MONDAY, Feb. 28 (HealthDay News) -- Cancer patients undergoing
chemotherapy may be able to avoid the accompanying muscle loss and
malnutrition by taking fish oil supplements that contain omega-3
fatty acids, new research suggests.
The finding is based on a small study involving just 40 lung
cancer patients. Nevertheless, it raises hope that a simple,
noninvasive intervention might go a long way towards countering the
fatigue, poorer prognosis and impaired quality of life that can
result from chemo-induced muscle mass loss.
"Fish oil may prevent loss of weight and muscle by interfering with some of the pathways that are altered in advanced cancer," study author Dr. Vera Mazurak, of the University of Alberta in Edmonton, Canada, said in a news release. "This holds great promise, because currently there is no effective treatment for cancer-related malnutrition."
Mazurak and her colleagues report their observations in the Feb.
28 online edition of
Cancer.
To explore the therapeutic potential of fish oil supplements,
the authors offered 16 cancer patients undergoing an initial
10-week chemotherapy regimen a daily dose of 2.2 grams of a
particular omega-3 fatty acid called eicosapentaenoic (EPA).
While these patients took fish oil supplements throughout their
chemotherapy treatment, a second group of 24 patients underwent the
same regimen minus the fish oil.
The results: continual muscle and fat measurements revealed that
the group that took no fish oil supplementation lost an average of
just over 5 pounds; the supplement group lost no weight.
What's more, blood analyses revealed that those in the fish oil
group who had the biggest bump in bloodstream EPA concentrations
also had the greatest muscle mass gains.
Specifically, nearly 70 percent of those in the fish oil group
either kept their pre-chemo muscle mass or gained muscle. By
comparison, less than 30 percent in the non-supplement group kept
their original muscle mass.
Total fat tissue measurements were unaffected by fish oil
supplementation, the team noted, and no side effects were
observed.
The authors concluded that fish oil supplementation appears to
be a safe and effective way to prevent malnutrition among cancer
patients, and may ultimately prove to be of benefit for other
groups of people, such as elderly patients who also face a
significant ongoing risk for muscle loss.
Lona Sandon, a registered dietitian and assistant professor of
clinical nutrition at the University of Texas Southwestern Dallas,
reacted with cautious optimism to the findings.
"Malnutrition is a big concern with cancer patients undergoing chemotherapy and radiation," she noted. "Because first of all they do have wasting from the cancer itself, which is very metabolically active and eats up your energy stores. And then with chemotherapy, there is some inflammation that's detrimental to the heart and muscle, as it can cause muscle breakdown. And preservation of lean muscle tissue, we know, leads to better outcomes."
"So certainly this does seem to be promising," Sandon said. "And other similar studies have looked at omega-3 and muscle preservation and have also suggested that fish oil can act to prevent inflammation caused by both disease and hardcore medications, like chemotherapy agents."
"But I would caution that the amount of pure concentrated fish oil supplement the people in this study were given is a lot," she added. "Much much more than any recommended dietary allowance, along the lines of two to three servings of fish per week."
But, she said, "I would say this is certainly worthy of
continuing research and exploration. But meanwhile, people should
definitely not go out and start consuming huge amounts of fish
oil."
More information
For more on chemotherapy, visit the
American Cancer Society.