Reevaluating the Neutropenic Diet: Time to Change

Foster, Melissa

doi:10.1188/14.cjon.239-241

Cited by 12 publications

(9 citation statements)

References 9 publications

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“…Only little evidence support a neutropenic diet to prevent infection for patients undergoing chemotherapy or radiotherapy, as the only few randomized control trials performed used variable methodologies and presented several limitations [ 79 , 80 ]. Indeed, a neutropenic diet may impose unnecessary food restrictions on patients who often consume insufficient dietary intakes [ 80 , 81 ].…”

Section: Discussionmentioning

confidence: 99%

Research- and Practice-Based Nutrition Education and Cooking Workshops in Pediatric Oncology: Protocol for Implementation and Development of Curriculum

et al. 2018

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BackgroundProgresses in childhood cancer treatment, diagnosis, and management have resulted in childhood cancer survival rates of over 80%. However, this therapeutic success comes with a heavy price: two-thirds of childhood cancer survivors will be affected by further complications, including cardiovascular and metabolic diseases. Adequate nutrition during cancer treatment is essential to ensure the child’s optimal development, improve tolerance to treatments, and can contribute to lower the risk of developing cardiometabolic diseases. Side effects of cancer treatments can negatively impact children’s nutritional intake and eating behaviors. Involving the families of childhood cancer patients in educational workshops could be a promising avenue to promote healthy eating during and after cancer treatment.ObjectiveThe objectives of this study were to develop, validate, and implement a family-based nutrition education and cooking workshop curriculum in a pediatric oncology setting that addresses the nutritional issues encountered during treatments while promoting the adoption of healthy eating habits for the prevention of long-term cardiometabolic effects.MethodsThe workshops were developed and validated following an 8-step iterative process, including a review of the literature and consultations with a steering committee. An evaluation tool was also developed. A nonrandomized study protocol was elaborated to implement the workshops and measure their impact. The themes of the 6 research- and practice-based lessons are as follows: meal fortification during cancer treatment, changes in taste during cancer therapy and their impact on children, adapting diet to eating-related side effects of treatments, nutritional support during cancer treatment, Mediterranean diet and health, and planning quick and economic meals. The validation process included consultations with the institution’s clinical nutrition professionals. Self-administered post questionnaires were developed according to the content of each workshop to measure short-term outcomes, namely, participants’ perception of knowledge acquisition, behavioral intention, and satisfaction. Medium-term outcomes that will be evaluated are participants’ anthropometric profile, quality of the diet, and circulating biomarkers of metabolic health.ResultsThe project was funded in 2016 and enrollment will be completed in 2021. Data analysis is currently under way and the first results are expected to be submitted for publication in 2019.ConclusionsThis research- and practice-based nutrition education and cooking demonstration curriculum could be a valuable complement to a multidisciplinary lifestyle intervention for the prevention of long-term cardiometabolic complications in childhood cancer.

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Section: Discussionmentioning

confidence: 99%

Research- and Practice-Based Nutrition Education and Cooking Workshops in Pediatric Oncology: Protocol for Implementation and Development of Curriculum

et al. 2018

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“…Recently, several authors have recommended that safe food handling procedures should be prioritized over a restricted neutropenic diet for immunocompromised patients. 3,6,20 Additionally, a review article by Fox and Freifeld highlighted that the first etiology of foodborne illness is unsafe handling of food, and that the available evidence fails to demonstrate that a neutropenic diet is free of food pathogens. 18 They further emphasize that there is insufficient evidence to address the hypothetical role of a neutropenic diet in preventing foodborne illnesses.…”

Section: Neutropenic Diets Commonly Exclude Vegetables and Fruits Basedmentioning

confidence: 99%

“…In general, this diet excludes raw fruits and vegetables based on the concept that some foods have a greater microbiological load that could be harmful . However, there is no scientific evidence to support its benefit, and this diet can lead to difficulties in compliance and oral intake . Moreover, the lack of knowledge regarding the neutropenic diet has led to a lack of uniformity in the dietary recommendations of centers .…”

Section: Introductionmentioning

confidence: 99%

“…1,2 However, there is no scientific evidence to support its benefit, 3 and this diet can lead to difficulties in compliance and oral intake. 6,7 Moreover, the lack of knowledge regarding the neutropenic diet has led to a lack of uniformity in the dietary recommendations of centers. 4,5 Therefore, the microbiological and nutritional contents of regular and neutropenic diets that are offered to pediatric patients were analyzed and compared.…”

Section: Introductionmentioning

confidence: 99%

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Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

Maia

Cruz

Gregianin

2017

Pediatric Blood & Cancer

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It has been hypothesized that a neutropenic diet has lower microbe content. Here, the microbiological and nutritional contents of regular and neutropenic diets offered to pediatric patients were analyzed. Microbiological contamination was detected in five of 36 of the food samples analyzed, yet there was no statistical differences between the diets (P = 1.00) or in their odds ratio (0.62) (95% CI = 0.05-6.35; P = 0.63). The strict neutropenic diet did have less fiber (P = 0.05) and vitamin C (P = 0.01). Thus, the regular diet appears safe, and possibly provides greater benefits, for pediatric patients with neutropenia.

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“…are still contradictory results about its efficacy [4][5][6][7][8][9][10][11][12] . The studies have suggested that raw and cooked diet have no effect on the infection incidence [4][5][6][7][8][9][10][11][12][13][14][15][16] and patients who adhere from the cooked dietary pattern, the principal of neutropenic diet, have significantly lower vitamin C intake (38.9%). Moreover, the level of vitamin C decreases in blood malignancies 17 .…”

Section: Introductionmentioning

confidence: 99%

Untitled

2020

IJPSR

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Background: Leukemia is the seventh common cancer in Iran, and AML is considered as the most common type. Malnutrition is common among patients with cancer. Vitamin C deficiency has a high prevalence among patients with cancer, which may influence a patient's survival chance. This study was aimed to evaluate the effect of vitamin C supplementation on nutritional status and serum albumin in patients with acute myeloid leukemia referred to Shariati Hospital in Tehran. Methods: This study was recruited by a randomized selection of 50 patients with AML, including entrance criteria, into 2 groups including the supplement group and control group. The duration of the study was 1 month. Nutritional status was assessed by the PG-SGA questionnaire, body weight, serum albumin status, and 3 days of food record before and at the end of the study. Results: The results of this study have shown that the nutritional status and body weight in the supplementation group have improved significantly (p-value=0.001 and 0.004, respectively). The serum albumin status has increased significantly in the supplementation group compared to the control group. (P-value=0.002). Conclusion: The results of this study have suggested that vitamin C supplementation in patients with AML under chemotherapy has improved nutritional status and reduced malnutrition due to chemotherapy side effects.

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Reevaluating the Neutropenic Diet: Time to Change

Cited by 12 publications

References 9 publications

Research- and Practice-Based Nutrition Education and Cooking Workshops in Pediatric Oncology: Protocol for Implementation and Development of Curriculum

Research- and Practice-Based Nutrition Education and Cooking Workshops in Pediatric Oncology: Protocol for Implementation and Development of Curriculum

Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

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