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Whole Food Interventions and Nutrient Displacement: Tomato Sauce Entrees for Prostate Cancer Patients

  • Hwang, Eun-Sun (Department of Home Education, Jeonju University) ;
  • Duncan, Claudine E. (Department of Human Nutrition, University of Illinois) ;
  • Bowen, Phyllis E. (Department of Human Nutrition, University of Illinois)
  • Published : 2009.12.31

Abstract

This study sought to determine changes in self-selected diets in response to a high energy tomato pasta entree. Thirty men, mostly African-American, who were diagnosed with prostate cancer and also scheduled for prostatectomy were enrolled in the study. Dietary intakes were obtained by 24 hr diet recall for 3 days before the intervention and 3 days in week 2 during the intervention. Tomato pasta entrees were formulated to contain 30 mg of lycopene with roughly the same macronutrient composition and averaged 771 kcal/entree. Mean adherence to lycopene dose was 82% and, days when the entree was consumed, the mean adherence to lycopen was 90%. Lycopene intake in their self-selected diet decreased from 5 to 1 mg/day which lowered the exposure to lycopene, planned during the intervention. The men were able to decompensate for most of the added energy to their diet, but there was still a mean increase in total intake of 242 kcal/day (p=0.04), which did not result in weight gain over the short period of the study. There were no significant changes in the percent of energy from protein, fat or carbohydrates, but dietary cholesterol increased from 341 to 472 mg/day (p=0.0002). Mean intakes of vitamins A and C, and folate were not significantly different and were above the EAR. Vitamin E intake decreased, but, because of the variance in intake, the decrease was not statistically significant. Possible deterioration of diet quality should be a consideration when recommending whole food interventions for the prevention of chronic disease or the amelioration of physiological dysfunction.

