Supportive Care in Cancer

, Volume 23, Issue 2, pp 463–471 | Cite as

Exploring the views of parents regarding dietary habits of their young cancer-surviving children

  • Jennifer Cohen
  • Claire E. Wakefield
  • Linda C. Tapsell
  • Karen Walton
  • Catharine A. K. Fleming
  • Richard J. Cohn
Original Article

Abstract

Purpose

Adult survivors of childhood cancer have a poor dietary intake. These habits may be manifesting themselves soon after treatment completion. This qualitative study aimed to assess parental views regarding the dietary habits of young child cancer survivors.

Methods

The parents/carers of 18 young child cancer patients (YCCP) treated at Sydney Children’s Hospital, Australia (<5 years since treatment completion and <13 years of age), participated in this study. Eighteen age- and sex-matched healthy controls were recruited from Sydney-based community organizations. The interview schedule was semi-structured, and the interview was conducted over the telephone. Interviews were conducted until thematic saturation was reached. Coding and analysis was facilitated by qualitative analysis software.

Results

Three main themes emerged regarding parental perceptions of YCCP current intake as compared with their pre-diagnosis eating habits: (1) decreased fruit and vegetable intake, (2) increased consumption of “junk food,” and (3) increased portion sizes. Parents also described a continuation of poor eating habits that were established during their cancer treatment. The eating habits of YCCP were substantively different to that described by parents of the control group.

Conclusion

This exploratory project revealed parental concern regarding their child’s dietary intake once the cancer treatment had been completed. The varying habits of YCCP are likely multifactorial and may be related to treatment-related side effects and food habits established during the cancer treatment.

Keywords

Nutrition Dietary habits Child Cancer Survivors 

Notes

Funding

This study was funded from a grant from the Sydney Children’s Hospital Foundation.

Conflict of interest

None of the authors have a financial relationship with the Sydney Children’s Hospital Foundation. The authors have full control of all primary data and that agree to allow the journal to review their data if requested.

