The effects of dietary advice on malnutrition in Cancer patients: a systematic review and meta-analysis

Nutritional counseling was insufficient to maintain dietary intake and nutritional status in head and neck cancer patients undergoing radiotherapy: A historical control study for future intervention in China

“…The oral intake benefit of NC found in the intervention group was consistent with the finding of a meta-analysis that NC could significantly improve energy intake in malnourished or at risk of malnutrition cancer patients. 17 The study of Poulsen 9 also indicated that individual NC could improve protein and energy intake in cancer patients.…”

“… 13 , 14 A systematic review in patients with HNC showed that NC could improve energy intake but not reduce weight loss. 17 One study reported that nutritional advice plus oral nutritional supplementation (ONS) could help weight maintenance and protein–calorie intake. 18 Another report from southern China indicated that NC, combined with head and neck exercises, had beneficial effects on fatigue.…”

Empowering patient education on self-care activity among patients with colorectal cancer – a research protocol for a randomised trial

“…Among patients with head and neck cancer undergoing radiotherapy, individualised nutritional counselling compared to ad libitum diet and ONS was capable of sustaining a significant impact on patients' outcomes after 3 months' follow-up [16]. Conversely, some of the interventions mentioned above have not been effective on weight [18,19], nutritional status, QoL, functional status [18] and mortality. According to authors, the lack of effect might have been related to small sample sizes, short follow-up periods or low methodological quality of the studies [19].…”

“…Interventions have included individualised nutritional support and counselling to reach protein and energy goals [14], personalised nutrition intervention [15][16][17], dietary counselling or advice [18,19], oral nutritional supplements (ONS), and nutrition advice with written information [18]. Interventions have proved to be effective on energy and protein intake [14][15][16][17][18][19], weight [15], QoL [14,16,17,19], morbidity and mortality [14,16,17] as well as the risk of adverse clinical outcomes at 30 days [14]. Among patients with head and neck cancer undergoing radiotherapy, individualised nutritional counselling compared to ad libitum diet and ONS was capable of sustaining a significant impact on patients' outcomes after 3 months' follow-up [16].…”

“…Conversely, some of the interventions mentioned above have not been effective on weight [18,19], nutritional status, QoL, functional status [18] and mortality. According to authors, the lack of effect might have been related to small sample sizes, short follow-up periods or low methodological quality of the studies [19]. Alternatively, Internetbased interventions including information and some interactive activities with experts to manage common eating and nutritional problems during cancer treatments have been tested.…”