References

  1. Harris R, Lohr KN. 2002. Screening for prostate cancer: an update of the evidence for the US Preventive Services Task Force. Ann Intern Med 137: 917-929 https://doi.org/10.7326/0003-4819-137-11-200212030-00014
  2. Gann PH, Hennekens CH, Sacks FM, Grodstein F, Giovanuucci EL, Stampfer MJ. 1994. Prospective study of plasma fatty acids and risk of prostate cancer. J Natl Cancer Inst 86: 281-286 https://doi.org/10.1093/jnci/86.4.281
  3. Giovannucci E, Rimm EB, Liu Y, Stampfer MJ, Willet WC. 2003. A prospective study of cruciferous vegetables and prostate cancer. Cancer Epidemiol Biomarkers Prev 12: 1403-1409
  4. Tseng M, Breslow RA, DeVellis RF, Ziegler RG. 2004. Dietary patterns and prostate cancer risk in the national health and nutrition examination survey epidemiological follow-up study cohort. Cancer Epidemiol Biomarkers Prev 13: 71-77 https://doi.org/10.1158/1055-9965.EPI-03-0076
  5. Olson KB, Pienta KJ. 1998. Vitamins A and E: further clues for prostate cancer prevention. J Natl Cancer Inst 90: 414-415 https://doi.org/10.1093/jnci/90.6.414
  6. Guo X, Knudsen BS, Peehl DM, Ruiz A, Bok D, Rando RR, Rhim JS, Nanus DM, Gudas LJ. 2002. Retinol metabolism and lecithin; retinol acryltransferase levels are reduced in cultured human prostate cancer cells and tissue specimens. Cancer Res 62: 1654-1661
  7. Giovannucci E. 1996. How is individual risk for prostate cancer assessed? Hematol Oncol Clin North Am 10: 537-548 https://doi.org/10.1016/S0889-8588(05)70351-8
  8. Giovannucci E, Rimm EB, Liu Y, Stampfer MJ, Willet WC. 2002. A prospective study of tomato products, lycopene, and prostate cancer risk. J Natl Cancer Inst 94: 391-398 https://doi.org/10.1093/jnci/94.5.391
  9. Hwang ES, Bowen PE. 2002. Can the consumption of tomatoes or lycopene reduce cancer risk? Integr Cancer Ther 1: 121-132 https://doi.org/10.1177/153473540200100203
  10. Wu K, Erdman JW Jr. Schwartz SJ, Platz EA, Leitzmann M, Clinton SK, DeGroff V, Willett WC, Giovannucci E. 2004. Plasma and dietary carotenoids, and the risk of prostate cancer: a nested case-control study. Cancer Epidemiol Biomarkers Prev 13: 260-269 https://doi.org/10.1158/1055-9965.EPI-03-0012
  11. Etminan M, Takkouche B, Caamano-Isorna F. 2004. The role of tomato products and lycopene in the prevention of prostate cancer: a meta-analysis of observational studies. Cancer Epidemiol Biomarkers Prev 13: 340-345
  12. Kavanaugh CJ, Trumbo PR, Ellwood KC. 2007. The U.D. food and drug administration's evidence-based review for qualified health claims: tomatoes, lycopene and cancer. J Natl Cancer Inst 99: 1074-1085 https://doi.org/10.1093/jnci/djm037
  13. Chen L, Stacewicz-Sapuntzakis M, Duncan C, Sharifi R, Ghosh L, van Breemen R, Ashton D, Bowen PE. 2001. Oxidative DNA damage in prostate cancer patients consuming tomato sauce-based entrees as a whole-food intervention. J Natl Cancer Inst 93: 1872-1879 https://doi.org/10.1093/jnci/93.24.1872
  14. Bowen P, Chen L, Stacewicz-Sapuntzakis M, Duncan C, Sharifi R, Ghosh L, Kime HS, Christov-Tzelkov K, van Breemen R. 2002. Tomato sauce supplementation and prostate cancer: lycopene accumulation and modulation of biomarkers of carcinogenesis. Exp Biol Med 227: 886-893 https://doi.org/10.1177/153537020222701008
  15. Kim HS, Bowen P, Chen L, Duncan C, Ghosh L, Sharifi R, Christov K. 2003. Effects of tomato sauce consumption on apoptotic cell death in prostate benign hyperplasia and carcinoma. Nutr Cancer 47: 40-47 https://doi.org/10.1207/s15327914nc4701_5
  16. Bowen PE. 2001. Dietary intervention strategies: validity, execution and interpretation of outcomes. Adv Exp Med Biol 492: 233-253 https://doi.org/10.1007/978-1-4615-1283-7_18
  17. Chisolm A, Mann J, Skeaff M, Frampton C, Sutherland W, Duncan A, Tiszavari S. 1998. A diet rich in walnuts favourably influences plasma fatty acid profile in moderately hyperlipidemic subjects. Europ J Clin Nutri 52: 12-16 https://doi.org/10.1038/sj.ejcn.1600507
  18. Spiller GA, Jenkins DJA, Cragen LN, Gates JE, Bosello O, Berra K, Rudd C, Stevenson M, Superko R. 1992. Effect of a diet high in monounsaturated fat from almonds on plasma cholesterol and lipoproteins. J Am Coll Nutr 11: 126-130
  19. Kirk TR, Burkill S, Cursiter M. 1997. Dietary fat reduction achieved by increasing consumption of a starchy food. Euro J Clin Nutr 51: 455-461 https://doi.org/10.1038/sj.ejcn.1600426
  20. Jaceldo-Siegl K, Sabate J, Rajaram S, Fraser GE. 2004. Long-term almond supplementation without advice on food replacement induces favorable nutrient modifications in the habitual diets of free-living individuals. Brit J Nutr 92: 533-540 https://doi.org/10.1079/BJN20041223
  21. Johansson L, Solvoll K, Byorneboe G, Drevon CA. 1998. Under- and overreporting of energy intake related to weight status and lifestyle in a nationwide sample. Am J Clin Nutr 68: 266-274
  22. Schoeller DA. 1995. Limitations in the assessment of dietary energy intake by self-report. Metabolism 44: 18-22 (2 Suppl)
  23. Interagency Board for Nutrition Monitoring and Related Research. Third Report on Nutrition. 1995. Monitoring in the United States 1988-91, Vol II. Superintendent of Documents, US Government Printing Office, Washington DC, USA
  24. Shimakawa T, Sorlie P, Carpenter MA, Dennis B, Tell GS, Watson R, Williams OD. 1994. Dietary intake patterns and sociodemographic factors in the Athlerosclerosis Risk in Communities Study. Prevent Med 23: 769-780 https://doi.org/10.1006/pmed.1994.1133
  25. Norris J, Harnack L, Carmichael S, Pouane T, Wakimoato P, Block G. 1997. US trends in nutrient intake: the 1987 and 1992 National Health Interview Surveys. Am J Pub Health 87: 740-746 https://doi.org/10.2105/AJPH.87.5.740