PMID- 28710147 OWN - NLM STAT- MEDLINE DCOM- 20180423 LR - 20230216 IS - 2156-5376 (Electronic) IS - 2161-8313 (Print) IS - 2161-8313 (Linking) VI - 8 IP - 4 DP - 2017 Jul TI - Dietary Guidelines for Breast Cancer Patients: A Critical Review. PG - 613-623 LID - 10.3945/an.116.014423 [doi] AB - Current dietary guidelines for breast cancer patients (BCPs) fail to address adequate dietary intakes of macro- and micronutrients that may improve patients' nutritional status. This review includes information from the PubMed and Biomed Central databases over the last 15 y concerning dietary guidelines for BCPs and the potential impact of a personalized, nutrient-specific diet on patients' nutritional status during and after antineoplastic treatment. Results indicated that BCPs should receive a nutritional assessment immediately after diagnosis. In addition, they should be encouraged to pursue and maintain a healthy body weight [body mass index (BMI; in kg/m(2)) 20-24.9], preserving their lean mass and avoiding an increase in fat mass. Therefore, after nutritional status diagnosis, a conservative energy restriction of 500-1000 kcal/d could be considered in the dietary intervention when appropriate. Based on the reviewed information, we propose a personalized nutrition intervention for BCPs during and after antineoplastic treatment. Specifications in the nutritional therapy should be based on the patients' nutritional status, dietary habits, schedule, activities, and cultural preferences. BCPs' daily energy intake should be distributed as follows: <30% fat/d (mainly monounsaturated and polyunsaturated fatty acids), approximately 55% carbohydrates (primarily whole foods such as oats, brown rice, and fruits), and 1.2-1.5 g protein ⋅ kg(-1) ⋅ d(-1) to avoid sarcopenic obesity. Findings suggest that 5-9 servings/d of fruits ( approximately 150 g/serving) and vegetables ( approximately 75 g/serving) should be encouraged. Garlic and cruciferous vegetables must also be part of the nutrition therapy. Adequate dietary intakes of food-based macro- and micronutrients rich in beta-carotene and vitamins A, E, and C can both prevent deterioration in BCPs' nutritional status and improve their overall health and prognosis. CI - (c) 2017 American Society for Nutrition. FAU - Limon-Miro, Ana Teresa AU - Limon-Miro AT AUID- ORCID: 0000-0002-4811-5304 AD - Department of Nutrition, Research Center for Food and Development, Hermosillo, Sonora, Mexico; and. FAU - Lopez-Teros, Veronica AU - Lopez-Teros V AUID- ORCID: 0000-0003-1429-4911 AD - Department of Chemical and Biological Sciences, University of Sonora, Hermosillo, Sonora, Mexico. FAU - Astiazaran-Garcia, Humberto AU - Astiazaran-Garcia H AUID- ORCID: 0000-0002-2452-0057 AD - Department of Nutrition, Research Center for Food and Development, Hermosillo, Sonora, Mexico; and hastiazaran@ciad.mx. LA - eng PT - Journal Article PT - Review DEP - 20170714 PL - United States TA - Adv Nutr JT - Advances in nutrition (Bethesda, Md.) JID - 101540874 RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Dietary Fiber) RN - 0 (Dietary Proteins) RN - 0 (Micronutrients) SB - IM MH - Body Mass Index MH - Breast Neoplasms/*therapy MH - *Diet MH - Dietary Carbohydrates/administration & dosage MH - Dietary Fats/administration & dosage MH - Dietary Fiber/administration & dosage MH - Dietary Proteins/administration & dosage MH - Female MH - Fruit MH - Health Behavior MH - Humans MH - Micronutrients/administration & dosage MH - Nutrition Assessment MH - *Nutrition Policy MH - Nutritional Status MH - Observational Studies as Topic MH - Randomized Controlled Trials as Topic MH - Vegetables PMC - PMC5502868 OTO - NOTNLM OT - dietary assessment OT - drug-nutrient interaction OT - food-based intervention OT - macronutrients and micronutrients in breast cancer OT - personalized diet COIS- Author disclosures: ATL-M, VL-T, and HA-G, no conflicts of interest. EDAT- 2017/07/16 06:00 MHDA- 2018/04/24 06:00 PMCR- 2018/07/01 CRDT- 2017/07/16 06:00 PHST- 2017/07/16 06:00 [entrez] PHST- 2017/07/16 06:00 [pubmed] PHST- 2018/04/24 06:00 [medline] PHST- 2018/07/01 00:00 [pmc-release] AID - S2161-8313(22)00692-5 [pii] AID - 014423 [pii] AID - 10.3945/an.116.014423 [doi] PST - epublish SO - Adv Nutr. 2017 Jul 14;8(4):613-623. doi: 10.3945/an.116.014423. Print 2017 Jul.