be enriched with a synthetic folate known as folic acid.
While folate deficiency is no longer a problem in the U.S., it remains widespread in developing nations and much of Europe, where enriching grain products is not widely practiced.
This new research, funded by the National Science Foundation and originally sparked by funding from the U.S. Department of Energy, links folate to the production or repair of compounds called iron-sulfur clusters through a recently discovered intermediary protein called COG0354.
These clusters are part of the mechanism cells use to produce energy and carry out other vital reactions. But they are also sensitive to a byproduct of the energy-producing process: highly reactive oxygen-based molecules, some of which are called free radicals.
The oxidative stress caused when these molecules pollute a cell has been linked to cell death and aging, as well as to conditions such as atherosclerosis, Parkinson's disease, heart disease, Alzheimer's, fragile X syndrome and many more.
Examining the folate-iron-sulfur cluster link required the team to pull experience from not only UF's microbiology and cell science and food science and human nutrition departments, but also the McKnight Brain Institute and the National High Magnetic Field Laboratory.
Expertise from the latter two institutions was needed because the researchers used nuclear magnetic resonance analysis to observe folate interacting with COG0354 protein — molecular-scale activity that could otherwise only have been shown indirectly, said Arthur Edison, the NHMFL's director of chemistry and biology and an associate professor with UF's biochemistry and molecular biology department.
The researchers have found that COG0354 is present in creatures from each of the six kingdoms of life, from mice and plants to one-cell organisms that may predate bacteria.
The findings will open new avenues of study into the overall mechanism of oxidative stress repair, and may someday lead to new medicines. For now, the researchers emphasize that this is another example of the vitamin's importance in one's diet.