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Nutrition and Cancer - Clare Shaw

Nutrition and Cancer

(Autor)

Buch | Softcover
416 Seiten
2010
Wiley-Blackwell (Verlag)
978-1-4051-9042-8 (ISBN)
CHF 79,95 inkl. MwSt
Nutrition plays a crucial role in supporting patients receiving treatment for cancer. Carefully considered nutritional options can help to manage patients with weight loss and cachexia, support the patient's ability to recover from surgery and cope with treatments such as chemotherapy and radiotherapy.
Nutrition plays a crucial role in supporting patients receiving treatment for cancer. Carefully considered nutritional options can help to manage patients with weight loss and cachexia, support the patient’s ability to recover from surgery and cope with treatments such as chemotherapy and radiotherapy. Patients living with and beyond cancer can also benefit from advice on optimal nutrition and lifestyle changes. Edited by Dr Clare Shaw, Consultant Dietitian at The Royal Marsden NHS Foundation Trust, Nutrition and Cancer takes an unrivalled look at this prevalent disease, offering the reader:



An insight into the nutritional challenges faced for patients with cancer
A practical guide to nutrition and dietetic practice in cancer care
A detailed look at nutritional options for different diagnostic groups
Contributions from a wide range of cancer specialists

An excellent resource for dietitians, clinical nutritionists, doctors, nurses and other health professionals working with cancer patients, this book is also a fascinating reference for students and researchers with an interest in the area.

Dr Clare Shaw, Consultant Dietitian and Head of Rehabilitation Research, The Royal Marsden NHS Foundation Trust, Fulham Road, London

