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Published in: Supportive Care in Cancer 2/2019

Open Access 01-02-2019 | Original Article

Perceptions of Dutch health care professionals on weight gain during chemotherapy in women with breast cancer

Authors: J. Th. C. M. de Kruif, M. B. Scholtens, J. van der Rijt, M. R. de Boer, M. M. G. A. van den Berg, Y. C. de Vries, R. M. Winkels, M. Visser, E. Kampman, M. J. Westerman

Published in: Supportive Care in Cancer | Issue 2/2019

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Abstract

Purpose

Dutch Health care professionals (HCPs) provide little information concerning health risks associated with weight gain during chemotherapy for breast cancer. Women with breast cancer have specified the need for more information on nutrition and physical activity to deal with weight gain. The aims of this study were to assess the perceptions of Dutch HCPs on weight gain during chemotherapy and in addition evaluate whether and what kind of information on dietary intake and physical activity HCPs provide to prevent/treat weight gain during (neo)adjuvant chemotherapy.

Methods

A qualitative study was conducted using semi-structured interviews with 34 HCPs involved in breast cancer care: general practitioners, oncologists, specialized nurses, and dieticians.

Results

To date, little information about nutrition, physical activity, and weight gain is given during chemotherapy because it is not part of most HCPs’ training, it is not included in the guidelines and it is not the best time to bring up information in the opinion of HCPs. Weight gain was perceived as just a matter of a few kilos and not an important health issue during treatment. All HCPs felt it is better that women themselves addressed their weight gain after chemotherapy.

Conclusion

More knowledge about health risks associated with chemotherapy-induced weight gain and how to combat these issues needs to be made readily available to the HCPs and should become part of their training. Existing patient guidelines should include information on how to prevent and/or reduce weight gain through self-management of nutrition intake and physical activity during and post chemotherapy.
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Metadata
Title
Perceptions of Dutch health care professionals on weight gain during chemotherapy in women with breast cancer
Authors
J. Th. C. M. de Kruif
M. B. Scholtens
J. van der Rijt
M. R. de Boer
M. M. G. A. van den Berg
Y. C. de Vries
R. M. Winkels
M. Visser
E. Kampman
M. J. Westerman
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 2/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4347-2

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