Evidence map›Paper›PMID 32819413›Full record

ArticleBreast cancer research : BCR2020

Impact of a ketogenic diet intervention during radiotherapy on body composition: III-final results of the KETOCOMP study for breast cancer patients.

Rainer J Klement, Colin E Champ, Ulrike Kämmerer, Petra S Koebrunner, Kelley Krage, Gabriele Schäfer, M Weigel, Reinhart A Sweeney

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Breast cancer research : BCR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02516501 (Investigating the Impact of a Ketogenic Diet Intervention During Radiotherapy on Body Composition), which is not on this map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02516501 nacompletednot on this map

Investigating the Impact of a Ketogenic Diet Intervention During Radiotherapy on Body Composition: A Pilot Trial

TypeinterventionalSponsorMVZ Leopoldina GmbHRan2015 to 2021Enrolled156ConditionsNeoplasmsArmsMyAmino, betaquik, Radio(chemo)therapy
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rainer J KlementDepartment of Radiation Oncology, Leopoldina Hospital, Robert-Koch-Straße 10, 97422, Schweinfurt, Germany. rainer_klement@gmx.de.ORCID 0000-0003-1401-4270
Colin E ChampDepartment of Radiation Oncology, Duke University Medical Center, Durham, NC, USA.
Ulrike KämmererDepartment of Obstetrics and Gynaecology, University Hospital of Würzburg, Würzburg, Germany.
Petra S KoebrunnerDepartment of Radiation Oncology, Leopoldina Hospital, Robert-Koch-Straße 10, 97422, Schweinfurt, Germany.
Kelley KrageDepartment of Radiation Oncology, Leopoldina Hospital, Robert-Koch-Straße 10, 97422, Schweinfurt, Germany.
Gabriele SchäferDepartment of Radiation Oncology, Leopoldina Hospital, Robert-Koch-Straße 10, 97422, Schweinfurt, Germany.
M WeigelDepartment of Obstetrics and Gynaecology, Leopoldina Hospital, Breast Cancer Centre, Schweinfurt, Germany.
Reinhart A SweeneyDepartment of Radiation Oncology, Leopoldina Hospital, Robert-Koch-Straße 10, 97422, Schweinfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity and low muscle mass are associated with worse outcomes of breast cancer patients. We conducted a controlled trial to study the impact of a ketogenic diet (KD) based on natural foods versus an unspecified standard diet (SD) on body composition in breast cancer patients undergoing radiotherapy.

methodsPatients with non-metastasized breast cancer were allocated to either the KD (N = 32) or the SD (N = 31) during radiotherapy. Body composition was measured weekly by bioimpedance analysis. Blood parameters and quality of life were assessed before, during, and at the end of radiotherapy.

resultsA total of 29 KD and 30 SD patients completed the study. During radiotherapy, mean and median fasting BHB concentrations in the KD group were 0.72 and 0.49 mmol/l (range 0.06-4.9) which was significantly higher than those in the SD group (p < 2.2 × 10

conclusionsIn breast cancer patients undergoing curative radiotherapy, a KD based on natural foods is feasible. After initial water losses, the KD tends to reduce body weight and fat mass while preserving fat free and skeletal muscle mass.

trial registrationClinicalTrials.gov identifier: NCT02516501 , registered on August 06, 2015.

Indexed as

Body CompositionBody WeightQuality of LifeAdultAgedBreast NeoplasmsDiet, KetogenicFemaleHumansMiddle AgedPatient SafetyProspective StudiesTreatment OutcomeBioimpedance analysisDietKetone bodiesNutrition

Identifiers

PMID32819413
PMCPMC7441712

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.