Level of acceptability of different snacks in hospitalized oncology patients
DOI:
https://doi.org/10.35454/rncm.v7n2.594Keywords:
diet therapy, integrative oncology, dietary supplements, snackAbstract
Background: 80.00 % of oncologic patients are malnourished, yet only 30.00 % receive early nutritional interventions.
Objective: Compare the general acceptability index (GAI) of different snacks consumed by patients with a diagnosis of oncologic disease during at least one week of hospitalization in a public hospital in the Autonomous City of Buenos Aires between February and June 2023.
Methods: The design was observa- tional, descriptive, cross-sectional and prospective. Two snacks were developed according to the preferences reported by oncologic patients. Acceptability was evaluated by means of a self-developed semi-structured survey comparing three snacks: multi-fruit smoothie, orange and vanilla dessert, and commercial oral nutri- tional supplement.
Results: The sample consisted of 55 patients, 52.00 % male, mean age 55.09 years (±12.96 SD), of whom 98.00 % had moderate malnutrition risk according to Scored Patient-Generated Subjective Global Assessment (SP-SGA). The GAI was > 70.00 % for all the snacks. The multi-fruit smoothie had the highest score [97 (RIQ ±21.85)] and no differences were reported according to tumour location. Although the referred symptomatology did not in- fluence the GAI of the different snacks, a lower acceptability index specific to flavor and aroma was observed.
Conclusions: All snacks offered obtai- ned a GAI greater than 70.00 %, without as- sociation with tumor location or symptoms. The present study shows the importance of early personalized dietary intervention to increase treatment adherence.
Downloads
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
How to Cite
Issue
Section
License
Copyright (c) 2024 Victoria Fornaresio, Delfina María Gries, David Carelli, Rocío Lema
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.