Level of Acceptability of Different Snacks in Hospitalized Oncology Patients

Authors

  • Victoria Fornaresio División Alimentación. Hospital General de Agudos Juan A. Fernández. Buenos Aires, Argentina.
  • Delfina Maria Gries División Alimentación. Hospital General de Agudos Juan A. Fernández. Buenos Aires, Argentina.
  • David Carelli División Alimentación. Hospital General de Agudos Juan A. Fernández. Buenos Aires
  • Rocio Lema Hospital General de Agudos Juan A. Fernández (Ciudad Autónoma de Buenos Aires).

Keywords:

diet therapy, integrative oncology, dietary supplements, snack

Abstract

Introduction: Malnutrition and cachexia are common in oncology patients and are associated with worse prognosis, irrespective of body weight. The aim of the present study was to compare the general acceptability index (GAI) of different overnutrition reinforcements (OR) consumed by patients with a diagnosis of oncological disease during at least one week of hospitalisation at the Juan A. Fernández Hospital in the period between February and June 2023.
Materials and methods: The design was observational, descriptive, cross-sectional and prospective. Two SR were developed and adapted to the study population. Acceptability was assessed by means of a self-developed semi-structured survey comparing three SR: multi-fruit smoothie, orange and vanilla dessert, and commercial oral nutritional supplement.
Results: The sample consisted of 55 patients, 52 % male, mean age 55.09 years (±12.96 SD). Ninety-eight per cent were at risk of moderate malnutrition according to VGS-GP. The GSI was greater than 70% for all SR. Multifruit smoothie had the highest score [97 (RIQ +/-21.85)], with no differences reported according to tumour location. Although the referred symptomatology did not influence the IAG of the different RS, lower acceptability index specific to taste and flavour could be appreciated.
Conclusions: Given the crucial role of the nutritional approach in oncological treatment, the SRs developed and the results obtained can be used to improve the quality of the treatment provided.
Keywords: Nutritional treatment, oncology, overfeeding reinforcement.

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References

OrganizaciónMundialdelaSalud.Cáncer:prevalencia,datosycifras[Internet].2022 [Consultado 10 Jul 2023]. Disponible en: https://www.who.int/es/news-room/fact- sheets/detail/cancer

World Health Organization. Global Cancer Observatory. Cancer Today [Internet]. 2020 [Consultado 10 Jul 2023] Disponible en: https://gco.iarc.fr/

Instituto Nacional del Cáncer. La nutrición en el tratamiento del cáncer (PDQ®)– Versión para profesionales de salud [Internet]. 2023 [Consultado 20 Jul 2023] Disponible en: https://www.cancer.gov/espanol/cancer/tratamiento/efectos- secundarios/perdida-apetito/nutricion-pro-pdq#_139_toc.

Muscaritoli M, Lucia S, Farcomeni A, Lorusso V, Saracino V, Barone C et al. Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget. 2017; 8(45): 79884-96. doi:10.18632/oncotarget.20168

Lewandowska A, Religioni U, Czerw A, Deptala A, Karakiewicz B, Partyka O et al. Nutritional Treatment of Patients with Colorectal Cancer. Int J Environ Res Public Health. 2022; 19(11): 6881. doi:10.3390/ijerph19116881

Caccialanza R, Laviano A, Bosetti C, Nardi M, Casalone V, Titta L et al. Clinical and economic value of oral nutrition supplements in patients with cancer: a position paper from the Survivorship Care and Nutritional Support Working Group of Alliance Against Cancer. Support Care Cancer. 2022; 30(11): 9667-79. doi:10.1007/s00520-022- 07269-y

MuscaritoliM,ArendsJ,BachmannP,BaracosV,BarthelemyN,BertzHetal.ESPEN practical guideline: Clinical Nutrition in cancer. Clin Nutr. 2021; 40(5): 2898-913. doi: 10.1016/j.clnu. 2021.02.005

Arends J, Strasser F, Gonella S, Solheim TS, Madeddu C, Ravasco P et al. Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines. ESMO Open. 2021; 6(3): 100092. doi: 10.1016/j.esmoop. 2021.100092

Lewandowska A, Religioni U, Czerw A, Deptała A, Karakiewicz B, Partyka O et al. Nutritional Treatment of Patients with Colorectal Cancer. Int J Environ Res Public Health. 2022; 19(11): 6881. doi:10.3390/ijerph19116881

Enriquez-Fernandez BE, Chen L, Klassen P, Ghosh S, Mazurak V, Wismer WV. Fortified Snack Preferences among Patients with Cancer. Nutr Cancer. 2022; 74(5): 1712-23. doi: 10.1080/01635581.2021.1957948

Cáceres-Lavernia H, Neninger-Vinageras E, Menéndez-Alfonso J, Barreto Penié J. Intervención nutricional en el paciente con cáncer. Rev. Cubana de Med. 2016; 55(1): 59-73. Disponible en: http://scielo.sld.cu/pdf/med/v55n1/med06116.pdf

