Vol 13, No 1 (2019)
Review paper
Published online: 2019-04-04
Selected aspects of nutrition in palliative care
Palliat Med Pract 2019;13(1):17-21.
Abstract
Proper nutrition in palliative care is essential to achieve a good quality of life of patients and better treatment
results. The diet should include the proper amount of calories and nutrients such as proteins, omega 3 fatty
acids, dietary fibre, vitamin D and vitamin C. The meals must be balanced, tasty, diverse and appetizing.
In this paper, an example of one-day diet for adult palliative care patients is proposed.
Palliat Med Pract 2019; 13, 1: 17–21
Keywords: anorexiacachexiadietnutritionpalliative carequality of life
References
- http://www.who.int/cancer/palliative/definition/en/. (5.12.2018).
- van Bokhorst-de van der Schueren MAE. Nutritional support strategies for malnourished cancer patients. Eur J Oncol Nurs. 2005; 9 Suppl 2: S74–S83.
- Ravasco P. Aspects of taste and compliance in patients with cancer. Eur J Oncol Nurs. 2005; 9 Suppl 2: S84–S91.
- Sadeghi M, Keshavarz-Fathi M, Baracos V, et al. Cancer cachexia: Diagnosis, assessment, and treatment. Crit Rev Oncol Hematol. 2018; 127: 91–104.
- Bovio G, Bettaglio R, Bonetti G, et al. Evaluation of nutritional status and dietary intake in patients with advanced cancer on palliative care. Minerva Gastroenterol Dietol. 2008; 54(3): 243–250.
- Gangadharan A, Choi SE, Hassan A, et al. Protein calorie malnutrition, nutritional intervention and personalized cancer care. Oncotarget. 2017; 8(14): 24009–24030.
- Seruga B, Zhang H, Bernstein LJ, et al. Cytokines and their relationship to the symptoms and outcome of cancer. Nat Rev Cancer. 2008; 8(11): 887–899.
- Drummond MJ, Rasmussen BB. Leucine-enriched nutrients and the regulation of mammalian target of rapamycin signalling and human skeletal muscle protein synthesis. Curr Opin Clin Nutr Metab Care. 2008; 11(3): 222–226.
- Miller PE, Van Elswyk M, Alexander DD. Long-chain omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid and blood pressure: a meta-analysis of randomized controlled trials. Am J Hypertens. 2014; 27(7): 885–896.
- Hegarty B, Parker G. Fish oil as a management component for mood disorders - an evolving signal. Curr Opin Psychiatry. 2013; 26(1): 33–40.
- Gerster H. Can adults adequately convert alpha-linolenic acid (18:3n-3) to eicosapentaenoic acid (20:5n-3) and docosahexaenoic acid (22:6n-3)? Int J Vitam Nutr Res. 1998; 68(3): 159–173.
- DeFilippis AP, Sperling LS. Understanding omega-3's. Am Heart J. 2006; 151(3): 564–570.
- Colomer R, Moreno-Nogueira JM, García-Luna PP, et al. N-3 fatty acids, cancer and cachexia: a systematic review of the literature. Br J Nutr. 2007; 97(5): 823–831.
- Dreher ML, Davenport AJ. Hass avocado composition and potential health effects. Crit Rev Food Sci Nutr. 2013; 53(7): 738–750.
- Holick MF. Vitamin D deficiency. N Engl J Med. 2007; 357: 266–281.
- Hewison M. Antibacterial effects of vitamin D. Nat Rev Endocrinol. 2011; 7(6): 337–345.
- Wrzosek M, Jakubczyk A, Wrzosek M, et al. Vitamin D and the central nervous system. Pharmacol Rep. 2013; 65(2): 271–278.
- Dev R, Del Fabbro E, Schwartz GG, et al. Preliminary report: vitamin D deficiency in advanced cancer patients with symptoms of fatigue or anorexia. Oncologist. 2011; 16(11): 1637–1641.
- Bergman P, Sperneder S, Höijer J, et al. Low vitamin D levels are associated with higher opioid dose in palliative cancer patients--results from an observational study in Sweden. PLoS One. 2015; 10(5): e0128223.
- Helde-Frankling M, Höijer J, Bergqvist J, et al. Vitamin D supplementation to palliative cancer patients shows positive effects on pain and infections-Results from a matched case-control study. PLoS One. 2017; 12(8): e0184208.
- Sepehrmanesh Z, Kolahdooz F, Abedi F, et al. Vitamin D Supplementation Affects the Beck Depression Inventory, Insulin Resistance, and Biomarkers of Oxidative Stress in Patients with Major Depressive Disorder: A Randomized, Controlled Clinical Trial. J Nutr. 2016; 146(2): 243–248.
- Holick MF. Vitamin D deficiency. N Engl J Med. 2007; 357: 266–281.
- Englard S, Seifter S. The biochemical functions of ascorbic acid. Annu Rev Nutr. 1986; 6: 365–406.
- Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Am J Clin Nutr. 1999; 69(6): 1086–1107.
- Doll S, Ricou B. Severe vitamin C deficiency in a critically ill adult: a case report. Eur J Clin Nutr. 2013; 67(8): 881–882.
- Fukushima R, Yamazaki E. Vitamin C requirement in surgical patients. Curr Opin Clin Nutr Metab Care. 2010; 13(6): 669–676.
- Marcus SL, Dutcher JP, Paietta E, et al. Severe hypovitaminosis C occurring as the result of adoptive immunotherapy with high-dose interleukin 2 and lymphokine-activated killer cells. Cancer Res. 1987; 47(15): 4208–4212.
- Alexandrescu DT, Dasanu CA, Kauffman CL. Acute scurvy during treatment with interleukin-2. Clin Exp Dermatol. 2009; 34(7): 811–814.
- Oak ASW, Jaleel T, Fening K, et al. A case of scurvy associated with nilotinib. J Cutan Pathol. 2016; 43(8): 725–726.
- Günes-Bayir A, Kiziltan HS. Palliative Vitamin C Application in Patients with Radiotherapy-Resistant Bone Metastases: A Retrospective Study. Nutr Cancer. 2015; 67(6): 921–925.
- Yeom CH, Jung GC, Song KJ. Changes of terminal cancer patients' health-related quality of life after high dose vitamin C administration. J Korean Med Sci. 2007; 22(1): 7–11.
- Vollbracht C, Schneider B, Leendert V, et al. Intravenous vitamin C administration improves quality of life in breast cancer patients during chemo-/radiotherapy and aftercare: results of a retrospective, multicentre, epidemiological cohort study in Germany. In Vivo. 2011; 25(6): 983–990.
- Murata A, Morishige F, Yamaguchi H. Prolongation of survival times of terminal cancer patients by administration of large doses of ascorbate. Int J Vitam Nutr Res Suppl. 1982; 23: 103–113.
- Carr AC, Vissers MCM, Cook J. Parenteral vitamin C for palliative care of terminal cancer patients. N Z Med J. 2014; 127(1396): 84–86.