Contributors xi

Preface xiii

1 Cancer in the twenty-first century 1
Natalie Doyle and Clare Shaw

Introduction 1

What is cancer and what causes it? 1

Development and spread of cancer 2

What is the global burden of cancer? 4

Whom does cancer affect? 5

Historical perspective on cancer treatment 6

Cancer survivorship – living with and beyond cancer 9

Nutrition and cancer 10

References 11

2 Cancer and nutritional status 13
Alessandro Laviano, Isabella Preziosa and Filippo Rossi Fanelli

Introduction 13

Nutritional status and outcome in cancer patients 13

Cancer cachexia 14

Pathogenesis of anorexia and reduced energy intake 16

Pathogenesis of wasting 20

Cancer cachexia: a neurological disease? 23

Summary 24

References 24

3 Treatment of cancer 27
Sanjay Popat

Introduction 27

Treatment intent 27

Treatment setting 28

Treatment modalities 28

Conclusion 43

References 44

4 Effect of malnutrition on cancer patients 45
Louise Henry

Introduction 45

Prevalence of malnutrition amongst cancer patients 46

Effect of malnutrition on outcome 61

Mortality 68

Type of cancer 69

Nutritional status as a prognostic indicator 69

Morbidity 70

Quality of life 71

References 75

5 Nutrition screening 83
Sian Lewis

Introduction 83

Scored Patient-Generated Subjective Global Assessment 85

Malnutrition Universal Screening Tool 89

Mini Nutritional Assessment 90

Nutritional Risk Screening 91

Malnutrition Screening Tool 91

Conclusion 93

Summary 93

References 94

6 Nutritional requirements of patients with cancer 97
C. Elizabeth Weekes

Introduction 97

Energy 98

Methods used to estimate energy requirements 100

Disease-specific requirements 102

Staging and tumour burden 105

Treatment 105

Response to treatment 107

Tumour recurrence 107

Inflammatory response and cachexia 107

Protein 108

Micronutrients 111

What should we do in clinical practice? 112

Summary 114

References 115

7 The psychosocial influences of food choices made by cancer patients 121
Lucy Eldridge

Introduction 121

Food and cancer 121

Influences to food choices 122

Other dietary approaches patients choose to take and the reasons why 125

Sourcing information 126

Summary 127

References 128

8 Nutritional support for the cancer patient 130
Clare Shaw and Jane Power

Introduction 130

Food provision in a health care setting 130

Symptom management 136

Oral nutritional supplements 141

Artificial nutrition support 142

Summary 153

References 154

9 Late effects of cancer treatment in adult patients 158
Jervoise Andreyev

Cancer is a chronic disease 158

What is survivorship? 160

Who should the dietitian aim to help? 160

The stocktaking interview at the end of the treatment 161

The metabolic syndrome 163

Management of the metabolic syndrome 164

Malnutrition in the cancer survivor 164

Summary 170

References 170

10 Nutrition and palliative care 173
Clare Shaw

Introduction 173

The role of nutrition in palliative care 175

Psychological aspects of food intake 177

Nutrition support in palliative care 179

Management of nutritional problems 180

Artificial nutrition support in palliative care 182

Summary 185

References 185

11 Head and neck cancer 188
Bella Talwar

Introduction 188

The impact of malnutrition 189

Treatment in head and neck cancer 189

Nutritional intervention and outcomes 192

Immunonutrition 195

Functional implications following surgery 196

Nutrition effects in radiotherapy and chemoradiotherapy 201

Nutritional management 204

Nutritional screening 204

Nutritional assessment 206

Nutritional requirements 207

Oral nutrition support 208

Enteral nutrition support 209

Nutrition monitoring and rehabilitation 212

Summary 214

References 215

12 Nutrition in upper gastrointestinal cancer 221
Saira Chowdhury and Orla Hynes

Introduction 221

Epidemiology and aetiology 221

The upper gastrointestinal anatomy 223

Clinical presentation 224

Staging 226

Treatment pathways and role of nutrition 227

Advanced disease 242

Summary 244

References 245

13 Cancers of the lower gastrointestinal tract 255
Jane Power

Introduction 255

Nutritional management 261

Symptom management in palliative care 267

Summary 267

References 267

14 Gynaecological cancer 270
Mhairi Donald

Introduction 270

Ovarian cancer 270

Endometrial cancer 272

Cervical cancer 272

Vulval and vaginal cancers 273

Nutritional issues 273

Nutritional implications of treatment 274

Medical problems 279

Nutrition and survivorship 283

Summary 283

References 283

15 Haemato-oncology 287
Gayle Black

Introduction 287

Disease characteristics and nutritional implications at diagnosis 287

Nutritional implications during induction and intensification treatment 289

Stem cell transplantation (consolidation phase) 289

Nutrition support post-transplantation 299

Long-term implications following transplantation 304

Summary 305

References 305

16 Paediatric oncology 311
Evelyn Ward

Introduction 311

Types of childhood cancers 312

Aetiology of malnutrition in children with cancer 315

Identification of nutritional risk 317

Nutritional support 318

References 329

17 Nutrition and breast cancer 334
Barbara Parry

Introduction 334

The role of diet in breast cancer aetiology and survival 336

Gestational nutrition and subsequent birth weight 336

Breastfeeding 341

Body fatness, body composition and weight management 342

Alcohol 343

Dietary fat 345

Fruits and vegetables (including beans and pulses) 347

Dairy foods 351

Meat and meat products 352

Specific nutrient associations and nutritional supplements 353

Contaminants in foods 353

Physical activity 354

Benefits of physical activity to breast cancer survivors 355

Nutritional problems during breast cancer treatment 356

Summary 358

References 358

18 Nutritional management in prostate cancer 363
Kathryn Parr

Introduction 363

Dietary factors that may reduce the risk of prostate cancer 364

Factors that may increase risk of prostate cancer 367

Dietary interventions and prostate cancer progression 368

Obesity/weight management 371

Nutritional issues during treatment for prostate cancer 371

Nutrition-related side effects of medications used to treat prostate cancer 372

Malnutrition in prostate cancer 373

Palliative care in prostate cancer 373

Summary 373

References 375

19 Lung cancer 379
Cherry Vickery

Introduction 379

Diet and development of lung cancer 380

Nutritional status at presentation 381

Treatment of non-small cell lung cancer 382

Treatment of small cell lung cancer 383

Treatment of mesothelioma 384

Palliative treatments 384

Symptom management 386

Summary 388

References 388

Index 391

Erscheint lt. Verlag 3.12.2010
Verlagsort Hoboken
Sprache englisch
Maße 172 x 244 mm
Gewicht 1361 g
Einbandart Paperback
Themenwelt Medizin / Pharmazie Gesundheitsfachberufe Diätassistenz / Ernährungsberatung
Medizin / Pharmazie Medizinische Fachgebiete Onkologie
ISBN-10 1-4051-9042-6 / 1405190426
ISBN-13 978-1-4051-9042-8 / 9781405190428
Zustand Neuware
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