Tracking Food And Lifestyle Changes Pre And Post Dietary Intervention Among Cancer Patients


Affiliations

  • Tata Memorial Hospital, RD Intern, Navi Mumbai, Maharashtra, India
  • Tata Memorial Hospital, Chief Dietician, Navi Mumbai, Maharashtra, India
  • Tata Memorial Hospital, Sr. Dietician, Navi Mumbai, Maharashtra, India
  • Tata Memorial Hospital, Dietician, Navi Mumbai, Maharashtra, India

Abstract

Cancer is an abnormal cells division without programmed cell death, and can metastasize. Cancer incidents are increasing due to nutrition and lifestyle transition. But mortality can be driven by the exposure to risk factors, screening and early clinical and nutritional intervention. This study was conducted with an aim to find out the dietary and social changes post cancer detection and pre dietary intervention and the impact of nutritional counseling. This cross-sectional study included data collection using a questionnaire fromlOO recently detected cancer patients from tertiary-hospital, using purposive random sampling technique. The mean BMI of males (n=60) was 23.0 ± 5.42 Kg/m2 and females was 23.7 ± 6.45 Kg/m2. The dietary analysis revealed 35 patients started consuming vegetables daily and 70% males and 75% females started consuming fruits more frequently post-diagnosis (p=0.04). Younger patients consumed more fruit and vegetable juice (p=0.005). Pre-nutritional intervention some patients had stopped consuming milk (n=19), fish (n=34) and meat (n=35). Twenty out of twenty-five patients quit tobacco, 18 out of the 22 quit smoking, 20 of 21 stopped alcohol consumption post-diagnosis. Sixteen patients had quit their professions and 31 were on job-leave. Forty-four participants stopped routine exercise and 15 stopped outdoor sports, 46 stopped household-chores. Post-dietary intervention, the mean SGA score and dietary compliance improved significantly; p=0.02 and p=0.02, respectively. Mean creatinine, uric acid and fasting glucose levels had decreased significantly. Hence, an early clinical and dietary intervention, may help to regulate the healthy food choices and do have a positive impact on the nutritional-status.

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References

Ali I., Wani W. and Saleem K. (2011). Cancer Scenario in India with Future Perspectives. Cancer Therapy Vol 8, 56-70, 2 0 1 1 .

Blanchard C., Denniston M., Baker F., Ainsworth S., Courneya K., Hann D., Gesme D., Reding D., Flynn T. and Kennedy J. (2003). Do Adults Change Their Lifestyle Behaviors After a Cancer Diagnosis? Am J Health Behav 2003;27(3):246-256.

Charrez B., Qiao L. and Hebbard L.(2015). The role of fructose in metabolism and cancer. Hormone molecular biology and clinical investigation. DOI: 10.1515/hmbci-2015-0009. https://www.researchgate.net/publicatioiV2 76208583_The_role_of_fructose_in_metabo lism_and_cancer.

Day RW. (1998). Future need for more cancer research. J Am Diet Assoc. 1998;98:523.

Demark-Wahnefried, W., Aziz, N. M., Rowland, J. H., & Pinto, B. M. (2005). Riding the crest of the teachable moment: promoting long-term health fter the diagnosis of cancer. Journal o f clinical oncology: official journal of the American Society of Clinical Oncology, 23(24), 58145830. doi:10.1200/JC0.2005.01.230.

Demark-Wahnefried W, Peterson B, McBride C, Lipkus I, Clipp E. (2000) Current health behaviors and readiness to pursue lifestyle changes among men and women diagnosed with early stage prostate and breast carcinomas.Cancer; 88:674684.

Duenas M, Salazar A, Ojeda B, et al. (2015). A nationwide study of chronic pain prevalence in the general Spanish population: identifying clinical subgroups through cluster analysis. Pain Med. 2015;16(4):811822.

Fleshner N. and Herschorn S. (1996). The Artificial Urinary Sphincter for PostRadical Prostatectomy Incontinence: Impact on Urinary Symptoms and Quality of Life. AUA Journal- journal of urology; Clinical Urology: Original Article lApr 1996. https://doi.org/10.1016/S0022-5347(01)66236-0.

Howe HL, Wingo PA, Thun MJ, et al. (2001). Annual report to the nation on the status o f cancer (1973 through 1998) featuring cancers with recent increasing trends. J Natl Cancer Inst. 2001; 93:824884.

Imamura H., Nishikawa K., Kishi K., Inoue K., Matsuyama J., Akamaru Y., Kimura Y., Tamura S., Kawabata R., et al. (2016). Effects of an Oral Elemental Nutritional Supplement on Post-gastrectomy Body Weight Loss in Gastric Cancer Patients: A Randomized C ontrolled Clinical Trial. Gastrointestinal Oncology. Annals of Surgical Oncology. September 2016, Volume 23, Issue 9, pp 29282935.

Kimokoti, R. W., Fung, T. T., & Millen, B. E. (2013). Dietary Patterns/Diet and Health o f A dults in Economically Developing Countries. Bioactive Food as Dietary Interventions for the Aging Population, 83107. doi:10.1016/b978-0-12-3971555.00013-1.

Muscaritoli, M., Lucia, S., Farcomeni, A., Lorusso, V., Saracino, V., Barone, C. (2017). Prevalence of malnutrition in patients at first medical oncology visit: the PreMi O study. Oncotarget, 8(45), 7988479896.

doi: 10.18632/oncotarget.20168.

Maunsell E, Drolet M, Brisson J, Robert J, Deschenes L.(2002). Dietary change after breast cancer: extent, predictors, andrelation with psychological distress. J ClinOncol 20:10171025.

National cancer institute. (2015). https://www.cancer.gov/publications/dictio naries/cancer-terms/def/cancer.

NordevangE., Callmer E., Marmur A. and Holm LE. (1992). Dietary intervention in breast cancer patients: effects on food choice. European Journal of Clinical Nutrition- 01 Jun 1992,46(6):387-396.

Ravasco P. (2005). Cancer: metabolic dysfunction, nutrition and quality of life. Nutrifao. http://citeseerx.is t.psu.edu/viewdoc/download?doi=10.1.1.464.8837&rep=repl&type=pdf#page=88.

Satia J., Campbell M., Galanko J., et al. (2004). Longitudinal Changes in Lifestyle Behaviors and Health Status in Colon Cancer Survivors. Cancer Epidemiol Biomarkers Prev June 12004 (13) (6) 1022-1031.

Smith R, Mann N, Braue A, Varigos G (2006). The effect of a higher protein, low glycemic index diet on biochemical parameters associated with acne vulgaris'. Proceedings of the 15th Congress of the European Academy of Dermatology and Venerology, Rhodes, Greece.

Steinhilper L., Geyer S. and Sperlich S. (2013). Health behavior change among breast cancer patients. International Journal of Public Health ISSN 1661-8556 Int J Public Health. 10.1007/s00038-013-0444-7.

Uster A., Ruefenacht U., et al. 2013. Influence of a nutritional intervention on dietary intake and quality of life in cancer patients: A randomized controlled trial. Nutrition (29) 13421349.

http://dx.doi.Org/10.1016/j.nut.2013.05.004


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