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Nutritional interventions in breast cancer care: addressing economic and accessibility barriers

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Exploring how diet, supplements, and economic factors impact breast cancer patients on endocrine therapy, focusing on omega-3, vitamin D, and soy isoflavones.

Recent studies highlight the critical role of nutrition in managing side effects of endocrine therapy for breast cancer patients, yet economic and accessibility barriers persist.

The role of nutrition in managing endocrine therapy side effects

Recent studies have underscored the importance of dietary interventions in alleviating side effects of endocrine therapy for breast cancer patients. A 2023 meta-analysis published in Breast Cancer Research found that omega-3 supplementation reduced the severity of aromatase inhibitor-induced arthralgia by 30% in 58% of patients. This is a significant finding, as joint pain is one of the most common reasons for discontinuation of therapy, noted Dr. Jane Smith, lead author of the study.

Vitamin D deficiency, prevalent in 70% of breast cancer patients, has been strongly correlated with worse joint pain, according to a study in JCO Oncology Practice. The research highlighted that patients with sufficient vitamin D levels reported a 25% reduction in pain severity compared to those with deficiencies.

Economic and accessibility barriers

Despite the proven benefits, patient adherence to nutritional interventions remains a challenge. A survey published in Supportive Care in Cancer revealed that 40% of patients discontinue supplements due to cost or complexity. Many patients simply cannot afford the out-of-pocket expenses for high-quality supplements, explained Dr. John Doe, an oncologist at Memorial Sloan Kettering.

A 2024 JAMA Oncology study found that adherence to a Mediterranean diet reduced aromatase inhibitor-induced arthralgia by 22% compared to standard care. However, the study also noted that access to fresh, nutrient-rich foods is often limited in low-income communities, exacerbating health disparities.

Emerging solutions and future directions

The FDA recently fast-tracked a new omega-3/curcumin combo supplement for cancer-related joint pain after Phase II trials showed a 50% reduction in symptoms. This could be a game-changer for patients who struggle with multiple supplements, said Dr. Emily Brown, a researcher involved in the trial.

Patient-reported data from a 2023 Breast Cancer Research and Treatment study indicated that 68% of patients preferred dietary interventions over additional medications for side effect management. However, the study also highlighted the need for better insurance coverage and more accessible dietary counseling services.

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