Coaching nutricional como herramienta para la adquisición de hábitos alimentarios preventivos del cáncer
DOI:
https://doi.org/10.14306/renhyd.18.1.35Palabras clave:
Coaching Nutricional, Servicios Preventivos de Salud, Educación para la Salud, Neoplasmas, Cáncer, Prevención primaria, Dieta, Hábitos AlimentariosResumen
Existe amplia bibliografía sobre recomendaciones para la prevención del cáncer, pero a pesar de ello, gran parte de la población no las lleva a cabo. Además, la poca existencia de investigaciones acerca de esta falta de adherencia, ha motivado a los autores de la presente revisión a abrir una línea de investigación dirigida a buscar herramientas que fomenten el seguimiento de estas recomendaciones. El objetivo principal de esta revisión es confirmar la capacidad del coaching nutricional como herramienta útil en la adquisición de hábitos saludables preventivos y en la modificación de hábitos poco saludables, favorecedores de ciertos tipos de cáncer. En este artículo de revisión se recoge información actualizada sobre hábitos y alimentos que aumentan o disminuyen el riesgo de distintos tipos de cáncer, y a la vez, evidencias científicas sobre la efectividad del coaching nutricional para asumir la responsabilidad de cuidarse a sí mismo, adoptando hábitos de vida saludables que redundan en un mejor estado nutricional. Los resultados de esta revisión muestran, a través de varios estudios, la efectividad del coaching en la modificación de factores preventivos y/o promotores de cáncer. Por ese motivo, se concluye que el coaching nutricional puede ser útil en la prevención de determinados tipos de cáncer.
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Dúo Uriarte B. La dieta como factor de riesgo y de protección frente al cáncer. Alim Nutri Salud. 2012; 19(2): 27-34.
Marzo-Castillejo M, Bellas-Beceiro B, Vela-Vallespín C, Nuin-Villanueva M, Bartolomé-Moreno C, Vilarrubí-Estrella M, et al. Recomendaciones de prevención del cáncer. Aten Primaria. 2012; 44(Supl 1): 23-35.
Anand P, Kunnumakara AB, Sundaram C, Harikumar KB, Tharakan ST, Lai OS, et al. Cancer is a Preventable Disease that Requires Major Lifestyle Changes. Pharm Res 2008; 25(9): 2097-2116.
World Cancer Research Fund / American Institute for Cancer Research. Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective. Washington DC: AICR, 2007.
Weiderpass E. Lifestyle and Cancer Risk. J Prev Med Public Health. 2010; 43(6): 459-71.
Holman DM, White MC. Dietary behaviors related to cancer prevention among pre-adolescents and adolescents: the gap between recommendations and reality. Nutr J. 2011; 10: 60.
Vergnaud AC, Romaguera D, Peeters PH, van Gils CH, Chan DSM, Romieu I, et al. Adherence to the World Cancer Research Fund/American Institute for Cancer Research guidelines and risk of death in Europe: results from the European Prospective Investigation into Nutrition and Cancer cohort study. Am J Clin Nutr. 2013; 97(5): 1107-20
Mc Cullough ML, Patel AV, Kushi LH, Patel R, Willett WC, Doyle C, et al. Following Cancer Prevention Guidelines Reduces Risk of Cancer, Cardiovascular Disease, and All-Cause Mortality. Cancer Epidemiol Biomarkers Prev. 2011; 20(6): 1089-97.
Spring B, Schneider K, McFadden HG, Vaughn J, Kozak AT, Smith M, et al. Multiple Behavior Changes in Diet and Activity. A Randomized Controlled Trial Using Mobile Technology. Arch Intern Med. 2012; 172(10): 789-96.
Masset G, Monsivais P, Maillot M, Darmon N, Drewnowsky A. Diet Optimization Methods Can Help Translate Dietary Guidelines into a Cancer Prevention Food Plan. J Nutr. 2009; 139(8): 1541–8.
Palmquist AEL, Upton R, Lee S, Panter AT, Hadley DW, Koehly LM. Beliefs about cancer and diet among those considering genetic testing for colon cancer. J Nutr Educ Behav. 2011; 43(3): 150–6.
Curtis C, Bazzle NM, Semp C, Barker J, Wright JG, Thoenen E, et al. Advocating for Chronic Disease Management and Prevention 2011. West Virginia, Department of Health Human Resources; 2011.
Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, et al. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention. CA cancer J clin. 2012; 62(1): 30–67.
Mc Eligot AJ, Mouttapa M, Ziogas A, Anton-Culver H. Diet and predictors of dietary intakes in women with family history of breast and/or ovarian cancer. Cancer Epidemiol. 2009; 33(6): 419–23.
Pérez Cueto FJA. Prevención del cancer colorrectal con dieta y actividad física: actualización reciente. Nutr Hosp. 2011; 26(6): 1491.
Mahabir S. Association Between Diet During Preadolescence and Adolescence and Risk for Breast Cancer During Adulthood. J Adolesc Health. 2013; 52(5 Suppl): S30-5.
