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Nutrition interventions to improve the appetite of adults undergoing cancer treatment: a systematic review
Purpose Loss of appetite is a common side effect of cancer and cancer treatments resulting in risk of malnutrition and cancer cachexia. This review aimed to systematically determine nutrition interventions that improve appetite and nutrition-related outcomes of adults with cancer undergoing cancer t...
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| Published in: | Supportive care in cancer 2020-10, Vol.28 (10), p.4575-4583 |
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| Main Authors: | , |
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| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c442t-da71e795aff4723c5cae79680c568bb5876841cdb41eaa725cd26ef0ee12d75e3 |
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| cites | cdi_FETCH-LOGICAL-c442t-da71e795aff4723c5cae79680c568bb5876841cdb41eaa725cd26ef0ee12d75e3 |
| container_end_page | 4583 |
| container_issue | 10 |
| container_start_page | 4575 |
| container_title | Supportive care in cancer |
| container_volume | 28 |
| creator | Ukovic, Bianca Porter, Judi |
| description | Purpose
Loss of appetite is a common side effect of cancer and cancer treatments resulting in risk of malnutrition and cancer cachexia. This review aimed to systematically determine nutrition interventions that improve appetite and nutrition-related outcomes of adults with cancer undergoing cancer treatments, and to identify appetite assessment tools used to measure appetite.
Methods
Inclusion criteria included randomised controlled trials of adults with cancer undergoing chemotherapy, radiotherapy or immunotherapy treatments, nutrition interventions and appetite assessed by an appetite assessment tool or quality of life tool. The search strategy was applied to four databases and two researchers systematically assessed for eligibility. Following data extraction, quality of the included library was assessed using the Quality Criteria Checklist: Primary Research. A narrative synthesis of results was undertaken.
Results
After title/abstract screening, 24 full texts were assessed for eligibility; five trials of
n
= 472 participants were included in the final library. Nutrition interventions that improved appetite were oral nutrition supplements, fish oil supplements and dietary counselling. Appetite was assessed via visual analogue scales (
n
= 1) and EORTC QLQ C30 questionnaire (
n
= 4). Quality was assessed as neutral in 2 studies and positive in 3 studies.
Conclusion
The use of oral nutrition supplements and dietary counselling and increases in EPA from fish oil supplementation improved the appetite and nutrition outcomes of patients with cancer undergoing cancer treatments. Validated assessment tools in the oncology setting are needed to determine which nutrition interventions positively influence appetite outcomes. |
| doi_str_mv | 10.1007/s00520-020-05475-0 |
| format | article |
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Loss of appetite is a common side effect of cancer and cancer treatments resulting in risk of malnutrition and cancer cachexia. This review aimed to systematically determine nutrition interventions that improve appetite and nutrition-related outcomes of adults with cancer undergoing cancer treatments, and to identify appetite assessment tools used to measure appetite.
Methods
Inclusion criteria included randomised controlled trials of adults with cancer undergoing chemotherapy, radiotherapy or immunotherapy treatments, nutrition interventions and appetite assessed by an appetite assessment tool or quality of life tool. The search strategy was applied to four databases and two researchers systematically assessed for eligibility. Following data extraction, quality of the included library was assessed using the Quality Criteria Checklist: Primary Research. A narrative synthesis of results was undertaken.
Results
After title/abstract screening, 24 full texts were assessed for eligibility; five trials of
n
= 472 participants were included in the final library. Nutrition interventions that improved appetite were oral nutrition supplements, fish oil supplements and dietary counselling. Appetite was assessed via visual analogue scales (
n
= 1) and EORTC QLQ C30 questionnaire (
n
= 4). Quality was assessed as neutral in 2 studies and positive in 3 studies.
