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Comparing Dietary and Other Lifestyle Factors Among Immigrant Nigerian Men Living in the US and Indigenous Men from Nigeria: Potential Implications for Prostate Cancer Risk Reduction

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Abstract

Background Although African men may share a common genetic predisposition contributing to the higher incidence of prostate cancer (CaP), the etiology of the variability in risk observed even among African men living in varying environments and cultures, highlights the strong and evolving research regarding the contribution of behavioral factors that may modify these biological risk factors. Objective Our aim was to recruit Nigerian men from West Africa who had migrated and currently living in the US and indigenous men living in Nigeria to evaluate and compare differences in behavioral variables that are implicated to in contribute to CaP mortality and morbidity. Methods Using a cross-sectional study design, we recruited participants between age 35 and 70 during a CaP screening event in Abeokuta (Nigeria) and Houston (US). Data were collected using standard questionnaires and subject interviews on factors such as smoking, dietary intake, intake of traditional and non-traditional supplements, physical activity and alcohol consumption. Descriptive analyses were used to characterize the demographic characteristics of the study participants. Sample t-test analyses were then used to compare the behavioral variables of the migrant and indigenous men from Nigeria. Results Immigrant men from Nigeria had significantly higher fruit and whole grain intake, higher number of hours of purposeful physical activity and significantly lower tobacco use and intake of trans fats in their diet compared to their indigenous counterparts which may potentially contribute to decreased CaP risk in this cohort. However, greater intake of meats, oils, alcohol and reduction in fish intake may contribute to greater risk, although the proportion of risk reduction or risk increase is difficult to estimate in this sample size. Factors associated to acculturation, the relative accessibility and the affordability may contribute to the choices made by immigrant Nigerian men compared to their indigenous counterparts. Conclusion Although these results are provocative and significant, future well powered studies controlling for variability in population sampling should validate these observations.

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References

  1. World Health Organization, 2008.

  2. Glover FE Jr, Coffey DS, Douglas LL, Cadogan M, Russell H, Tulloch T, et al. The epidemiology of prostate cancer in Jamaica. J Urol. 1998;159:1984–7.

    Article  PubMed  Google Scholar 

  3. Parchment YD. Prostate cancer screening in African American and Caribbean males: detriment in delay. ABNF J. 2004;15(6):116–20. (PMID: 18399361 [PubMed - indexed for MEDLINE]).

    PubMed  Google Scholar 

  4. Phillips AA, Jacobson JS, Magai C, Consedine N, Horowicz-Mehler NC, Neugut AI. Cancer incidence and mortality in the Caribbean. Cancer Invest. 2007;25(6):476–83. (PMID: 17882661).

    Article  PubMed  Google Scholar 

  5. Metcalfe C, Evans S, Ibrahim F, Patel B, Anson K, Chinegwundoh F, et al. Pathways to diagnosis for Black men and White men found to have prostate cancer: the PROCESS cohort study. Br J Cancer. 2008;99:1040–5.

    Article  PubMed  CAS  Google Scholar 

  6. Metcalfe C, Patel B, Evans S, Ibrahim F, Anson K, Chinegwundoh F, et al.; the PROCESS Study Group* .The risk of prostate cancer amongst South Asian men in southern England: the PROCESS cohort study. BJU Int.. 2008;102:1407–12. (PMID: 18540931).

    Google Scholar 

  7. Ekwere PD, Egbe SN. The changing pattern of prostate cancer in Nigerians: current status in the southeastern states. J Natl Med Assoc. 2002;94(7):619–27. (PMID: 12126288 [Pub Med - indexed for MEDLINE]).

    PubMed  Google Scholar 

  8. Ogunbiyi JO, Shittu OB. Increased incidence of prostate cancer in Nigerians. J Natl Med Assoc. 1999;91(3):159–64. (PMID: 10203918 [PubMed - indexed for MEDLINE]).

    PubMed  CAS  Google Scholar 

  9. Ukoli F, Osime U, Akereyeni F, Okunzuwa O, Kittles R, Adams-Campbell L. Prevalence of elevated serum prostate-specific antigen in rural Nigeria. Int J Urol. 2003;10(6):315–22. (PMID: 12757603 [PubMed - indexed for MEDLINE]).

    Article  PubMed  Google Scholar 

  10. Odedina FT, Ogunbiyi JO, Ukoli FA. Roots of prostate cancer in African-American men. J Natl Med Assoc. 2006;98(4):539–43.

    PubMed  Google Scholar 

  11. Bostwick DG, Burke HB, Djakiew D, Euling S, Ho SM, Landolph J, et al. Human prostate cancer risk factors. Cancer Rev. 2004;1(10 Suppl):2371–490.

