Nutrition and Breast Cancer in the Provincial Hospital Jason Sendwe, in Lubumbashi: A Case Control Study, January 2019 to December 2020
Ngoy Bulaya Emmanuel1-3*, Epule Difumakoy Nelly1, Mbayo Muganza Gerard2, Kalume Tshinuishi Credo1, Kela Nsenga Catherine1, Tshibuabua Mutombo Bavon1, Kabongo Ntambwe John3, Mapatano Mala Ali3 and Luboya Numbi Oscar1,2
1Nutrition Research Unit, Lubumbashi School of Public Health, University of
Lubumbashi, Democratic Republic of the Congo
2Department of Nutrition, High Institute of Medical Techniques, ISTM, of Lubumbashi, Democratic Republic of the Congo
3Department of Nutrition, School of Public Health, Faculty of Medicine, University of
Kinshasa, Democratic Republic of the Congo
*Corresponding Author: Ngoy Bulaya Emmanuel, Nutrition Research Unit, Lubumbashi School of Public Health, University of Lubumbashi, Democratic Republic of the Congo.
Received:
April 22, 2022; Published:
Abstract
Background and objective
The morbidity and mortality of breast cancer is a major public health problem in the Democratic Republic of the Congo (DRC). However there is insufficient study in the country highlighting its epidemiological profile. This study aims at assessing at what extent dietary habits are associated with breast cancer. The objectives of this study are to identify the dietary habits of women with breast cancer, to determine the nutritional status of patients, to determine the frequency and specific mortality due to breast cancer and finally to identify whether or not there is an association between dietary intake and breast cancer.
Designs (Methodology)
We conducted a case control study of 430 hospitalized patients at the Provincial Hospital Jason Sendwe from January 2019 to December 2020. The study population consisted of women with breast cancer (cases) and without breast cancer (controls). Encoding data and data analysis were performed using Excel, IBM SPSS 23, and Openepi software to assess association.
Results
The frequency of breast cancer was 124 cases or 28.84%, the frequency of appropriate nutrition dietary habits against breast cancer was 13.96% and that of inappropriate nutrition dietary habits was 86.04%. Regarding nutritional status, 8.87% of patients were underweight, 18.54% overweight and 13.70% obese. We found a significant association between dietary intake and breast cancer risk (Odds Ratio: 2.65; 95% CI (1.49-4.71); p-value: 0.001). Our study reports a specific mortality due to breast cancer of 34.67%.
Conclusion
Breast cancer is a very frequent and fatal disease in our environment, which unfortunately is often discovered late due to lack of screening and good nutritional management. The respect of the food pyramid (appropriate diet) and a Mediterranean diet are the cornerstone in the prevention not only of breast cancer but also of other cancers and pathologies.
Keywords: Breast Cancer; Nutrition; Sendwe Hospital; Lubumbashi; DRC
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