References

  1. 1.
    Arroyave WD, Clipp EC, Miller PE, Jones LW, Ward DS, Bonner MJ, Rosoff PM, Snyder DC, Demark-Wahnefried W (2008) Childhood cancer survivors’ perceived barriers to improving exercise and dietary behaviors. Oncol Nurs Forum 35:121–130PubMedCrossRefGoogle Scholar
  2. 2.
    Barr RD (2002) Nutrition, cancer, and children. Nutrition 18:434–435PubMedCrossRefGoogle Scholar
  3. 3.
    Birch LL (1998) Development of food acceptance patterns in the first years of life. Proc Nutr Soc 57:617–624PubMedCrossRefGoogle Scholar
  4. 4.
    Birch LL (1998) Psychological influences on the childhood diet. J Nutr 128:407S–410SPubMedGoogle Scholar
  5. 5.
    Birch LL, Fisher JO (1998) Development of eating behaviors among children and adolescents. Pediatrics 101:539–549PubMedGoogle Scholar
  6. 6.
    Clark HR, Goyder E, Bissell P, Blank L, Peters J (2007) How do parents’ child-feeding behaviours influence child weight? Implications for childhood obesity policy. J Public Health 29:132–141CrossRefGoogle Scholar
  7. 7.
    Cohen J, Wakefield CE, Fleming CAK, Gawthorne R, Tapsell LC, Cohn RJ (2012) Dietary intake after treatment in child cancer survivors. Pediatr Blood Cancer 58:752–757PubMedCrossRefGoogle Scholar
  8. 8.
    Denzin JM, Lincoln TS (1994) Handbook of qualitative research. Sage, LondonGoogle Scholar
  9. 9.
    Dickerman JD (2007) The late effects of childhood cancer therapy. Pediatrics 119:554–568PubMedCrossRefGoogle Scholar
  10. 10.
    Diller L, Chow EJ, Gurney JG, Hudson MM, Kadin-Lottick NS, Kawashima TI, Leisenring WM, Meacham LR, Mertens AC, Mulrooney DA, Oeffinger KC, Packer RJ, Robison LL, Sklar CA (2009) Chronic disease in the Childhood Cancer Survivor Study cohort: a review of published findings. J Clin Oncol 27:2339–2355PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Garmey EG, Liu Q, Sklar CA, Meacham LR, Mertens AC, Stovall MA, Yasui Y, Robison LL, Oeffinger KC (2008) Longitudinal changes in obesity and body mass index among adult survivors of childhood acute lymphoblastic leukemia: a report from the Childhood Cancer Survivor Study. J Clin Oncol 26:4639–4645PubMedCentralPubMedCrossRefGoogle Scholar
  12. 12.
    Grant M, Kravits K (2000) Symptoms and their impact on nutrition. Semin Oncol Nurs 16:113–121PubMedCrossRefGoogle Scholar
  13. 13.
    Holt A (2010) Using the telephone for narrative interviewing: a research note. Qual Res 10:113–121CrossRefGoogle Scholar
  14. 14.
    Hruschka DJ, Schwartz D, St. John DC, Picone-Decaro E, Jenkins RA, Carey JW (2004) Reliability in coding open-ended data: lessons learned from HIV behavioral research. Field Methods 16:307–331CrossRefGoogle Scholar
  15. 15.
    Hudson MM, Mulrooney DA, Bowers DC, Sklar CA, Green DM, Donaldson SS, Oeffinger KC, Neglia JP, Meadows AT, Robison LL (2009) High-risk populations identified in Childhood Cancer Survivor Study investigations: implications for risk-based surveillance. J Clin Oncol 27:2405–2414PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ (2009) Cancer statistics, 2009. CA Cancer J Clin 59:225–249PubMedCrossRefGoogle Scholar
  17. 17.
    Klesges RC, Stein RJ, Eck LH, Isbell TR, Klesges LM (1991) Parental influence on food selection in young children and its relationships to childhood obesity. Am J Clin Nutr 53:859–864PubMedGoogle Scholar
  18. 18.
    Ladas EJ, Sacks N, Brophy P, Rogers PC (2006) Standards of nutritional care in pediatric oncology: results from a nationwide survey on the standards of practice in pediatric oncology. A Children’s Oncology Group study. Pediatr Blood Cancer 46:339–344PubMedCrossRefGoogle Scholar
  19. 19.
    Lakka TA, Laaksonen DE (2007) Physical activity in prevention and treatment of the metabolic syndrome. Appl Physiol Nutr Metab 32:76–88PubMedCrossRefGoogle Scholar
  20. 20.
    Mattes RD, Curran WJ Jr, Alavi J, Powlis W, Whittington R (1992) Clinical implications of learned food aversions in patients with cancer treated with chemotherapy or radiation therapy. Cancer 70:192–200PubMedCrossRefGoogle Scholar
  21. 21.
    Mauer AM, Burgess JB, Donaldson SS, Rickard KA, Stallings VA, van Eys J, Winick M (1990) Special nutritional needs of children with malignancies: a review. JPEN J Parenter Enteral Nutr 14:315–324PubMedCrossRefGoogle Scholar
  22. 22.
    Miles MB, Huberman AM (1994) Qualitative data analysis: an expanded sourcebook. Sage, LondonGoogle Scholar
  23. 23.
    Miles MB, Huberman AM (1994) Qualitative data analysis: an expanded sourcebook. Sage, CAGoogle Scholar
  24. 24.
    Moore LC, Harris CV, Bradlyn AS (2012) Exploring the relationship between parental concern and the management of childhood obesity. Matern Child Health J 16:902–908PubMedCrossRefGoogle Scholar
  25. 25.
    National Health and Medical Research Council (2013) Eat for health. Australian Dietary Guidelines. AustraliaGoogle Scholar
  26. 26.
    Neville KA, Cohn RJ, Steinbeck KS, Johnston K, Walker JL (2006) Hyperinsulinemia, impaired glucose tolerance, and diabetes mellitus in survivors of childhood cancer: prevalence and risk factors. J Clin Endocrinol Metab 91:4401–4407PubMedCrossRefGoogle Scholar
  27. 27.
    Oeffinger KC, Mertens AC, Sklar CA, Kawashima T, Hudson MM, Meadows AT, Friedman DL, Marina N, Hobbie W, Kadan-Lottick NS, Schwartz CL, Leisenring W, Robison LL, Childhood Cancer Survivor S (2006) Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 355:1572–1582PubMedCrossRefGoogle Scholar
  28. 28.
    Robien K, Ness KK, Klesges LM, Baker KS, Gurney JG (2008) Poor adherence to dietary guidelines among adult survivors of childhood acute lymphoblastic leukemia. J Pediatr Hematol Oncol 30:815–822PubMedCentralPubMedCrossRefGoogle Scholar
  29. 29.
    Rogers PC, Meacham LR, Oeffinger KC, Henry DW, Lange BJ (2005) Obesity in pediatric oncology. Pediatr Blood Cancer 45:881–891PubMedCrossRefGoogle Scholar
  30. 30.
    Sala A, Pencharz P, Barr RD (2004) Children, cancer, and nutrition—a dynamic triangle in review. Cancer 100:677–687PubMedCrossRefGoogle Scholar
  31. 31.
    Sankar P, Wolpe PR, Jones NL, Cho M (2006) How do women decide? Accepting or declining BRCA1/2 testing in a nationwide clinical sample in the United States. Community Genet 9:78–86PubMedCentralPubMedCrossRefGoogle Scholar
  32. 32.
    Schwartz MD, Jacobsen PB, Bovbjerg DH (1996) Role of nausea in the development of aversions to a beverage paired with chemotherapy treatment in cancer patients. Physiol Behav 59:659–663PubMedCrossRefGoogle Scholar
  33. 33.
    Skolin I, Wahlin YB, Broman DA, Koivisto Hursti U-K, Vikstrom Larsson M, Hernell O (2006) Altered food intake and taste perception in children with cancer after start of chemotherapy: perspectives of children, parents and nurses. Support Care Cancer 14:369–378PubMedCrossRefGoogle Scholar
  34. 34.
    Yavuzsen T, Walsh D, Davis MP, Kirkova J, Jin T, LeGrand S, Lagman R, Bicanovsky L, Estfan B, Cheema B, Haddad A (2009) Components of the anorexia-cachexia syndrome: gastrointestinal symptom correlates of cancer anorexia. Support Care Cancer 17:1531–1541PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Jennifer Cohen
    • 1
    • 2
    • 3
  • Claire E. Wakefield
    • 1
    • 2
  • Linda C. Tapsell
    • 3
  • Karen Walton
    • 3
  • Catharine A. K. Fleming
    • 1
  • Richard J. Cohn
    • 1
    • 2
  1. 1.Kids Cancer CentreSydney Children’s HospitalRandwickAustralia
  2. 2.School of Women’s & Children’s Health, UNSW MedicineUniversity of NSWRandwickAustralia
  3. 3.School of Medicine, Faculty of Science, Medicine & HealthUniversity of WollongongWollongongAustralia

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