Nutritional support in allogeneic hematopoietic stem cell transplantation Asian perspective

Fuji, Shigeo; Cheng, Jessica; Yakushijin, Kimikazu; Wanitpongpun, Chinadol

doi:10.31547/bct-2021-024

Cited by 2 publications

(1 citation statement)

References 59 publications

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“…Atrophy of GI mucosa, weakness of gut barrier function, and lack of gut bacterial fermentation associated with sole PN support may partially explain poor patient outcomes. A comprehensive evaluation of individual patients’ nutritional status will be the foundation for optimal dietary management for this patient group ( 27 ).…”

Section: Routes Of Nutritional Support and Gvhdmentioning

confidence: 99%

From support to therapy: rethinking the role of nutrition in acute graft-versus-host disease

et al. 2023

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Allogeneic Hematopoietic stem cell transplantation (HSCT) offers a potential cure for patients with hematologic malignancies. Unfortunately, graft-versus-host disease (GVHD) remains a major obstacle to the greater success of this treatment. Despite intensive research efforts over the past several decades, GVHD is still a major cause of morbidity and mortality in patients receiving allogeneic HSCT. The genetic disparity between donor and recipient is the primary factor that dictates the extent of alloimmune response and the severity of acute GVHD (aGVHD). However, some nongenetic factors are also actively involved in GVHD pathogenesis. Thus, identifying host factors that can be readily modified to reduce GVHD risk is of important clinical significance. We are particularly interested in the potential role of nutrition, as a nongenetic factor, in the etiology and management of aGVHD. In this article, we summarize recent findings regarding how different routes of nutritional support and various dietary factors affect aGVHD. Since diet is one of the most important factors that shape gut microbiota, we also provide evidence for a potential link between certain nutrients and gut microbiota in recipients of allogeneic HSCT. We propose a shifting role of nutrition from support to therapy in GVHD by targeting gut microbiota.

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Section: Routes Of Nutritional Support and Gvhdmentioning

confidence: 99%

From support to therapy: rethinking the role of nutrition in acute graft-versus-host disease

et al. 2023

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Patient perspectives on dietitians’ role in nutrition management among cancer patients: Implications for proactive care and communication

Ece,

Demirel,

Bayoğlu

et al. 2024

Clin Sci Nutr

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Objective: This study aimed to determine patients’ perspectives regarding the role of dietitians in nutrition management. Methods: This study was conducted at our hospital’s oncology outpatient clinics. It used a questionnaire previously reported in the literature. One hundred sixty-two adult volunteers were included in this study. Patients’ knowledge of nutritional information, preferences for nutrition care, and perspectives on the dietitian’s role were measured. Descriptive statistics were used to describe the continuous variables. The degree of agreement was assessed using a 5-point Likert scale. Results: Nutritional care was a high priority for most volunteers (74.7%). Almost half of the patients expressed a need for dietitians to address their dietary challenges proactively. Most patients (64.2%) first met with a dietitian during ongoing treatment. They emphasized the need for frequent meetings and were willing to be referred to a dietitian earlier in their treatment. Conclusions: Most patients are referred to a dietitian after malnutrition, indicating the need for earlier intervention. Patients strongly desire improved communication among the healthcare team members regarding their nutritional concerns. Proactive nutritional management can reduce the incidence of malnutrition and enhance patient outcomes.

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Nutritional support in allogeneic hematopoietic stem cell transplantation Asian perspective

Cited by 2 publications

References 59 publications

From support to therapy: rethinking the role of nutrition in acute graft-versus-host disease

From support to therapy: rethinking the role of nutrition in acute graft-versus-host disease

Patient perspectives on dietitians’ role in nutrition management among cancer patients: Implications for proactive care and communication

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