A study in four European countries to examine the importance of sensory attributes of oral nutritional supplements on preference and likelihood of compliance

Ozcagli, T.G.; Stelling, J.; Stanford, Julia

doi:10.4318/tjg.2013.0646

Cited by 17 publications

(13 citation statements)

References 21 publications

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“…A variety of ONS is available, including milk-, juice-, and yoghurt-based ONS in several flavours. The hedonic evaluation of orosensory food cues under standardized conditions, also referred to as palatability [ 5 ], plays an important role in the acceptance of ONS [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

The palatability of oral nutritional supplements: before, during, and after chemotherapy

IJpma

Renken

Horst

et al. 2016

Support Care Cancer

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Purpose Oral nutritional supplements (ONS) are commonly prescribed to malnourished patients to improve their nutritional status. Taste and smell changes in patients with cancer can affect the palatability of ONS. The present study investigated: (1) the palatability of six ONS in testicular cancer patients before, during the first two cycles, and after chemotherapy; (2) the relation between the palatability and taste and smell function; (3) the metallic taste of these ONS. Methods Twenty-one testicular cancer patients undergoing first-line cisplatin-based chemotherapy participated. Two milkbased (vanilla; strawberry), two juice-based (apple; orange), and two yoghurt-based (vanilla-lemon; peach-orange) ONS were tested. A questionnaire was used to assess the palatability of ONS and to which extent the attribute 'metallic' was applicable. Taste and smell function were measured using taste strips and 'Sniffin' Sticks', respectively. Results The palatability of ONS was highly variable among patients. The milk-based strawberry ONS was preferred most before, during, and after chemotherapy. The liking of the milkbased vanilla ONS tended to decrease over time (p = 0.053), whereas the liking of the other ONS remained stable. A higher smell threshold and a lower sour taste threshold were correlated to a decreased liking of the milk-based vanilla ONS. The two juice-based ONS tended to taste more metallic during than before chemotherapy. Conclusion Health care professionals and patients should be aware that the palatability of ONS can change over time. Regular structured contact between health care professionals and patients regarding the choice of ONS seems warranted.

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Section: Introductionmentioning

confidence: 99%

The palatability of oral nutritional supplements: before, during, and after chemotherapy

IJpma

Renken

Horst

et al. 2016

Support Care Cancer

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“…Interestingly, earlier reports showed clear effects of product factors, like off-taste, mouthfeel, texture, and palatability, on ONS compliance (Methven et al, 2010;Nieuwenhuizen et al, 2010;Ozcagli et al, 2013). However, these studies focused specifically on product factors, so one would expect to find a relation (either positive or negative) between the investigated variables and ONS compliance.…”

Section: Discussionmentioning

confidence: 96%

“…Their compliance might therefore rely less on person factors and values, and more on attributes such as a good taste, small volume, or facilitation of ONS by their caregiver. Since next to associations with consumption, actual compliance to ONS is of importance (Hubbard et al, 2012;Nieuwenhuizen et al, 2010;Ozcagli et al, 2013), it may be interesting for future research to select participants based on their level of actual compliance, rather than on their living situation.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, Nieuwenhuizen et al (2010) reported a positive influence of liquid format and general palatability on ONS compliance in a group of care home living ONS users. Ozcagli, Stelling, and Stanford (2013) demonstrated that the acceptance of taste and oral sensation positively related to the likelihood of compliance in older persons. Furthermore, certain mouthfeel and off-taste attributes were observed to negatively impact compliance in older community-dwelling persons and hospital patients (Methven et al, 2010).…”

Section: Introductionmentioning

confidence: 97%

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That's why I take my ONS. Means-end chain as a novel approach to elucidate the personally relevant factors driving ONS consumption in nutritionally frail elderly users

et al. 2015

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“…Oral nutritional supplements may improve overall dietary intake in some patients [27]. Adherence to taking these may be improved with the added expertise of a dietician to discuss taste preference, formats of supplements available and suitable usage in addition to food [28–31]. When introducing them talking about ways other couples have coped in similar situations could be used as an indirect way of normalizing experience, supporting problem solving and reinforcing existing coping strategies [26 ▪ ,32].…”

Section: Case #1: Listed For Surgical Resectionmentioning

confidence: 99%

Practical multimodal care for cancer cachexia

Maddocks

Hopkinson

Conibear

et al. 2016

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of reviewCancer cachexia is common and reduces function, treatment tolerability and quality of life. Given its multifaceted pathophysiology a multimodal approach to cachexia management is advocated for, but can be difficult to realise in practice. We use a case-based approach to highlight practical approaches to the multimodal management of cachexia for patients across the cancer trajectory.Recent findingsFour cases with lung cancer spanning surgical resection, radical chemoradiotherapy, palliative chemotherapy and no anticancer treatment are presented. We propose multimodal care approaches that incorporate nutritional support, exercise, and anti-inflammatory agents, on a background of personalized oncology care and family-centred education. Collectively, the cases reveal that multimodal care is part of everyone's remit, often focuses on supported self-management, and demands buy-in from the patient and their family. Once operationalized, multimodal care approaches can be tested pragmatically, including alongside emerging pharmacological cachexia treatments.SummaryWe demonstrate that multimodal care for cancer cachexia can be achieved using simple treatments and without a dedicated team of specialists. The sharing of advice between health professionals can help build collective confidence and expertise, moving towards a position in which every team member feels they can contribute towards multimodal care.

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A study in four European countries to examine the importance of sensory attributes of oral nutritional supplements on preference and likelihood of compliance

Abstract: Girifl ve

Cited by 17 publications

References 21 publications

The palatability of oral nutritional supplements: before, during, and after chemotherapy

The palatability of oral nutritional supplements: before, during, and after chemotherapy

That's why I take my ONS. Means-end chain as a novel approach to elucidate the personally relevant factors driving ONS consumption in nutritionally frail elderly users

Practical multimodal care for cancer cachexia

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