Conclusion
The use of oral nutrition supplements and dietary counselling and increases in EPA from fish oil supplementation improved the appetite and nutrition outcomes of patients with cancer undergoing cancer treatments. Validated assessment tools in the oncology setting are needed to determine which nutrition interventions positively influence appetite outcomes.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-020-05475-0</identifier><identifier>PMID: 32451701</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adults ; Appetite ; Appetite - physiology ; Atrophy ; Cancer ; Cancer therapies ; Chemotherapy ; Clinical trials ; Dietary supplements ; Fish oils ; Humans ; Immunotherapy ; Malnutrition ; Medicine ; Medicine & Public Health ; Neoplasms - diet therapy ; Nursing ; Nursing Research ; Nutrition ; Oncology ; Oncology, Experimental ; Pain Medicine ; Quality of Life - psychology ; Radiation therapy ; Rehabilitation Medicine ; Review Article ; Side effects ; Systematic review</subject><ispartof>Supportive care in cancer, 2020-10, Vol.28 (10), p.4575-4583</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-da71e795aff4723c5cae79680c568bb5876841cdb41eaa725cd26ef0ee12d75e3</citedby><cites>FETCH-LOGICAL-c442t-da71e795aff4723c5cae79680c568bb5876841cdb41eaa725cd26ef0ee12d75e3</cites><orcidid>0000-0001-6438-7716 ; 0000-0002-7535-1919</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2436976015/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2436976015?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21394,21395,27924,27925,33611,33612,34530,34531,43733,44115,74221,74639</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32451701$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ukovic, Bianca</creatorcontrib><creatorcontrib>Porter, Judi</creatorcontrib><title>Nutrition interventions to improve the appetite of adults undergoing cancer treatment: a systematic review</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
Loss of appetite is a common side effect of cancer and cancer treatments resulting in risk of malnutrition and cancer cachexia. This review aimed to systematically determine nutrition interventions that improve appetite and nutrition-related outcomes of adults with cancer undergoing cancer treatments, and to identify appetite assessment tools used to measure appetite.
Methods
Inclusion criteria included randomised controlled trials of adults with cancer undergoing chemotherapy, radiotherapy or immunotherapy treatments, nutrition interventions and appetite assessed by an appetite assessment tool or quality of life tool. The search strategy was applied to four databases and two researchers systematically assessed for eligibility. Following data extraction, quality of the included library was assessed using the Quality Criteria Checklist: Primary Research. A narrative synthesis of results was undertaken.
Results
After title/abstract screening, 24 full texts were assessed for eligibility; five trials of
n
= 472 participants were included in the final library. Nutrition interventions that improved appetite were oral nutrition supplements, fish oil supplements and dietary counselling. Appetite was assessed via visual analogue scales (
n
= 1) and EORTC QLQ C30 questionnaire (
n
= 4). Quality was assessed as neutral in 2 studies and positive in 3 studies.
Conclusion
The use of oral nutrition supplements and dietary counselling and increases in EPA from fish oil supplementation improved the appetite and nutrition outcomes of patients with cancer undergoing cancer treatments. Validated assessment tools in the oncology setting are needed to determine which nutrition interventions positively influence appetite outcomes.</description><subject>Adults</subject><subject>Appetite</subject><subject>Appetite - physiology</subject><subject>Atrophy</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Clinical trials</subject><subject>Dietary supplements</subject><subject>Fish oils</subject><subject>Humans</subject><subject>Immunotherapy</subject><subject>Malnutrition</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasms - diet therapy</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Nutrition</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Pain Medicine</subject><subject>Quality of Life - psychology</subject><subject>Radiation therapy</subject><subject>Rehabilitation Medicine</subject><subject>Review Article</subject><subject>Side effects</subject><subject>Systematic