PD809 - COMPARABLE EFFECTIVENESS OF SETA NUTRITIONAL COUNSELING ACROSS THREE ONCOLOGY CENTERS IN THE PROVINCE OF VICENZA

PD809

COMPARABLE EFFECTIVENESS OF SETA NUTRITIONAL COUNSELING ACROSS THREE ONCOLOGY CENTERS IN THE PROVINCE OF VICENZA

A. Ruaro^1,*, F. Busin², M. Baldo³, V. Mosele³, F. Bonamonte³, V. Tronca³, R. Giaretta³, R. De Vivo⁴, L. Borgato⁴, M. Padovani⁵, G. Ceretti⁵, F. Bassan⁶, C. Santini⁶

¹Curare a Casa ODV, ²Raggio di Sole ODV, ³Amici del Quinto Piano, ⁴Oncology, San Bortolo General Hospital, Vicenza, ⁵Oncology, Vittorio Emanuele II General Hospital, Montecchio Maggiore (VI), ⁶Oncology, Alto Vicentino General Hospital, Santorso (VI), Italy

Rationale: Lifestyle factors, including diet and physical activity, significantly influence the prognosis and treatment tolerance of oncology patients. The SeTA (Servizio Terapia Alimentare) service in Vicenza provides structured nutritional counseling to enhance adherence to healthy lifestyle guidelines. This study evaluated the consistency of the SeTA protocol's effectiveness across three different oncology centers.

Methods: This multicenter experimental study (January 2024–May 2025) enrolled 65 outpatients (Breast cancer: 70.8%; Colorectal: 9.2%; Other: 38.4%) from three clinics: Vicenza (n=20), Montecchio Maggiore (n=25), and Alto Vicentino (n=20). Patients were primarily undergoing hormone therapy (46%) or chemotherapy (43%). Assessments were conducted at baseline (T0) and at an 18-month follow-up (TF), utilizing the Medi-Lite score for diet, IPAQ for physical activity, BMI for obesity prevalence (BMI > 30 kg/m^2) and a 4-point self-assessment scale ranging from poor to excellent for Quality of Life (QoL).

Results: Significant clinical improvements were observed across all domains from T0 to TF. Obesity prevalence decreased by 7.7% (from 24.6% to 16.9%, p < 0.05). The Medi-Lite (MD) score increased by 2.2 ± 1.9 points (p < 0.0001), with 58.4% of patients improving by >2 MD points. Total activity rose by an average of 186 MET-min/week (p < 0.0001), driven largely by increased daily walking. A substantial 78% of patients successfully transitioned from "poor/sufficient" to "good/excellent" QoL (p < 0.0001). No significant differences (p > 0.05) were found between the three centers, regardless of tumor site or treatment phase.

Conclusion: The SeTA intervention demonstrated multicenter efficacy, validating structured lifestyle counseling as a standardized oncological component for optimizing patient outcomes and survivorship health.

Disclosure of Interest: None declared