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We systematically investigated the feasibility, safety, and efficacy of nutritional counseling conducted during chemotherapy. Studies prospectively implemented nutrition counseling during chemotherapy. Articles were identified from three databases\u2014EMBASE, Cochrane Library, and SCOPUS\u2014from inception to 1 October 2024. Feasibility, safety, and efficacy of outcome data were extracted. Among 44 publications, 39 studies recruited 98 \u00b1 80 participants (range 15\u2013360); 38\/39 (97%) were randomized controlled trials. One-third (31%) were among patients with breast cancer. Interventions were divided into individualized nutritional counseling (n = 21), nutrition counseling plus exercise (n = 13), and nutrient-specific dietary patterns (n = 10). Many had goals to achieve established nutrition guidelines. Feasibility was high based on attendance at counseling sessions, retention, and\/or food log analysis. Overall, there were minimal adverse events related to the interventions. Many studies showed between-group differences favoring the intervention group for body weight (8\/24, gain or loss, according to goals), nutritional status (8\/9), quality of life (3\/10 without and 6\/9 with exercise), cancer-related fatigue (7\/10), chemotherapy tolerance (6\/11), and treatment responses (3\/13). In conclusion, nutritional interventions were feasible and safe for patients undergoing chemotherapy and demonstrated preliminary efficacy to improve nutritional status, fatigue, chemotherapy tolerance, and other outcomes.<\/jats:p>","DOI":"10.3390\/curroncol32010003","type":"journal-article","created":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T19:27:46Z","timestamp":1735154866000},"page":"3","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Nutritional Counseling During Chemotherapy Treatment: A Systematic Review of Feasibility, Safety, and Efficacy"],"prefix":"10.3390","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5643-9948","authenticated-orcid":false,"given":"Shalet","family":"James","sequence":"first","affiliation":[{"name":"Department of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USA"},{"name":"Department of Psychology and Neuroscience, Nova Southeastern University, Fort Lauderdale, FL 33314, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexie","family":"Oppermann","sequence":"additional","affiliation":[{"name":"Department of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlin M.","family":"Schotz","sequence":"additional","affiliation":[{"name":"University of Maryland Medical System, Baltimore, MD 21201, USA"},{"name":"University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mackenzie M.","family":"Minotti","sequence":"additional","affiliation":[{"name":"University of Maryland Medical System, Baltimore, MD 21201, USA"},{"name":"University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USA"},{"name":"St. Luke\u2019s University Health Network, Easton, PA 18045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam G.","family":"Rao","sequence":"additional","affiliation":[{"name":"University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USA"},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9828-9986","authenticated-orcid":false,"given":"Ian R.","family":"Kleckner","sequence":"additional","affiliation":[{"name":"Department of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USA"},{"name":"University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3974-8107","authenticated-orcid":false,"given":"Brenton J.","family":"Baguley","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition, Deakin University, Geelong, VIC 3220, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5088-1139","authenticated-orcid":false,"given":"Amber S.","family":"Kleckner","sequence":"additional","affiliation":[{"name":"Department of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USA"},{"name":"University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD 21201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,24]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization, and International Agency for Research on Cancer (2022). 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