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STUDIES
The use of a food database clinical decision support system (CDSS) could be a promising tool to assist breast cancer patients to comply with dietary and lifestyle modifications during the COVID-19 pandemic. Based on individuals’ needs, the CDSS produced a nutritional plan that was in line with the Mediterranean dietary pattern, together with physical activity guidelines. Following the CDSS programme for 3 months, significant ameliorations in Mediterranean diet adherence, quality of life, as well as anthropometrics and blood indices were recorded...patients following MD for 3 months reported significant improvements in global health/quality of life, role functioning, emotional functioning, depression and anxiety, as well as trends of improvement in cognitive functioning, pain, insomnia, constipation and systemic therapy side effects.
Food addiction is an emerging area of both clinical and research interest. The current review discussed several definitional and conceptual categorisations that have been put forth to quantify food addiction. However, the YFAS 2·0 concept predominates the literature. Similarly, evidence shows some similarities of food addiction with established eating disorders, particularly BED. Thus, the current review supports two main areas of contention that warrant much more research; considering food addiction as a substance-related addiction or a behavioural-related addiction and if food addiction is distinct from established eating disorders. Further research is needed to continue to delineate and clarify controversies about similarities and differences in food addiction with other concepts and established disorders.
Application of Clinical Decision Support System to Assist Breast Cancer Patients with Lifestyle Modifications during the COVID-19 Pandemic: A Randomised Controlled Trial
Papandreou P, Gioxari A, Nimee F, Skouroliakou M. Application of Clinical Decision Support System to Assist Breast Cancer Patients with Lifestyle Modifications during the COVID-19 Pandemic: A Randomised Controlled Trial. Nutrients. 2021 Jun 20;13(6):2115. https://doi.org/10.3390/nu13062115 PMID: 34203025
44 patients: 22 patients in each group (Control and CDSS group) were included in final analyses. All participants had Greek nationality and were residents of Attica (Greece). 29.5% of enrolled participants were overweight, 39.6% were obese and 29.5% were current smokers. It is worth mentioning that 15 (68.2%) women of the control arm and 16 (72.7%) of the intervention group were postmenopausal at cancer diagnosis, but throughout the intervention all women were at a postmenopausal state.
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