a University of Life Sciences in Lublin , Faculty of Food Science and Biotechnology , Lublin , Poland.
Nutr Cancer. 2019;71(5):749-755. doi: 10.1080/01635581.2018.1531138. Epub 2019 Jan 11.
Cancer, in particular breast cancer, is one of the leading causes of death among women. Good nutritional status contributes to the efficacy of treatment and recovery, and nutritional interventions can minimize the adverse effects of cancer therapy.
The aim of this study was to describe the potential role of dietary counseling in breast cancer patients. The impact of nutritional advice on the nutritional status of patients, the use of dietary supplements, and the knowledge of phytoestrogens were assessed.
The study was conducted between April and July 2016 in the Lublin Oncology Center on a group of 173 female patients undergoing breast cancer treatment. The patients filled out a questionnaire containing 34 open-ended and closed-ended questions. The collected data were processed in Excel and Statistica 5.0 programs, and the results were regarded as significant at P < 0.05.
The mean age of the evaluated patients was 66.8 ± 11.3 years. The duration of disease was significantly correlated with the patients' nutritional status expressed by the body mass index (P = 0.0368). The main sources of knowledge about nutrition in cancer care were nurses (29.71%), physicians (12.31%), and nutritionists (13.78%). Patients who received nutritional advice had significantly greater knowledge about phytoestrogens (P = 0.0001), and they were of the opinion that a diet rich in phytoestrogens was safe (P = 0.001). More than 85% of the polled subjects used dietary supplements during treatment, and 2/3 of them did so without professional advice. In this study, 73.07% of the respondents regularly monitored their body weight. Patients who did not receive dietary advice less frequently informed their physician about weight changes.
The nutritional status of patients was correlated with access to nutrition and dietary advice during illness. The risk of malnutrition was minimized when patients received and understood educational materials. The patients who did not receive dietary advice more frequently overdosed on dietary supplements. Phytoestrogens were more widely used by patients who regularly attended a dietitian.
癌症，特别是乳腺癌，是女性死亡的主要原因之一。良好的营养状况有助于治疗和康复的效果，营养干预可以最大限度地减少癌症治疗的不良反应。
本研究旨在描述饮食咨询在乳腺癌患者中的潜在作用。评估营养咨询对患者营养状况、膳食补充剂使用以及植物雌激素知识的影响。
本研究于 2016 年 4 月至 7 月在卢布林肿瘤中心进行，共纳入 173 名正在接受乳腺癌治疗的女性患者。患者填写了一份包含 34 个开放式和封闭式问题的问卷。收集的数据在 Excel 和 Statistica 5.0 程序中进行处理，结果以 P<0.05 为差异有统计学意义。
评估患者的平均年龄为 66.8±11.3 岁。疾病持续时间与患者的营养状况（用体重指数表示）呈显著相关（P=0.0368）。癌症护理中营养知识的主要来源是护士（29.71%）、医生（12.31%）和营养师（13.78%）。接受营养咨询的患者对植物雌激素的知识显著增加（P=0.0001），他们认为富含植物雌激素的饮食是安全的（P=0.001）。超过 85%的被调查者在治疗期间使用膳食补充剂，其中 2/3的人在没有专业建议的情况下使用。在这项研究中，73.07%的受访者定期监测自己的体重。未接受饮食建议的患者较少向医生报告体重变化。
患者的营养状况与患病期间获得营养和饮食建议有关。当患者接受并理解教育材料时，营养不良的风险最小化。未接受饮食建议的患者更频繁地服用膳食补充剂。经常看营养师的患者更广泛地使用植物雌激素。
