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A randomized parallel-group dietary study for stages II-IV ovarian cancer survivors.

Gynecologic oncology
March 1, 2012
Raheem J Paxton et al. (8 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the impact of dietary interventions, including encapsulated fruit and vegetable juice concentrates (FVJCs), on serum lutein levels in ovarian cancer survivors.

Results Summary

The study found that serum lutein levels were significantly increased in the FVJC group after 6 months (P<0.05), indicating a positive effect of the intervention on lutein bioavailability. No adverse effects related to lutein were reported.

Population

Women diagnosed with stages II-IV ovarian cancer (mean age 53 years).

Effective Dosage

Not specified (encapsulated fruit and vegetable juice concentrates were used).

Duration

6 months

Interactions

None mentioned

Extracted Claims (21)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low fat, high fiber (LFHF) diet
increase
serum β-cryptoxanthin levels
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#1
low fat, high fiber (LFHF) diet
increase
fiber intake
women diagnosed with stages II-IV ovarian cancer
+5.2g/day
significantly increased
#2
low fat, high fiber (LFHF) diet
increase
daily servings of juice
women diagnosed with stages II-IV ovarian cancer
+0.9 servings/day
significantly increased
#3
low fat, high fiber (LFHF) diet
increase
daily servings of vegetables
women diagnosed with stages II-IV ovarian cancer
+1.3 servings/day
significantly increased
#4
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
serum levels of albumin
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#5
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
serum levels of lutein and zeaxanthin
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#6
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
serum levels of retinol
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#7
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
serum levels of retinyl palmitate
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#8
low fat, high fiber (LFHF) diet
no change
cancer antigen-125
women diagnosed with stages II-IV ovarian cancer
-
no changes
#9
low fat, high fiber (LFHF) diet
no change
anthropometry
women diagnosed with stages II-IV ovarian cancer
-
no changes
#10
low fat, high fiber (LFHF) diet
no change
health-related quality of life (HRQOL)
women diagnosed with stages II-IV ovarian cancer
-
no changes
#11
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
no change
cancer antigen-125
women diagnosed with stages II-IV ovarian cancer
-
no changes
#12
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
no change
anthropometry
women diagnosed with stages II-IV ovarian cancer
-
no changes
#13
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
no change
health-related quality of life (HRQOL)
women diagnosed with stages II-IV ovarian cancer
-
no changes
#14
low fat, high fiber (LFHF) diet
increase
total serum carotenoid levels
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#15
low fat, high fiber (LFHF) diet
increase
α-carotene concentrations
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#16
low fat, high fiber (LFHF) diet
increase
β-carotene concentrations
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#17
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
total serum carotenoid levels
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#18
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
α-carotene concentrations
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#19
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
β-carotene concentrations
women diagnosed with stages II-IV ovarian cancer
-
significantly increased
#20
modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs)
increase
β-carotene concentrations
women diagnosed with stages II-IV ovarian cancer
-
increased more
#21
Abstract

OBJECTIVE: Few studies have examined the dietary habits of ovarian cancer survivors. Therefore, we conducted a study to assess the feasibility and impact of two dietary interventions for ovarian cancer survivors. METHODS: In this randomized, parallel-group study, 51 women (mean age, 53 years) diagnosed with stages II-IV ovarian cancer were recruited and randomly assigned to a low fat, high fiber (LFHF) diet or a modified National Cancer Institute diet supplemented with a soy-based beverage and encapsulated fruit and vegetable juice concentrates (FVJCs). Changes in clinical measures, serum carotenoid and tocopherol levels, dietary intake, anthropometry, and health-related quality of life (HRQOL) were assessed with paired t-tests. RESULTS: The recruitment rate was 25%, and the retention rate was 75% at 6 months. At baseline, 28% and 45% of women met guidelines for intake of fiber and of fruits and vegetables, respectively. After 6 months, total serum carotenoid levels and α- and β-carotene concentrations were significantly increased in both groups (P<0.01); however, β-carotene concentrations were increased more in the FVJC group. Serum β-cryptoxanthin levels, fiber intake (+5.2g/day), and daily servings of juice (+0.9 servings/day) and vegetables (+1.3 servings/day) were all significantly increased in the LFHF group (all P<0.05). Serum levels of albumin, lutein and zeaxanthin, retinol, and retinyl palmitate were significantly increased in the FVJC group (all P<0.05). No changes in cancer antigen-125, anthropometry, or HRQOL were observed. CONCLUSION: Overall, this study supports the feasibility of designing dietary interventions for stages II-IV ovarian cancer survivors and provides preliminary evidence that a low fat high fiber diet and a diet supplemented with encapsulated FVJC may increase phytonutrients in ovarian cancer survivors.

Medical Subject Headings (MeSH)
AdultAgedCA-125 AntigenCarotenoidsCounselingDietary FiberFemaleFruitHumansMiddle AgedNeoplasm StagingOvarian NeoplasmsSurvivorsVegetablesalpha-Tocopherol
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations25
Citations/Year1.9
Relative Citation Ratio0.80
NIH Percentile42.1%
Research Impact Scores
APT Score0.75
Weight Score1.45
Normalized Score0.66
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