Consumption Of Healthful Foods Research Articles

Food Consumption Inequalities in Primary Care in a Large Metropolis.

The aim of this study was to examine the association between health vulnerability and food consumption according to the NOVA classification within primary care in a major Brazilian city. A cross-sectional study was conducted among adults over 20 years old. These participants were part of a representative sample from the Health Academy Program (PAS) in Belo Horizonte, Brazil. We evaluated socio-demographic variables, self-reported illnesses, perceived health and quality of life, and the length of participation in PAS. Health vulnerability was gauged through the Health Vulnerability Index (HVI), which is calculated for each census sector and classified as low, medium, and high/very high. On the other hand, food consumption was determined by evaluating the average consumption described in a 24 h diet recall (24HR) and categorizing it under the NOVA classification: culinary preparations, processed foods, and ultra-processed foods (UPFs). The average calorie intake was 1429.7 kcal, primarily from culinary preparations (61.6%) and UPFs (27.4%). After adjustments, individuals residing in high/very high-HVI areas consumed more culinary preparations (β = 2.7; 95%CI: 4.7; 0.7) and fewer UPFs (β = -2.7; 95%CI: -4.7; -0.7) compared to those from low-vulnerability areas. PAS participants residing in more vulnerable areas reported healthier dietary habits, consuming more homecooked meals and fewer UPFs. These findings underscore the importance of concentrating efforts on promoting and preserving healthy eating habits and emphasizing the value of home cooking in the most vulnerable regions.

Sex-based Differences in Fatty Acids and Macro Elements Composition in Garfish, European Barracuda and Anglerfish from Aegean Sea, Türkiye

Background: Fish, owing to its nutritional attributes, serves as a pivotal component of a wholesome diet. The constituents found in fish, specifically macroelements and polyunsaturated fatty acids (PUFA), play a crucial role in promoting human health. This study investigates the fatty acid profiles and macro element contents of economically significant fish species, including garfish (Belone belone), European barracuda (Sphyraena sphyraena) and anglerfish (Lophius piscatorius), with a specific focus on gender-based differences. The research addresses a notable gap in existing literature, providing a comprehensive evaluation of the nutritional quality of these species. Methods: In February 2023, marine fish species, were obtained from the Aegean Sea located between the western and southwestern shores of Türkiye and the eastern shores of Greece. A total of fifteen samples, representing each fish species and gender within the sampling area, were collected for the analysis of fatty acids and macro elements. Result: The findings of this study indicate that, regardless of fish species and gender, the major fatty acids in the SFAs, MUFAs and PUFAs classes were palmitic (C16:0), oleic (C18:1n-9) and DHA (C22:6n-3), respectively. The examined species in this study exhibit average macro element levels. While PUFA, EPA and DHA values meet target levels of content for human health and quality food consumption, achieving these levels minimally implies that the studied species lack a rich fatty acid profile compared to those in prior research. Nonetheless, it is concluded that monitoring seasonal variations is essential for a comprehensive understanding of their fatty acid composition.

Plant-based diet associated with better quality of life in prostate cancer survivors.

Plant-based diets have many health benefits, including a lower risk of fatal prostate cancer, and greater environmental sustainability. However, less is known regarding the impact of plant-based diets on quality of life among individuals diagnosed with prostate cancer. The authors' objective was to examine the relationship between plant-based diet indices postdiagnosis with quality of life. This prospective cohort study included 3505 participants in the Health Professionals Follow-Up Study (1986-2016) with nonmetastatic prostate cancer. Food-frequency questionnaires were used to calculate overall and healthful plant-based diet indices. Quality-of-life scores were calculated using the Expanded Prostate Cancer Index Composite. Generalized estimating equations were used to examine associations over time between plant-based diet indices and quality-of-life domains (sexual functioning, urinary irritation/obstruction, urinary incontinence, bowel functioning, hormonal/vitality), adjusted for demographics, oncologic history, body mass index, caloric intake, health-related behaviors, and comorbidities. The median age at prostate cancer diagnosis was 68years; 48% of patients underwent radical prostatectomy, and 35% received radiation as primary therapy. The median time from diagnosis/treatment to first the quality-of-life questionnaire was 7.0years. A higher plant-based diet index was associated with better scores for sexual function, urinary irritation/obstruction, urinary incontinence, and hormonal/vitality. Consuming more healthful plant-based foods was also associated with better sexual and bowel function, as well as urinary incontinence andhormonal/vitality scores in the age-adjusted analysis, but not in the multivariable analysis. This prospective study provides supportive evidence that greater consumption of healthful plant-based foods is associated with modestly higher scores in quality-of-life domains among patients with prostate cancer.

