Protocols Related to Nutritional Anamnesis in Head and Neck Cancer Patients

Büntzel, Judith; Büntzel, Jens

doi:10.1007/978-1-0716-2345-9_14

Cited by 1 publication

(5 citation statements)

References 16 publications

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“…Similar information will be received by using the PG SGA as a shortened screening instrument. Adding four items [ 11 ] to our nutritional screening, asking whether patients avoided or preferred certain foods from the time of cancer diagnosis, used micronutrients, or even followed a specific (cancer) diet, adds valuable information to the patients’ history.…”

Section: Discussionmentioning

confidence: 99%

“…Both tools only register malnutrition, which might be a subsequent consequence of adhering to a specific diet. Therefore, our group proposed a short four-item questionnaire to assess for both specific cancer diets and dietary changes/intake of nutritional supplements [ 11 ]. Data on users of specific cancer diets are, to our knowledge, not available.…”

Section: Discussionmentioning

confidence: 99%

“…All included patients were screened with the NRS2002 and a four-item questionnaire proposed to identify dietary changes in cancer patients [ 11 , 12 ]. The NRS-2002 is a validated tool which offers a pre-screen, evaluating general low nutritional intake, weight loss, low BMI, or disease severity.…”

Section: Methodsmentioning

confidence: 99%

“…The four-item questionnaire includes the following questions: (1) “Do you dispense or avoid specific food?”, (2) “Do you prefer specific food?”, (3) “Do you take additional supplements?”, and (4) “Do you follow a specific diet strategy?”. Patients are asked to answer if changes in nutritional behavior occurred after getting the diagnosis of cancer [ 11 ]. “Dietary changes” were defined as changes (avoidance/preference) in consuming specific foods, while a “specific cancer diet” was defined as the conscious decision to follow a specific dietary regimen.…”

Section: Methodsmentioning

confidence: 99%

“…This argues to not only assess for malnutrition but also dietary changes. We recently proposed a short questionnaire to detect cancer diets [ 11 ]. We propose to combine the latter with the Appendix A NRS-2002 [ 12 ] and present here a cohort of 235 cancer patients assessed for both malnutrition and dietary changes.…”

Section: Introductionmentioning

confidence: 99%

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Why We Should Look at Dinner Plates: Diet Changes in Cancer Patients

et al. 2023

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Objective: Malnutrition is often underestimated in the context of cancer therapy: the dietary trends initiated by patients after diagnosis are usually neither known to nor evaluated by the medical staff. Here, we propose a combined screening instrument evaluating malnutrition and dietary trends. Methods: The validated screening tool NRS-2002 was combined with a four-item questionnaire assessing whether (1) patients preferred certain foods, (2) avoided certain foods, (3) used dietary supplements or followed a special diet since the time of cancer diagnosis. The screening tool was routinely used by cancer patients in the daily practice of three oncological departments. The presented analysis was performed retrospectively and anonymized. Results: Overall, 102 cancer patients undergoing systemic therapy (CP), 97 undergoing radiation therapy (RP), and 36 head–neck cancer patients (HNP) were screened. The CP cohort showed a higher rate of malnutrition (50.00%) than the HNP (28.13%) or RP (26.80%) cohort. Overall, diet changes were observed in 33.63% of all patients. Avoiding meat, stimulants, or hard and edgy food was often mentioned in free text answers, while patients reported a preference for fruit and vegetables. Nutritional supplements were used by 28.76% of the patients. While dietary changes were common, only 6.64% of the patients mentioned adhering to a specific cancer diet. Conclusion: Malnutrition is still underestimated nowadays. Diet trends, especially avoiding certain foods, are common in cancer patients, while adhering to a specific cancer diet is an exception. Diet trends should be assessed and addressed to avoid or aggravate malnutrition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%