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Review paper
Published online: 2024-01-08
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How much does a cancer patient eat and how to calculate it – dietitian's point of view. Collaboration between doctor and dietitian

Agnieszka Surwiłło-Snarska1, Katarzyna Różycka1, Ewelina Grochowska1, Aleksandra Gazi1, Emilia Motacka1, Marta Dąbrowska-Bender1, Anna Oleksiak1, Aleksnadra Kapała12
Affiliations
  1. Department of Clinical Nutrition, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
  2. Department of Oncology Diagnostics, Cardio-Oncology and Palliative Medicine, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland

open access

Ahead of print
Review articles – Clinical nutrition in oncology
Published online: 2024-01-08

Abstract

Malnutrition in cancer patients is a severe clinical problem. One of the factors determining the nutritional status is nutritional intake. The ability to provide adequate oral nutrition in cancer patients is mainly determined by the location and advancement of the disease, the type of oncological treatment, as well as the severity of side effects of the therapy. Food intake is often reduced in cancer patients, leading to weight loss. Assessment of the nutritional intake requires a unique approach due to various limitations and conditions that do not occur in healthy people and the frequent deficiencies of multiple nutrients. In the context of preventing and treating malnutrition, cooperation between a doctor and a dietitian is crucial. Dietary counselling is the first step of nutritional intervention and can be offered to most patients. According to ESPEN (The European Society for Clinical Nutrition and Metabolism) recommendations, dietary counselling supported by oral nutritional supplements has a grade of recommendation of "A" according to EBM (Evidence Based Medicine). Success in maintaining or improving the patient's nutritional status depends on efficient cooperation between the doctor and the dietitian. This publication aims to present the tasks of a dietitian and the principles of collaboration with a doctor in the nutritional care of cancer patients.

Abstract

Malnutrition in cancer patients is a severe clinical problem. One of the factors determining the nutritional status is nutritional intake. The ability to provide adequate oral nutrition in cancer patients is mainly determined by the location and advancement of the disease, the type of oncological treatment, as well as the severity of side effects of the therapy. Food intake is often reduced in cancer patients, leading to weight loss. Assessment of the nutritional intake requires a unique approach due to various limitations and conditions that do not occur in healthy people and the frequent deficiencies of multiple nutrients. In the context of preventing and treating malnutrition, cooperation between a doctor and a dietitian is crucial. Dietary counselling is the first step of nutritional intervention and can be offered to most patients. According to ESPEN (The European Society for Clinical Nutrition and Metabolism) recommendations, dietary counselling supported by oral nutritional supplements has a grade of recommendation of "A" according to EBM (Evidence Based Medicine). Success in maintaining or improving the patient's nutritional status depends on efficient cooperation between the doctor and the dietitian. This publication aims to present the tasks of a dietitian and the principles of collaboration with a doctor in the nutritional care of cancer patients.

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Keywords

malnutrition; nutritional assessment; clinical nutrition; dietary counselling

About this article
Title

How much does a cancer patient eat and how to calculate it – dietitian's point of view. Collaboration between doctor and dietitian

Journal

Nowotwory. Journal of Oncology

Issue

Ahead of print

Article type

Review paper

Published online

2024-01-08

Page views

84

Article views/downloads

43

DOI

10.5603/njo.98556

Keywords

malnutrition
nutritional assessment
clinical nutrition
dietary counselling

Authors

Agnieszka Surwiłło-Snarska
Katarzyna Różycka
Ewelina Grochowska
Aleksandra Gazi
Emilia Motacka
Marta Dąbrowska-Bender
Anna Oleksiak
Aleksnadra Kapała

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