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  1. Article ; Online: A remote Whole Food Dietary Intervention to Reduce Fatigue and Improve Diet Quality in Lymphoma Survivors: Results of a Feasibility Pilot Study

    Weinhold, Kellie R. / Light, Sarah / Bittoni, Anna Maria / Zick, Suzanna / Orchard, Tonya S.

    Nutrition and Cancer. 2023 Mar. 16, v. 75, no. 3 p.937-947

    2023  

    Abstract: Long-term, persistent cancer-related fatigue (CRF) is the most common side effect reported by lymphoma survivors. CRF reduces quality of life, and treatments are limited. This pilot study aimed to determine feasibility of recruiting and retaining diffuse ...

    Abstract Long-term, persistent cancer-related fatigue (CRF) is the most common side effect reported by lymphoma survivors. CRF reduces quality of life, and treatments are limited. This pilot study aimed to determine feasibility of recruiting and retaining diffuse large B-cell lymphoma (DLBCL) survivors in a 12-week remote Fatigue Reduction Diet (FRD) intervention and evaluate preliminary efficacy of the intervention. Participants met remotely with a registered dietitian nutritionist for eight individual sessions. FRD goals included consuming specific fruits, vegetables, whole grains, and omega-3 fatty acid rich foods. Acceptability was assessed by session attendance, FRD goal attainment, and exit surveys. Self-reported dietary intake and fatigue were measured using the Healthy Eating Index-2015 and PROMIS Fatigue Short Form, respectively, at baseline and post-intervention. Ten DLBCL survivors enrolled; nine attended all sessions and completed the intervention. Weekly adherence to targeted food intake goals improved significantly throughout the study (all p < 0.05), with participants meeting goals over 4 day per week by week 11. Mean[SD] diet quality improved significantly from baseline (65.9[6.3]) to post-intervention (82.2[5.0], p < 0.001). Mean[SD] fatigue reduced significantly from baseline (50.41[9.18]) to post-intervention (45.79[6.97], p < 0.05). The 12-week remote FRD intervention was feasible, acceptable, and holds promise to improve diet quality and fatigue in DLBCL survivors.
    Keywords B-cell lymphoma ; adverse effects ; dietitians ; food intake ; food quality ; nutritional intervention ; omega-3 fatty acids ; quality of life
    Language English
    Dates of publication 2023-0316
    Size p. 937-947.
    Publishing place Taylor & Francis
    Document type Article ; Online
    ZDB-ID 424433-3
    ISSN 1532-7914 ; 0163-5581
    ISSN (online) 1532-7914
    ISSN 0163-5581
    DOI 10.1080/01635581.2023.2173259
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: A remote Whole Food Dietary Intervention to Reduce Fatigue and Improve Diet Quality in Lymphoma Survivors: Results of a Feasibility Pilot Study.

    Weinhold, Kellie R / Light, Sarah / Bittoni, Anna Maria / Zick, Suzanna / Orchard, Tonya S

    Nutrition and cancer

    2023  Volume 75, Issue 3, Page(s) 937–947

    Abstract: Long-term, persistent cancer-related fatigue (CRF) is the most common side effect reported by lymphoma survivors. CRF reduces quality of life, and treatments are limited. This pilot study aimed to determine feasibility of recruiting and retaining diffuse ...

    Abstract Long-term, persistent cancer-related fatigue (CRF) is the most common side effect reported by lymphoma survivors. CRF reduces quality of life, and treatments are limited. This pilot study aimed to determine feasibility of recruiting and retaining diffuse large B-cell lymphoma (DLBCL) survivors in a 12-week remote Fatigue Reduction Diet (FRD) intervention and evaluate preliminary efficacy of the intervention. Participants met remotely with a registered dietitian nutritionist for eight individual sessions. FRD goals included consuming specific fruits, vegetables, whole grains, and omega-3 fatty acid rich foods. Acceptability was assessed by session attendance, FRD goal attainment, and exit surveys. Self-reported dietary intake and fatigue were measured using the Healthy Eating Index-2015 and PROMIS Fatigue Short Form, respectively, at baseline and post-intervention. Ten DLBCL survivors enrolled; nine attended all sessions and completed the intervention. Weekly adherence to targeted food intake goals improved significantly throughout the study (all
    MeSH term(s) Humans ; Pilot Projects ; Quality of Life ; Feasibility Studies ; Diet/methods ; Survivors ; Neoplasms/drug therapy ; Lymphoma/complications ; Fatigue/etiology ; Fatigue/prevention & control
    Language English
    Publishing date 2023-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 424433-3
    ISSN 1532-7914 ; 0163-5581
    ISSN (online) 1532-7914
    ISSN 0163-5581
    DOI 10.1080/01635581.2023.2173259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Association of Dietary Quality, Inflammatory Markers, and Physical Functioning among Older Female Cancer Survivors

    Schmalenberger, Megan / Spees, Colleen / Bittoni, Anna Maria / Krok-Schoen, Jessica L.

    Nutrition and cancer. 2022 Feb. 7, v. 74, no. 2

    2022  

    Abstract: One area within geriatric oncology that is understudied and undertreated is the dietary quality of older cancer survivors. Most older adults with cancer experience nutritional deficits due to their age and cancer treatment. Research has shown the impact ... ...

