Abstract
Purpose
The aim of this study was to report a systematic search and narrative review of the evidence base that can inform dietary
advice for patients off treatment living with cancer cachexia syndrome (CCS).
advice for patients off treatment living with cancer cachexia syndrome (CCS).
Methods
Searches were conducted in MEDLINE, EMBASE, PsycINFO and CINAHL databases for publications about diet and cancer patients
off treatment with symptoms of CCS. The following limits were applied: English language, from September 1998 to September
2008 and adults. In addition, a hand search included the reference lists of papers identified. Seven hundred and eighteen
abstracts were assessed against inclusion/exclusion criteria and 88 were selected for full text independent examination by
two researchers. Information from 48 papers was extracted, quality assessed, thematically analyzed and presented as a narrative
synthesis.
off treatment with symptoms of CCS. The following limits were applied: English language, from September 1998 to September
2008 and adults. In addition, a hand search included the reference lists of papers identified. Seven hundred and eighteen
abstracts were assessed against inclusion/exclusion criteria and 88 were selected for full text independent examination by
two researchers. Information from 48 papers was extracted, quality assessed, thematically analyzed and presented as a narrative
synthesis.
Results
Two dominant perspectives emerged on what should be eaten by weight-losing cancer patients. The majority of authors advocated
a nutrient-dense diet, facilitated by nutritional counselling. The alternative approach was to advise the patient to 'eat
what they want'. There is little robust evidence to justify either approach as able to deliver on the range of physical and
psychosocial objectives that they aim to achieve.
a nutrient-dense diet, facilitated by nutritional counselling. The alternative approach was to advise the patient to 'eat
what they want'. There is little robust evidence to justify either approach as able to deliver on the range of physical and
psychosocial objectives that they aim to achieve.
Conclusion
A new model for the delivery of nutritional care may benefit cancer patients (off treatment) living with weight loss. The
proposed model integrates the two identified perspectives to facilitate optimal food intake taking into account the patient’s
(1) disease symptoms and treatment side effects (2) emotional adaptation to illness and (3) social circumstances. Research
is needed to establish which of these obstacles to eating can be changed for which patient groups to improve patient outcomes.
proposed model integrates the two identified perspectives to facilitate optimal food intake taking into account the patient’s
(1) disease symptoms and treatment side effects (2) emotional adaptation to illness and (3) social circumstances. Research
is needed to establish which of these obstacles to eating can be changed for which patient groups to improve patient outcomes.
- Content Type Journal Article
- DOI 10.1007/s00520-010-0964-0
- Authors
- Jane B. Hopkinson, School of Health Sciences, University of Southampton, Southampton, UK
- Ikumi Okamoto, Macmillan Research Unit, School of Health Sciences, University of Southampton, Southampton, UK
- Julia M. Addington-Hall, School of Health Sciences, University of Southampton, Southampton, UK
- Journal Supportive Care in Cancer
- Online ISSN 1433-7339
- Print ISSN 0941-4355
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