Associations between health issues and food consumption with overweight and obesity in three university students minorities

Objective: To determine the presence of overweight and obesity among minorities, and the factors contributing to this weight disparity. Participants: The study comprises 3405 students including nonwhite, international, and first-generation college students. Methods: An online cross-sectional survey collected data on demographics, height, weight, self-health perception, overall sleep quality, progress in school, and food consumption. Three logistic regressions tested abnormal weight associations with health issues and food consumption. Results: Being 31 years-old or older, perception of health and consumption of ultra-processed food was significant with abnormal weight (BMI > 25). Only nonwhite and international students were correlated with ultra-processed and fast-food consumption respectively. Conclusion: Each minority presented vulnerabilities to high percentages of weights exceeding the appropriate rates of BMI. The high consumption of fast and ultra-processed foods makes it important to consider factors related to health perception in each minority group.

Association of plant-based diet index with quality of life in patients with prostate cancer.

5037 Background: Plant-based diets have many health benefits including a lower risk of fatal prostate cancer. Less is known about the relationship between diet and functional outcomes among prostate cancer survivors. We hypothesized that greater consumption of plant-based food after prostate cancer diagnosis is associated with improved quality of life (QOL). Methods: This prospective cohort study included 3,505 participants in the Health Professionals Follow-up Study with non-metastatic prostate cancer (1986-2016). Overall and healthful Plant-based Diet Indices were calculated from food frequency questionnaires with cumulative updating. QOL scores were calculated using the Expanded Prostate Cancer Index Composite. Generalized estimating equations were used to examine associations between Plant-based Diet Indices and 5 QOL domains, adjusted for clinical and demographic factors. Results: Higher Plant-Based Diet Index was associated with improved scores for sexual function, urinary irritation/obstruction, and urinary incontinence among men with prostate cancer. Consuming more healthful plant-based foods was also associated with better scores for bowel function and hormonal/vitality in the age-adjusted models. Results were similar in sensitivity analyses excluding patients with pre-existing erectile dysfunction or lower urinary tract symptoms, and adjusting for use of sexual or urinary medications. A limitation is that no participants followed a strict vegan diet. Conclusions: This prospective study suggests that greater consumption of healthful plant-based foods is associated with modest improvements in QOL domains among patients with prostate cancer. [Table: see text]

The Uptrend Effect: Encouraging Healthy Behaviors Through Greater Inferred Normativity

Only a minority of Americans adequately engage in activities experts recommend to curb preventable diseases, such as the consumption of healthful foods and regular physical exercise. This poses a challenge for policy makers and social marketers alike, given the substantial impact descriptive norms have on behaviors in the health domain. The authors propose a new way to address this challenge by identifying what they call the “uptrend effect.” This effect encourages descriptively nonnormative, healthy behaviors through uptrend messaging that makes salient actual increased engagement in those behaviors over time without referencing an objective descriptive norm. Across seven experimental studies, including studies conducted in the field and measuring real behaviors, this research demonstrates that uptrend messaging leads recipients to infer greater descriptive normativity for the target behavior, which subsequently improves engagement. The authors identify theoretically and practically relevant boundary conditions, showing that the uptrend effect is attenuated when the growth in a behavior is driven by a dissimilar group or when the message explicitly states a descriptive norm. They also demonstrate that uptrend messaging outperforms other norm-based approaches. The theory and findings of this research inform scholars, policy makers, and marketers by providing actionable and easy-to-implement techniques to encourage behaviors that improve consumer quality of life.

