The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review

Malnutrition and muscle wasting are associated with impaired physical functioning and quality of life in oncology patients. Patients diagnosed with upper gastrointestinal (GI) cancers are considered at high risk of malnutrition and impaired function. Due to continuous improvement in upper GI cancer...

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Main Authors: Fatemeh Sadeghi, David Mockler, Emer M. Guinan, Juliette Hussey, Suzanne L. Doyle
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/8/2842
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author Fatemeh Sadeghi
David Mockler
Emer M. Guinan
Juliette Hussey
Suzanne L. Doyle
author_facet Fatemeh Sadeghi
David Mockler
Emer M. Guinan
Juliette Hussey
Suzanne L. Doyle
author_sort Fatemeh Sadeghi
collection DOAJ
description Malnutrition and muscle wasting are associated with impaired physical functioning and quality of life in oncology patients. Patients diagnosed with upper gastrointestinal (GI) cancers are considered at high risk of malnutrition and impaired function. Due to continuous improvement in upper GI cancer survival rates, there has been an increased focus on multimodal interventions aimed at minimizing the adverse effects of cancer treatments and enhancing survivors’ quality of life. The present study aimed to evaluate the effectiveness of combined nutritional and exercise interventions in improving muscle wasting, physical functioning, and quality of life in patients with upper GI cancer. A comprehensive search was conducted in MEDLINE, EMBASE, Web of Science, Cochrane Library, and CINHAL. Of the 4780 identified articles, 148 were selected for full-text review, of which 5 studies met the inclusion criteria. Whilst reviewed studies showed promising effects of multimodal interventions on physical functioning, no significant differences in postoperative complications and hospital stay were observed. Limited available evidence showed conflicting results regarding the effectiveness of these interventions on preserving muscle mass and improving health-related quality of life. Further studies examining the impact of nutrition and exercise interventions on upper GI patient outcomes are required and would benefit from reporting a core outcome set.
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spelling doaj.art-fc81da0098654b44856b0dc0e662bb2b2023-11-22T09:06:56ZengMDPI AGNutrients2072-66432021-08-01138284210.3390/nu13082842The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic ReviewFatemeh Sadeghi0David Mockler1Emer M. Guinan2Juliette Hussey3Suzanne L. Doyle4Discipline of Physiotherapy, Trinity College Dublin, D08 W9RT Dublin, IrelandJohn Stearne Medical Library, Trinity Centre for Health Sciences, D08 W9RT Dublin, IrelandTrinity College Dublin, School of Medicine, D02 R590 Dublin, IrelandDiscipline of Physiotherapy, Trinity College Dublin, D08 W9RT Dublin, IrelandSchool of Biological and Health Sciences, Technological University Dublin, Grangegorman, D07 XT95 Dublin, IrelandMalnutrition and muscle wasting are associated with impaired physical functioning and quality of life in oncology patients. Patients diagnosed with upper gastrointestinal (GI) cancers are considered at high risk of malnutrition and impaired function. Due to continuous improvement in upper GI cancer survival rates, there has been an increased focus on multimodal interventions aimed at minimizing the adverse effects of cancer treatments and enhancing survivors’ quality of life. The present study aimed to evaluate the effectiveness of combined nutritional and exercise interventions in improving muscle wasting, physical functioning, and quality of life in patients with upper GI cancer. A comprehensive search was conducted in MEDLINE, EMBASE, Web of Science, Cochrane Library, and CINHAL. Of the 4780 identified articles, 148 were selected for full-text review, of which 5 studies met the inclusion criteria. Whilst reviewed studies showed promising effects of multimodal interventions on physical functioning, no significant differences in postoperative complications and hospital stay were observed. Limited available evidence showed conflicting results regarding the effectiveness of these interventions on preserving muscle mass and improving health-related quality of life. Further studies examining the impact of nutrition and exercise interventions on upper GI patient outcomes are required and would benefit from reporting a core outcome set.https://www.mdpi.com/2072-6643/13/8/2842cancergastrointestinalnutritionexerciserehabilitationmultidisciplinary
spellingShingle Fatemeh Sadeghi
David Mockler
Emer M. Guinan
Juliette Hussey
Suzanne L. Doyle
The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review
Nutrients
cancer
gastrointestinal
nutrition
exercise
rehabilitation
multidisciplinary
title The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review
title_full The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review
title_fullStr The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review
title_full_unstemmed The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review
title_short The Effectiveness of Nutrition Interventions Combined with Exercise in Upper Gastrointestinal Cancers: A Systematic Review
title_sort effectiveness of nutrition interventions combined with exercise in upper gastrointestinal cancers a systematic review
topic cancer
gastrointestinal
nutrition
exercise
rehabilitation
multidisciplinary
url https://www.mdpi.com/2072-6643/13/8/2842
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