Nutrition, Metabolism, and Integrative Approaches in Cancer Survivors

Sierpina, Victor S.; L, Levine; McKee, Julie; Campbell, Christina; Lian, Sungmi; Frenkel, Moshe

doi:10.1016/j.soncn.2014.11.005

Cited by 21 publications

(27 citation statements)

References 41 publications

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“…Not surprisingly, healthcare providers are also more focused on cancer follow-up and diagnostic examination of recurrent cancers [ 28 ]. For these reasons, although patients, families, and healthcare providers often find it difficult to discuss issues regarding MetS, healthcare providers have to be responsible for providing educational support to families as well as cancer survivors in order to create the necessary awareness about MetS while undergoing cancer treatment [ 29 ]. Ultimately, healthcare providers should provide total care to cancer survivors to manage MetS as well as cancer symptoms and recurrence.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the awareness and knowledge of cancer survivors regarding the components of metabolic syndrome

et al. 2018

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This study aimed to assess the prevalence of metabolic syndrome and the level of knowledge and awareness of its related conditions in a sample of cancer survivor patients. In this cross-sectional survey, a self-reported questionnaire was administered to outpatients aged >20 years with a diagnosis of cancer. This self-reported questionnaire on patient demographic characteristics, disease characteristics, and knowledge and awareness of metabolic syndrome was used as an instrument to assess patient’s knowledge of metabolic syndrome. A total of 88 participants were included; of these 34.1% had metabolic syndrome, although only 6.8% of participants were diagnosed with metabolic syndrome. Over half of the participants had heard about metabolic syndrome; however, 70% of the participants did not know about the blood tests for the diagnosis of metabolic syndrome although they were aware of the physical measurements, such as weight, blood pressure, and waist circumference. The highest proportion of correct answers for questions about metabolic syndrome was related to stroke, while the lowest was about cholesterol levels. The proportions of correct answers for selected parameters were as follows: diabetes, 39.1%; adiposity, 47.2%; hypertension, 46.8%; cholesterol levels, 36.7%; arteriosclerosis, 45.5%; myocardial infarction, 37.8%; and stroke, 62.8%. The results suggest that the level of knowledge of metabolic syndrome among the cancer survivors in our sample was poor, although more than one-third of them had metabolic syndrome. Thus, it is essential to educate cancer survivors about metabolic syndrome and its related conditions to improve their overall health and quality of life.

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Section: Discussionmentioning

confidence: 99%

“…Ultimately, healthcare providers should provide total care to cancer survivors to manage MetS as well as cancer symptoms and recurrence. It is important that healthcare providers are available, attentive, and sensitive to these concerns [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of the awareness and knowledge of cancer survivors regarding the components of metabolic syndrome

et al. 2018

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“…Since cancer and related treatments may be responsible for metabolic changes affecting nutritional requirements, dietary advice should be tailored to the individual patient and “hypocaloric alternative anti-cancer diets” (e.g. macrobiotic or vegan) are not recommended, as they could worsen protein-calorie intake with no proven benefits on recurrence rates 25 .…”

Section: Nutritional Counseling Complementary Nutrients and Oral Nutmentioning

confidence: 99%

Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)

Caccialanza¹,

Pedrazzoli²,

Cereda³

et al. 2016

J. Cancer

111

120

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Malnutrition is a frequent problem in cancer patients, which leads to prolonged hospitalization, a higher degree of treatment-related toxicity, reduced response to cancer treatment, impaired quality of life and a worse overall prognosis. The attitude towards this issue varies considerably and many malnourished patients receive inadequate nutritional support.We reviewed available data present in the literature, together with the guidelines issued by scientific societies and health authorities, on the nutritional management of patients with cancer, in order to make suitable and concise practical recommendations for appropriate nutritional support in this patient population. Evidence from the literature suggests that nutritional screening should be performed using validated tools (the Nutritional Risk Screening 2002 [NRS 2002], the Malnutrition Universal Screening Tool [MUST], the Malnutrition Screening Tool [MST] and the Mini Nutritional Assessment [MNA]), both at diagnosis and at regular time points during the course of disease according to tumor type, stage and treatment. Patients at nutritional risk should be promptly referred for comprehensive nutritional assessment and support to clinical nutrition services or medical personnel with documented skills in clinical nutrition, specifically for cancer patients. Nutritional intervention should be actively managed and targeted for each patient; it should comprise personalized dietary counseling and/or artificial nutrition according to spontaneous food intake, tolerance and effectiveness. Nutritional support may be integrated into palliative care programs. “Alternative hypocaloric anti-cancer diets” (e.g. macrobiotic or vegan diets) should not be recommended as they may worsen nutritional status.Well-designed clinical trials are needed to further our knowledge of the nutritional support required in different care settings for cancer patients.

