Treatment
Recommendation 1.2
➤ Oncology providers may recommend preoperative exercise for
patients undergoing surgery for lung cancer to reduce length
of hospital stay and post-operative complications. (Weak
recommendation; EB-B-L)
Diet
Recommendation 2.1
➤ There is currently insufficient evidence to recommend for
or against dietary interventions such as ketogenic or low
carbohydrate diets, low fat diets, functional foods, or fasting
to improve outcomes related to quality of life, treatment
toxicity, or cancer control.
Recommendation 2.2
➤ Neutropenic diets (specifically diets that exclude raw
fruits and vegetables) are not recommended to prevent
infection in cancer patients during active treatment. (Weak
recommendation; EB-H-L)
Recommendation 3
➤ There is currently insufficient evidence to recommend for or
against intentional weight loss or prevention of weight gain
interventions during active treatment to improve outcomes
related to quality of life, treatment toxicity, or cancer control.
Note: The Expert Panel felt strongly that the current lack of evidence
regarding diet and weight management interventions during cancer
treatment should be a call to conduct more research in these critical areas.
Diet and weight management strategies that provide health benefits to
the general population could also provide important benefits to people who
are undergoing cancer treatment. The Expert Panel is not discouraging
clinicians from discussing healthy diet and weight with their patients,
but did refrain from making specific recommendations, given gaps in the
evidence.
