Medical Oncology Department, ASST Spedali Civili of Brescia, Brescia, Italy.
SSVD Breast Unit, ASST Spedali Civili of Brescia, Brescia, Italy.
In Vivo. 2022 Jul-Aug;36(4):1860-1867. doi: 10.21873/invivo.12904.
BACKGROUND/AIM: Chemotherapy-induced taste alterations (TAs) affect approximately 53-84% of breast cancer patients with significant consequences on flavor perception, possibly leading to food aversion and changes in daily dietary habits. The aim of this study was to investigate the relationship between TAs and changes in food habits and body weight among early breast cancer (EBC) patients undergoing adjuvant chemotherapy.
TAs were prospectively evaluated in 182 EBC patients from April 2014 to June 2018. TAs, dietary habits, and body weight were collected by a trained dietician. TAs were classified into different subtypes according to the following basic taste perception: metallic, sweet, bitter, salty, sour, and umami taste.
During adjuvant chemotherapy, a significant reduction in the consumption of bread, breadsticks, red meat, fat salami, snacks, added sugar, milk, and alcoholic beverages was observed, regardless of TAs onset. No correlation between these dietary changes and different TAs subtypes was found. Body weight remained stable in most EBC patients (71.4%) and was not influenced by TAs onset and by different TAs subtypes.
EBC patients change their dietary habits during adjuvant chemotherapy, mostly following the World Cancer Research Fund recommendations, irrespective of TAs onset and without affecting body weight.
背景/目的:化疗引起的味觉改变(TAs)影响约 53-84%的乳腺癌患者,对味觉感知有重大影响,可能导致食物厌恶和日常饮食习惯的改变。本研究旨在调查辅助化疗的早期乳腺癌(EBC)患者中 TAs 与饮食习惯和体重变化之间的关系。
2014 年 4 月至 2018 年 6 月,前瞻性评估了 182 例 EBC 患者的 TAs。味觉改变、饮食习惯和体重由经过培训的营养师收集。根据以下基本味觉感知将 TAs 分为不同亚型:金属、甜、苦、咸、酸和鲜味。
在辅助化疗期间,无论 TAs 发作与否,面包、面包棍、红肉、脂肪萨拉米、零食、添加糖、牛奶和酒精饮料的摄入量均显著减少。这些饮食变化与不同 TAs 亚型之间没有相关性。大多数 EBC 患者(71.4%)的体重保持稳定,不受 TAs 发作和不同 TAs 亚型的影响。
EBC 患者在辅助化疗期间改变饮食习惯,主要遵循世界癌症研究基金会的建议,不论 TAs 发作与否,且不会影响体重。