    Google Scholar 

  12. Gann PH. Risk factors for prostate cancer. Rev Urol. 2002;4(Suppl 5):S3–10.

    PubMed  Google Scholar 

  13. Kolonel LN, Nomura AM, Cooney RV. Dietary fat and prostate cancer: current status. J Natl Cancer Inst. 1999;91(5):414–28. (Comments in: J Natl Cancer Inst. 2001 Apr 18;93(8):649–51).

    Article  PubMed  CAS  Google Scholar 

  14. Skinner HG, Schwartz GG. Serum calcium and incident and fatal prostate cancer in the National Health and Nutrition Examination Survey. Cancer Epidemiol Biomarkers Prev. 2008;17(9):2302–5.

    Article  PubMed  CAS  Google Scholar 

  15. Steyn K, Kazenellenbogen JM, Lombard CJ, Bourne LT. Urbanization and the risk for chronic diseases of lifestyle in the black population of the Cape Peninsula, South Africa. J Cardiovasc Risk. 1997;4(2):135–42.

    Article  PubMed  CAS  Google Scholar 

  16. Hosper K, Nierkens V, Nicolaou M, Stronks K. Behavioural risk factors in two generations of non-Western migrants: do trends converge towards the host population? Eur J Epidemiol. 2007;22(3):163–72. (Epub 2007 Mar 3).

    Article  PubMed  Google Scholar 

  17. Marchand LL. Combined influence of genetic and dietary factors on colorectal cancer incidence in Japanese Americans. J Natl Cancer Inst Monogr. 1999;26:101–5.

    PubMed  Google Scholar 

  18. Darmon N, Khlat M. An overview of the health status of migrants in France, in relation to their dietary practices. Public Health Nutr. 2001;4(2):163–72.

    PubMed  CAS  Google Scholar 

  19. Landman J, Cruickshank JK. A review of ethnicity, health and nutrition-related diseases in relation to migration in the United Kingdom. Public Health Nutr. 2001;4(2B):647–57.

    Article  PubMed  CAS  Google Scholar 

  20. Mennen LI, Jackson M, Sharma S, Mbanya JC, Cade J, Walker S, et al. Habitual diet in four populations of African origin: a descriptive paper on nutrient intakes in rural and urban Cameroon, Jamaica and Caribbean migrants in Britian. Public Health Nutr. 2001;4(3):765–72.

    Article  PubMed  CAS  Google Scholar 

  21. Mejean C, Traissaic P, Eymard-Duvernay S, Delpeuch F, Maire B. Influence of acculturation among Tunisian migrants in France and their past/present exposure to the home country on diet and physical activity. Public Health Nutr. 2008;23:1–10. (Epub ahead of print).

    Google Scholar 

  22. http://www.cancer.gov/cancertopics/pdq/prevention/prostate/Patient/page2#Section_14, 2008.

  23. http://www.cancer.org/docroot/ped/ped_0.asp, 2008.

  24. http://www.aicr.org/site/PageServer?pagename=dc_home, 2008.

  25. Reeves SL, Henry CJ. Dietary change, energy balance and body weight regulation among migrating students. Int J Food Sci Nutr. 2000;51(6):429–38.

    Article  PubMed  CAS  Google Scholar 

  26. Walsh PC. Alcohol consumption and risk of prostate cancer in middle-aged men. J Urol. 2005;173(4):1170. (PMID: 15758731 [PubMed]).

    Google Scholar 

  27. Velicer CM, Kristal A, White E. Alcohol use and the risk of prostate cancer: results from the VITAL cohort study. Nutr Cancer. 2006;56(1):50–6. (PMID: 17176217 [PubMed - indexed for MEDLINE]).

    Article  PubMed  Google Scholar 

  28. Jirapramukpitak T, Prince M, Harpham T. Rural-urban migration, illicit drug use and hazardous/harmful drinking in the young Thai population. Addiction. 2008;103(1):91–100.

    Article  PubMed  Google Scholar 

  29. Wargovich MJ, Woods C, Hollis DM, Zander ME. Herbals, cancer prevention and health. J Nutr. 2001;131(11 suppl):3034S–6S.

    PubMed  CAS  Google Scholar 

  30. Goldman P. Herbal medicines today and the roots of modern pharmacology. Ann Intern Med. 2001;135(8 pt 1):594–600.

    PubMed  CAS  Google Scholar 

  31. Gong Z, Agalliu I, Lin DW, Stanford JL, Kristal AR. Cigarette smoking and prostate cancer-specific mortality following diagnosis in middle-aged men. Cancer Causes Control. 2008;19(1):25–31. (Epub 2007 Sep 30. PMID: 17906959 [PubMed - indexed for MEDLINE]).

