| Penulis/Author |
Prof. Dr. Susetyowati, DCN., M.Kes. (1) ; dr. Sri Retna Dwidanarti, Sp.Rad.(K) Onk.Rad (2); Retno Pangastuti, DCN.,M.Kes (3); HANIFAH WULANDARI (4); Farah Faza, S.Gz., M.Gizi. (5); Nadira D'mas Getare Sanubari (6) |
| Abstrak/Abstract |
Background: Nutrition counseling in breast cancer (BC) patients show long-term adherence to a dietary pattern and
affect nutritional status and quality of life (QOL).
Objective: We evaluated the effects of nutrition counseling for nutrient intake dan nutritional status improvement among
breast cancer patients.
Materials and Methods: This research was conducted in a pre-experimental design; one group pretest-postest design
was conducted on 45 BC patients who underwent radiotherapy for five weeks in the Radiotherapy Unit, dr. Sardjito
Hospital, Indonesia. Training fieldworkers demonstrated nutrition counseling to 45 participants using a nutrition
booklet for BC patients and a food model as an intervention technique. Continuous nutrition counseling was given three
times: weeks 1, 3, and 5 of radiotherapy. To obtain nutritional status, we examined anthropometry, biochemical,
physical, dietary, and Patient-Generated Subjective Global Assessment (PG-SGA) questionnaire.
Results: Most of the participants had a body mass index (BMI) ≥25 kg/m2 (62.2%). After the participants received
nutrition counseling, there were increases in energy intake, protein, carbohydrate, vitamin A, vitamin C, and vitamin E
amounted to 124.54 kcal, 8.12 g (p=0.01), 5.84 g, 234.43 mg, 0.042 mg, and 0.44 mg, respectively. Intake of fruits and
vegetables improved on the first, third, and fifth week (1.44, 2.36, and 4.03 portion/day, respectively) (p=0.001).
Handgrip strength (HGS) showed slight improvement (p=0.081). However, HGS ameliorated from 15.85 kgs in the
early to 16.97 kgs in the end stage of therapy. Bodyweight decreased 0.28 kg; however, there were no changes in PGSGA score, hemoglobin (Hb), and albumin levels.
Conclusion: Nutrition counseling improves patients' nutrition intake despite no significant alteration in nutritional
status. In addition, nutrition counseling for breast cancer patients during radiotherapy is essential to maintain and
improve nutrient intake and nutritional status. In the long-term period, it might be affected to improve quality of life |
