Nutrition in Cancer Therapy in the Elderly—An Epigenetic Connection?

Błasiak, Janusz; Chojnacki, Jan; Pawłowska, Elżbieta; Szczepańska, Joanna; Chojnacki, Cezary

doi:10.3390/nu12113366

Cited by 17 publications

(11 citation statements)

References 106 publications

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“…They reported a need for nutrition-related guidelines and correct medical knowledge to better care for their patients at home. The finding regarding nutrition echoes a previous study that found nutrition to be a major concern of older patients with cancer because of physical function decline, comorbidities, and treatment-related side effects such as vomiting, mucositis, and nausea (Blasiak et al, 2020). Older patients with cancer who are malnourished face an up to 1.87 times higher risk of all-cause mortality (Zhang et al, 2021).…”

Section: Discussionsupporting

confidence: 73%

Experiences of Family Caregivers Providing Home Care to Older Patients With Cancer: A Qualitative Study

YANG,

TSENG,

LIAO

et al. 2023

Journal of Nursing Research

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Background Older patients with cancer receive anticancer therapy in outpatient settings, and care-related issues may occur after discharge, which often requires family caregivers (FCs) to play a significant role in providing cancer care at home. However, relatively few studies have been focused on exploring the care experiences of these FCs. Purpose The aim of this study was to explore the care experiences of FCs caring for older family members with cancer at home. Methods A qualitative study design and in-depth individual interviews were used to explore the at-home care experiences of FCs of older patients with cancer. The research was conducted in chemotherapy outpatient settings of a medical center in northern Taiwan. Content analysis was used to analyze data. The analyses focused on first extracting meaningful units from the text and then inducting categories from these units and determining the major themes. Results Twenty FCs were interviewed. The three themes identified included (a) increased information needs and challenges in diet preparation and treatment decision making, (b) personal and patient-induced emotional stress, and (c) life rebalancing through the care experience. Conclusions/Implications for Practice The findings highlight the educational requirements, especially related to meeting personal dietary needs and obtaining psychological support, for FCs caring for older patients with cancer to help them rebalance their life.

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Section: Discussionsupporting

confidence: 73%

Experiences of Family Caregivers Providing Home Care to Older Patients With Cancer: A Qualitative Study

YANG,

TSENG,

LIAO

et al. 2023

Journal of Nursing Research

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“…Malnutrition due to protein energy deficiency is the most common nutritional disorder in the elderly (24). With age, the need for vitamins such as protein, calcium, vitamin D, B12 and folate increases and the need for calories decreases (25).…”

Section: Discussionmentioning

confidence: 99%

An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers

SARIKAHYA

Güden

Çelebi

2022

Acibadem Univ Saglik Bilim Derg

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Objectives: The main objective of palliative care is to keep symptoms under control and to increase the quality of life. The purpose of this study is to define the serum albumin and vitamin 25-hydroxy D (25 [OH] D) levels in patients who receive palliative care. Material/Method: This study has been carried out in a descriptive-retrospective manner. Demographic data and laboratory results of 41 patients hospitalized in a State Hospital Palliative Care Center were analyzed. Results: A ratio of 48.8% of the participants was female, 51.2% was male and the average age was 74.21 ± 2.21 (Min: 40-Max: 96). A rate of 22% of the patients suffered from cerebrovascular disease, 19.5% from Alzheimer, 9.8% from heart failure, 7.3% from oral intake disorders. The serum albumin levels were found to be low in 80.5% of the patients, the serum calcium levels were normal in 70.7%. A lack of Vitamin D was found in 63.4% of the patients and 19.5% suffered from vitamin D deficiency, while the vitamin D level was found to be normal in only 17.1% of the patients. The average 25 (OH) D level of the patients was found to be 17.1 ± 15.54 ng / mL. Conclusion: Patients who are followed up within the scope of palliative care are at risk of malnutrition, low serum albumin levels and vitamin D deficiency. Therefore the follow-up and treatment of patients is important in this respect.

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“…Malnutrition is another key indicator of poor clinical outcomes for people with cancer [ 38 ] which can lead to a multitude of problems including decreasing efficacy of cancer therapy and reduction in quality of life [ 39 ]. A recent systematic review and meta-analysis on the subject [ 40 ] identified 42 studies which found that decreased food intake was associated with increased mortality from cancer treatment (both surgery and other treatments).…”

Section: Challenges and Potential Solutionsmentioning

confidence: 99%

Challenges in Geriatric Oncology—A Surgeon’s Perspective

Parks

Cheung

2022

Current Oncology

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As our global population ages, we will see more cancer diagnoses in older adults. Surgery is an important treatment modality for solid tumours, forming the majority of all cancers. However, the management of older adults with cancer can be more complex compared to their younger counterparts. This narrative review will outline the current challenges facing older adults with cancer and potential solutions. The challenges facing older adults with cancer are complex and include lack of high-level clinical trials targeting older adults and selection of the right patient for surgery. This may be standard surgical treatment, minimally invasive surgery or alternative therapies (no surgery) which can be local or systemic. The next challenge is to identify the individual patient’s vulnerabilities to allow them to be maximally optimised for treatment. Prehabilitation has been shown to be of benefit in some cancer settings but uniform guidance across all surgical specialties is required. Greater awareness of geriatric conditions amongst surgical oncologists and integration of geriatric assessment into a surgical clinic are potential solutions. Enhanced recovery programmes tailored to older adults could reduce postoperative functional decline. Ultimately, the greatest challenge an older adult with cancer may face is the mindset of their treating clinicians—a shared care approach between surgical oncologists and geriatricians is required.

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Nutrition in Cancer Therapy in the Elderly—An Epigenetic Connection?

Cited by 17 publications

References 106 publications

Experiences of Family Caregivers Providing Home Care to Older Patients With Cancer: A Qualitative Study

Experiences of Family Caregivers Providing Home Care to Older Patients With Cancer: A Qualitative Study

An analysis of Albumin and Vitamin D Deficiency in Patients Treated in Palliative Care Centers

Challenges in Geriatric Oncology—A Surgeon’s Perspective

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