Oreggioni-Almada L, Ortíz-P L, Joy L, Morínigo M. Desnutrición a partir de la valoración global subjetiva generada por el paciente (VGS-GP) en pacientes con cáncer de cabeza y cuello. 2016; 14(01): 86-93. doi:10.18004/Mem.iics/1812- 95282/016.014(01)86-093

Organización Panamericana de la Salud (OPS). Guía Clínica para Atención Primaria a las Personas Adultas Mayores [Internet]. 2002 [Consultado 22 Jul 2023] Disponible en: https://www.gob.mx/salud/cenaprece/documentos/guia-clinica-para-atencion- primaria-a-las-personas-adultas-mayores

Ministerio de Economía. Secretaria de Agricultura, Ganadería y Pesca. Guías de buenas prácticas de manufactura para servicios de comidas [Internet]. 2021 [Consultado 13 Jul 2023] Disponible en: https://alimentosargentinos.magyp.gob.ar/HomeAlimentos/Publicaciones/documento s/guias/guiBPMserviciodecomidas2021.pdf

Prado CM, Laviano A, Gillis C, Sung A, Gardner M, Yalcin S et al. Examining guidelines and new evidence in oncology nutrition: a position paper on gaps and opportunities in multimodal approaches to improve patient care. Support Care Cancer. 2022; 30(4): 3073-83. doi:10.1007/s00520-021-06661-4

Bossi P, Delrio P, Mascheroni A, Zanetti M. The Spectrum of Malnutrition/Cachexia/Sarcopenia in Oncology According to Different Cancer Types and Settings: A Narrative Review. Nutrients. 2021; 13(6): 1980. doi:10.3390/nu13061980

Bicakli DH, Miftari A, Almuradova E, Aktuna A, Gursoy P, Cakar B et al. Malnutrition as a Prognostic Factor in the Survival of Patients with Gastric Cancer. Research Square [Internet]. 2023 [Consultado 13 Jul 2023]. doi: 10.21203/rs.3.rs-2927573/v1

Xia H, Wang L, Wang H. Current research trends, hotspots, and frontiers of medical nutrition therapy on cancer: a bibliometric analysis. Front Oncol. 2023; 13: 117098. doi:10.3389/fonc.2023.1170198

Erickson N, Sullivan ES, Kalliostra M, Laviano A, Wesseling J. Nutrition care is an integral part of patient-centred medical care: a European consensus. Med Oncol. 2023; 40(4): 112. doi:10.1007/s12032-023-01955-5

Myin-Aung Y, Aktas A, Shroff V, Kadakia K, Waldman J, Walsh D. Nutrition assessment reports in oncology clinical trials. J. Clin. Oncol. 2023; 41(Suppl6): e24142-e24142 doi: 10.1200/JCO.2023.41.16_suppl.e24142

Castillo-Martínez L, Castro-Eguiluz D, Copca-Mendoza, Aline Pérez-Camargo D, Reyes-Torres CA, Damasco Ávila EA et al. Nutritional Assessment Tools for the Identification of Malnutrition and Nutritional Risk Associated with Cancer Treatment. Rev Invest Clin. 2018; 70(3): 121-5. doi:10.24875/RIC.18002524

Arribas L, González-Tampan AR, Sospedra M. ¿Por qué los pacientes no toman la suplementación nutricional? Nutr. Hosp 2020; 35(2spe): 39-43. doi:10.20960/nh.1959

Kiss N, Symons K, Hewitt J, Davis H, Ting C, Lee A et al. Taste Function in Adults Undergoing Cancer Radiotherapy or Chemotherapy, and Implications for Nutrition Management: A Systematic Review. J Acad Nutr Diet. 2021;121(2): 278-304. doi: 10.1016/j.jand.2020.08.014

Sevryugin O, Kasvis P, Vigano M, Vigano A, Peleari L. Taste and smell disturbances in cancer patients: a scoping review of available treatments. Support Care Cancer. 2021; 29(1): 49-66. doi:10.1007/s00520-020-05609-4

Togni L, Mascitti M, Vignini A, Alia S, Sartini D, Barlattani A et al. Treatment-Related Dysgeusia in Oral and Oropharyngeal Cancer: A Comprehensive Review. Nutrients. 2021; 13(10): 3325. doi: 10.3390/nu13103325

Wang QC, Yuan H, Chen ZM, Wang J, Xue H, Zhang XY. Barriers and Facilitators of Adherence to Oral Nutritional Supplements Among People Living with Cancer: A Systematic Review. Clin Nurs Res. 2023; 32(1): 209-20. doi:10.1177/10547738221104216

Published

2024-06-01

How to Cite

Fornaresio, V., Gries, D. M., Carelli, D. ., & Lema, R. (2024). Level of Acceptability of Different Snacks in Hospitalized Oncology Patients. Journal Clinical Nutrition and Metabolism. Retrieved from https://revistanutricionclinicametabolismo.org/index.php/nutricionclinicametabolismo/article/view/594

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Original article