Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy
Dietary interventions during chemotherapy hold promise for clinical and supportive care outcomes. We systematically investigated the feasibility, safety, and efficacy of nutritional counseling conducted during chemotherapy. Studies prospectively implemented nutrition counseling during chemotherapy....
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| Format: | Article |
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MDPI AG
2024-12-01
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| Series: | Current Oncology |
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| Online Access: | https://www.mdpi.com/1718-7729/32/1/3 |
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| author | Shalet James Alexie Oppermann Kaitlin M. Schotz Mackenzie M. Minotti Gautam G. Rao Ian R. Kleckner Brenton J. Baguley Amber S. Kleckner |
| author_facet | Shalet James Alexie Oppermann Kaitlin M. Schotz Mackenzie M. Minotti Gautam G. Rao Ian R. Kleckner Brenton J. Baguley Amber S. Kleckner |
| author_sort | Shalet James |
| collection | DOAJ |
| description | Dietary interventions during chemotherapy hold promise for clinical and supportive care outcomes. We systematically investigated the feasibility, safety, and efficacy of nutritional counseling conducted during chemotherapy. Studies prospectively implemented nutrition counseling during chemotherapy. Articles were identified from three databases—EMBASE, Cochrane Library, and SCOPUS—from inception to 1 October 2024. Feasibility, safety, and efficacy of outcome data were extracted. Among 44 publications, 39 studies recruited 98 ± 80 participants (range 15–360); 38/39 (97%) were randomized controlled trials. One-third (31%) were among patients with breast cancer. Interventions were divided into individualized nutritional counseling (<i>n</i> = 21), nutrition counseling plus exercise (<i>n</i> = 13), and nutrient-specific dietary patterns (<i>n</i> = 10). Many had goals to achieve established nutrition guidelines. Feasibility was high based on attendance at counseling sessions, retention, and/or food log analysis. Overall, there were minimal adverse events related to the interventions. Many studies showed between-group differences favoring the intervention group for body weight (8/24, gain or loss, according to goals), nutritional status (8/9), quality of life (3/10 without and 6/9 with exercise), cancer-related fatigue (7/10), chemotherapy tolerance (6/11), and treatment responses (3/13). In conclusion, nutritional interventions were feasible and safe for patients undergoing chemotherapy and demonstrated preliminary efficacy to improve nutritional status, fatigue, chemotherapy tolerance, and other outcomes. |
| format | Article |
| id | doaj-art-0e16dd1a83cd4f3ea7bc1db3988fae2b |
| institution | Kabale University |
| issn | 1198-0052 1718-7729 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj-art-0e16dd1a83cd4f3ea7bc1db3988fae2b2025-01-24T13:28:19ZengMDPI AGCurrent Oncology1198-00521718-77292024-12-01321310.3390/curroncol32010003Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and EfficacyShalet James0Alexie Oppermann1Kaitlin M. Schotz2Mackenzie M. Minotti3Gautam G. Rao4Ian R. Kleckner5Brenton J. Baguley6Amber S. Kleckner7Department of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USADepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USAUniversity of Maryland Medical System, Baltimore, MD 21201, USAUniversity of Maryland Medical System, Baltimore, MD 21201, USAUniversity of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USADepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USAInstitute for Physical Activity and Nutrition, Deakin University, Geelong, VIC 3220, AustraliaDepartment of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USADietary interventions during chemotherapy hold promise for clinical and supportive care outcomes. We systematically investigated the feasibility, safety, and efficacy of nutritional counseling conducted during chemotherapy. Studies prospectively implemented nutrition counseling during chemotherapy. Articles were identified from three databases—EMBASE, Cochrane Library, and SCOPUS—from inception to 1 October 2024. Feasibility, safety, and efficacy of outcome data were extracted. Among 44 publications, 39 studies recruited 98 ± 80 participants (range 15–360); 38/39 (97%) were randomized controlled trials. One-third (31%) were among patients with breast cancer. Interventions were divided into individualized nutritional counseling (<i>n</i> = 21), nutrition counseling plus exercise (<i>n</i> = 13), and nutrient-specific dietary patterns (<i>n</i> = 10). Many had goals to achieve established nutrition guidelines. Feasibility was high based on attendance at counseling sessions, retention, and/or food log analysis. Overall, there were minimal adverse events related to the interventions. Many studies showed between-group differences favoring the intervention group for body weight (8/24, gain or loss, according to goals), nutritional status (8/9), quality of life (3/10 without and 6/9 with exercise), cancer-related fatigue (7/10), chemotherapy tolerance (6/11), and treatment responses (3/13). In conclusion, nutritional interventions were feasible and safe for patients undergoing chemotherapy and demonstrated preliminary efficacy to improve nutritional status, fatigue, chemotherapy tolerance, and other outcomes.https://www.mdpi.com/1718-7729/32/1/3dieteticsdietchemotherapyinterventionoral intake |
| spellingShingle | Shalet James Alexie Oppermann Kaitlin M. Schotz Mackenzie M. Minotti Gautam G. Rao Ian R. Kleckner Brenton J. Baguley Amber S. Kleckner Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy Current Oncology dietetics diet chemotherapy intervention oral intake |
| title | Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy |
| title_full | Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy |
| title_fullStr | Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy |
| title_full_unstemmed | Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy |
| title_short | Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy |
| title_sort | nutritional counseling during chemotherapy treatment a systematic review of feasibility safety and efficacy |
| topic | dietetics diet chemotherapy intervention oral intake |
| url | https://www.mdpi.com/1718-7729/32/1/3 |
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