Dietary strategies for chemotherapy-induced nausea and vomiting: A systematic review

Gala, Devanshi; Wright, Hattie H; Zigori, Bekhinkosi; Crichton, Megan

doi:10.1016/j.clnu.2022.08.003

Cited by 14 publications

(7 citation statements)

References 48 publications

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“…A previous study involving 34,640 patients with colorectal cancer receiving adjuvant chemotherapy after surgery revealed that nausea and vomiting were the most frequently reported symptoms after chemotherapy, followed by diarrhea and neutropenia [ 25 ]. Despite pharmacological advances such as antiemetics, 20%–70% of patients receiving chemotherapy experience nausea and vomiting during treatment, which can lead to reduced nutrient intake and malnutrition, worsening the prognosis of the patient [ 26 ]. Therefore, patients with colorectal cancer undergoing chemotherapy should be educated to manage the symptoms of nausea and vomiting before starting chemotherapy, and this is an important part of maintaining proper nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

et al. 2023

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Patients with colorectal cancer may experience symptoms such as diarrhea, nausea, and anorexia, during surgery and chemotherapy, which can increase the risk of malnutrition. In addition, dietary habits play a key role in the onset of colorectal cancer; therefore, it is necessary to improve dietary habits to prevent recurrence during treatment after diagnosis. In this study, a clinical nutritionist conducted 4 interviews for patients diagnosed with colorectal cancer and scheduled for colectomy: before surgery, after surgery, 1st chemotherapy, and 2nd chemotherapy, and provided nutrition care for each treatment course to determine its effects on nutrition status and disease prognosis. Significant weight loss but no decrease in muscle mass was observed during treatment. Body fat mass, although not statistically significant, showed a decreasing tendency. The percentage of people who responded ‘yes’ to the below items increased after compared to before receiving nutrition education: ‘I eat meat or eggs more than 5 times a week,’ ‘I eat seafood at least three times a week,’ ‘I eat vegetables at every meal,’ ‘I eat fruits every day,’ and ‘I eat milk or dairy products every day.’ These results indicate that the patients changed their dietary habit from a monotonous eating pattern to a pattern of consuming various food groups after receiving nutrition education. These results suggest that continuous nutrition care by clinical dietitians, according to the patient’s treatment process, can help improve the patient's nutritional status and establish healthy eating habits.

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Section: Discussionmentioning

confidence: 99%

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

et al. 2023

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“…Our study shows that the "egg, milk and water diet", which is characterized by milk and dairy products, eggs, water and yoghurt, also has a protective effect on HG. Studies have shown that gastrin is involved in regulating gastric rhythms and correcting disturbances in gastric electromyographic rhythms [30], and that gastrin is mainly secreted by G cells stimulated by protein-based foods [31]. Therefore, the intake of protein-rich foods is important in correcting abnormal peristalsis and reducing pregnancy vomiting.…”

Section: Discussionmentioning

confidence: 99%

Association between Dietary Patterns and the Risk of Hyperemesis Gravidarum

Cheng

Long

et al. 2023

Nutrients

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(1) Background: Although studies have suggested that dietary interventions may have potential benefits over conventional medical treatments, research on the association between dietary patterns and hyperemesis gravidarum (HG) in pregnant women is scarce. (2) Methods: To explore the relationship between dietary patterns and the risk of HG, a cross-sectional study was conducted in Xi’an, China from April 2021 to September 2022. Dietary intake was assessed by a semi-quantitative food-frequency questionnaire, and then factor analysis was used to derive dietary patterns. HG was defined as persistent and severe nausea and vomiting with weight loss ≥ 5%, pregnancy-unique quantification of emesis (PUQE) score ≥ 13, or hospitalization due to vomiting. Logistic regression models were used to estimate ORs and 95% CIs for HG according to dietary pattern scores. Stratified analyses and tests for interaction were performed by potential confounders. (3) Results: Of the 3122 pregnant women enrolled, 2515 individuals (mean age: 31.2 ± 3.4 years) were included in the final analysis. In total, 226 (8.9%) pregnant women were identified as having HG. Five dietary patterns were identified. After adjusting for covariates, the highest quartile of the “fish, shrimp and meat” and “egg, milk and water drinking” patterns was associated with a 37% and 58% lower risk of HG compared with the lowest quartile, respectively (p-trend < 0.05). Conversely, the highest quartile of the “beverage” pattern was associated with a 64% higher risk of HG compared with the lowest quartile (p-trend = 0.02). Furthermore, significant interactions were observed between the “egg, milk and water drinking” pattern and parity, employment status and nutritional supplement use (p-interaction < 0.05). (4) Conclusions: A diet rich in eggs, milk, seafood and unprocessed poultry and animal meat may be a protective factor against HG, while a diet high in beverages may be detrimental to HG. These associations may vary by parity, employment status and nutritional supplement use.

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“…Dietary interventions during treatment should be tailored to treatment-related challenges and needs. For example, while receiving chemotherapy, patients may experience gastrointestinal issues including nausea [ 75 ]. Introducing dietary changes during this time may either be impossible (due to nausea), further impair their appetite, and/or increase mental distress.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Dietary Interventions for Cancer Survivors and Their Families or Caregivers

Xu,

Hoover,

Woodard

et al. 2023

Nutrients

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Family or caregiver engagement has the potential to support healthy dietary changes among cancer survivors. However, little is known about these family- or caregiver-involved dietary interventions and their effects. This systematic review aimed to identify the behavior change techniques (BCTs) used in dietary interventions for cancer survivors and their families or caregivers and to synthesize intervention effects on dietary and health outcomes. Following the PRISMA guidelines, we conducted systematic searches in three databases and identified 12 trials (16 peer-reviewed manuscripts) for inclusion in this review. Data were extracted from these manuscripts and the BCT taxonomy was used to identify the BCTs. A total of 38 BCTs were identified from 12 trials, 13 of which were used in at least half of the 12 trials. Ten studies reported significant intervention effects on health outcomes (e.g., adiposity) and six suggested significant improvements in dietary behaviors (e.g., fruit and vegetable intake). Overall, this review found that family- or caregiver-involved interventions for cancer survivors significantly improved dietary and health outcomes. Future research should identify BCTs particularly for dietary changes and develop effective dyadic strategies to facilitate diet-related interactions between survivors and their families or caregivers to enhance their engagement in healthy diets.

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Dietary strategies for chemotherapy-induced nausea and vomiting: A systematic review

Cited by 14 publications

References 48 publications

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

Effects of Continuous Nutrition Care on Nutritional Status and Dietary Habits of Patients With Colorectal Cancer Receiving Adjuvant Chemotherapy After Surgery

Association between Dietary Patterns and the Risk of Hyperemesis Gravidarum

A Systematic Review of Dietary Interventions for Cancer Survivors and Their Families or Caregivers

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