review</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp9kV9rFDEUxYNY7Lb6BXyQgC--TL35N9nxrRStQrEv7XPIZu6sWWaSNcms9NubYatFEQmXcJPfPZzLIeQ1gwsGoN9nAMWhgaWU1KqBZ2TFpBCNFqJ7TlbQSdZIodQpOct5B8C0VvwFORVcKqaBrcju61ySLz4G6kPBdMCwNJmWSP20T_GAtHxDavd7LL4gjQO1_TyWTOfQY9pGH7bU2eAw0ZLQlqkqfKCW5odccLLFO5rw4PHHS3Iy2DHjq8f7nNx_-nh39bm5ub3-cnV50zgpeWl6qxnqTtlhkJoLp5ytbbsGp9r1ZqPWul1L5vqNZGit5sr1vMUBEBnvtUJxTt4ddav77zPmYiafHY6jDRjnbLiEtlNcAFT07V_oLs4pVHeVEm2nW2DqidraEY0PQyzJukXUXLZCqKrWLtTFP6h6epy8iwEHX9__GODHAZdizgkHs09-sunBMDBLwOYYsIGlloDN4vjNo-N5M2H_e-RXohUQRyDXr7DF9LTSf2R_AvPcsLU</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Ukovic, Bianca</creator><creator>Porter, Judi</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6438-7716</orcidid><orcidid>https://orcid.org/0000-0002-7535-1919</orcidid></search><sort><creationdate>20201001</creationdate><title>Nutrition interventions to improve the appetite of adults undergoing cancer treatment: a systematic review</title><author>Ukovic, Bianca ; Porter, Judi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-da71e795aff4723c5cae79680c568bb5876841cdb41eaa725cd26ef0ee12d75e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adults</topic><topic>Appetite</topic><topic>Appetite - physiology</topic><topic>Atrophy</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>Clinical trials</topic><topic>Dietary supplements</topic><topic>Fish oils</topic><topic>Humans</topic><topic>Immunotherapy</topic><topic>Malnutrition</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neoplasms - diet therapy</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Nutrition</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Pain Medicine</topic><topic>Quality of Life - psychology</topic><topic>Radiation therapy</topic><topic>Rehabilitation Medicine</topic><topic>Review Article</topic><topic>Side effects</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ukovic, Bianca</creatorcontrib><creatorcontrib>Porter, Judi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ukovic, Bianca</au><au>Porter, Judi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutrition interventions to improve the appetite of adults undergoing cancer treatment: a systematic review</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>28</volume><issue>10</issue><spage>4575</spage><epage>4583</epage><pages>4575-4583</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
Loss of appetite is a common side effect of cancer and cancer treatments resulting in risk of malnutrition and cancer cachexia. This review aimed to systematically determine nutrition interventions that improve appetite and nutrition-related outcomes of adults with cancer undergoing cancer treatments, and to identify appetite assessment tools used to measure appetite.
Methods
Inclusion criteria included randomised controlled trials of adults with cancer undergoing chemotherapy, radiotherapy or immunotherapy treatments, nutrition interventions and appetite assessed by an appetite assessment tool or quality of life tool. The search strategy was applied to four databases and two researchers systematically assessed for eligibility. Following data extraction, quality of the included library was assessed using the Quality Criteria Checklist: Primary Research. A narrative synthesis of results was undertaken.
Results
After title/abstract screening, 24 full texts were assessed for eligibility; five trials of
n
= 472 participants were included in the final library. Nutrition interventions that improved appetite were oral nutrition supplements, fish oil supplements and dietary counselling. Appetite was assessed via visual analogue scales (
n
= 1) and EORTC QLQ C30 questionnaire (
n
= 4). Quality was assessed as neutral in 2 studies and positive in 3 studies.
Conclusion
The use of oral nutrition supplements and dietary counselling and increases in EPA from fish oil supplementation improved the appetite and nutrition outcomes of patients with cancer undergoing cancer treatments. Validated assessment tools in the oncology setting are needed to determine which nutrition interventions positively influence appetite outcomes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32451701</pmid><doi>10.1007/s00520-020-05475-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6438-7716</orcidid><orcidid>https://orcid.org/0000-0002-7535-1919</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Supportive care in cancer, 2020-10, Vol.28 (10), p.4575-4583 |
| issn | 0941-4355 1433-7339 |
| language | eng |
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| source | Social Science Premium Collection; Springer Nature; Sociology Collection |
| subjects | Adults Appetite Appetite - physiology Atrophy Cancer Cancer therapies Chemotherapy Clinical trials Dietary supplements Fish oils Humans Immunotherapy Malnutrition Medicine Medicine & Public Health Neoplasms - diet therapy Nursing Nursing Research Nutrition Oncology Oncology, Experimental Pain Medicine Quality of Life - psychology Radiation therapy Rehabilitation Medicine Review Article Side effects Systematic review |
| title | Nutrition interventions to improve the appetite of adults undergoing cancer treatment: a systematic review |
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