Dietary Intake and Energy Expenditure in Breast Cancer Survivors: A Review

被引:8
作者
Purcell, Sarah A. [1 ,2 ]
Marker, Ryan J. [2 ,3 ]
Cornier, Marc-Andre [1 ,2 ,4 ]
Melanson, Edward L. [1 ,4 ,5 ]
机构
[1] Univ Colorado, Dept Med, Div Endocrinol Metab & Diabet, Anschutz Med Campus, Aurora, CO 80045 USA
[2] Univ Colorado, Anschutz Hlth & Wellness Ctr, Anschutz Med Campus, Aurora, CO 80045 USA
[3] Univ Colorado, Dept Phys Med & Rehabil, Anschutz Med Campus, Aurora, CO 80045 USA
[4] Rocky Mt Reg VA Med Ctr, Aurora, CO 80045 USA
[5] Univ Colorado, Dept Med, Div Geriatr Med, Anschutz Med Campus, Aurora, CO 80045 USA
基金
美国国家卫生研究院;
关键词
metabolism; obesity; nutrition; exercise; oncology; FAT-FREE MASS; PHYSICAL-ACTIVITY PARTICIPATION; FOOD FREQUENCY QUESTIONNAIRE; BODY-COMPOSITION CHANGES; RESTING METABOLIC-RATE; WEIGHT-LOSS; HORMONE SUPPRESSION; CALORIE RESTRICTION; SEDENTARY BEHAVIOR; TEACHABLE MOMENT;
D O I
10.3390/nu13103394
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Many breast cancer survivors (BCS) gain fat mass and lose fat-free mass during treatment (chemotherapy, radiation, surgery) and estrogen suppression therapy, which increases the risk of developing comorbidities. Whether these body composition alterations are a result of changes in dietary intake, energy expenditure, or both is unclear. Thus, we reviewed studies that have measured components of energy balance in BCS who have completed treatment. Longitudinal studies suggest that BCS reduce self-reported energy intake and increase fruit and vegetable consumption. Although some evidence suggests that resting metabolic rate is higher in BCS than in age-matched controls, no study has measured total daily energy expenditure (TDEE) in this population. Whether physical activity levels are altered in BCS is unclear, but evidence suggests that light-intensity physical activity is lower in BCS compared to age-matched controls. We also discuss the mechanisms through which estrogen suppression may impact energy balance and develop a theoretical framework of dietary intake and TDEE interactions in BCS. Preclinical and human experimental studies indicate that estrogen suppression likely elicits increased energy intake and decreased TDEE, although this has not been systematically investigated in BCS specifically. Estrogen suppression may modulate energy balance via alterations in appetite, fat-free mass, resting metabolic rate, and physical activity. There are several potential areas for future mechanistic energetic research in BCS (e.g., characterizing predictors of intervention response, appetite, dynamic changes in energy balance, and differences in cancer sub-types) that would ultimately support the development of more targeted and personalized behavioral interventions.
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页数:20
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