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Benefits of Oral Nutritional Supplements in Patients with Locally Advanced Nasopharyngeal Cancer during Concurrent Chemoradiotherapy: An Exploratory Prospective Randomized Trial.

AbstractBACKGROUND:
Weight loss during chemoradiotherapy is a major problem in patients with head and neck cancer. The aim of this study was to evaluate the effect of ONS on weight, nutritional status and quality of life (QOL) in patients with loco-regionally advanced nasopharyngeal cancer (NPC) undergoing chemoradiotherapy.
METHODS:
Patients with locally advanced NPC treated at a tertiary hospital in China prior to curative chemoradiotherapy were eligible for this exploratory randomized study. Patients were assigned to either the intervention or the control group based on a computer-generated randomization sequence. The intervention group commenced ONS at the start of chemoradiotherapy. Outcomes included body weight, BMI, nutritional status and QOL.
RESULTS:
From June 2015 to June 2016, 50 patients with NPC were randomized to intervention and 50 to the control group. Patients in the ONS group had a higher body weight at the end of chemoradiotherapy (59.11 kg vs 58.14 kg, p = 0.036). A higher BMI and prealbumin were observed in the ONS group (p = 0.021 and p = 0.048, respectively). No other differences were found for nutritional status, QOL or clinical outcomes.
CONCLUSION:
ONS had beneficial outcomes in terms of reducing weight loss, minimizing BMI decrease and increasing protein intake in loco-regionally advanced NPC patients during chemoradiotherapy.
AuthorsWen Jiang, Huiping Ding, Weiwei Li, Yiqun Ling, Chaosu Hu, Chunying Shen
JournalNutrition and cancer (Nutr Cancer) 2018 Nov-Dec Vol. 70 Issue 8 Pg. 1299-1307 ISSN: 1532-7914 [Electronic] United States
PMID30633580 (Publication Type: Journal Article, Randomized Controlled Trial, Video-Audio Media)
Topics
  • Administration, Oral
  • Adult
  • Body Mass Index
  • Chemoradiotherapy (adverse effects)
  • Dietary Supplements
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasopharyngeal Neoplasms (pathology, therapy)
  • Nutrition Therapy (methods)
  • Nutritional Status
  • Prospective Studies
  • Quality of Life
  • Weight Loss (drug effects)

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