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Abstract
Patients with breast cancer (PsBC) usually face with chemotherapy induced nausea and vomiting (CINV). The aim of this study was to assess the impact of nutritional counseling on CINV and quality of life (QoL) of PsBC. 150 PsBC were randomly assigned for receiving a personalized diet, which contained 1.2–1.5 g/kg of protein, 30% of energy from fat and 55–60% of energy from carbohydrate, a face to face nutrition education, and a pamphlet which contained beneficial nutrition information to reduce the severity of CINV before each chemotherapy session for three times (n = 75) or regular care (n = 75). CINV, QoL, and dietary intake were evaluated after each chemotherapy session. Nausea rating index, overall nausea index, and visual analog scale (P < 0.001) were dramatically lower in the intervention group. Global health status/QoL as well as physical functioning, role functioning, emotional functioning, and cognitive functioning (P < 0.001) were significantly better in the intervention group. Patients in the control group experienced more fatigue, nausea and vomiting, pain, dyspnea, loss of appetite, constipation, and diarrhea (P < 0.001). Nutrition counseling during adjuvant chemotherapy among PsBC reduced the occurrence of CINV and led to significant improvements in the QoL.
Acknowledgments
We gratefully acknowledge the subjects and project partners for their enthusiastic supports of the study.
Disclosure Statement
The authors have no conflict of interest to declare.
Additional information
Funding
Notes on contributors
Safa Najafi
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Shahpar Haghighat
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Mahsa Raji Lahiji
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Elham RazmPoosh
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Maryam Chamari
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Reyhaneh Abdollahi
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Marziyeh Asgari
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.
Mitra Zarrati
S. Najafi and M. Zarrati carried out the study design, recruitment of patients and data collection. M. Raji Lahiji, E. Razmpoosh,and R. Abdollahi were involved in laboratory testing and analysis, statistical analysis, and manuscript writing. Sh. Haghighat and M. Chamari carried out data analysis, and data interpretation. M. Asgari critically revised the manuscript for important scientific content. All authors read and approved the final version of the manuscript.