Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up

This study aimed to investigate nutritional status, body composition, dietary protein intake, handgrip strength, 6 min or 4 m walk tests, self-reported physical activity, physical function, and quality of life (QoL-EORTC-QLQc30) at commencement of chemotherapy; to detect changes over time (from comm...

Full description

Bibliographic Details
Main Authors: Jessica Parkinson, Amelia Bandera, Megan Crichton, Catherine Shannon, Natasha Woodward, Adam Hodgkinson, Luke Millar, Laisa Teleni, Barbara S. van der Meij
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/30/1/54
_version_ 1797443987636748288
author Jessica Parkinson
Amelia Bandera
Megan Crichton
Catherine Shannon
Natasha Woodward
Adam Hodgkinson
Luke Millar
Laisa Teleni
Barbara S. van der Meij
author_facet Jessica Parkinson
Amelia Bandera
Megan Crichton
Catherine Shannon
Natasha Woodward
Adam Hodgkinson
Luke Millar
Laisa Teleni
Barbara S. van der Meij
author_sort Jessica Parkinson
collection DOAJ
description This study aimed to investigate nutritional status, body composition, dietary protein intake, handgrip strength, 6 min or 4 m walk tests, self-reported physical activity, physical function, and quality of life (QoL-EORTC-QLQc30) at commencement of chemotherapy; to detect changes over time (from commencement of chemotherapy, and after 3, 6, 12, 26 and 52 weeks) in women with metastatic breast cancer (MBC); and to investigate the relationship between nutritional variables. ‘Sarcopenia’ was defined as low muscle mass and strength, ‘myosteatosis’ as muscle fat-infiltration (CT scan). Continuous variables were analysed using paired t-tests between baseline and follow-ups. Fifteen women (54y, 95% CI [46.3;61.2]) were recruited. At baseline, malnutrition was present in 3 (20%) participants, sarcopenia in 3 (20%) and myosteatosis in 7 (54%). Thirteen (87%) participants had low protein intake; low handgrip strength was observed in 0, and low walk test distance and physical activity in four (27%) participants. Physical function and QoL were low in 10 (67%) and 9 (60%), respectively. QoL between baseline and 52 weeks decreased by 11.7 (95% CI [2.4;20.9], <i>p</i> = 0.025). Other variables did not significantly change over time. In this small study sample, myosteatosis, low dietary protein intake, low exercise levels and impaired quality of life and physical function are common.
first_indexed 2024-03-09T13:05:05Z
format Article
id doaj.art-bf754c7464064373bd43d3691e22109f
institution Directory Open Access Journal
issn 1198-0052
1718-7729
language English
last_indexed 2024-03-09T13:05:05Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Current Oncology
spelling doaj.art-bf754c7464064373bd43d3691e22109f2023-11-30T21:49:36ZengMDPI AGCurrent Oncology1198-00521718-77292023-01-0130168870310.3390/curroncol30010054Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-UpJessica Parkinson0Amelia Bandera1Megan Crichton2Catherine Shannon3Natasha Woodward4Adam Hodgkinson5Luke Millar6Laisa Teleni7Barbara S. van der Meij8Bond University Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaBond University Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaBond University Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaMater Health, Brisbane, QLD 4101, AustraliaMater Health, Brisbane, QLD 4101, AustraliaMater Research Institute, University of Queensland, Brisbane, QLD 4072, AustraliaMater Research Institute, University of Queensland, Brisbane, QLD 4072, AustraliaBond University Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaBond University Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaThis study aimed to investigate nutritional status, body composition, dietary protein intake, handgrip strength, 6 min or 4 m walk tests, self-reported physical activity, physical function, and quality of life (QoL-EORTC-QLQc30) at commencement of chemotherapy; to detect changes over time (from commencement of chemotherapy, and after 3, 6, 12, 26 and 52 weeks) in women with metastatic breast cancer (MBC); and to investigate the relationship between nutritional variables. ‘Sarcopenia’ was defined as low muscle mass and strength, ‘myosteatosis’ as muscle fat-infiltration (CT scan). Continuous variables were analysed using paired t-tests between baseline and follow-ups. Fifteen women (54y, 95% CI [46.3;61.2]) were recruited. At baseline, malnutrition was present in 3 (20%) participants, sarcopenia in 3 (20%) and myosteatosis in 7 (54%). Thirteen (87%) participants had low protein intake; low handgrip strength was observed in 0, and low walk test distance and physical activity in four (27%) participants. Physical function and QoL were low in 10 (67%) and 9 (60%), respectively. QoL between baseline and 52 weeks decreased by 11.7 (95% CI [2.4;20.9], <i>p</i> = 0.025). Other variables did not significantly change over time. In this small study sample, myosteatosis, low dietary protein intake, low exercise levels and impaired quality of life and physical function are common.https://www.mdpi.com/1718-7729/30/1/54malnutritionsarcopeniametastatic breast cancerphysical functionquality of life
spellingShingle Jessica Parkinson
Amelia Bandera
Megan Crichton
Catherine Shannon
Natasha Woodward
Adam Hodgkinson
Luke Millar
Laisa Teleni
Barbara S. van der Meij
Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up
Current Oncology
malnutrition
sarcopenia
metastatic breast cancer
physical function
quality of life
title Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up
title_full Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up
title_fullStr Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up
title_full_unstemmed Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up
title_short Poor Muscle Status, Dietary Protein Intake, Exercise Levels, Quality of Life and Physical Function in Women with Metastatic Breast Cancer at Chemotherapy Commencement and during Follow-Up
title_sort poor muscle status dietary protein intake exercise levels quality of life and physical function in women with metastatic breast cancer at chemotherapy commencement and during follow up
topic malnutrition
sarcopenia
metastatic breast cancer
physical function
quality of life
url https://www.mdpi.com/1718-7729/30/1/54
work_keys_str_mv AT jessicaparkinson poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT ameliabandera poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT megancrichton poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT catherineshannon poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT natashawoodward poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT adamhodgkinson poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT lukemillar poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT laisateleni poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup
AT barbarasvandermeij poormusclestatusdietaryproteinintakeexerciselevelsqualityoflifeandphysicalfunctioninwomenwithmetastaticbreastcanceratchemotherapycommencementandduringfollowup