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Effects of a Plant-Based High-Protein Diet on Fatigue in Breast Cancer Patients Undergoing Adjuvant Chemotherapy - a Randomized Controlled Trial.

Nutrition and cancer
May 5, 2023
Esther Sathiaraj et al. (7 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of a plant-based, high-protein diet on fatigue, BMI, and body composition in breast cancer patients undergoing chemotherapy.

Results Summary

The intervention group showed significant reductions in fatigue (57% to 28%) and fat mass, improved muscle mass, and a slight decrease in BMI compared to the control group, which experienced increased fatigue and worsened muscle mass.

Population

Newly diagnosed breast cancer patients scheduled for adjuvant chemotherapy (n=103).

Effective Dosage

Not specified

Duration

From the start of chemotherapy to 3 weeks after completion.

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
plant-based, high-protein diet
decrease
fatigue
breast cancer patients undergoing chemotherapy
from 57% to 28%
decreased
#1
plant-based, high-protein diet
decrease
BMI
breast cancer patients undergoing chemotherapy
0.7 ± 0.8 kg/m2
decreased
#2
plant-based, high-protein diet
decrease
fat mass
breast cancer patients undergoing chemotherapy
-
decreased
#3
plant-based, high-protein diet
increase
muscle mass
breast cancer patients undergoing chemotherapy
-
improved
#4
Abstract

BACKGROUND: Breast cancer patients undergoing chemotherapy (CT) experience fatigue and other side-effects. Studies exploring interventions with a plant-based, high-protein diet on fatigue and body composition are lacking. The effects of these interventions on fatigue, body mass index (BMI), and body composition were evaluated. METHOD: Newly diagnosed breast cancer patients who were scheduled for adjuvant CT (n = 103) were randomly assigned to the intervention or control group. Study outcomes included fatigue using fatigue symptom inventory and body composition using bioelectric impedance analyzer done at the start of CT, 3rd CT, and 3 weeks after CT. Linear mixed models were used to compare groups over time. RESULTS: Fatigue decreased from 57% to 28% in the intervention group and increased from 65% to 78% in the control group (p < 0.001). BMI decreased by 0.7 ± 0.8 kg/m2 in the intervention group, while the decrease was 0.4 ± 1.3 kg/m2 in the control group (p = 0.015). Fat mass decreased in the intervention group (p < 0.001) and muscle mass improved in the intervention group and decreased in the control group (p < 0.05). CONCLUSIONS: A plant-based, high-protein diet during CT resulted in positive changes in fatigue, BMI and body composition.

Medical Subject Headings (MeSH)
HumansFemaleBreast NeoplasmsChemotherapy, AdjuvantBody Mass IndexDiet, High-ProteinFatigueQuality of Life
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations7
Citations/Year3.5
Relative Citation Ratio1.41
NIH Percentile62.9%
Research Impact Scores
APT Score0.75
Weight Score2.75
Normalized Score0.70
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