Introduction: Fruits and vegetables (FV) contain bioactive components that can potentially improve breast cancer health outcomes. As significant number of breast cancer patients struggle to meet the World Health Organization's (WHO) recommendation consumption of at least ? 400 g/day of FV, this cross-sectional study aimed to investigate the factors associated with sociodemographic status, anthropometric measurement, biochemical data, medical characteristics, and stress level, with the consumption of FV among breast cancer patients at the National Cancer Institute, Putrajaya. Method: 32 breast cancer outpatients were recruited using purposive sampling. Food Frequency Questionnaire (adapted from the Malaysian Adult Nutrition Survey) was used to assess FV consumption while Perceived Stress Scale was used to evaluate the participants' perceived stress levels. The inclusion criteria including all breast cancer outpatients, aged 18 years old and above, Malaysian and able to communicate verbally. Patients with chronic disease and fluid retention were excluded in this study. Results: The findings revealed that only 50% of the respondents managed to meet the WHO's recommended intake of FV. However, no significant associations observed between sociodemographic status, anthropometric measurement, biochemical data, medical characteristics, stress level, with the FV intake among the participants. Conclusion: The proportion of participants consuming an adequate amount remains relatively low. This is a concern that requires attention for future interventions by healthcare providers, especially dietitians, playing a crucial role in treatment efforts in the country and improve breast cancer outcomes.
Affret, A., His, M., Severi, G., Mancini, F. R., Arveux, P., Clavel-Chapelon, F., Boutron-Ruault, M.C. and Fagherazzi, G. (2018), Influence of a cancer diagnosis on changes in fruit and vegetable consumption according to cancer site, stage at diagnosis and socioeconomic factors: Results from the large E3N-EPIC study. Int. J. Cancer, 143: 16781687. https://doi.org/10.1002/ijc.31572
Ahmad, A. (2019). Breast Cancer Statistics: Recent Trends. Advances in experimental medicine and biology, 1152, 1–7. https://doi.org/10.1007/978-3-030-20301-6_1
Arnold, M., Morgan, E., Rumgay, H., Mafra, A., Singh, D., Laversanne, M., Vignat, J., Gralow, J. R., Cardoso, F., Siesling, S., & Soerjomataram, I. (2022). Current and future burden of breast cancer: Global statistics for 2020 and 2040. Breast (Edinburgh, Scotland), 66, 15–23.
https://doi.org/10.1016/j.breast.2022.08.010
Cheung, H. T. H. (2019). Fruit and vegetable intake and quality of life among breast cancer survivors. Www.ideals.illinois.edu. https://www.ideals.illinois.edu/items/112968
De Cicco, P., Catani, M. V., Gasperi, V., Sibilano, M., Quaglietta, M., & Savini, I. (2019). Nutrition and Breast Cancer: A Literature Review on Prevention, Treatment and Recurrence. Nutrients, 11(7), 1514. https://doi.org/10.3390/nu11071514
Division of Cancer Prevention and Control At A Glance | CDC. (2022, June 7).
Www.cdc.gov.https://www.cdc.gov/chronicdisease/resources/publications/aag/dcpc.htm#:~:te xt=CDC
Farvid, M. S., Holmes, M. D., Chen, W. Y., Rosner, B. A., Tamimi, R. M., Willett, W. C., & Eliassen, A. H. (2020). Postdiagnostic Fruit and Vegetable Consumption and Breast Cancer Survival: Prospective Analyses in the Nurses’ Health Studies. Cancer Research, 80(22), 5134–5143.
https://doi.org/10.1158/0008-5472.CAN-18-3515
Fassier, P., Zelek, L., Lécuyer, L., Bachmann, P., Touillaud, M., Druesne-Pecollo, N., Galan, P., Cohen, P., Hoarau, H., Latino-Martel, P., Kesse-Guyot, E., Baudry, J., Hercberg, S., Deschasaux, M., & Touvier, M. (2017). Modifications in dietary and alcohol intakes between before and after cancer diagnosis: Results from the prospective population-based NutriNet-Santé cohort. International Journal of Cancer, 141(3), 457–470. https://doi.org/10.1002/ijc.30704
Global Cancer Observatory. (2020). Global Cancer Observatory. Iarc.fr. https://gco.iarc.fr/
Lunar, K. G., Kozjek, N. R., & Kova?, M. B. (2020). Changes in Eating Habits in Breast Cancer Patients. Zdravstveno varstvo, 60(1), 65–71. https://doi.org/10.2478/sjph-2021-0010
Miller, P. E., Morey, M. C., Hartman, T. J., Snyder, D. C., Sloane, R., Cohen, H. J., & Demark-
Wahnefried, W. (2012). Dietary Patterns Differ between Urban and Rural Older, Long-Term Survivors of Breast, Prostate, and Colorectal Cancer and Are Associated with Body Mass Index. Journal of the Academy of Nutrition and Dietetics, 112(6), 824-831.e1. https://doi.org/10.1016/j.jand.2012.02.021
Paxton, R. J., Garner, W., Dean, L. T., Logan, G., & Allen-Watts, K. (2019). Health Behaviors and
Lifestyle Interventions in African American Breast Cancer Survivors: A Review. Frontiers in Oncology,9.https://doi.org/10.3389/fonc.2019.00003
Pisegna, J., Xu, M., Spees, C. et al. Mental health-related quality of life is associated with diet quality among survivors of breast cancer. Support Care Cancer 29, 2021–2028 (2021).
https://doi.org/10.1007/s00520-020-05698-1
Ramirez, L. (2016). Determinants of adherence to nutrition- related cancer prevention guidelines among African American breast cancer survivors. Journal of the Georgia Public Health Association, Supplement to 6(2). https://doi.org/10.21633/jgpha.6.2s06
Shaharudin, S. H., Sulaiman, S., Shahril, M. R., Emran, N. A., & Akmal, S. N. (2013). Dietary changes among breast cancer patients in Malaysia. Cancer nursing, 36(2), 131– 138. https://doi.org/10.1097/NCC.0b013e31824062d1
Steinhilper, L., Geyer, S. & Sperlich, S. Health behavior change among breast cancer patients. Int J Public Health 58, 603–613 (2013). https://doi.org/10.1007/s00038-013-0444-7
Thomson, C. A., Flatt, S. W., Rock, C. L., Ritenbaugh, C., Newman, V., & Pierce, J. P. (2002). Increased fruit, vegetable and fiber intake and lower fat intake reported among women previously treated for invasive breast cancer. Journal of the American Dietetic Association, 102(6), 801–808. https://doi.org/10.1016/s0002-8223(02)90180-x