Association between health risk behaviors and food consumption in adolescents

ABSTRACT The study aims to evaluate the association between substance use and social isolation with food consumption in adolescents. A cross-sectional study was conducted with 2,040 adolescents from a medium-sized city in Brazil. The exposures assessed were the use of alcohol, tobacco, and other substances, and social isolation. The outcomes were the regular consumption (≥5 times/week) of beans, fruit/fruit salad, candies, and soft drinks, and an unhealthy eating score. The association between health risk behaviors and food consumption was assessed through logistic and linear regressions. Regular users of alcohol were more likely to have regular consumption of candies and soft drinks, and those who used tobacco regularly were less likely to have regular bean consumption and more likely to have regular candies consumption. The use of at least one substance was negatively associated with regular bean consumption and positively associated with regular consumption of sweets and soft drinks. Socially isolated adolescents were less likely to have regular bean consumption. Substance use was positively associated with the unhealthy eating score. In conclusion, substance use and social isolation were associated with less regular consumption of healthy food markers and greater regular consumption of unhealthy food markers.

Worldwide impact of lifestyle predictors of dementia prevalence: An eXplainable Artificial Intelligence analysis.

Dementia is an umbrella term indicating a group of diseases that affect the cognitive sphere. Dementia is not a mere individual health issue, since its interference with the ability to carry out daily activities entails a series of collateral problems, comprising exclusion of patients from civil rights and welfare, unpaid caregiving work, mostly performed by women, and an additional burden on the public healthcare systems. Thus, gender and wealth inequalities (both among individuals and among countries) tend to amplify the social impact of such a disease. Since at present there is no cure for dementia but only drug treatments to slow down its progress and mitigate the symptoms, it is essential to work on prevention and early diagnosis, identifying the risk factors that increase the probability of its onset. The complex and multifactorial etiology of dementia, resulting from an interplay between genetics and environmental factors, can benefit from a multidisciplinary approach that follows the "One Health" guidelines of the World Health Organization. In this work, we apply methods of Artificial Intelligence and complex systems physics to investigate the possibility to predict dementia prevalence throughout world countries from a set of variables concerning individual health, food consumption, substance use and abuse, healthcare system efficiency. The analysis uses publicly available indicator values at a country level, referred to a time window of 26 years. Employing methods based on eXplainable Artificial Intelligence (XAI) and complex networks, we identify a group of lifestyle factors, mostly concerning nutrition, that contribute the most to dementia incidence prediction. The proposed approach provides a methodological basis to develop quantitative tools for action patterns against such a disease, which involves issues deeply related with sustainable, such as good health and resposible food consumption.

Self-regulation linking the quality of early parent-child relationship to adolescents' obesity risk and food consumption.

The quality of parent-child relationships has been examined as a contributor to children's healthy behaviours and weight outcomes, but the mechanisms accounting for associations remain understudied. This study examined whether the quality of early parent-child relationship is associated with adolescent obesity risk and whether self-regulation and (un)healthful food consumption mediate these associations. Employing structural equation modelling, two theory-driven models were examined using a large sample (N=1237) drawn from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development. Indicators of the quality of parent-child relationship included assessments of child attachment security and observational assessments of maternal sensitivity (15, 24, and 36 months). Self-regulation at 54 months was assessed using behavioural and computerized tasks and, at ages 11-12 and 15 years, using parental ratings of self-control. Food consumption was self-reported at age 11-12. Height and weight measures in early/middle childhood and adolescence were used to compute BMI z-scores. No direct associations between the quality of parent-child relationship and adolescent obesity risk were found in either model. Instead, child self-regulation was found to mediate the associations between the quality of parent-child relationship and both unhealthy food consumption and higher adolescent BMI status. The findings highlight how the nature of parent-child relationships impacts developing regulatory processes in children which, in turn, have implications for obesity-related behaviours and outcomes. Interventions to reduce childhood obesity should consider self-regulation skills across multiple domains, and early parenting practices that foster these capacities.

