Nutrition Education Seminars for Prostate Cancer—Diet and Prostate Program: Evaluation and Recommendations (DAPPER Study)

Publication: Canadian Journal of Dietetic Practice and Research
15 December 2020

Abstract

Nutrition is important for prostate cancer (PCa) care as it may influence PCa progression and risk of comorbid diseases. The aim of this pilot study was to assess changes in knowledge and satisfaction in men with PCa following attendance at a nutrition education seminar. Fifty-two men with PCa attended nutrition education seminars instructed by a Registered Dietitian. Participants completed the Revised General Nutrition Knowledge Questionnaire (GNKQ-R) preseminar and 2 weeks postseminar, along with a satisfaction survey. Increased nutrition knowledge was observed through a significant (P = 0.023) improvement in mean scores of 71.6% (P < 0.005) preseminar compared with 79.3% (P < 0.005) postseminar on the GNKQ-R. Participants reported the seminar as a satisfactory method for meeting their diet information needs. Using thematic analysis 3 themes emerged: importance of diet information, desire for an integrative approach, and the value of group learning. This pilot study found that a group nutrition education seminar may be an effective and satisfactory approach to fulfilling the dietary information needs of this population. Group education may be an economically sustainable approach with potential application in other tumour sites or health conditions.

Résumé

La nutrition est un aspect important des soins du cancer de la prostate (CP) puisqu’elle peut influer sur l’évolution du CP et le risque de maladies comorbides. Cette étude pilote visait à évaluer les changements sur le plan des connaissances de même que la satisfaction chez des hommes atteints d’un CP ayant participé à un séminaire d’éducation à la nutrition. Cinquante-deux hommes atteints d’un CP ont participé à un séminaire d’éducation à la nutrition donné par une diététiste. Les participants ont répondu au questionnaire sur les connaissances générales en nutrition révisé (GNKQ-R) avant le séminaire puis 2 semaines après, ainsi qu’à un sondage de satisfaction. Une augmentation des connaissances en nutrition a été observée sur la base d’une amélioration significative (P = 0,023) des scores moyens au GNKQ-R lorsqu’on compare les résultats avant le séminaire (71,6 %, P < 0,005) à ceux après le séminaire (79,3 %, P < 0,005). Les participants ont indiqué que le séminaire est une méthode satisfaisante pour répondre à leurs besoins en matière d’information sur l’alimentation. Trois thèmes ont émergé de l’analyse thématique : l’importance de l’information sur l’alimentation, le désir d’avoir une approche intégrée et la valeur de l’apprentissage collectif. Cette étude pilote a révélé qu’un séminaire d’éducation à la nutrition en groupe peut être une approche efficace et satisfaisante pour répondre aux besoins en matière d’information nutritionnelle de cette population. L’apprentissage collectif pourrait être une approche durable économiquement ayant le potentiel de s’appliquer à d’autres sites de tumeur ou états de santé.

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Financial support: Island Prostate Centre 2015 Westcoast Motorcycle Ride to Live grant, BC Cancer Foundation.
Conflicts of interest: Financial support from Island Prostate Centre, Astellas Pharma Canada and Prostate Cancer Supportive Care Program for ongoing nutrition education seminars at BC Cancer—Victoria.

