Nutrient intakes from supplement and factors associated with supplement use among breast cancer survivors: A cross-sectional study

Jiyoung Youn¹, Sihyun Park¹, Sihan Song¹, Hyeong-Gon Moon^{2

3}, Dong-Young Noh^{2

3}, So-Youn Jung⁴, Eunsook Lee⁴, Zisun Kim⁵, Hyun Jo Youn⁶, Jihyoung Cho⁷, Young Bum Yoo⁸, Se Kyung Lee⁹, Taisun Hyun¹⁰, Jung Eun Lee^{1

11}

Affiliations

¹ Department of Food and Nutrition, Seoul National University, Seoul, Korea.
² Department of Surgery, Breast Care Center, Seoul National University Hospital, Seoul, Korea.
³ Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
⁴ Center for Breast Cancer, National Cancer Center, Research Institute and Hospital, Goyang, Korea.
⁵ Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
⁶ Department of Surgery, Jeonbuk National University Medical School, Jeonju, Korea.
⁷ Breast Endocrine Division, Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
⁸ Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.
⁹ Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
¹⁰ Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea.
¹¹ Research Institute of Human Ecology, Seoul National University, Seoul, Korea.

PMID: 33774893
DOI: 10.1111/ecc.13447

Nutrient intakes from supplement and factors associated with supplement use among breast cancer survivors: A cross-sectional study

Jiyoung Youn et al. Eur J Cancer Care (Engl). 2021 Sep.

. 2021 Sep;30(5):e13447.

doi: 10.1111/ecc.13447. Epub 2021 Mar 28.

Authors

Affiliations

¹ Department of Food and Nutrition, Seoul National University, Seoul, Korea.
² Department of Surgery, Breast Care Center, Seoul National University Hospital, Seoul, Korea.
³ Department of Surgery and Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
⁴ Center for Breast Cancer, National Cancer Center, Research Institute and Hospital, Goyang, Korea.
⁵ Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
⁶ Department of Surgery, Jeonbuk National University Medical School, Jeonju, Korea.
⁷ Breast Endocrine Division, Department of Surgery, Keimyung University School of Medicine, Daegu, Korea.
⁸ Department of Surgery, Konkuk University School of Medicine, Seoul, Korea.
⁹ Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
¹⁰ Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea.
¹¹ Research Institute of Human Ecology, Seoul National University, Seoul, Korea.

PMID: 33774893
DOI: 10.1111/ecc.13447

Abstract

Objective: We investigated the contribution of supplement use to total nutrient intake, the prevalence of inadequate nutrient intake and the factors associated with supplement use among breast cancer survivors.

Methods: A total of 701 Korean breast cancer survivors were included. We calculated the contribution of dietary supplements to total nutrient intake and the proportion of the population below the estimated average requirements (EARs) or exceeding the tolerable upper intake levels (ULs). Stepwise logistic regression was used to identify factors associated with dietary supplement use.

Results: A total of 66.5% of the survivors used dietary supplements, with multivitamins and minerals being the most commonly consumed ones. The per cent contribution of supplement to the total intake was the highest for vitamin C. 28.2%-55.4% of the non-users consumed below the EAR of riboflavin, folate and calcium; 6.1%, 4.9% and 6.5% of the supplement users consumed above the UL of vitamins A and C, and iron, respectively. Supplement users had higher education levels or longer survival time.

Conclusion: 66.5% of Korean breast cancer survivors used dietary supplements. A higher education level or prolonged survival time was associated with higher use of dietary supplements.

Keywords: breast neoplasms; cancer survivors; dietary supplements; nutrients.

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Nutrient intakes from supplement and factors associated with supplement use among breast cancer survivors: A cross-sectional study

Affiliations

Nutrient intakes from supplement and factors associated with supplement use among breast cancer survivors: A cross-sectional study

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Abstract

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Medical