Obesity in breast cancer patients after oncological treatment. How to conduct a nutritional intervention?

Abstract

Obesity in breast cancer patients is a significant predictor of morbidity as well as adverse treatment outcomes. It correlates with poorer response to treatment, particularly affecting survival length and quality of life. This paper aims to describe the relationship between obesity and breast cancer prognosis, highlighting the importance of integrated prehabilitation strategies. Prehabilitation, which includes nutritional counseling, psychological support, and physical activity, is proposed as a proactive approach to prepare patients for the rigors of cancer treatment, such as surgery, chemotherapy, and radiation therapy. The results emphasize the need to maintain optimal weight and body composition through dietary adjustments, particularly high protein intake, and physical rehabilitation. An interdisciplinary approach, including the involvement of oncologists, nutritionists, psychologists, and physiotherapists, is crucial for successful treatment outcomes.