PMID:
20545561
Authors:
Flynn MM, Reinert SE.
Title:
Comparing an olive oil-enriched diet to a standard lower-fat diet for weight loss
in breast cancer survivors: a pilot study.
Journal:
J Womens Health (Larchmt). 2010 Jun;19(6):1155-61. doi: 10.1089/jwh.2009.1759.
Abstract:
BACKGROUND: Traditional diets that include moderate to high intakes of extra
virgin olive oil have been related to a decrease in breast cancer risk. We
hypothesized that an olive oil-enriched diet would lead to greater weight loss
and acceptance, compared with a standard diet, in women previously diagnosed with
invasive breast cancer. METHODS: Participants consumed a National Cancer
Institute (NCI) diet (total fat > 15% and < 30%) and a plant-based olive oil diet
(PBOO; > or = 3 tablespoons of olive oil/day) for 8 weeks, each with random
assignment to the order. We established a weight loss goal of at least 5% of
baseline weight. After completion of the two diet trials, each participant
self-selected one of the diets for an additional 6 months of follow-up for weight
management. Body measures were done before and after each diet and after
follow-up; fasting blood samples were collected after each diet and after
follow-up. RESULTS: Forty-four overweight women started and 28 completed the
44-week protocol. Twelve (80%) of the 15 women who started with the PBOO diet
achieved a weight loss of > or = 5% compared to 4 (31%) of the 13 who started
with the NCI diet (p < 0.01). Nineteen of the 22 women eligible for follow-up
chose the PBOO diet, and all completed the study. Of the 3 women who chose the
NCI diet for follow-up, 1 completed the study. The PBOO diet resulted in lower
triglycerides (NCI 105 +/- 46 mg/dL, PBOO 96 +/- 37 mg/dL, p = 0.06) and higher
high-density lipoprotein cholesterol (HDL-C) (NCI 64 +/- 13 mg/dL, PBOO 68 +/- 12
mg/dL, p = 0.001). CONCLUSIONS: An olive oil-enriched diet brought about greater
weight loss than a lower-fat diet in an 8-week comparison. Moreover, these women
chose, overwhelmingly, the olive oil-enriched diet for 6 months of follow-up. An
olive oil-enriched diet may be more efficacious for weight loss in breast cancer
survivors than a standard lower-fat diet.
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