Boticario Boticario C. ¿Una alimentación sana puede prevenir el cáncer?. Anal Real Acad Nac Farm. 2005; 71:609-633.
Djuric Z, Ruffin MT, Rapai ME, Cornellier ML, Ren J, Ferreri TG, et al. A Mediterranean dietary intervention in persons at high risk of colon cancer: Recruitment and retention to an intensive study requiring biopsies. Contemp Clin Trials. 2012; 33(5): 881–8.
Chandran U, Bandera EV, Williams-King MG, Paddock LE, Rodríguez-Rodríguez L, Lu SE, et al. Healthy eating index and ovarian cancer risk. Cancer Causes Control. 2011; 22(4): 563–71.
Martin LJ, Li Q, Melnichouk O, Greenberg C, Minkin S, Hislop G, et al. A Randomized Trial of Dietary Intervention for Breast Cancer Prevention. Cancer Res. 2011; 71(1): 123–33.
Hu J, La Vecchia C, de Groh M, Negri E, Morrison H, Mery L. Dietary cholesterol intake and cancer. Ann Oncol. 2012; 23(2): 491-500.
Sansbury LB, Wanke K, Albert PS, Kahle L, Schatzkin A, Lanza E, et al. The effect of strict adherence to a high-fiber, highfruit and vegetable, and low-fat eating pattern on adenoma recurrence. Am J Epidemiol. 2009; 170(5): 576-84.
Marcial Vega V. Prevención de cáncer de seno. Visión integral. The Anual Puerto Rico Breast Cancer Conference. Galenus. Supl Breast Cáncer Conference; 2012.
Royall D. A Systematic Review of the Effectiveness of Nutrition Counseling Interventions by Dietitians in Outpatient and in Workplace Settings. Dietitians of Canada; 2009.
Byers T, Segjo RL. Does intentional weight loss reduce cancer risk? Diabetes Obes Metab. 2011; 13(12): 1063–72.
Amin AR, Kucuk O, Khuri FR, Shin DM. Perspectives for Cancer Prevention With Natural Compounds. J Clin Oncol. 2009; 27(16): 2712-25.
Lin J, Cook NR, Albert C, Zaharris E, Gaziano JM, Van Denburgh M, et al. Vitamins C and E and Beta Carotene Supplementation and Cancer Risk: A Randomized Controlled Trial. J Natl Cancer Inst. 2009; 101(1): 14-23.
Su X, Tamimi RM, Collins LC, Baer HJ, Cho E, Sampson L, et al. Intake of Fiber and Nuts during Adolescence and Incidence of Proliferative Benign Breast Disease. Cancer Causes Control. 2010; 21(7): 1033–46.
Boffetta P, Couto E, Wichmann J, Ferrari P, Trichopoulos D, Bueno-de-Mesquita HB, et al. Fruit and Vegetable Intake and Overall Cancer Risk in the European Prospective Investigation Into Cancer and Nutrition (EPIC). J Natl Cancer Inst. 2010; 102(8): 529–37.
Jansen RJ, Robinson DP, Stolzenberg-Solomon RZ, Bamlet WR, de Andrade M, Oberg AL, et al. Fruit and vegetable consumption is inversely associated with having pancreatic cancer. Cancer Causes Control. 2011; 22(12): 1613–25.
Shukla S, Gupta S. Apigenin: A Promising Molecule for Cancer Prevention. Pharm Res. 2010; 27(6): 962–78.
Arangoa D, Morohashic K, Yilmar A, Kuramochi K, Parihar A, Brahimaj B, et al. Molecular basis for the action of a dietary flavonoid revealed by the comprehensive identification of apigenin human targets. Proc Natl Acad Sci U S A. 2013; 110(24): E2153-62.
Llacuna L, Mach N. Papel de los antioxidantes en la prevención del cáncer. Rev Esp Nutr Hum Diet. 2012; 16(1): 16-24.
Stingl JC, Ettrich T, Muche R, Wiedom M, Brockmöller J, Seeringer A, et al. Protocol for minimizing the risk of metachronous adenomas of the colorectum with green tea extract (MIRACLE): a randomised controlled trial of green tea extract versus placebo for nutri prevention of metachronous colon adenomas in the elderly population. BMC Cancer. 2011; 11: 360.
Li Y, Tollefsbol TO. Impact on DNA methylation in cancer prevention and therapy by bioactive dietary components. Curr Med Chem. 2010; 17(20): 2141–51.
Jonnalagadda SS, Harnack L, Liu RH, McKeown N, Seal C, Liu S, et al. Putting the Whole Grain Puzzle Together: Health Benefits Associated with Whole Grains-Summary of American Society for Nutrition 2010 Satellite Symposium. J Nutr. 2011; 141(5): 1011S–22S.
Ros E. Health Benefits of Nut Consumption. Nutrients. 2010; 2(7): 652-82.
