Τόμος 16 (2002) – Τεύχος 2 – Άρθρο 6 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 16 (2002) – Issue 2 – Article 6 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title Indications and results of dietary intervention in patients with cancer
Authors N. Margari1, N. Lymperopoulos2, M. Noula1, E. Gesouli-Voltyraki3 and P. Iordanou4

1. Nursing field in secondary education, Athens Greece

2. MD of Cardiology, Athens Greece

3. Nursing – Hygiene, Central Department of the Municipality of Athens Greece

4. Nursing Department, Technological Educational Institution of Athens, Athens, Greece

Citation Margari, N., Lymperopoulos, N., Noula, M., Gesouli-Voltyraki, E. and Iordanou, P.: Indications and results of dietary intervention in patients with cancer, Epitheorese Klin. Farmakol. Farmakokinet. 16(2): 157-162 (2002)
Publication Date Received for publication: 20 November 2001

Accepted for publication: 8 January 2002

Full Text Language English
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Keywords Cancer, lungs, chemotherapy, nutritional markers, recommended dietary intervention, hemoglobin, hematocrit, total proteins, serum albumin, serum globulin.
Other Terms review article
Summary The aim of this study was to investigate how much the advice and communication related to food intake in lung cancer patients helped in the improvement of the nourishment. Thirty (30) patients from the oncological hospital “Agioi Anargyroi” were participate in our study. These patients were selected according to defined criteria, 15 from them received advice about their diet (intervention group), while 15 did not (control group). All the patients were without metastasis and generally in good condition. The general conditions of the patients were evaluated according to the ECOG scale. Blood samples were used as nutritional markers, such as: hemoglobin, hematocrit, total proteins, serum albumin and serum globulin. The interventions were a type of nutritional instructions which were recommended to patients given to them and to their families through personal contacts. The majority of patients comprehended and applied the directions. The dietary interventions/instructions and the evaluation of the patients’ condition as well as the blood tests took place when chemotherapy had been scheduled, six times for each patient, every 21 days. The results showed that the general condition of the patients in the intervention group appears better during the duration of chemotherapy and particularly at the 3rd cycle. The values of the nutritional markers tested presented a gradually decrease in both groups. Comparing the two groups, changes from the 1st to the 6th cycle were observed, favorable to the intervention group, but without finding statistical difference. The change in total proteins from the 1st to the 6th cycle presented a smaller decrease in the intervention group by 26.49%. Concluding, it was shown that the instructions for nutritional intervention had a favorable effect on the nourishment of the patients with lung cancer who were administered chemotherapy, although there were not significant differences between intervention and control group. The intervention provided a temporary maintenance of nourishment and a form of psychological support. So that, it seems that it would be beneficial for patients with malignancies if it would be applied in clinical practice.
References 1.   ShiKe M.: Nutrition Therapy for the cancer patient. Hematol. Oncol. Clin. North Am. 10: 221-234 (1996)

2.  Ovesen L., Hannibal J., Mortensen E.L.: The interrelation of weight loss dietary intake and quality of life in ambulatory patients with cancer of the lung, breast and orary. Nutr. Cancer 19: 159-167 (1993)

3.  Caidwell M.: Nutrition and Cancer. Invited Lecture ESPEN Congress, Athens, 1990

4.  Me Anena O., Daaly J.: Impact of antitumor therapy on nutrition. Surg. Clin. North Am. 66: 1213-1228 (1986)

5.  Sakorafas G.: The position of total parenteral nutrition in the surgery of oncology, latriki 57: 30-41 (1990) (in Greek)

6.  Kern K.A., Norton J.A.: Cancer cachexia. J. Parenter. Enter. Nutr. 12: 286-298 (1988)

7.   Theologidis A.: Mechanisms of neoplasmatic cachexias. Ann. Greek Med. 3: 187-193 (1989) (in Greek)

8.  Beutler B., Cerami A.: Cachectin: more than a tumor necrosis factor. N. Engl. J. Med. 316: 379-385 (1987)

9.  De wys W.D., Begg D., Lavin P.T., et al.: Prognostic effect of weight loss prior to chemotherapy in cancer patients. Am. J. Med. 69: 491-498 (1980)

