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A Diet High in Vegetables,Fruit and Fiber May CutRisk of Breast Cancer Recurrence in Women Without Hot Flashes

Posted Jan 07 2009 2:54pm

A secondary analysis of a large, multicenter clinical trial has shown that a diet loaded with fruits, vegetables and fiber and somewhat lower in fat compared to standard federal dietary recommendations cuts the risk of recurrence in a subgroup of early-stage breast cancer survivors – women who didn’t have hot flashes – by approximately 31 percent. These patients typically have higher recurrence and lower survival rates than breast cancer patients who have hot flashes. The study team, led by researchers at the Moores Cancer Center at the University of California, San Diego, along with six other sites, including the University of California, Davis, reported its results online December 15, 2008, in the Journal of Clinical Oncology.

The results come on the heels of a report last year on the findings of the original study, the Women’s Healthy Eating and Living Trial (WHEL), which compared the effects of the two diets on cancer recurrence in more than 3,000 early-stage breast cancer survivors. That study showed no overall difference in recurrence among the two diet groups.

“Women with early stage breast cancer who have hot flashes have better survival and lower recurrence rates than women who don’t have hot flashes,” said Ellen B. Gold, Ph.D., professor and chair of the UC Davis Department of Public Health Sciences and first author of the study. “Our results suggest that a major change in diet may help overcome the difference in prognosis between women with and without hot flashes.”

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