Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials
Nausea and vomiting are the most common side effects of chemotherapy. They must be managed because they can increase the risk of malnutrition in patients, which can adversely affect treatment. The objective of this study was to evaluate the effect of ginger supplementation as an adjuvant treatment f...
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MDPI AG
2022-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/23/4982 |
| _version_ | 1797462557519249408 |
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| author | Jihee Choi Jounghee Lee Kijoon Kim Hyo-Kyoung Choi Se-A Lee Hae-Jeung Lee |
| author_facet | Jihee Choi Jounghee Lee Kijoon Kim Hyo-Kyoung Choi Se-A Lee Hae-Jeung Lee |
| author_sort | Jihee Choi |
| collection | DOAJ |
| description | Nausea and vomiting are the most common side effects of chemotherapy. They must be managed because they can increase the risk of malnutrition in patients, which can adversely affect treatment. The objective of this study was to evaluate the effect of ginger supplementation as an adjuvant treatment for alleviating chemo We checked. therapy-induced nausea and vomiting (CINV). This study searched for randomized controlled trials (RCTs) related to ginger supplement intake for CINV in three electronic databases (i.e., Medline (PubMed), Embase, and Web of Science). The search period ranged from each database’s first date of service to 5 November 2021. Two investigators independently performed abstract screenings, full-text screenings, data extraction, and risk of bias analyses (ROB). The Cochrane ROB tool was used for the assessment of ROB. This study systematically reviewed 23 RCTs. The effects of ginger supplementation were compared to those of placebo or antiemetic agents. This study conducted a meta-analysis after classifying the effects of ginger supplementation on acute and delayed CINV into subgroups due to the clinical heterogeneity between these RCTs. The results showed that the incidence of acute nausea (<i>p</i> = 0.53), the incidence of delayed nausea (<i>p</i> = 0.31), the incidence of acute vomiting (<i>p</i> = 0.09), and the incidence of delayed vomiting (<i>p</i> = 0.89) were not significantly different between the ginger supplement intake group and the control group. However, it was found that the ginger supplement intake group, which took not more than 1 g of ginger supplementation per day for above four days, had significantly less acute vomiting than the control group (OR 0.30; 95% CI 0.12 to 0.79; <i>p</i> = 0.02; I2 = 36%). Ginger supplementation may reduce the incidence of acute chemotherapy-induced vomiting. However, this study could not confirm the effects of ginger supplementation on the incidence of chemotherapy-induced nausea and delayed vomiting. Therefore, it will be necessary to conduct additional studies with sufficient sample sizes using high-quality RCTs to evaluate the effects of ginger supplementations based on the results of this study. |
| first_indexed | 2024-03-09T17:38:17Z |
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| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T17:38:17Z |
| publishDate | 2022-11-01 |
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| series | Nutrients |
| spelling | doaj.art-fdb21802a7e64420a180ab239b00e1612023-11-24T11:50:09ZengMDPI AGNutrients2072-66432022-11-011423498210.3390/nu14234982Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical TrialsJihee Choi0Jounghee Lee1Kijoon Kim2Hyo-Kyoung Choi3Se-A Lee4Hae-Jeung Lee5Department of Food and Nutrition, College of Bionanotechnology, Gachon University, Seongnam-si 13120, Republic of KoreaDepartment of Food and Nutrition, Kunsan National University, Gunsan 54150, Republic of KoreaDepartment of Food and Nutrition, Sookmyung Women’s University, Seoul 04310, Republic of KoreaKorea Food Research Institute, 245, Nongsaengmyeong-ro, Iseo-myeon, Wanju-gun 55365, Republic of KoreaDepartment of Food and Nutrition, College of Bionanotechnology, Gachon University, Seongnam-si 13120, Republic of KoreaDepartment of Food and Nutrition, College of Bionanotechnology, Gachon University, Seongnam-si 13120, Republic of KoreaNausea and vomiting are the most common side effects of chemotherapy. They must be managed because they can increase the risk of malnutrition in patients, which can adversely affect treatment. The objective of this study was to evaluate the effect of ginger supplementation as an adjuvant treatment for alleviating chemo We checked. therapy-induced nausea and vomiting (CINV). This study searched for randomized controlled trials (RCTs) related to ginger supplement intake for CINV in three electronic databases (i.e., Medline (PubMed), Embase, and Web of Science). The search period ranged from each database’s first date of service to 5 November 2021. Two investigators independently performed abstract screenings, full-text screenings, data extraction, and risk of bias analyses (ROB). The Cochrane ROB tool was used for the assessment of ROB. This study systematically reviewed 23 RCTs. The effects of ginger supplementation were compared to those of placebo or antiemetic agents. This study conducted a meta-analysis after classifying the effects of ginger supplementation on acute and delayed CINV into subgroups due to the clinical heterogeneity between these RCTs. The results showed that the incidence of acute nausea (<i>p</i> = 0.53), the incidence of delayed nausea (<i>p</i> = 0.31), the incidence of acute vomiting (<i>p</i> = 0.09), and the incidence of delayed vomiting (<i>p</i> = 0.89) were not significantly different between the ginger supplement intake group and the control group. However, it was found that the ginger supplement intake group, which took not more than 1 g of ginger supplementation per day for above four days, had significantly less acute vomiting than the control group (OR 0.30; 95% CI 0.12 to 0.79; <i>p</i> = 0.02; I2 = 36%). Ginger supplementation may reduce the incidence of acute chemotherapy-induced vomiting. However, this study could not confirm the effects of ginger supplementation on the incidence of chemotherapy-induced nausea and delayed vomiting. Therefore, it will be necessary to conduct additional studies with sufficient sample sizes using high-quality RCTs to evaluate the effects of ginger supplementations based on the results of this study.https://www.mdpi.com/2072-6643/14/23/4982gingerchemotherapynauseavomitingsystematic review |
| spellingShingle | Jihee Choi Jounghee Lee Kijoon Kim Hyo-Kyoung Choi Se-A Lee Hae-Jeung Lee Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials Nutrients ginger chemotherapy nausea vomiting systematic review |
| title | Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials |
| title_full | Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials |
| title_fullStr | Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials |
| title_full_unstemmed | Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials |
| title_short | Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical Trials |
| title_sort | effects of ginger intake on chemotherapy induced nausea and vomiting a systematic review of randomized clinical trials |
| topic | ginger chemotherapy nausea vomiting systematic review |
| url | https://www.mdpi.com/2072-6643/14/23/4982 |
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