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Nutrition in Oncology

Nutritional Support for Patients and Carers

Every year, almost 45,000 people in Ireland are diagnosed with cancer.1 Although cancer incidence is on the rise, the likelihood of surviving many types of cancer continues to increase too. There are over 200 different types of cancer which may affect different parts of the body. One person’s experience living with cancer may differ to the experiences of another person and no two cancer journeys are exactly the same. This hub has been written to provide advice on nutrition during your cancer journey and support you to prepare for the road ahead.

The Importance of Good Nutrition 

Nutrition is important at all stages of the cancer journey, however the advice you receive regarding nutrition may change at different stages of your journey. This advice may also differ to nutrition advice you may have received prior to your cancer diagnosis. Every person living with cancer will have their own individual nutritional needs. Speak to your doctor, nurse or dietitian before making any changes to your diet.

Good nutrition and maintaining your body weight during your cancer journey is a really important part of your cancer care plan. By maintaining good nutritional intake and consuming a nourishing diet you are more likely to: 

  • Feel better overall
  • Maintain your strength and energy
  • Tolerate any treatment-related side effects
  • Lower your risk of infection
  • Be able to finish your treatment – often chemotherapy has to be stopped or postponed, if the person is not strong enough to continue

Why Does Weight Loss Matter Now?  

Losing weight is often seen a good thing, especially if you’ve always struggled to manage your weight. But it is important to know that losing weight unintentionally can affect both your treatment and your recovery. This is also the case for people who were or are overweight.

Body weight is a measure of how heavy you are. Our body is made up of different amounts of fat, bone, muscle and water; this is called body composition. Losing weight can mean losing fat, but it can mean losing muscle too; this is often the case in cancer.

Muscles help you move. Losing muscle can affect how strong you feel and what you are physically able to do in your day e.g. get out of bed, go for a walk, stand up to cook a meal. When we can’t or don’t eat enough protein foods, the body breaks down muscle to get the building blocks of protein (amino acids) to make cells that it needs for other processes in the body such as healing and fighting infection. This can intensify the muscle loss (muscle wasting).

Inflammation is one of the ways that your body fights infection and disease. It happens when the immune system detects something harmful in the body such as bacteria or damaged cells. It can affect the way your body handles nutrients. This response can also make you feel very tired (fatigue), have no appetite, lose weight and lose muscle.

Maintaining your weight can help your body to better tolerate your treatment. Any changes in your weight from when you were first diagnosed could affect your treatment dose or delay your treatment. By maintaining good nutritional in-take you can help reduce the risk of losing additional strengthening muscle weight in the future. This can help ensure your body can better tolerate your treatment.

 

Why am I losing weight?

Nutricia adult oncology female patient

Learn more about unintentional weight loss and symptoms which may impact on your ability to eat and/or drink. 

 

Find out more

 

Managing malnutrition in Oncology

Identification of malnutrition through screening is imperative, as recognised by the National Institute for Health and Care Excellence (NICE)16 and the European Society for Clinical Nutrition and Metabolism (ESPEN)1,5

Understand the relevance of managing malnutrition and the role of oral nutritional supplements (ONS) for cancer patients.

Find out more
Oncology doctor patient

Oral Nutritional Supplements in Oncology

FSCP taste sensation

 

Fortisip Compact Protein is a high energy,  high protein, low volume ONS with specific warming and cooling sensations appreciated in patients with Cancer17

Find out more

 

A range of resources to support nutrition in Oncology

Oncology e-Learning

This E-learning module is designed to support and improve your knowledge of managing Malnutrition in Oncology, as well as to provide guidance on the use of Oral Nutritional Supplements (ONS) for patients with cancer.

Nutrition in Oncology Webinar

This webinar showcases a multi-disciplinary approach to nutritional management in Oncology. Together, Emma, a Specialist Dietitian, and Judith, a Specialist Nurse, highlight the prevalence of malnutrition in Oncology and the important role nutrition plays.

British Journal of Nursing - Nutrition and Oncology

British Journal of Nursing article written by Emma Atkinson, Mcmillan Dietitian and Judith Atkinson, Specialist Nurse. Nutrition and Oncology: best practice and the development of a traffic light system.

Screening for Malnutrition

Further support on screening for Malnutrition, including our Screening for Malnutrition e-learning

Nutritional intervention in Oncology patients

Our 'Good Days and Bad Days' video was developed highlight the importance of good nutrition in Cancer patients.

Resources

A range of Case Studies, Articles and further reading to support Nutrition in Oncology

Do you have a question?

Contact our team of experts for guidance on the use and composition of our product range, for support with queries regarding your Nutricia account and sampling service or to get in touch with your local Nutricia representative. We are available Monday to Thursday 9am-5pm and Friday 9am-4pm (except Bank Holidays)

1. References: National Cancer Registry Ireland (2020) Cancer in Ireland 1994-2018 with estimates for 2018-2020: Annual report of the National Cancer Registry. NCRI, Cork, Ireland.

 

1. Arends, et al. Clin Nutr. 2017;36(5):1187-1196.

2. DeWys WD et al. Am J Med. 1980; 69: 491-497.

3. Stratton RJ et al. Wallingford: CABI Publishing; 2003.

4. Ravosco, et al. J Clin Med. 2019; 8:1211.

5. Arends et al. Clin Nutr. 2016;36(1):11-48

6. Marín Caro et al. Clin Nutr. 2007;26(3):289-301

7. Fearon, et al. Lancet Oncol. 2011;12(5):489-495.

8. Sánchez-Lara, al. Nutr Cancer. 2012;64(4):526-534

9. Ross et al. Br J Cancer. 2004;90(10):1905-1911.

10. Martin et al. J Clin Oncol. 2015;33(1):90-99.

11. Gannavarapu et al. J Oncol Pract. 2018;14(4):e238-e250

12. Mariani et al. Support Care Cancer. 2012;20(2):301-309

13. Planas et al. Support Care Cancer. 2016;24(1):429-435.

14. Gourin et al. Ann Otol Rhinol Laryngol. 2014;123(2):101-110.

15. Yu et al. Eur J Clin Nutr. 2013;67(7):732-737

16. NICE. Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition. Clinical Guideline CG32. https://www.nice.org.uk/Guidance/CG32 [Accessed October 2020].

17. de Haan et al. Support Care Cancer. 2021. https://doi.org/10.1007/s00520-021-06049-4 

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