title: Effect of Agaricus sylvaticus supplementation on nutritional status and adverse events of chemotherapy of breast cancer: a randomized, placebo-controlled, double-blind clinical trial.
abstract: BACKGROUND
  Breast cancer (BC) represents the highest incidence of malignancy in women throughout the world. Medicinal fungi can stimulate the body, reduce side-effects associated with chemotherapy and improve the quality of life in patients with cancer.
  
  
  OBJECTIVE
  To evaluate the effects of dietary supplementation of Agaricus sylvaticus on clinical and nutritional parameters in BC patients undergoing chemotherapy.
  
  
  METHODS
  A randomized, placebo-controlled, double-blind, clinical trial was carried out at the Oncology Clinic, Hospital of the Federal District-Brazil from September 2007 to July 2009. Forty six patients with BC, Stage II and III, were randomly assigned to receive either nutritional supplement with A. sylvaticus (2.1 g/day) or placebo. Patients were evaluated during treatment period.
  
  
  RESULTS
  Patient supplemented with A. sylvaticus improved in clinical parameters and gastrointestinal functions. Poor appetite decreased by 20% with no changes in bowel functions (92.8%), nausea and vomiting (80%).
  
  
  CONCLUSIONS
  Dietary supplementation with A. sylvaticus improved nutritional status and reduced abnormal bowel functions, nausea, vomiting, and anorexia in patients with BC receiving chemotherapy.
authors.affiliation: Departamento de Nutrição Clínica- University of Brasilia-DF, Brazil.
authors.forename: Fabiana
authors.initials: F
authors.lastname: Valadares
authors.forename: Maria Rita Carvalho
authors.initials: MR
authors.lastname: Garbi Novaes
authors.forename: Roberto
authors.initials: R
authors.lastname: Cañete
mesh_terms: D000328:Adult; D000364:Agaricus; D000970:Antineoplastic Agents / Q000009:adverse effects; D001943:Breast Neoplasms / Q000188:drug therapy*; D045424:Complex Mixtures / Q000494:pharmacology*; D019587:Dietary Supplements; D004311:Double-Blind Method; D064420:Drug-Related Side Effects and Adverse Reactions / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009752:Nutritional Status / Q000187:drug effects
chemical_list: D000970:Antineoplastic Agents; D045424:Complex Mixtures
keywords: Agaricus sylvaticus; chemotherapy side effects; nutritional status