Dietary advice provided to those undergoing pelvic radiotherapy

Pallin, Nickola D.; Richardson, Jane

doi:10.1017/s1460396917000073

Cited by 4 publications

(4 citation statements)

References 35 publications

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“…In a service evaluation, health-care professionals gave advice to reduce fiber intake, reduce caffeine intake, and increase water intake. [ 37 ] However, this may not be good advice. In a randomized controlled trial where patients receiving pelvic radiotherapy were advised to take a low-fiber ( n = 55), habitual-fiber ( n = 55), or high-fiber ( n = 56) diet, the high fiber group had significantly less treatment toxicity.…”

Section: Resultsmentioning

confidence: 99%

Psychosocial Support in Cancer Cachexia Syndrome: The Evidence for Supported Self-Management of Eating Problems during Radiotherapy or Chemotherapy Treatment

Hopkinson

2018

Asia-Pacific Journal of Oncology Nursing

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People receiving cancer treatment are at nutritional risk. Their eating problems can lead to malnutrition and weight loss. Involuntary weight loss is also a defining characteristic of tumor-induced cachexia. Weight loss is associated with poor tolerance of treatment, poor treatment outcomes, morbidity, and mortality. Support for self-management of nutritional risk may protect against malnutrition and be important in multimodal therapies to arrest the progression of cachexia. Nurses can help patients by supporting self-management of eating problems. This scoping review is about eating problems during cancer treatment. It considers patient experience and self-management of eating problems during cancer treatment for the proactive management of malnutrition and cachexia. It draws on a systematic search of Medline, CINAHL, PsycINFO, and the Cochrane Library for publications about people with cancer who have eating problems during treatment. Limits were English language; January 2000 to December 2017; adults. The search found studies about eating problems in patients treated with chemotherapy or radiotherapy for head-and-neck cancer, lung cancer, gastrointestinal cancer, breast cancer, testicular cancer, and ovarian cancer. Nutritional counseling can improve nutritional intake, quality of life, and weight. However, the patient perspective on self-management and how to motivate engagement in nutritional care is unexplored. There is a potential for reducing nutritional risk during cancer treatment using psychoeducation to support behavioral change, thus empower self-management of eating problems. Benefits are likely in subgroups of people receiving cancer treatment, such as those with head and neck, gastrointestinal, and lung cancers.

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Section: Resultsmentioning

confidence: 99%

Psychosocial Support in Cancer Cachexia Syndrome: The Evidence for Supported Self-Management of Eating Problems during Radiotherapy or Chemotherapy Treatment

Hopkinson

2018

Asia-Pacific Journal of Oncology Nursing

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“…Psyllium and ispaghula husks are intermediately fermentable, while sterculia is poorly fermented in the colon but binds water and, thereby, has a bulking effect [14,15]. The conflicting dietary advice provided by the clinics reflect the lack of unambiguous scientific evidence concerning the optimal diet for patients before, during and after radiotherapy [13,16,17]. Instead, care providers are dependent upon the experience of individual clinicians.…”

Section: Irradiated Cancer Survivors Receive Conflicting Dietary Advicementioning

confidence: 99%

Role of dietary fiber in safeguarding intestinal health after pelvic radiotherapy

Bull¹,

Devarakonda²,

Ahlin³

2021

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewDamage to healthy bowel tissue during pelvic radiotherapy can produce devastating and life-long changes in bowel function. The surging interest in microbiota and its importance for our wellbeing has generated a bulk of research highlighting how the food we consume impacts bowel health and disease. Dietary fiber is known to promote bowel health, yet there is a limited number of studies on dietary fiber in connection to pelvic radiotherapy. Here, we review some of the literature on the subject and present the most recent publications in the field.Recent findingsAdvice given concerning dietary fiber intake during and after pelvic radiotherapy are inconsistent, with some clinics suggesting a decrease in intake and others an increase. Recent animal studies provide a solid support for a protective role of dietary fiber with regards to intestinal health after pelvic radiotherapy, mainly through its impact on the microbiota. No clinical study has yet provided unambiguous evidence for a similar function of dietary fiber in humans undergoing pelvic radiotherapy.SummaryThere is a lack of evidence behind the dietary advice given to cancer survivors suffering from radiation-induced bowel dysfunction, and high-quality and well powered studies with long follow-up times are needed.

