Does nutrition influence quality of life in cancer patients undergoing radiotherapy?

Ravasco, Paula; Grillo, I. Monteiro; Camilo, M.

doi:10.1016/s0167-8140(03)00040-9

Cited by 167 publications

(157 citation statements)

References 24 publications

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“…This finding is in agreement with the results of another study (Ravasco et al, 2003) which the author concluded that poor nutritional status was associated with worse mobility, limited usual activities, as well as increased anxiety and depression.…”

Section: Discussionsupporting

confidence: 92%

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Association of Nutritional Status with Quality of Life in Breast Cancer Survivors

Mohammadi¹,

Sulaiman²,

Koon³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Nutritional status and dietary intake play a significant role in the prognosis of breast cancer and may modify the progression of disease. The aim of this study was to determine the influence of nutritional status on the quality of life of Iranian breast cancer survivors. Cross-sectional data were collected for 100 Iranian breast cancer survivors, aged 32 to 61 years, attending the oncology outpatient clinic at Golestan Hospital, Ahvaz, Iran. Nutritional status of subjects was assessed by anthropometric measurements, Patient-Generated Subjective Global Assessment (PG-SGA) and three non-consecutive 24-hour diet recalls. The European Organization of Research and Treatment of Cancer Quality of Life form (EORTC QLQ-C30) was used to assess quality of life. Ninety-four percent of the survivors were well-nourished, 6% were moderately malnourished or suspected of being malnourished while none were severely malnourished. Prevalence of overweight and obesity was 86%. Overall, participants had an inadequate intake of vitamin D, E, iron and magnesium according to dietary reference intake (DRI) recommendations. Survivors with better nutritional status had better functioning scales and experienced fewer clinical symptoms. It appears important to provide educational and nutritional screening programs to improve cancer survivor quality of life.

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Section: Discussionsupporting

confidence: 92%

“…It has been suggested that diets that minimize extremes in nutrient intake and a lifestyle that results in a normal BMI may be associated with the best breast cancer outcomes (Brown et al, 2003;Goodwin et al, 2003). In breast cancer patients, the risk of malnutrition is lower compared to patients with other cancers (Ravasco et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Association of Nutritional Status with Quality of Life in Breast Cancer Survivors

Mohammadi¹,

Sulaiman²,

Koon³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…It appears that global QoL is negatively influenced by the side effects that patients experience. Ravasco et al (2003) observed significant increases in QoL in patients who were receiving radiotherapy to the GI or head and neck area and individualised oral nutrition support despite an increase in symptoms. From the known history of radiation, it is reasonable to predict that global QoL would be at its lowest points at 4 and 8 weeks.…”

Section: Global Qolmentioning

confidence: 91%

Nutrition intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area

2004

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Malnutrition occurs frequently in patients with cancer of the gastrointestinal (GI) or head and neck area and can lead to negative outcomes. The aim of this study is to determine the impact of early and intensive nutrition intervention (NI) on body weight, body composition, nutritional status, global quality of life (QoL) and physical function compared to usual practice in oncology outpatients receiving radiotherapy to the GI or head and neck area. Outpatients commencing at least 20 fractions of radiotherapy to the GI or head and neck area were randomised to receive intensive, individualised nutrition counselling by a dietitian using a standard protocol and oral supplements if required, or the usual practice of the centre (general advice and nutrition booklet). Outcome parameters were measured at baseline and 4, 8 and 12 weeks after commencing radiotherapy using valid and reliable tools. A total of 60 patients (51M : 9F; mean age 61.9714.0 years) were randomised to receive either NI (n ¼ 29) or usual care (UC) (n ¼ 31). The NI group had statistically smaller deteriorations in weight (Po0.001), nutritional status (P ¼ 0.020) and global QoL (P ¼ 0.009) compared with those receiving UC. Clinically, but not statistically significant differences in fat-free mass were observed between the groups (P ¼ 0.195). Early and intensive NI appears beneficial in terms of minimising weight loss, deterioration in nutritional status, global QoL and physical function in oncology outpatients receiving radiotherapy to the GI or head and neck area. Weight maintenance in this population leads to beneficial outcomes and suggests that this, rather than weight gain, may be a more appropriate aim of NI.

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“…33 Many studies showed that QoL is an extremely important outcome measure for cancer patients and correcting malnutrition may improve QoL in cancer patients. Cancer and treatment-induced changes in metabolism can lead to alterations in physiological and psychological functions, which can reduce a patient's QoL by negatively influencing nutritional status.…”

Section: Suitability Of Nrs-2002 In Patients With Cancermentioning

confidence: 99%

A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer

Kang

Zhou

2013

Eur J Clin Nutr

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BACKGROUND/OBJECTIVES: To implement nutritional risk screening and evaluate the relationship of nutritional risk to complication rate and quality of life in patients with cancer. SUBJECTS/METHODS: A total of 687 patients with cancer from two teaching hospitals in China were consecutively enrolled. Data were collected on the nutritional risk screening, application of nutritional support, complication and quality of life. RESULTS: The prevalence of nutritional risk at admission among the total, younger and elderly patients was 45.6%, 38.7% and 58.0%, respectively. There was a significant increase in the prevalence from admission to 2 weeks after admission in all patients (P ¼ 0.011). The prevalence in those patients X70 years was significantly higher than that in the younger ones (Po0.001). The highest prevalence of nutritional risk was in pancreas cancer (81.8%). Only 46.7% of at-risk patients received nutritional support and the average PN:EN ratio was 7.0:1. Complications were noted in 29.0% of all patients and were significantly more frequent in 'at-risk' patients (Po0.001). Among the scales of quality of life (SF-36), the scores of physical functioning (Po0.001), role-physical (Po0.001), bodily pain (P ¼ 0.012), energy/fatigue (Po0.001) and general health (Po0.001) were significant lower in the patients at risk. CONCLUSIONS: A large proportion of cancer inpatients were at nutritional risk and tended to worsen during the course of admission, which has been associated with increased complication rate and lower scores of quality of life. The application of PN and EN was inappropriate in patients with cancer in China.

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Does nutrition influence quality of life in cancer patients undergoing radiotherapy?

Cited by 167 publications

References 24 publications

Association of Nutritional Status with Quality of Life in Breast Cancer Survivors

Association of Nutritional Status with Quality of Life in Breast Cancer Survivors

Nutrition intervention is beneficial in oncology outpatients receiving radiotherapy to the gastrointestinal or head and neck area

A multicentre study to implement nutritional risk screening and evaluate clinical outcome and quality of life in patients with cancer

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