Abstract 10130: Relationship Between Perceived and Measured Diet Quality Improvements in a Randomized Weight Loss Trial

Background: Cross-sectional evidence suggests individuals overestimate their consumption of healthful foods. However, how perceived diet quality (PDQ) relates to diet quality calculated from standard methods is unclear. Examining study participants' misperceptions of either diet quality, and/or improvements in diet quality, may enhance our understanding of factors that influence the effectiveness of dietary interventions. Methods: The Healthy Eating Index (HEI-2015) was calculated pre- and post-intervention from dietary recalls in this randomized weight loss trial. Participant self-perception of pre-intervention and post-intervention diet quality was rated on a scale of 0 to 100 at the 12-month post-intervention time point. Agreement between perceived and calculated diet quality was examined using Bland-Altman method. Good agreement between measures was considered scores within 6 points. Results: Participants with complete HEI and PDQ data (n=116) was similar to the total sample and mostly female (79%), white (84%), and with median (q1, q3) age of 51.5 (35.5, 58.5) years. A quarter of participants had good agreement between HEI and PDQ scores at 12 months with differences between scores ranging from -44.8 to 29.9 points. Most of the disagreement arose from PDQ scores being higher (mean [std] 67.6 [18.5]) than HEI scores (mean [std] 56.4 [13.6]). Only 12% of participants had good agreement between change in HEI and change in PDQ scores with differences ranging from -68.4 to 39.6 points. Again, disagreement mainly arose from higher perceived improvement in diet quality (mean=18.6 points) compared to improvement in HEI scores (mean=1.3 points). Discussion: The diet quality of weight loss-seeking adults is less than ideal with little evidence of improvement; however, the majority of participants appear to perceive their diet quality and improvements in diet quality as better than measured. Future studies might consider the effect of better aligning participants’ perceptions with reality.

개인별 목표 설정과 스마트폰 기반 영양상담이 과체중 및 비만 시내버스 운전자의 식습관 개선과 체중감소에 미치는 효과

Background/Objectives: This study investigates the impact of personalized goal setting and smartphone-based nutrition counseling on dietary habit improvement and weight loss among city bus drivers with overweight and obesity. Methods: The intervention program was conducted for 52 city bus drivers with overweight and obesity who agreed to participate in the program. Before the program, three specific action goals for behavior modification, including two dietary goals and one activity goal, were individually established, and a goal checklist and a smartwatch were provided to monitor goal attainment. Smartphone-based nutrition counseling using Kakao Talk messenger by a dietitian was conducted for six weeks. Each participant sent the checklist and the smartwatch record to the dietitian once a week, and the dietitian provided feedback through messages. Health habits, dietary habits, food consumption, and anthropometry were measured before and after the intervention. Results: After the intervention, the frequency of alcohol drinking significantly decreased, physical activity increased, and perceived health status improved; the consumption frequencies of multi-grain rice and milk/dairy products significantly increased; and the consumption frequencies of instant noodles, snacks, late-night meals, sweet- and salty-foods decreased significantly compared to those before the program. In addition, after six weeks, the average weight, body mass index, body fat mass, percent body fat, and waist circumference significantly decreased. Most participants (94.2%) were satisfied with nutrition counseling, and 88.5% and 75.0% of participants answered that the intervention program was helpful in improving their dietary habits and in managing their body weight, respectively. Conclusion/Implications: Despite the short intervention period of six weeks, positive changes in health habits, dietary habits, and weight loss were observed. Personalized goal setting and smartphone-based nutrition counseling is considered a good model for dietary habit improvement and weight loss for time-limited workers, such as bus drivers, who have difficulty in making time for nutrition intervention.

Feasibility Study of a Standardized Reporting Format for Adverse Events Associated with Health Food Consumption by Health Food Manufacturers and Sellers

In recent years, the use of health foods has grown, and along with this, health hazards associated with the consumption of health foods have been reported. To collect the relevant information and use it to prevent the spread of health hazards, it is necessary to establish a unified collecting system that picks up adverse events from the stage when the causal relationship is not clear and to establish a causal relationship evaluation method. We have already developed a unified standardized reporting format and causal-relation estimation algorithm for the collection of information on the adverse events associated with the consumption of health foods and evaluated the feasibility of its use by medical staff. In this study, we explored the practicality of the partially modified standardized reporting format and algorithm for health food manufacturers and sellers, who are likely to receive consumption claims on adverse events as well as medical staff, using fictitious cases. The match rate for each item by the raters and the match rate between the estimates by specialists and the raters were calculated.