Valenzuela BR, Bascuñan GK, Chamorro MR, Valenzuela BA. Ácidos grasos omega-3 y cáncer, una alternativa nutricional para su prevención y tratamiento. Rev Chil Nutr. 2011; 38(2): 219-26.
Daniel CR, McCullough ML, Patel RC, Jacobs EJ, Flanders WD, Thun MJ, et al. Dietary intake of omega-6 and omega-3 fatty acids and risk of colorectal cancer in a prospective cohort of U.S. men and women. Cancer Epidemiol Biomarkers Prev. 2009; 18(2): 516-25.
Mizoue T, Kimura Y, Toyomura K, Nagano J, Kono S, Mibu R, et al. Calcium, dairy foods, vitamin D, and colorectal cancer risk: the Fukuoka Colorectal Cancer Study. Cancer Epidemiol Biomarkers Prev. 2008; 17(10): 2800–7.
Yang CS, Suh N, Kong ANT. Does Vitamin E Prevent or Promote Cancer? Cancer Prev Res (Phila). 2012; 5(5): 701–5.
Molins Roca J. Comunicar Salud: el paciente aliado. J Med Econ. 2012; 26-29.
Bonal Ruiz R, Almenares Camps HB, Marzán Delis M. Coaching de salud: un nuevo enfoque en el empoderamiento del paciente con enfermedades crónicas no transmisibles. MEDISAN. 2012; 16(5): 773-85.
Giménez J. El Coaching nutricional como método para la educación nutricional. Seminario Coaching Nutricional. Máster Nutrición y Salud. Universitat Oberta de Catalunya; 2010.
Jacobs N, Clays E, De Bacquer D, De Backer G, Dendale P, Thijs H, et al. Effect of a tailored behavior change program on a composite lifestyle change score: a randomized controlled trial. Health Educ Res. 2011; 26(5): 886–95.
Hawkes AL, Patrao TA, Green A, Aitken JF. Can Prevent: a telephone-delivered intervention to reduce multiple behavioural risk factors for colorectal cancer. BMC Cancer. 2012; 12: 560.
Aoun S, Osseiran-Moisson R, Shahid S, Howat P, O’Connor M. Telephone Lifestyle Coaching: is it Feasible as a Behavioural Change Intervention for men? J Health Psychol. 2012; 17(2): 227-36
Hughes SL, Seymour RB, Campbell RT, Shaw JW, Fabiyi C, Sokas R. Comparison of Two Health-Promotion Programs for Older Workers. Am J Public Health. 2011; 101(5): 883-90.
O’Hara BJ, Phongsavan P, Venugopal K, Eakin EG, Eggins D, Caterson H, et al. Effectiveness of Australia’s Get Healthy Information and Coaching Service: Translational research with population wide impact. Prev Med. 2012; 55(4): 292–8.
Prochaska JO, Evers KE, Castle PH, Johnson JL, Prochaska JM, Rula EY, et al. Enhancing Multiple Domains of Well-Being by Decreasing Multiple Health Risk Behaviors: A Randomized Clinical Trial. Popul Health Manag. 2012; 15(5): 276–86.
Davis L, Loyo K, Glowka A, Schwertfeger R, Danielson L, Brea C, et al. A Comprehensive Worksite Wellness Program in Austin, Texas: Partnership Between Steps to a Healthier Austin and Capital Metropolitan Transportation Authority. Prev Chronic Dis. 2009; 6(2): A60.
Stephens J, Allen JK, Dennison Himmelfarb CR. ‘‘Smart’’ Coaching to Promote Physical Activity, Diet Change, and Cardiovascular Health. J Cardiovasc Nurs. 2011; 26(4): 282-4.
Kegler MC, Alcantara I, Veluswamy JK, Haardörfer R, Hotz JA, Glanz K. Results From an Intervention to Improve Rural Home Food and Physical Activity Environments. Prog Community Health Partnersh. 2012; 6(3): 265–77.
Tucker LA, Cook AJ, Nokes NR, Adams TB. Telephone-based Diet and Exercise Coaching and weight-loss Supplement Result in Weight and Fat Loss in 120 Men and Women. Am J Health Promot. 2008; 23(2): 121-9.
Molinero González O, Salguero del Valle A, Márquez S. Autodeterminación y adherencia al ejercicio: estado de la cuestión. RICYDE. 2011; 7(25): 287-394.
Wolever RQ, Webber DM, Meunier JP, Greeson JM, Lausier ER, Gaudet TW. Modifiable Disease Risk, Readiness to Change, and Psychosocial Functioning Improve With Integrative Medicine Immersion Model. Altern Ther Health Med. 2011; 17(4): 38-47.
Vorderstrasse AA, Ginsburg GS, Kraus WE, Maldonado MCJ, Wolever RQ. Health Coaching and Genomics-Potential Avenues to Elicit Behavior Change in Those at Risk for Chronic Disease: Protocol for Personalized Medicine Effectiveness Study in Air Force Primary Care. Glob Adv Health Med. 2013; 2(3): 26-38.