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“…5 Besin takviyeleri kanser tanısı almış hastalar arasında sıklıkla kullanılmaktadır ve tahmini kullanım oranı %20.0-90.0 olarak bildirilmektedir. 6 Amerikan Diyet Suplemanı Sağlık ve Eğitimi Dairesi'ne (DSHEA) göre besin takviyeleri tanımı; diyeti takviye etme amacı olan vitamin, mineral aminoasit, bitki ya da diğer botaniklerin bir ya da birkaçını içeren (tütün harici) ürün olarak tanımlamaktadır. [7][8][9] Amerikan Kanser Derneği hastaların besin öğesi gereksinmelerinin diyet tarafından karşılanması gerektiğini, ancak besin öğesi yetersizliklerinin klinik, biyokimyasal olarak gösterilmesi ya da hastaların gereksinmesinin 2/3' den daha azını karşılayabilmesi halinde besin takviyesi kullanımını önermektedir.…”

Section: Introductionunclassified

Comparison of the nutritional habits, food frequency, use of nutritional supplements and affecting factors in cancer patients before and after diagnosis

Öztürk

Ozerson

Özkara

2019

Mersin Üniversitesi Sağlık Bilimleri Dergisi

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Amaç: Tanı türlerine göre kanser hastalarının beslenme alışkanlıklarının, besin tüketim sıklığının tanı öncesi ve sonrası inceleyerek genel olarak ne gibi değişiklikler yapıldığının, kanser hastalarının besin takviyesi olarak en fazla hangilerini, ne amaçla kullanıldıklarının ve besin takviyesi kullanımının kimler tarafından şekillendirildiğinin saptanmasıdır. Yöntem: Çalışmaya 55 medikal onkoloji, 66 radyasyon onkolojisi hastası olmak üzere toplam 116 hasta katılmıştır. Bireylere genel bilgiler, beslenme alışkanlıkları, hastalık öncesi ve sonrası besin tüketim sıklıklarını sorgulayan anket yüz yüze görüşme yöntemi ile uygulanmıştır. Verilerin istatistiksel analizinde SPSS 15.0 programı kullanılmıştır. Anlamlılık p<0.05 düzeyinde değerlendirilmiştir. Bulgular: Hastaların %28.4' ünün besin takviyesi kullandığı, bireylerin daha çok doktor tavsiyesi ile tedaviye destek amaçlı besin takviyesi kullandıkları (sırası ile %75.8, %75.0) saptanmıştır. Besin takviyesi kullanımı yaş, cinsiyet, eğitim seviyesi ve tanı türü ile ilişkili olmayıp, besin takviyesi olarak en fazla omega 3 kullanılmaktadır. Besin takviyesi kullanan hastaların pişirme yöntemi olarak kızartma kullanma oranı, kullanmayan bireylere göre anlamlı düşük bulunmuştur (p<0.05). Bireylerin diyetisyene başvurma oranı %2.6' dır. Tüm bireylerin tanı öncesi ve sonrası besin tüketim sıklıklarına incelendiğinde anlamlı bir farklılık saptanmamıştır (p<0.05). Sonuç: Besin takviyesi kullanımı genel olarak doktorlar tarafından yönlendirilmektedir. Tanı sonrası sağlıklı seçimlere yönelimin sanıldığı kadar olmadığı gözlemlenmiştir. Literatürde gösterilmiş faydalarına rağmen hastaların beslenme danışmanlığı alma ve hastalığın tedavisinde beslenmenin etkisine olan inançları düşük bulunmuş, onkoloji diyetisyenliği branşlaşması ile hastaların bu konuda bilinçlendirilmesine yönelik çalışmaların arttırılmasının yararlı olacağı düşünülmüştür.

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Nutrition, Metabolism, and Integrative Approaches in Cancer Survivors

Cited by 21 publications

References 41 publications

Assessment of the awareness and knowledge of cancer survivors regarding the components of metabolic syndrome

Assessment of the awareness and knowledge of cancer survivors regarding the components of metabolic syndrome

Nutritional Support in Cancer Patients: A Position Paper from the Italian Society of Medical Oncology (AIOM) and the Italian Society of Artificial Nutrition and Metabolism (SINPE)

Comparison of the nutritional habits, food frequency, use of nutritional supplements and affecting factors in cancer patients before and after diagnosis

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