Comparison of the effect of individual dietary counselling and of standard nutritional care on weight loss in patients with head and neck cancer undergoing radiotherapy
Manon G. A. van den BergEllen L. Rasmussen‐ConradKoko H. WeiH. Lintz-LuidensJ.H.A.M. KaandersMatthias A.W. Merkx
121
Citation
23
Reference
10
Related Paper
Citation Trend
Abstract:
Clinical research shows that nutritional intervention is necessary to prevent malnutrition in head and neck cancer patients undergoing radiotherapy. The objective of the present study was to assess the value of individually adjusted counselling by a dietitian compared to standard nutritional care (SC). A prospective study, conducted between 2005 and 2007, compared individual dietary counselling (IDC, optimal energy and protein requirement) to SC by an oncology nurse (standard nutritional counselling). Endpoints were weight loss, BMI and malnutrition (5 % weight loss/month) before, during and after the treatment. Thirty-eight patients were included evenly distributed over two groups. A significant decrease in weight loss was found 2 months after the treatment ( P = 0·03) for IDC compared with SC. Malnutrition in patients with IDC decreased over time, while malnutrition increased in patients with SC ( P = 0·02). Therefore, early and intensive individualised dietary counselling by a dietitian produces clinically relevant effects in terms of decreasing weight loss and malnutrition compared with SC in patients with head and neck cancer undergoing radiotherapy.Keywords:
Medical nutrition therapy
Nutritional Supplementation
Gastrointestinal cancer
Nutritional Supplementation
Medical nutrition therapy
Cite
Citations (76)
Malnutrition in surgical patients typically manifests as decreased nutritional intake, unintentional weight loss, and/or loss of muscle mass and function (or sarcopenia), and results in increased post-operative morbidity and prolonged length of stay. Routine, pre-operative nutrition screening is warranted for all patients undergoing surgery. Nutrition priorities should focus on evaluating the patient for pre-existing malnutrition and nutritional therapy to optimise surgical readiness, minimise starvation, prevent post-operative malnutrition, and support anabolism for recovery.
Nutritional Supplementation
Medical nutrition therapy
Cite
Citations (0)
Hypermetabolism
Medical nutrition therapy
Modalities
Cite
Citations (5)
The incidence of postoperative morbidity and mortality are higher in patients with preoperative malnutrition in esophageal cancer patients. Oral intake tends to decrease during preoperative chemotherapy, and nutritional status is likely to worsen. When nutrition intake decreases, catabolism increases and muscle mass can decrease. It has been reported that related to preoperative sarcopenia and the onset and prognosis of postoperative complications. It has been reported to be associated with preoperative sarcopenia and the incident of postoperative complications and prognosis. Early nutritional assessment and interventions should improve nutritional status before surgery. Amino acid intake and exercise therapy improve exercise capacity such as walking. It is expected that a synergistic effect on the improvement of long-term prognosis by nutrition therapy and exercise therapy. Our hospital has introduced a enhanced preoperative nutrition rehabilitation program for undernourished patients. Immuno-nutrition therapy, exercise therapy, and postexercise branched-chain amino acid preparations are administered. During surgery for such malnourished patient, it is necessary to minimize the surgical invasion and to avoid complications. It is important to have continuous nutritional evaluation, intervention and rehabilitation by various occupations from the initial diagnosis to the perioperative period as well as during outpatient follow-up after discharge.
Medical nutrition therapy
Nutritional Supplementation
Prehabilitation
Clinical nutrition
Cite
Citations (1)
Nutrition is an important part on the implementation of cancer, both in patients who are undergoing therapy, restoration of the therapy, in a State of remission or to prevent a recurrence. Nutritional status in cancer patients is known to correlate with response therapy, prognosis and quality of life. More or less 30-87% of cancer patients experiencing malnutrition before undergoing therapy. The incidence of malnutrition vary depending on the origin of cancer, for example in patients with pancreatic cancer and gaster are experiencing malnutrition to 85%, 66% in lung cancer, and 35% in breast cancer. One of the problems of nutrients that need attention in cancer patients is the kaheksia. The malnutrition common in advance because the nutrition component of the intake not as recommended.