Association of plant-based diet index with prostate cancer risk

Plant-based diets are associated with multiple health benefits and a favorable environmental impact. For prostate cancer, previous studies suggest a beneficial role of specific plant-based foods (e.g., tomatoes) and a potentially harmful role of specific animal-based foods (e.g., meat, dairy). However, less is known about plant-based dietary patterns. We sought to examine the relation between plant-based diet indices and prostate cancer risk, including clinically relevant disease. This was a prospective cohort study including 47,239 men in the Health Professionals Follow-Up Study (1986-2014). Overall and healthful plant-based diet indices were calculated from FFQs. Cox proportional hazards models were used to estimate HRs and 95% CIs to examine the risk of incident prostate cancer (total and by clinical category), among men ages <65 and ≥65 y. Of the 47,239 men, 6655 men were diagnosed with prostate cancer over follow-up, including 515 with advanced-stage disease at diagnosis, 956 with lethal disease (metastasis or death), and 806 prostate cancer deaths. Greater overall plant-based consumption was associated with a significantly lower risk of fatal prostate cancer (HR: 0.81; 95% CI: 0.64, 1.01; P-trend = 0.04). In men aged <65, a higher plant-based diet index was associated with a lower risk of advanced, lethal, and fatal prostate cancer. Moreover, greater consumption of a healthful plant-based diet was associated with lower risks of total (HR: 0.84; 95% CI: 0.73, 0.98; P-trend = 0.046) and lethal prostate cancer (HR: 0.56; 95% CI: 0.34, 0.94; P-trend = 0.03) at age <65. There were no associations between overall or healthful plant-based diet indices with prostate cancer among men ≥65 y. Fewer than 1% of participants followed a strict vegetarian or vegan diet. This prospective study provides supportive evidence that greater consumption of healthful plant-based foods is associated with a lower risk of aggressive forms of prostate cancer, with stronger benefit among men aged <65 y.

The Present and Future of the Cardioprotective Food Model for the Brazilian Population

In recent decades, researchers have found important changes in the health pattern and food consumption of the Brazilian population. These changes have been associated with chronic non-communicable diseases, especially cardiovascular disease. The Global Burden of Disease Study (2019), which analyzed data on chronic non-communicable diseases in 204 countries and territories between 1990 and 2019, estimated that cardiovascular disease, which is attributable to modifiable risk factors such as cholesterol level, is the main health care burden worldwide. High LDL cholesterol and [...]

How to Estimate Food Prices and Diet Costs in Population-Based Studies?

Health and nutrition surveys usually comprise detailed information on health characteristics and food consumption of certain population groups; however, the lack of data collection on the food prices may pose challenges for the estimation of the diet costs for the comprehensive analysis of food demand. The Household Budget Survey (HBS) represents an opportunity to obtain the data on the food prices for the nutrition surveys in the diverse countries worldwide. Although the HBS and the health and nutrition surveys may correspond to different periods, the application of the appropriate Consumer Price Index (CPI) allows to address the changes in the relative prices to perform the linkage between the data of food consumption with information on the food prices. Therefore, the aim of this study was to present the methods for the extraction and linkage of the food prices data from the Brazilian HBS (2002–2003 and 2008–2009) by using the pairing features related to the household characteristics to match the Health Survey of São Paulo [Inquérito de Saúde de São Paulo (ISA-Capital)] conducted in 2003, 2008, and 2015. Data referring to the household characteristics and food prices acquired by the household members living in São Paulo municipality were selected from the HBS datasets for integration with the ISA-Capital dataset. Specific deflators referring to the food items surveyed in São Paulo were obtained from the datasets of the Brazilian Broad Consumer Price Index (BCPI). Therefore, the pairing criteria referring to time, location, and household characteristics were adopted to allow linking foods consumed by the individuals in the ISA-Capital with the prices from the foods acquired by household members interviewed in the HBS. Matching data on the key pairing criteria (location/year/household income per capita/number of residents/family profile) resulted in the linkage of 94.4% (2003), 92.6% (2008), and 81.2% of the cases (2015). Following the data linkage, it was possible to estimate diet costs per gram and per calorie including application of cooking and conversion factors. Data were presented in the International Monetary Unit under the purchasing power parity (PPP) to allow the comparison at the international level. The mean diet costs identified in the population of São Paulo municipality were $8.45 (dp = 0.38) per capita per day in 2003, $8.72 (dp = 0.24) per capita per day in 2008, and $9.62 (dp = 0.23) per capita per day in 2015. Thus, it was possible to estimate the diet costs based on the prices of food items through pairing linkage of information from the household surveys, such as the Brazilian HBS, with the health and nutrition surveys lacking information on the expenditures or prices such as the ISA-Capital. Similar procedures may be used in the diverse countries with availability of the datasets of the household expenditures and health and nutrition surveys, allowing the researchers worldwide to associate the diet quality with food demand.