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“…[1][2][3] Toxicity to the GI tract is usually a result of an inflammatory response due to repetitive radiation injury to the small and large intestines, exacerbated by the gut's rapid cell turnover rate. 4 The inflammatory response leads to increased susceptibility of the bowels to radiation damage, which can reduce the absorptive surface area available and lower enzyme activity. The rate of food passing through the bowels increases, often resulting in essential nutrient and water malabsorption.…”

Section: Introductionmentioning

confidence: 99%

“…RCT, randomised control trial; DC, dietary counselling; F, female; IG, intervention group; LCT, long-chain triglycerides. 1 Demers et al5 ; 2 Forslund et al31 ; 3 Garcia-Peris et al34 ;4 Linn et al32 ; 5 Mansouri-Tehrani et al35 ;6 Pettersson et al26 ;7 Pettersson et al29 ; 8 Ravasco et al27 ; 9 Soto-Lugo et al36 ;10 Wedlake et al33 ;11 Wedlake et al28 ;12 Weston et al 37 ª 2021 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology…”

mentioning

confidence: 99%

The effect of nutritional interventions involving dietary counselling on gastrointestinal toxicities in adults receiving pelvic radiotherapy – A systematic review

Andreou

Burrows

Surjan

2021

J of Medical Radiation Sci

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Gastrointestinal (GI) toxicities are common in patients receiving radiotherapy (RT) to the pelvis. This systematic review aims to evaluate the effectiveness of nutritional interventions involving dietary counselling (DC) on GI toxicities in patients receiving pelvic RT. The search method entailed two phases to retrieve studies. Articles from a previous Cochrane review by Lawrie et al. 2018 were assessed for inclusion. An updated systematic search was then conducted to retrieve articles published between 2013 and 2020 from five electronic databases (MEDLINE, EMBASE, CINAHL, CENTRAL and Scopus). The inclusion criteria entailed randomised controlled trials involving adults ≥18 years, undergoing curative pelvic RT, receiving a nutritional intervention involving DC with or without supplements. DC was defined as written or face-to-face dietary advice provided before or during RT. Outcomes included GI toxicities reported by validated assessment tools. The Academy of Nutrition and Dietetics Quality Criteria Checklist was utilised to assess quality and risk of bias. Of 1922 studies retrieved, 12 articles encompassing 11 individual RCTs were included. Seven studies included a supplement in addition to DC. Supplements included probiotics, prebiotics, probiotic + soluble fibre, high protein liquid supplement and fat emulsion. Of the 11 studies, one involved individualised DC, and the remaining studies prescribed consumption or avoidance of fats, fibre, lactose, protein and FODMAP. The most common toxicities reported were diarrhoea (n = 11), pain/cramping (n = 9) and bloating/flatulence (n = 5). Three studies stated an improvement in diarrhoea incidence. Results varied between studies. Further quality studies are required to assess the effectiveness of DC, in particular individualised DC on GI toxicities in patients receiving pelvic RT.

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Dietary advice provided to those undergoing pelvic radiotherapy

Cited by 4 publications

References 35 publications

Psychosocial Support in Cancer Cachexia Syndrome: The Evidence for Supported Self-Management of Eating Problems during Radiotherapy or Chemotherapy Treatment

Psychosocial Support in Cancer Cachexia Syndrome: The Evidence for Supported Self-Management of Eating Problems during Radiotherapy or Chemotherapy Treatment

Role of dietary fiber in safeguarding intestinal health after pelvic radiotherapy

The effect of nutritional interventions involving dietary counselling on gastrointestinal toxicities in adults receiving pelvic radiotherapy – A systematic review

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