Disconnect between Cancer Prevention Guidelines and Dietary Practices Stratified by Obesity Status in a National Cohort

Cancer risk has been linked to obesity, thus it is important to understand differences in adherence to evidence-based cancer prevention recommendations to ameliorate elevated risk. Dietary and anthropometric data from 26,980 participants in the NHANES 1999-2010 cohort were analyzed to determine dietary compliance to AICR cancer prevention recommendations across obesity categories. The AICR recommendations break down dietary guidelines into the following categories: foods promoting weight gain, plant foods, animal foods, alcohol drinks, and preservation, processing, and preparation. Despite consuming significantly lower energy (P=0.017), obese adults had significantly more energy-dense diets (P<0.001) and were significantly less likely to meet fruit intake recommendations (P<0.001). Obese adults were significantly less likely to meet red and processed meat recommendations (P<0.001, respectively). There were not significant differences in the percent of grains as whole grains or proportion meeting whole grain recommendation by obesity; however, all groups were below 5% meeting this recommendation. The current data indicate that obese adults may carry additional risk beyond excess weight as a result of dietary patterns. Successful interventions for cancer prevention must address these gaps to effectively reduce the cancer burden in the US.

Name thesis:degree_name

Master of Science

Level thesis:degree_level

masters

Discipline thesis:degree_discipline

Allied Medical Professions

Grantor dc:publisher

The Ohio State University

Year dc:date

2013

Author dc:creator

• Hohol, Erica D.

Contributors dc:contributor

• Spees, Colleen

• Nutrition
• cancer
• dietary guidelines
• obesity
• nutrient intake

Statement dc:rights

• unrestricted
• This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.

Language dc:language

English

Repository record dc:identifier

http://rave.ohiolink.edu/etdc/view?acc_num=osu1366243572

OAI identifier oai:identifier

oai:etd.ohiolink.edu:osu1366243572