Cancer Survivorship

Letter from Office of Cancer Survivorship, 11/03

Dear Ann:

Thank you for your email and your commitment to this area.

I am pleased to be able to say that the NCI is already supporting some excellent studies which we hope will provide needed scientific data regarding the role and interaction of diet and health outcomes among cancer survivors.

Here is the web link to just one of these that might be of interest:

The interface between nutrition and cancer survivorship is a promising new area of research, although one for which, as I am sure you know well, there is far more anecdotal than evidence-based information to date.

Certainly our growing survivor population is keenly interested in what we learn--and they may be able to benefit from---regarding this highly modifiable aspect of their lifestyle.

When asked, well over half of survivors tell us that they have made important dietary changes and/or are taking nutritional supplements/herbs since being diagnosed with cancer.

Understanding which of these positively affect their future health is an important area of scientific inquiry.

You may also be interested to learn that the American Cancer Society just revised its guidelines for diet, nutrition and physical activity after cancer.

Many of NCI's scientific staff had an opportunity to read and provide input to this publication, including one of my team, Dr. Noreen Aziz.

The published citation is:

Brown JK, Byers T, Doyle C, Courneya KS, Demark-Wahnefried W, Kushi LH, McTiernan A, Rock CL, Aziz N, Bloch AS, Eldridge B, Hamilton K, Katzin C, Koonce A, Main J, Mobley C, Morra ME, Pierce MS, Sawyer KA.Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin. 2003 Sep-Oct;53(5):268-91.

I am hopeful that soon we will begin to see data that will guide informed decision-making about health after cancer treatment.

Best wishes,


Julia H. Rowland, Ph.D. Director, Office of Cancer Survivorship Division of Cancer Control and Population Sciences National Cancer Institute, NIH/DHHS 6130 Executive Blvd, Room 4086 Bethesda, MD 20892 tel: 301-402-2964 fax: 301-594-5070 email:

-----Original Message----- From: [] Sent: Saturday, November 08, 2003 6:38 PM To: Rowland, Julia (NIH/NCI) Subject: We would love to see studies on nutrition

Dear Dr. Rowland,

I have heard you speak at several meetings. As the president of our organization, I wanted to implore you to explore nutrition in survivorship. We know this is a very teachable moment.

Studies in nutrition yield some very interesting results. It would be great to combine these issues, survivorship and nutrition.

Those of us who have had cancer are at highest risk for more/other cancer and nutritional changes are easily available to all.

The American Institute for Cancer Research, under the auspices of Diana Dyer, have begun financing research on survivors. Please consider funding these studies.

I would love to be involved as an advocate.


Ann F.

After Cancer - Other Issues & Struggles

Am Soc Clinical Oncology, 2005 meeting

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