Nutritional Management of Oncological Symptoms: A Comprehensive Review
by Mattia Garutti, Claudia Noto, Brenno Pastò, Linda Cucciniello, Massimiliano Alajmo, Amanda Casirati, Paolo Pedrazzoli, Riccardo Caccialanza and Fabio Puglisi
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https://www.mdpi.com/2072-6643/15/24/5068
Abstract
Throughout their experience of illness and during the course of treatment, a substantial proportion of cancer patients are prone to develop nutritional and/or metabolic disturbances. Additionally, cancer patients often encounter long-term side effects from therapies, which may lead to impaired digestion, nutrient absorption or bowel motility. Therefore, the preservation and maintenance of an optimal and balanced nutritional status are pivotal to achieving a better prognosis, increasing the tolerance and adherence to cancer therapies and improving the overall quality of life. In this context, personalized nutritional programs are essential for addressing conditions predisposing to weight loss, feeding difficulties, digestion problems and intestinal irregularity, with the goal of promoting adequate nutrient absorption and minimizing the detrimental effects of treatment regimens. The focus of this research is to examine the most common clinical conditions and metabolic changes that cancer patients may experience, including stomatitis, xerostomia, diarrhea, nausea, vomiting, dysphagia, sub-occlusion, dysgeusia, dysosmia, anorexia, and cachexia. Furthermore, we present a pragmatic example of a multidisciplinary workflow that incorporates customized recipes tailored to individual clinical scenarios, all while maintaining the hedonic value of the meals.
Keywords: cancer; nutrition; stomatitis; xerostomia; diarrhea; nausea; vomiting; dysphagia; anorexia; cachexia