{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:59:05Z","timestamp":1792803545741,"version":"4.5.0"},"reference-count":60,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,7]],"date-time":"2021-02-07T00:00:00Z","timestamp":1612656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The best treatment therapy for gastrointestinal cancer patients is assessed by the improvement of health status and quality of life (QoL) after treatments. Malnutrition is related to loss of muscle strengths which leads to lower physical performance and emotional status. Thus, this study aimed to estimate the effects of nutritional interventions on the improvement of QoL among gastrointestinal patients undergoing chemotherapy in Vietnam.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A quasi\u2010experiment with intervention and control groups for pre\u2010 and post\u2010intervention assessment was carried out at the Department of Oncology and Palliative Care\u2014Hanoi Medical University Hospital from 2016 to 2019. Sixty gastrointestinal cancer patients were recruited in each group. The intervention regimen consisted of nutritional counseling, a specific menu with a recommended amount of energy, protein, and formula milk used within 2\u00a0months. Nutritional status and QoL of patients were evaluated using The Scored Patient\u2010Generated Subjective Global Assessment (PG\u2010SGA) and The European Organization for Research and Treatment of Cancer (EORTC). The difference in differences (DiD) method was utilized to estimate the outcome between control and intervention groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the intervention, patients of the intervention group had better changes in scores of global health status (Coef\u00a0=16.68; 95% CI\u00a0=7.90; 25.46), physical (Coef\u00a0=14.51; 95% CI\u00a0=5.34; 23.70), and role functioning (Coef\u00a0=14.67; 95% CI\u00a0=1.63; 27.70) compared to the control group. Regarding symptom scales, the level of fatigue, pain, and insomnia symptoms significantly reduced between pre\u2010 and post\u2010intervention in the intervention group. In addition, living in urban areas, defined as malnourished and having low prealbumin levels, were positively associated with the lower global health status\/QoL score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nutritional therapy with high protein was beneficial to the improvement in QoL, physical function and the reduction of negative symptoms among gastrointestinal cancer patients. Early individualized nutritional support in consultation with professional dietitians during chemotherapy plays an integral part in enhancing the QoL and better treatment prognosis.<\/jats:p><jats:p>Clinical trial registration number: NCT04517708.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.3766","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T19:21:53Z","timestamp":1612812113000},"page":"1668-1680","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Nutrition intervention is beneficial to the quality of life of patients with gastrointestinal cancer undergoing chemotherapy in Vietnam"],"prefix":"10.1002","volume":"10","author":[{"given":"Linh Thuy","family":"Nguyen","sequence":"first","affiliation":[{"name":"Institute for Preventive Medicine and Public Health Hanoi Medical University Hanoi Vietnam"},{"name":"Department of Nutrition and Dietetic Hanoi Medical University Hospital 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