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Differences in dietary intake during chemotherapy in breast cancer patients compared to women without cancer.


ABSTRACT:

Purpose

Breast cancer patients receiving chemotherapy often experience symptoms such as nausea, vomiting and loss of appetite that potentially affect dietary habits. This study assessed the intake of energy, macronutrients and food groups before and during chemotherapy in breast cancer patients compared with women without cancer, and determined the association between symptoms and energy and macronutrient intake.

Methods

This study included 117 newly diagnosed breast cancer patients scheduled for chemotherapy and 88 women without cancer. Habitual intake before chemotherapy was assessed with a food frequency questionnaire. Two 24-h dietary recalls were completed on random days for each participant during the whole chemotherapy treatment for patients and within 6 months after recruitment for women without cancer. Shortly, after the dietary recall, participants filled out questionnaires on symptoms.

Results

Before chemotherapy, habitual energy and macronutrient intake was similar for breast cancer patients and women without cancer. During chemotherapy, breast cancer patients reported a significantly lower total energy, fat, protein and alcohol intake than women without cancer, as shown by a lower intake of pastry and biscuits, cheese, legumes and meat products. A decline in subjective taste perception, appetite and hunger and experiencing a dry mouth, difficulty chewing, lack of energy and nausea were associated with a lower energy intake.

Conclusions

Symptoms induced by chemotherapy are associated with lower dietary intake and manifested by a lower intake of specific food groups. To ensure an optimal dietary intake during chemotherapy, it is important to monitor nutritional status and symptom burden during chemotherapy in breast cancer patients.

SUBMITTER: de Vries YC 

PROVIDER: S-EPMC5486772 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Differences in dietary intake during chemotherapy in breast cancer patients compared to women without cancer.

de Vries Y C YC   van den Berg M M G A MMGA   de Vries J H M JHM   Boesveldt S S   de Kruif J Th C M JTCM   Buist N N   Haringhuizen A A   Los M M   Sommeijer D W DW   Timmer-Bonte J H N JHN   van Laarhoven H W M HWM   Visser M M   Kampman E E   Winkels R M RM  

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 20170316 8


<h4>Purpose</h4>Breast cancer patients receiving chemotherapy often experience symptoms such as nausea, vomiting and loss of appetite that potentially affect dietary habits. This study assessed the intake of energy, macronutrients and food groups before and during chemotherapy in breast cancer patients compared with women without cancer, and determined the association between symptoms and energy and macronutrient intake.<h4>Methods</h4>This study included 117 newly diagnosed breast cancer patien  ...[more]

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