Analysis on Quantified Self-Behavior of Customers in Food Consumption under the Perspective of Social Networks

China is still facing the double challenges of over nutrition and malnutrition. One of the main reasons is the lack of residents’ understanding of the nutritional value of food. Quantified self, as a measure of consumer self-activity, has been used to analyze food consumption behavior recently. Although the research results are increasing, the conclusions are not consistent. What’s more, previous literatures did not consider food consumption behavior based on the theory of information perception and the risk perception theory. In addition to obtaining information through their own human capital for quantitative activities, consumers will also obtain information through social networks. In view of the above understanding, this study uses experimental design and field survey to obtain data, uses Heckman two-step method and PLS path modeling method to analyze the impact of consumers’ quantified self-behavior on their health food consumption, and discusses the moderating role of social networks based on the perspective of complex network. The results show that (1) consumers’ health awareness can promote their choice of quantified self-behavior, (2) consumers’ quantified self-behavior is helpful to promote their purchase intention and purchase scale of healthy food, and (3) social networks play a positive moderating role in consumers’ quantified self-influence on their healthy food consumption. Both emotional networks and instrumental networks have significant moderating effect, but the formal is stronger. This article not only considers the relationship between food consumption behavior and social network but also the enhances literature based on the theory of information perception and the risk perception theory.

Open Innovation and Business Model of Health Food Industry in Asia

Health trends and digital technologies are of great significance for the health and wellness food market and its development in the future. This study examines whether health trends, digital technology, and market concentration influence health and wellness food consumption in the Asian market. Our analysis uses a panel dataset covering 14 Asian economies from the period 2006–2020 and a panel quantile regression technique with non-additive fixed effects. The results reveal that health trends and digital technology have positive and significant impacts on health and wellness food consumption, whereas the concentration of distribution channels has a negative and significant impact. These results also offer insights into each type of health and wellness food consumption, thereby contributing to the health and wellness food market development. Finally, this study suggests the health and wellness food business development through a consumer-driven open innovation strategy.