References

1
Avery KNL, Donovan JL, Horwood J, Neal DE, Hamdy FC, Parker C, et al. The importance of dietary change for men diagnosed with and at risk of prostate cancer: a multi-centre interview study with men, their partners and health professionals. BMC Fam Pract. 2014 May 3;15(1):81.
2
International Agency for Research on Cancer (IARC). Prostate. Source: Globocan 2018 [Internet]. Lyon, France: International Agency for Research on Cancer (IARC); 2019 [cited 2019 May 29]. Available from: http://gco.iarc.fr/today/data/factsheets/cancers/27-Prostate-fact-sheet.pdf.
3
Mirzaei-Alavijeh M, Ahmadi-Jouybari T, Vaezi M, and Jalilian F. Prevalence, cognitive and socio-demographic determinants of prostate cancer screening. Asian Pac J Cancer Prev. 2018 Apr 27;19(4):1041–6.
4
Prostate Cancer Canada. Statistics [Internet]. Toronto, ON: Prostate Cancer Canada; c2019 [cited 2019 Jul 12]. Available from: http://www.prostatecancer.ca/Prostate-Cancer/About-Prostate-Cancer/Statistics.
5
Peisch SF, Van Blarigan EL, Chan JM, Stampfer MJ, and Kenfield SA. Prostate cancer progression and mortality: a review of diet and lifestyle factors. World J Urol. 2017 Jun;35(6):867–74.
6
Lin PH, Aronson W, and Freedland SJ. Nutrition, dietary interventions and prostate cancer: the latest evidence. BMC Med. 2015 Jan 8;13:3.
7
Lauby-Secretan B, Scoccianti C, Loomis D, Grosse Y, Bianchini F, and Straif K. International Agency for Research on Cancer Handbook Working Group. Body fatness and cancer—viewpoint of the IARC Working Group. N Engl J Med. 2016 Aug 25;375(8):794–8.
8
World Cancer Research Fund and American Institute for Cancer Research. Diet, nutrition, physical activity and prostate cancer. Continuous Update Project; 2014. Revised 2018 [cited 2019 May 21]. Available from: http://www.aicr.org/assets/docs/pdf/reports/2014-prostate-cancer-cup.pdf.
9
Collier A, Ghosh S, McGlynn B, and Hollins G. Prostate cancer, androgen deprivation therapy, obesity, the metabolic syndrome, type 2 diabetes, and cardiovascular disease: a review. Am J Clin Oncol. 2012 Oct;35(5):504–9.
10
Galvao DA, Spry NA, Taaffe DR, Newton RU, Stanley J, Shannon T, et al. Changes in muscle, fat and bone mass after 36 weeks of maximal androgen blockade for prostate cancer. BJU Int. 2008 Jul;102(1):44–7.
11
Nguyen PL, Alibhai SM, Basaria S, D’Amico AV, Kantoff PW, Keating NL, et al. Adverse effects of androgen deprivation therapy and strategies to mitigate them. Eur Urol. 2015 May;67(5):825–36.
12
Gupta D, Lee Chuy K, Yang JC, Bates M, Lombardo M, and Steingart RM. Cardiovascular and metabolic effects of androgen-deprivation therapy for prostate cancer. J Oncol Pract. 2018 Oct;14(10):580–7.
13
Bonn SE, Wiklund F, Sjolander A, Szulkin R, Stattin P, Holmberg E, et al. Body mass index and weight change in men with prostate cancer: progression and mortality. Cancer Causes Control. 2014 Aug;25(8):933–43.
14
Baguley BJ, Bolam KA, Wright ORL, and Skinner TL. The effect of nutrition therapy and exercise on cancer-related fatigue and quality of life in men with prostate cancer: a systematic review. Nutrients. 2017 Sep 12;9(9):1003.
15
Salminen EK, Lagstrom HK, Heikkila SP, and Salminen S. Does breast cancer change patients’ dietary habits? Eur J Clin Nutr. 2000 Nov;54(11):844–8.
16
Mroz LW, Chapman GE, Oliffe JL, and Bottorff JL. Prostate cancer, masculinity and food. Rationales for perceived diet change. Appetite. 2010 Dec;55(3):398–406.
17
Kliemann N, Wardle J, Johnson F, and Croker H. Reliability and validity of a revised version of the General Nutrition Knowledge Questionnaire. Eur J Clin Nutr. 2016 Oct;70(10):1174–80.
18
Fereday J and Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods. 2006 Mar 1;5(1):80–92.
19
McLaughlin K, Hedden L, Pollock P, Higano C, and Murphy RA. Assessing the nutritional needs of men with prostate cancer. Nutr J. 2019 Dec 2;18(1):81.
20
Bourke L, Sohanpal R, Nanton V, Crank H, Rosario DJ, and Saxton JM. A qualitative study evaluating experiences of a lifestyle intervention in men with prostate cancer undergoing androgen suppression therapy. Trials. 2012 Nov 14;13:208.
21
Bourke L, Gilbert S, Hooper R, Steed LA, Joshi M, Catto JW, et al. Lifestyle changes for improving disease-specific quality of life in sedentary men on long-term androgen-deprivation therapy for advanced prostate cancer: a randomised controlled trial. Eur Urol. 2014 May;65(5):865–72.
22
Davison BJ, Wiens K, and Cushing M. Promoting calcium and vitamin D intake to reduce the risk of osteoporosis in men on androgen deprivation therapy for recurrent prostate cancer. Support Care Cancer. 2012 Oct;20(10):2287–94.
23
Adamsen L, Rasmussen JM, and Pedersen LS. ‘Brothers in arms’: how men with cancer experience a sense of comradeship through group intervention which combines physical activity with information relay. J Clin Nurs. 2001 Jul;10(4):528–37.
24
Miedema B, Bowes A, Hamilton R, and Reading S. Assessing the efficacy of a group mediated nutritional knowledge intervention for individuals with obesity. Can J Diet Pract Res. 2016 Dec;77(4):206–9.
25
Mitchell LJ, Ball LE, Ross LJ, Barnes KA, and Williams LT. Effectiveness of dietetic consultations in primary health care: a systematic review of randomized controlled trials. J Acad Nutr Diet. 2017 Dec;117(12):1941–62.
26
Dietitians of Canada. The difference between a dietitian and a nutritionist [Internet]. Toronto, ON: Dietitians of Canada; c2020 [cited 2020 Jan 21]. Available from: https://www.dietitians.ca/Your-Health/Find-A-Dietitian/Difference-Between-Dietitian-and-Nutritionist.aspx.
27
Prostate Cancer Supportive Care Program [Internet]. Vancouver, BC: Prostate Cancer Supportive Care Program; 2018 [cited 2019 Jul 12]. Available from: https://pcscprogram.ca/.

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Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 82Number 1March 2021
Pages: 27 - 31
Editor: Dawna Royall

History

Version of record online: 15 December 2020

Authors

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Eleah J. Stringer BSc
Oncology Nutrition, BC Cancer—Victoria, Victoria, BC
Satnam Sidhu BSc
Oncology Nutrition, BC Cancer—Victoria, Victoria, BC
Karina Austin BSc
Oncology Nutrition, BC Cancer—Victoria, Victoria, BC
Cheri Cosby MSc
Oncology Nutrition, BC Cancer—Victoria, Victoria, BC

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