10.            Mercadante S.: Nutition in cancer patients. Support Care cancer 4: 10-20 (1996)

11. Law D.K., Dudrick S.K., Abdou N.J.: The effects of protein calorie malnutrition on immune competence of the surgical patient. Surg. Cynec. Obstet. 139: 257-260 (1974)

12.            Nelson K.A., Walsh D., Sheehan F.A. The cancer anorexia-cachexia syndrome. J. Clin. Oncol. 12: 213-225 (1994)

13.            Mattes R.D., Arnold C., Boraas M.: Management of learned food aversions in cancer patients receiving chemotherapy. Cancer Treat. Rep. 71: 1971-1978 (1987)

14.            Mattes R.D., Walter J., Curran J., et al.: Clinical implications of learned aversion in patients with cancer treated with chemotherapy or radiation therapy. Cancer 70: 192-200(1992)

15.            Matsui K., Fukuoka M., Takada M.: Randomized trial for the prevention of delayed emesis in patients receiving high-dose cisplatin. Br. J. Cancer 73: 217-221 (1996)

16.            McGeer A., Datsky A., Rourke K.: Parenteral nutrition in cancer patients undergoing chemotherapy. A meta- analysis. Nutrition 6: 233-240 (1990)

17. De Ciccio M.t Panarello G„ Fantini D. et al.: Par¬enteral Nutrition in cancer patients receiving chemotherapy. Effects on toxity and Nutritional status. J. Parenter. Enter. Nutr. 17: 513-518 (1993)

18.            McGeer A., Datsky A., O’ Rourke K.: Parenteral nutrition in patients receiving chemotherapy. Ann. Intern. Med: 110: 734-736 (1989)

19.            Hill A.D., Daly J.M.: Current indication for intravenous nutritional support in oncology patients. Surg. Oncol. Clin. N. Am. 1995; 4: 549-563 (1995)

20.            Chlebowski R.T. Nutritional support of the medicine oncology patient. Hematol. Oncol. Clin. North. Am. 5: 147-160 (1991)

21.            Botsios D.: Progress in the clinical implementation of enteral and parenteral of artificial nutrition. 1st postgraduate seminar in artificial nutrition. Greek Association of enteral and parenteral nutrition. Patra, 25-27 November 1988 (from Greek)

22.            Bozzeti F.: Is Enteral nutrition a Primary therapy in cancer patients. Gut 15: 65-68 (1994)

23.            Ovesen L.t Allingstrup L., Hannibal J., et al.: Effect of dietary counseling on food intake, body weight, response rate, survival, and quality of life in cancer patients undergoing chemotherapy: a prospective randomized study. J. Clin. Oncol. 11: 2043-2049 (1993)

24.            Ovesen L., Allingstrup L.: Different qualities of two commercial liquid diets consumed by weight-losing cancer patients. J. Parent. Enter. Nutr. 16: 257-258 (1992)

25.            Sarna L., Lindsey A.M., Dean H., et al.: Nutritional intake, weight change, symptom distress and functional status over time in adults with lung cancer. Oncol. Nurs. Forum 20: 481-489 (1993)

26.            Ovesen L., Hannibal J., Allingstrup L.: Tumour regression following chemotherapy does not increase food intake. Eur. J. Clin. Nutr. 46: 451-453 (1992)

27.            Marvaki C., Joannovch I., Kiritsi E., et al.: The effectiveness of early enteral nutrition in burns patients. Ann. Burns Fire Disasters 4: 192-196 (2001)

28.            Marvaki C., Iconomou T., lordanou P., et al.: The role of early enteral in burnt and multiple trauma patients: similarities and differences. ICUs Nursing Web Journal, Issued: 1-13, 2002

29.            Kelly K.: An overview of how to nourish the cancer patient by mouth. Cancer 8: 1897-1901 (1986)

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