MP32-06 ASSOCIATION OF PLANT-BASED DIETARY PATTERNS WITH PROSTATE CANCER RISK

You have accessJournal of UrologyProstate Cancer: Epidemiology & Natural History II (MP32)1 Sep 2021MP32-06 ASSOCIATION OF PLANT-BASED DIETARY PATTERNS WITH PROSTATE CANCER RISK Stacy Loeb, Benjamin C. Fu, Scott R. Bauer, Claire H. Pernar, June M. Chan, Erin L. Van Blarigan, Edward L. Giovannucci, Stacey A. Kenfield, and Lorelei A. Mucci Stacy LoebStacy Loeb More articles by this author , Benjamin C. FuBenjamin C. Fu More articles by this author , Scott R. BauerScott R. Bauer More articles by this author , Claire H. PernarClaire H. Pernar More articles by this author , June M. ChanJune M. Chan More articles by this author , Erin L. Van BlariganErin L. Van Blarigan More articles by this author , Edward L. GiovannucciEdward L. Giovannucci More articles by this author , Stacey A. KenfieldStacey A. Kenfield More articles by this author , and Lorelei A. MucciLorelei A. Mucci More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002036.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Plant-based diets are associated with multiple health benefits as well as a favorable environmental impact. For prostate cancer, previous studies suggest a beneficial role of specific plant-based foods (e.g., tomatoes with lycopene) and a potentially harmful role of specific animal-based foods (e.g., meat and dairy). However, less is known about plant-based dietary patterns and prostate cancer risk. METHODS: This was a prospective study including 47,243 men followed for up to 28 years in the Health Professionals Follow-up Study. Plant-based dietary indices were calculated using data from food frequency questionnaires collected every four years. Cox proportional hazards models were used to calculate multivariable hazard ratios (HR) and 95% confidence intervals (CI) of the association between plant-based diet in relation to risk of incident prostate cancer. A priori we hypothesized that a plant-based diet would be associated with a lower risk of advanced, lethal and fatal cancers, and among men less than 65 years at diagnosis. RESULTS: A total of 6,660 men were diagnosed with prostate cancer over follow-up, including 516 with advanced stage at diagnosis, 958 with lethal disease and 807 deaths from prostate cancer. There was no association between the overall plant-based dietary index with total prostate cancer risk, although greater overall plant-based consumption was associated with a nonsignificant lower risk of fatal prostate cancer. In men age less than 65 at diagnosis, greater overall consumption of plant-based diet was associated with a lower risk of advanced prostate cancer (HR 0.68, 95% CI 0.42-1.10, p-trend=0.046). Moreover, among younger men, greater consumption of a healthful plant-based diet was associated with lower risks of total prostate cancer (HR 0.81; 95% CI 0.70-0.95, p-trend=0.01) and fatal disease (HR 0.53; 95% CI 0.32-0.90, p-trend=0.03). There were no associations with either the overall or healthful plant-based diet indices with prostate cancer among men older than 65 years. Limitations of the study include that <1% of the participants followed a strict vegetarian or vegan diet. CONCLUSIONS: In addition to well-established benefits for general health and the environment, data from this prospective study provide supportive evidence that greater consumption of healthful plant-based foods may be associated with a lower risk of total and fatal prostate cancer among younger men. Source of Funding: This work was supported by grants from the National Institutes of Health (U01 CA167552, T32 CA009001). SL and LAM are supported by the Prostate Cancer Foundation. SB is supported by grant 1K12DK111028 from the National Institute of Diabetes, Digestive, and Kidney Disorders © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e566-e567 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Stacy Loeb More articles by this author Benjamin C. Fu More articles by this author Scott R. Bauer More articles by this author Claire H. Pernar More articles by this author June M. Chan More articles by this author Erin L. Van Blarigan More articles by this author Edward L. Giovannucci More articles by this author Stacey A. Kenfield More articles by this author Lorelei A. Mucci More articles by this author Expand All Advertisement Loading ...

Are recent dietary changes observed in the NutriNet-Santé participants healthier and more sustainable?

While intensive modern food systems have significant unfavourable impacts on health and the environment, new sustainable food consumption trends have been emerging in recent years. This study identified recent dietary trends over a 4-year period in terms of overall dietary patterns and organic foods consumption and associated socio-demographic determinants. Food intakes were assessed among 18,108 participants of the NutriNet-Santé cohort in 2014 and 2018. A food frequency questionnaire was used to estimate organic and conventional food consumption. Change in food consumption, quality of the diet (assessed by the adherence to the French national guidelines), plant-based diet using published scores, organic food intake were evaluated in regard with various socio-demographic factors. The paired student t test to compare dietary intake and the Kruskal-Walllis test to consider socio-demographic characteristics were used. Consumption of meat and processed meat decreased respectively by 5.09g/day (SD 51.15) and 1.12g/day (SD 26.05). The average total consumption of organic products increased by 12% (+ 93g/day) while consumption of organic fish and seafood (- 1.4g/day), poultry (- 1g/day), processed meat (- 0.3g/day) and meat (- 3.3g/day) decreased. The dietary towards healthier diets was more pronounced in certain population subgroups. For example, females, young individuals and postgraduate participants were more likely to increase their consumption of healthful plant and animal-based foods, organic foods and to improve the overall nutritional quality of their diets during the follow-up period than their counterparts. Our results indicate a slight inflexion towards healthier and plant-based diets over a 4-year period at least in some segments of the population. A decrease in the consumption of animal products and an increase in the consumption of healthful plant-based foods and organic foods suggests a potential trend towards more sustainable diets among certain subgroups. The environmental impacts of these changes need to be assessed in further works as well as the way to sustain and improve them, in particular those who do not initiate sustainable transition.

Development of a Standardized Reporting Format for Adverse Events Associated with Health Food Consumption and the Evaluation of its Feasibility by Medical Staff

Development of a Standardized Reporting Format for Adverse Events Associated with Health Food Consumption and the Evaluation of its Feasibility by Medical Staff