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Intake of citrus fruits and vegetables and the intensity of defecation urgency syndrome among gynecological cancer survivors

Hedelin, Maria ; Skokic, Viktor ; Wilderäng, Ulrica ; Ahlin, Rebecca ; Bull, Cecilia ; Sjöberg, Fei ; Dunberger, Gail ; Bergmark, Karin ; Stringer, Andrea ; Steineck, Gunnar Green, John

PloS one, 2019, Vol.14 (1), p.e0208115-e0208115 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Intake of citrus fruits and vegetables and the intensity of defecation urgency syndrome among gynecological cancer survivors
Autor: Hedelin, Maria ; Skokic, Viktor ; Wilderäng, Ulrica ; Ahlin, Rebecca ; Bull, Cecilia ; Sjöberg, Fei ; Dunberger, Gail ; Bergmark, Karin ; Stringer, Andrea ; Steineck, Gunnar
Green, John
Assuntos: 80 and over ; Adult ; Aged ; Aged, 80 and over ; Biology and Life Sciences ; Cancer ; Cancer and Oncology ; Cancer och onkologi ; Cancer Survivors ; Cancer therapies ; Carbohydrates ; Care and treatment ; Case-Control Studies ; Citrus ; Citrus fruits ; Defecation ; Defecation - physiology ; Diet ; Dietary fiber ; Dietary intake ; Disorders ; Epidemiology ; Factor analysis ; Fatty acids ; Fecal incontinence ; Feeding Behavior ; Female ; Female genital cancer ; Food and nutrition ; Food intake ; Fruit ; Fruits ; Gas discharges ; Genital cancer ; Genital Neoplasms ; Genital Neoplasms, Female - physiopathology ; Genital Neoplasms, Female - radiotherapy ; Gluten ; Gynecological cancer ; Gynecology ; Health aspects ; Humans ; Identification methods ; Intestine ; Irradiation ; Leakage ; Medicin och hälsovetenskap ; Medicine and Health Sciences ; metabolism ; Microbiota ; Middle Aged ; Mucus ; Mucus - metabolism ; Nonparametric ; Oncology ; Patients ; physiology ; physiopathology ; Prevention ; Radiation ; Radiation damage ; Radiation effects ; Radiation therapy ; Radiotherapy ; Statistics ; Statistics, Nonparametric ; Stem cells ; Survival ; Syndrome ; Vegetables
É parte de: PloS one, 2019, Vol.14 (1), p.e0208115-e0208115
Notas: ObjectType-Article-2
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Competing Interests: Gunnar Steineck is PI for a study of probiotics sponsored by Probi AB. This does not alter our adherence to PLOS ONE policies on sharing data and materials. There exist no other competing interests.
Descrição: Despite the experimental evidence that certain dietary compounds lower the risk of radiation-induced damage to the intestine, clinical data are missing and dietary advice to irradiated patients is not evidence-based. We have previously identified 28 intestinal health-related symptoms among 623 gynaecological-cancer survivors (three to fifteen years after radiotherapy) and 344 matched population-based controls. The 28 symptoms were grouped into five radiation-induced survivorship syndromes: defecation-urgency syndrome, fecal-leakage syndrome, excessive mucus discharge, excessive gas discharge and blood discharge. The grouping was based on factor scores produced by Exploratory Factor Analysis in combination with the Variable Cutoff Method. Frequency of food intake was measured by a questionnaire. We evaluated the relationship between dietary intake and the intensity of the five syndromes. With the exception of excessive mucus discharge, the intensity of all syndromes declined with increasing intake of citrus fruits. The intensity of defecation-urgency and fecal-leakage syndrome declined with combined intake of vegetables and citrus fruits. The intensity of excessive mucus discharge was increased with increasing intake of gluten. In this observational study, we found an association between a high intake of citrus fruits and vegetables and a lower intensity of the studied radiation-induced cancer survivorship syndromes. Our data suggest it may be worthwhile to continue to search for a role of the diet before, during and after radiotherapy to help the cancer survivor restore her or his intestinal health after irradiation.
Editor: United States: Public Library of Science
Idioma: Inglês

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Intake of citrus fruits and vegetables and the intensity of defecation urgency syndrome among gynecological cancer survivors

Hedelin, Maria ; Skokic, Viktor ; Wilderäng, Ulrica ; Ahlin, Rebecca ; Bull, Cecilia ; Sjöberg, Fei ; Dunberger, Gail ; Bergmark, Karin ; Stringer, Andrea ; Steineck, Gunnar Green, John

United States: Public Library of Science

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