    Article  PubMed  Google Scholar 

  32. Rodriguez C, Tatham LM, Thun MJ, Calle EE, Heath CW Jr. Smoking and fatal prostate cancer in a large cohort of adult men. Am J Epidemiol. 1997;145(5):466–75. (PMID: 9048521 [PubMed - indexed for MEDLINE]).

    PubMed  CAS  Google Scholar 

  33. Jörgensen L, Hammar N, Kaprio J, Koskenvuo M, Svensson A. Migration and smoking: an epidemiological study of Finnish twins in Sweden. Scand J Public Health. 2005;33(4):285–91.

    Article  PubMed  Google Scholar 

  34. Kelleher CC, Lynch JW, Daly L, Harper S, Fitz-Simon N, Bimpeh Y, et al. The “Americanisation” of migrants: evidence for the contribution of ethnicity, social deprivation, lifestyle and life-course processes to the mid-20th century Coronary Heart Disease epidemic in the US. Soc Sci Med. 2006;63(2):465–84. (Epub 2006 Feb 10).

    Article  PubMed  CAS  Google Scholar 

  35. Culos-Reed SN, Robinson JL, Lau H, O’Connor K, Keats MR. Benefits of a physical activity intervention for men with prostate cancer. J Sport Exerc Psychol. 2007;29(1):118–27. (PMID: 17556779 [PubMed - indexed for MEDLINE]).

    PubMed  Google Scholar 

  36. Clay CA, Perera S, Wagner JM, Miller ME, Nelson JB, Greenspan SL. Physical function in men with prostate cancer on androgen deprivation therapy. Phys Ther. 2007;87(10):1325–33. (Epub 2007 Aug 7. PMID: 17684084 [PubMed - indexed for MEDLINE]).

    PubMed  Google Scholar 

  37. Hosper K, Klazinga NS, Stronks K. Acculturation does not necessarily lead to increased physical activity during leisure time: a cross-sectional study among Turkish young people in the Netherlands. BMC Public Health. 2007;3(7):230.

    Article  Google Scholar 

  38. Wolin KY, Colditz G, Stoddard AM, Emmons KM, Sorensen G. Acculturation and physical activity in a working class multiethnic population. Prev Med. 2006;42(4):266–72. (Epub 2006 Feb 14).

    Article  PubMed  Google Scholar 

  39. Berrigan D, Dodd K, Troiano RP, Reeve BB, Ballard-Barbash R. Physical activity and acculturation among adult Hispanics in the United States. Res Q Exerc Sport. 2006;77(2):147–57.

    PubMed  Google Scholar 

  40. Crespo CJ, Smit E, Carter-Pokras O, Andersen R. Acculturation and leisure-time physical inactivity in Mexican American Adults: results from NHANES III, 1988–1994. Am J Public Health. 2001;91(8):1254–7.

    Article  PubMed  CAS  Google Scholar 

  41. Crespo CJ, Smit E, Andersen RE, Carter-Pokras O, Ainsworth BE. Race/ethnicity, social class and their relation to physical inactivity during leisure time: results from the Third National Health and Nutrition Examination Survey, 1988–1994. Am J Prev Med. 2000;18(1):46–53.

    Article  PubMed  CAS  Google Scholar 

  42. Ham SA, Yore MM, Kruger J, Heath GW, Moeti R. Physical activity patterns among Latinos in the United States: putting the pieces together. Prev Chronic Dis. 2007;4(4):A92. (Epub 2007 Sep 15).

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Population Sciences, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida College of Medicine, 12902 Magnolia Drive, Tampa, FL, 33612, USA

    Nagi B. Kumar & Folakemi T. Odedina

  2. Division of Biostatistics and Informatics, Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, FL, USA

    Daohai Yu

  3. Department of Pathology, Federal Medical Center (FMC), Abeokuta, Nigeria

    Titilola O. Akinremi

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  1. Nagi B. Kumar
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  2. Daohai Yu
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  3. Titilola O. Akinremi
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  4. Folakemi T. Odedina
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Correspondence to Nagi B. Kumar.

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Kumar, N.B., Yu, D., Akinremi, T.O. et al. Comparing Dietary and Other Lifestyle Factors Among Immigrant Nigerian Men Living in the US and Indigenous Men from Nigeria: Potential Implications for Prostate Cancer Risk Reduction. J Immigrant Minority Health 11, 391–399 (2009). https://doi.org/10.1007/s10903-009-9231-1

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  • DOI: https://doi.org/10.1007/s10903-009-9231-1

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