بررسی ارتباط میان پیش‌آگهی سرطان پستان با الگوهای غذایی در زنان مبتلا به سرطان پستان در شهرستان جهرم

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکتری گروه بیهوشی، مرکز تحقیقات مؤلفه‌های اجتماعی نظام سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

2 دانشجوی پزشکی، کمیته تحقیقات دانشجویی، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

3 استادیار گروه داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

4 کارشناس تغذیه، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

5 استادیار گروه جراحی، مرکز تحقیقات سلامت و بیماری‌های زنان، دانشکده پزشکی، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

چکیده

مقدمه: سرطان پستان، شایع‌ترین سرطان و یکی از عوامل عمده مرگ‌و‌ میر ناشی از سرطان در زنان می‌باشد. مطالعه حاضر با هدف بررسی ارتباط میان سرطان پستان با الگوهای غذایی در زنان مبتلا به سرطان پستان در شهرستان جهرم انجام شد.
روش‌کار: این مطالعه مقطعی- تحلیلی در سال 1400 بر روی 107 زن مبتلا به سرطان پستان مراجعه کننده به مرکز خاتم‌الانبیاء شهرستان جهرم انجام شد. اطلاعات مورد نیاز از طریق مصاحبه و تکمیل پرسشنامه بسامد خوراک جمع‌آوری گردید. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار SPSS (نسخه 21) و آزمون­ های آماری توصیفی و استنباطی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: همبستگی معنی­دار معکوسی بین مدت زمان دریافت شیمی‌درمانی و بسامد مصرف فست‌فود (046/0=p، 201/0- =r) مشاهده شد. هیچ تفاوت معنی­ داری از نظر پاتولوژی بیماری، مرحله بیماری، درگیری لنفاوی و درگیری عروقی سرطان در بسامد خوراک در هیچ‌کدام از خوراک­ ها وجود نداشت (05/0<p)، اما افراد دچار عود سرطان پستان، میانگین بسامد مصرف شکلات کمتری از افراد بدون عود داشتند (025/0=p). افراد دچار متاستاز سرطان پستان، میانگین بسامد مصرف قهوه کمتری (009/0=p) و مصرف فست‌فود (024/0=p) بیشتری از افراد بدون متاستاز سرطان داشتند. بسامد مصرف شکلات و سرخ کردنی ­ها در افراد فوت شده به‌صورت معنی­ داری بیشتر از افراد زنده مانده بود (05/0p<).
نتیجه ­گیری: در این مطالعه ارتباط معنی‌داری بین شدت سرطان پستان و الگوهای غذایی، از جمله همبستگی مثبت با مصرف چای و نوشابه، همبستگی منفی با مصرف فست‌فود و تفاوت در مصرف شکلات و قهوه در افراد مبتلا به سرطان از نظر عود و متاستاز وجود داشت. مطالعات بیشتر برای مقایسه الگوی غذایی این افراد با افراد سالم شهرستان جهرم برای علت‌یابی بین اختلالات تغذیه‌ای و سرطان پستان موردنیاز است. 

کلیدواژه‌ها

عنوان مقاله [English]

The relationship between breast cancer prognosis and dietary patterns in women with breast cancer in Jahrom city

نویسندگان [English]

  • Navid Kalani 1
  • Ali Sedaghat 2
  • Fatemeh Eftekharian 3
  • Nazanin Zahra Valizadeh 4
  • Marzieh Haghbeen 5
1 PhD student, Department of Anesthesiology, Research Center for Social Determinants of Health, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
2 Medical student, Student Research Committee, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
3 Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
4 B.Sc. of Nutrition, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
5 Assistant Professor, Department of Surgery, Women's Health and Diseases Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
چکیده [English]

Introduction: Breast cancer is the most common cancer and one of the major causes of cancer deaths in women. The present study was conducted with aim to investigate the relationship between breast cancer and dietary patterns in women with breast cancer in Jahrom city.
Methods: This cross-sectional and analytical study was performed in 2021 on 107 women with breast cancer who referred to the Khatam Al-Anbia center in Jahrom city. The required information was collected through interviews and completing the food frequency questionnaire. Data analysis was done using SPSS software (version 21) and descriptive and inferential statistical tests. P<0.05 was considered statistically significant.
Results: A significant inverse correlation was seen between the duration of receiving chemotherapy and the frequency of fast food consumption (r=-0.201, P=0.046). There was no significant difference in terms of disease pathology, disease stage, lymphatic involvement and cancer vascular involvement in food frequency in any of the foods (P>0.05), but people with breast cancer recurrence had a lower mean frequency of chocolate consumption than those who had no recurrence (P=0.025). People with breast cancer metastasis had a lower mean frequency of coffee consumption (P=0.009) and more fast food consumption (P=0.024) than those without cancer metastasis. The frequency of consumption of chocolate and fried foods was significantly higher in deceased people than in surviving persons (P<0.05).
Conclusion: In this study, there was a significant relationship between breast cancer and food patterns, including a positive correlation with tea and soda consumption, a negative correlation with fast food consumption, and a difference in chocolate and coffee consumption in people with cancer in terms of recurrence and metastasis. More studies are needed to compare the dietary patterns of these people with healthy ones in Jahrom city to find the causes between nutritional disorders and breast cancer.

کلیدواژه‌ها [English]

  • Breast cancer
  • Fast food
  • Food frequency

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مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 8
آبان 1402
صفحه 33-43

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