    Abstract One area within geriatric oncology that is understudied and undertreated is the dietary quality of older cancer survivors. Most older adults with cancer experience nutritional deficits due to their age and cancer treatment. Research has shown the impact of competing comorbidities, polypharmacy, and decline in functional and cognitive status on older adults’ nutritional needs. This study sought to examine the diet quality of older female cancer survivors, and its association with inflammatory markers and physical functioning. Participants completed surveys online, by mail, or phone. Additional participant information was obtained through medical records. Descriptive statistics, Pearson’s correlations, forward linear regressions were used to analyze these data. Older female cancer survivors (≥65) that had completed their initial cancer treatment in the past 5 years were recruited through cancer clinic visits and medical records. The study was conducted from November 2018 through January 2020. Self-reported physical functioning (RAND-36), diet quality (DHQ-II, HEI-2015), and BMI were obtained from surveys. Participant diagnosis, comorbidities, and inflammatory marker (c-reactive protein (CRP)) were obtained through electronic medical records; albumin was collected as a marker correlated with inflammation. The average age of participants (n = 171) was 73.6 ± 8.4 years. Mean physical functioning score was 60 ± 24 out of 100. Mean total HEI scores were 66.39 + 10.0 out of 100. Positive correlations were observed between total HEI scores and physical functioning, self-rated health, albumin, education, and income. Negative correlations were observed between physical functioning and BMI, self-rated health, albumin, and age. Regressions indicated that individuals who had higher HEI scores were more likely to report higher physical functioning (β = 0.38, P < 0.001). Identifying dietary quality and markers to overall assess inflammation is pertinent to improve the long-term health of cancer survivors. The strong correlations between physical function, HEI, and albumin demonstrates the relationship albumin has with inflammation and its subtle impact it can have on older cancer survivors. Along with CRP, serum albumin should be interpreted in the context of the patient’s overall health. Future larger cohort studies of older cancer survivors with longitudinal measurements are warranted.
    Keywords C-reactive protein ; cancer therapy ; cognition ; decline ; descriptive statistics ; education ; females ; food quality ; income ; inflammation ; patients ; serum albumin
    Language English
    Dates of publication 2022-0207
    Size p. 496-504.
    Publishing place Taylor & Francis
    Document type Article
    ZDB-ID 424433-3
    ISSN 1532-7914 ; 0163-5581
    ISSN (online) 1532-7914
    ISSN 0163-5581
    DOI 10.1080/01635581.2021.1892157
    Database NAL-Catalogue (AGRICOLA)

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  4. Article ; Online: Association of Dietary Quality, Inflammatory Markers, and Physical Functioning among Older Female Cancer Survivors.

    Schmalenberger, Megan / Spees, Colleen / Bittoni, Anna Maria / Krok-Schoen, Jessica L

    Nutrition and cancer

    2021  Volume 74, Issue 2, Page(s) 496–504

    Abstract: One area within geriatric oncology that is understudied and undertreated is the dietary quality of older cancer survivors. Most older adults with cancer experience nutritional deficits due to their age and cancer treatment. Research has shown the impact ... ...

    Abstract One area within geriatric oncology that is understudied and undertreated is the dietary quality of older cancer survivors. Most older adults with cancer experience nutritional deficits due to their age and cancer treatment. Research has shown the impact of competing comorbidities, polypharmacy, and decline in functional and cognitive status on older adults' nutritional needs. This study sought to examine the diet quality of older female cancer survivors, and its association with inflammatory markers and physical functioning. Participants completed surveys online, by mail, or phone. Additional participant information was obtained through medical records. Descriptive statistics, Pearson's correlations, forward linear regressions were used to analyze these data. Older female cancer survivors (≥65) that had completed their initial cancer treatment in the past 5 years were recruited through cancer clinic visits and medical records. The study was conducted from November 2018 through January 2020. Self-reported physical functioning (RAND-36), diet quality (DHQ-II, HEI-2015), and BMI were obtained from surveys. Participant diagnosis, comorbidities, and inflammatory marker (c-reactive protein (CRP)) were obtained through electronic medical records; albumin was collected as a marker correlated with inflammation. The average age of participants (
    MeSH term(s) Aged ; Aged, 80 and over ; Cancer Survivors ; Cross-Sectional Studies ; Diet ; Female ; Humans ; Neoplasms ; Surveys and Questionnaires
    Language English
    Publishing date 2021-03-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 424433-3
    ISSN 1532-7914 ; 0163-5581
    ISSN (online) 1532-7914
    ISSN 0163-5581
    DOI 10.1080/01635581.2021.1892157
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Diet Quality and the Number of Comorbidities Are Associated with General Health Among Older Female Cancer Survivors.

    Danko, Allison / Naughton, Michelle / Spees, Colleen / Bittoni, Anna Maria / Krok-Schoen, Jessica L

    Journal of aging and health

    2021  Volume 33, Issue 10, Page(s) 908–918

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Cancer Survivors ; Cross-Sectional Studies ; Diet ; Diet, Healthy ; Female ; Humans ; Neoplasms/epidemiology ; Quality of Life
    Language English
    Publishing date 2021-11-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1045392-1
    ISSN 1552-6887 ; 0898-2643
    ISSN (online) 1552-6887
    ISSN 0898-2643
    DOI 10.1177/08982643211018923
    Database MEDical Literature Analysis and Retrieval System OnLINE

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