Comparison of nutritional value of „fruit and vegetables” and “western” dietary patterns identified in a group of cancer patients

Rocz Panstw Zakl Hig. 2017;68(4):365-373.

Abstract

Background: Dietary patterns (DPs) are defined as the amounts, types and combinations of various food products in habitual diets and the frequency of their consumption. Dietary pattern analysis is usually performed in order to assess the combined effect of consumed food products on health

Objective: The aim of the study was to assess and compare the nutritional value of dietary patterns identified in a group of patients staying on the oncological ward

Material and methods: The study group consisted of 100 patients (51 women and 49 men) aged 19-83 years. Dietary intake was assessed using a food frequency questionnaire (FFQ) validated for the population of Lower Silesian Voivodeship

Results: Factor analysis identified two main dietary patterns explaining 25.6% of variance. The “fruit and vegetables” DP consisted of vegetables, fruits, juices, unrefined grains and nuts, seeds and raisins. Instead, the “Western” DP was characterized by the consumption of high-fat and processed meat and poultry, fried fish, refined grains, honey and sugar, fats, sweets, beverages and chips. While higher scores for “fruit and vegetables” pattern were associated with increased intake of dietary fiber, antioxidant vitamins, folic acid and decreased glycemic load per 1000 kcal and sodium intake, for “Western” pattern observed relationships were opposite. Women were more likely to have higher factor scores for “fruit and vegetables” DP and lower factor scores for “Western” DP than men

Conclusions: Dietary patterns identified in the study group differed in terms of nutritional value, in spite of similar macronutrient content in the diet. “Western” DP was characterized by lower nutritional value than “fruit and vegetables” dietary pattern.

Keywords: dietary patterns; factor analysis; fruit and vegetables; Western diet; cancer; glycemic load.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Diet, Western*
  • Energy Intake
  • Factor Analysis, Statistical
  • Feeding Behavior*
  • Female
  • Fruit*
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / therapy*
  • Nutrition Assessment
  • Nutritive Value*
  • Poland
  • Sex Factors
  • Surveys and Questionnaires
  • Vegetables*
  • Young Adult