Exercise and Nutrition for Head and Neck Cancer Patients
Conditions
Cancer of Head and Neck
Conditions: official terms
Head and Neck Neoplasms
Conditions: Keywords
Head/Neck Cancer, Exercise, Progressive Strength Training, Quality of Life, Cancer, Randomized Controlled Trial, Nutrition, Lifestyle Intervention
Study Type
Interventional
Study Phase
N/A
Study Design
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
Intervention
Name: Lifestyle Intervention Type: Behavioral
Name: Maintenance Intervention Type: Behavioral
Overall Status
Recruiting
Summary
Research on physical activity and nutrition interventions aimed at positively impacting symptom management, treatment-related recovery and quality of life has largely excluded head and neck cancer populations. This translates into a lack of clinical programming available for these patient populations. Head and neck cancer patients deal with severe weight loss, with upwards of 70% attributed to lean muscle wasting, leading to extended recovery times, decreased quality of life (QoL), and impaired physical functioning. To date, interventions to address body composition issues have focused solely on diet, despite findings that nutritional therapy alone is insufficient to mitigate changes. A combined physical activity and nutrition intervention, that also incorporates important educational components known to positively impact behaviour change, is warranted for this population. Pilot work suggests that there is large patient demand and clinic support from the health care professionals for a comprehensive program. Therefore, the purpose of the present study is to examine the impact of timing of a 12-week PA and nutrition intervention (either during or following treatment) for HN cancer patients on body composition, recovery, serum inflammatory markers and quality of life. In addition, the investigators will examine the impact of a 12-week maintenance program, delivered immediately following the intervention, on adherence, patient-reported outcomes (i.e., management of both physical and psychosocial treatment-related symptoms and side-effects), as well as return to work. The investigators hypothesize that (1) patients who are randomized to the intervention at treatment start will experience improved symptom management and decreased lean body composition changes, directly improving recovery and QoL; (2) patients who receive a maintenance support program will have better long-term adherence and therefore superior treatment-related symptom management, physical and psychosocial functioning; and (3) return to work indices will improve and healthcare utilization costs will be lower in the participants who receive the immediate intervention (vs. delayed) as well as in those who receive the maintenance program (vs. no maintenance). This research will facilitate advancements in patient wellness, survivorship, and autonomy, and carve the path for a physical activity and wellness education model that can be implemented in other cancer centers.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Over 18 Years of Age

- Has received a diagnosis of nasopharyngeal, oropharyngeal or hypopharyngeal cancer

- Will receive radiation as part of treatment plan

- Able to walk without assistance

- Received clearance for exercise from treating oncologist

- Lives in Calgary, Alberta area

- Can speak and write English

- Is interested in participating in the study
Locations
Tom Baker Cancer Centre
Calgary, Alberta, Canada
Status: Recruiting
Contact: Lauren C Capozzi, PhD Student - 403-975-3344 - lcapozzi@ucalgary.ca
University of Calgary
Calgary, Alberta, Canada
Status: Recruiting
Contact: Lauren C Capozzi, PhD Student - 4039753344 - lcapozzi@ucalgary.ca
Start Date
June 2012
Completion Date
December 2014
Sponsors
University of Calgary
Source
University of Calgary
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page