A narrative review on the potential of red beetroot as an adjuvant strategy to counter fatigue in children with cancer

Maria C. Swartz, Kaitlyn Allen, Rachel R. Deer, Elizabeth J. Lyons, Michael D. Swartz, Tom Clifford

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Cancer-related fatigue (CRF) is a debilitating adverse effect among children with cancer and a significant barrier to physical activity (PA) participation. PA interventions are effective at reducing fatigue and improving both quality of life (QOL) and functional outcomes in children with cancer. However, 50–70% of children with cancer do not meet PA guidelines. Thus, adjuvant methods are needed to increase PA participation. Given the growing interest in the use of beetroot juice to reduce exercise-induced fatigue, our narrative review evaluated the potential use of beetroot to improve PA participation to counter CRF and improve QOL. Our review of 249 articles showed a lack of published clinical trials of beetroot in children and adults with cancer. Trials of beetroot use had been conducted in a noncancer population (n = 198), and anticancer studies were primarily in the preclinical phase (n = 40). Although results are promising, with beetroot juice shown to counter exercise-induced fatigue in a variety of athletic and patient populations, its use to counter CRF in children with cancer is inconclusive. Pilot and feasibility studies are needed to examine the potential benefits of beetroot to counter CRF, increase PA participation, and improve QOL in children with cancer.

Original languageEnglish (US)
Article number3003
JournalNutrients
Volume11
Issue number12
DOIs
StatePublished - Dec 2019

Keywords

  • Beetroot
  • Betalains
  • Childhood cancer
  • Exercise
  • Fatigue
  • Neoplasms
  • Nutrition
  • Pediatric cancer

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

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