PURPOSE: This study was conducted for the nutritional assessment of cancer patients undergoingradiotherapy (RT) and to investigate the changes in nutrition status, oral intake, morbidity and quality of life (QOL) in cancer patients after intensive nutrition counseling. METHODS:Eighty-seven cancer patients were randomized to either a nutrition counseling group (n = 44, age 58.0 ± 2.2 years) or a control group (n = 43, 62.0 ± 1.8 years). Nutrition counseling accompanied RT, and the subjects received at least three sessions of individualized dietary counseling over the duration of RT. Assessment parameters were nutritional intake (24-h recall method), nutritional status Patient-Generated Subjective Global Assessment (PG-SGA), QOL and blood parameters including albumin. All parameters were measured at baseline, at the end of RT, and 1 month after the termination of RT. RESULTS:Body weight, body mass index (BMI), and energy and protein intake for the intervention and control groups did not differ significantly between baseline and the end of RT. However, at 1 month follow-up, protein intake was significantly decreased in the control group (p < 0.05). Blood albumin, total protein (TP), total lymphocyte count (TLC) were not different between the two groups. According to PG-SGA stage, at 1 month follow-up, patients in the intervention group showed increased number of patients with stage A status (well nourished). In addition, insomnia and nausea was significantly improved in the intervention group assessed by QOL. CONCLUSION: We suggest that repetitive and intensive nutritional counseling is necessary to improve QOL and to prevent deterioration of nutritional status in cancer patients receiving RT.
RCT Entities:
PURPOSE: This study was conducted for the nutritional assessment of cancerpatients undergoing radiotherapy (RT) and to investigate the changes in nutrition status, oral intake, morbidity and quality of life (QOL) in cancerpatients after intensive nutrition counseling. METHODS: Eighty-seven cancerpatients were randomized to either a nutrition counseling group (n = 44, age 58.0 ± 2.2 years) or a control group (n = 43, 62.0 ± 1.8 years). Nutrition counseling accompanied RT, and the subjects received at least three sessions of individualized dietary counseling over the duration of RT. Assessment parameters were nutritional intake (24-h recall method), nutritional status Patient-Generated Subjective Global Assessment (PG-SGA), QOL and blood parameters including albumin. All parameters were measured at baseline, at the end of RT, and 1 month after the termination of RT. RESULTS: Body weight, body mass index (BMI), and energy and protein intake for the intervention and control groups did not differ significantly between baseline and the end of RT. However, at 1 month follow-up, protein intake was significantly decreased in the control group (p < 0.05). Blood albumin, total protein (TP), total lymphocyte count (TLC) were not different between the two groups. According to PG-SGA stage, at 1 month follow-up, patients in the intervention group showed increased number of patients with stage A status (well nourished). In addition, insomnia and nausea was significantly improved in the intervention group assessed by QOL. CONCLUSION: We suggest that repetitive and intensive nutritional counseling is necessary to improve QOL and to prevent deterioration of nutritional status in cancerpatients receiving RT.
Authors: G Brandon Gunn; Tito R Mendoza; Clifton D Fuller; Ibrahima Gning; Steven J Frank; Beth M Beadle; Ehab Y Hanna; Charles Lu; Charles S Cleeland; David I Rosenthal Journal: Head Neck Date: 2012-11-20 Impact factor: 3.147
Authors: Angel Segura; Josep Pardo; Carlos Jara; Luis Zugazabeitia; Joan Carulla; Ramón de Las Peñas; Encarna García-Cabrera; María Luz Azuara; Josefina Casadó; Carmen Gómez-Candela Journal: Clin Nutr Date: 2005-10 Impact factor: 7.324
Authors: Asta Bye; Marit S Jordhøy; Grete Skjegstad; Oddlaug Ledsaak; Per Ole Iversen; Marianne Jensen Hjermstad Journal: Support Care Cancer Date: 2012-06-10 Impact factor: 3.603
Authors: Maria I Lapid; Pamela J Atherton; Simon Kung; Andrea L Cheville; Molly McNiven; Jeff A Sloan; Matthew M Clark; Teresa A Rummans Journal: Support Care Cancer Date: 2013-04-23 Impact factor: 3.603
Authors: W D Dewys; C Begg; P T Lavin; P R Band; J M Bennett; J R Bertino; M H Cohen; H O Douglass; P F Engstrom; E Z Ezdinli; J Horton; G J Johnson; C G Moertel; M M Oken; C Perlia; C Rosenbaum; M N Silverstein; R T Skeel; R W Sponzo; D C Tormey Journal: Am J Med Date: 1980-10 Impact factor: 4.965
Authors: Christine Baldwin; Marian Ae de van der Schueren; Hinke M Kruizenga; Christine Elizabeth Weekes Journal: Cochrane Database Syst Rev Date: 2021-12-21
Authors: Eunbo Sim; Jin-Min Kim; Seung-Min Lee; Moon Jae Chung; Si Young Song; Eun Sun Kim; Hoon Jai Chun; Mi-Kyung Sung Journal: Asian Pac J Cancer Prev Date: 2022-02-01