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Early and intensive dietary counseling in lung cancer patients receiving (chemo)radiotherapy—a pilot randomized controlled trial

Kiss, Nicole, Isenring, Elisabeth, Gough, Karla, Wheeler, Greg, Wirth, Andrew, Campbell, Belinda A. and Krishnasamy, Meinir 2016, Early and intensive dietary counseling in lung cancer patients receiving (chemo)radiotherapy—a pilot randomized controlled trial, Nutrition and cancer, vol. 68, no. 6, pp. 958-967, doi: 10.1080/01635581.2016.1188972.

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Title Early and intensive dietary counseling in lung cancer patients receiving (chemo)radiotherapy—a pilot randomized controlled trial
Author(s) Kiss, NicoleORCID iD for Kiss, Nicole
Isenring, Elisabeth
Gough, Karla
Wheeler, Greg
Wirth, Andrew
Campbell, Belinda A.
Krishnasamy, Meinir
Journal name Nutrition and cancer
Volume number 68
Issue number 6
Start page 958
End page 967
Total pages 10
Publisher Taylor & Francis
Place of publication Philadelphia, Pa.
Publication date 2016
ISSN 0163-5581
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Summary Malnutrition is prevalent in patients undergoing (chemo)radiotherapy (RT) for lung cancer. This pilot study tested the feasibility and acceptability of delivering an intensive nutrition intervention for lung cancer patients receiving RT. Twenty-four patients with lung cancer were randomized to receive the intervention which employed a care pathway to guide intensive dietary counseling from pretreatment until 6-wk posttreatment or usual care. Nutritional, fatigue, and functional outcomes were assessed using valid and reliable questionnaires before randomization, at the start and end of RT and 1- and 3-mo post-RT. Consent rate was 57% with an overall attrition of 37%. Subject compliance with the completion of study questionnaires was 100%. A clinically important mean difference indicated greater overall satisfaction with nutritional care in the intervention group (5.00, interquartile range [IQR] 4.50-5.00; 4.00, IQR 4.00-4.00). Clinically important differences favoring the intervention were observed for weight (3.0 kg; 95% confidence interval [CI] -0.8, 6.8), fat-free mass (0.6 kg; 95% CI -2.1, 3.3), physical well-being (2.1; 95% CI -2.3, 6.5), and functional well-being (5.1; 95% CI 1.6, 8.6), but all 95% CIs were wide and most included zero. Recruitment feasibility and acceptability of the intervention were demonstrated, which suggest larger trials using an intensive nutrition intervention would be achievable.
Language eng
DOI 10.1080/01635581.2016.1188972
Field of Research 111101 Clinical and Sports Nutrition
1111 Nutrition And Dietetics
1112 Oncology And Carcinogenesis
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Taylor & Francis
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Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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