Medical nutrition therapy
Artificial nutrition
Cite
Citations (0)
The incidence of postoperative morbidity and mortality are higher in patients with preoperative malnutrition in esophageal cancer patients. Oral intake tends to decrease during preoperative chemotherapy, and nutritional status is likely to worsen. When nutrition intake decreases, catabolism increases and muscle mass can decrease. It has been reported that related to preoperative sarcopenia and the onset and prognosis of postoperative complications. It has been reported to be associated with preoperative sarcopenia and the incident of postoperative complications and prognosis. Early nutritional assessment and interventions should improve nutritional status before surgery. Amino acid intake and exercise therapy improve exercise capacity such as walking. It is expected that a synergistic effect on the improvement of long-term prognosis by nutrition therapy and exercise therapy. Our hospital has introduced a enhanced preoperative nutrition rehabilitation program for undernourished patients. Immuno-nutrition therapy, exercise therapy, and postexercise branched-chain amino acid preparations are administered. During surgery for such malnourished patient, it is necessary to minimize the surgical invasion and to avoid complications. It is important to have continuous nutritional evaluation, intervention and rehabilitation by various occupations from the initial diagnosis to the perioperative period as well as during outpatient follow-up after discharge.
Medical nutrition therapy
Nutritional Supplementation
Prehabilitation
Clinical nutrition
Cite
Citations (0)
Nutritional issues in inflammatory bowel disease (IBD) often receive inadequate attention both in regard to therapy and nutritionally related complications of IBD. This article reviews much of the research that has evaluated the role of diet in the causation, primary treatment, and adjunctive therapy of both ulcerative colitis (UC) and Crohn's disease (CD). Benefits have been demonstrated in the use of elemental diets or polymeric diets in CD in both acute flare up or maintenance of IBD. A careful team approach can overcome problems in implementing nutritional therapy. Nutrition also has a critical benefit in postoperative CD and perioperative UC. Numerous easily corrected, nutritional abnormalities are often overlooked in patients with IBD, which may have significant consequences. Nutritional therapy may have a central place in the hierarchy of treatment in IBD and further research is critical in this area to better define the benefits of nutrition in IBD.
Medical nutrition therapy
Inflammatory Bowel Diseases
Nutritional Supplementation
Cite
Citations (18)
Medical nutrition therapy
Nutritional Supplementation
Cite
Citations (60)
Malnutrition is common in the abdominal surgery and affects the recovery of patients. Reasonable nutritional support therapy can improve the prognosis of patients. The nutritional risk screening should be applied to patients within 24 hours of admission. Patients with the nutritional risk and malnutrition should receive the nutritional support by selecting a good timing and way based on the nutritional support planning. Preoperative fasting all night for the majority of patients is not necessary, patients should be allowed to intake low-concentration liquid diet at hour 2 before anesthesia. Patients with preoperative severe malnutrition should be given 7- 10 days of nutritional support therapy. The enteral nutritional therapy was preferred to patients needing postoperative nutritional support therapy, while parenteral nutrition therapy should be supplied to patients with infeasible enteral nutrition or expected target of 60% for enteral nutrition. Individual nutritional support therapy is not necessary for patients without severe concomitant disease. Pharmacological nutrients such as ω-3 polyunsaturated fatty acids and glutamine are beneficial for abdominal surgery and critical patients, which should be used reasonably.
Key words:
Abdominal surgery; Nutritional support therapy; Perioperative period
Medical nutrition therapy
Enteral administration
Nutritional Supplementation
Cite
Citations (0)
Abstract Age-related malnutrition is the result of age-related metabolic derangements. Sarcopenia in older people is also the result of malnutrition-related metabolic changes determining the lack of long-term muscle anabolic response to nutrient intake. Frailty is associated with the presence of nutritional derangements. Nutritional screening tools and nutritional assessment in ageing take into account diagnostic parameters for detecting the risk or the presence of protein-energy malnutrition in its different forms and stages. Nutritional screening represents the first step in the nutritional care process. A full nutritional assessment is necessary if the risk of malnutrition is detected during a nutritional screening. Nutritional and metabolic interventions are recommended for all those patients identified by screening and assessment as at risk for malnutrition or malnourishment. Nutritional plans offer several options to the patients according to the clinical setting (i.e. nutritional counselling, food fortification, oral nutritional supplements, and artificial nutrition).
Nutritional Supplementation
Cite
Citations (0)