Principles in cancer nutrition therapy

1Wang Lin,2Cong Minghua,3Cui Jiuwei,4Xu Hongxia,5Chen Junqiang,6Li Tao,7Li Zengning,8Liu Ming,3Li Wei,9GuoZengqing,10Song Chunhua,11Weng Min,12Zhang Qi,2Zhang Xi,2Tang Meng

Electronic Journal of Metabolism and Nutrition of Cancer ›› 2022, Vol. 9 ›› Issue (6) : 727-734.

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PDF(3531 KB)
Electronic Journal of Metabolism and Nutrition of Cancer ›› 2022, Vol. 9 ›› Issue (6) : 727-734.

Principles in cancer nutrition therapy

  • 1Wang Lin ，2Cong Minghua ，3Cui Jiuwei ，4Xu Hongxia ，5Chen Junqiang ，6Li Tao ，7Li Zengning ，8Liu Ming ，3Li Wei ，9GuoZengqing ，10Song Chunhua ，11Weng Min ，12Zhang Qi ，2Zhang Xi ，2Tang Meng ，3Liang Tingting ，13Chen Xiaofeng ，13Liu Lingxiang ，14Zhang Feng ，1Jia Pingping ，1Yu Kaiying ，15Tang Xiaoli， 16Chen Yongyi ，17Lu Qian ，18Zhou Fuxiang ，19Fu Zhenming ，1Yang Liuqing ，1Huang Huiling ，1Wang Xiaolin ，1Shi Hanping
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Abstract

Cancer nutrition therapy can significantly improve clinical outcomes prolong survival time improve quality of life and save medical costs. It should be used as the first - line and basic treatment for cancer patients throughout the whole process of treatment. The cancer patients should start the nutrition therapy entirely and actively at an early stage. According to the nutritional diagnosis nutrition therapy should be implemented correspondingly following the four priority principles of dietary priority oral priority nutritional education priority and enteral nutrition priority and the five - step nutrition therapy specification of nutritional education oral nutritional supplements ONS tube feeding partial parenteral nutrition PPN and total parenteral nutrition TPN . The basic requirement of cancer nutrition therapy is to meet the energy and nutrient requirements of cancer patients and the highest goal is to regulate metabolism control cancer maintain body functions improve quality of life and extend survival time. The total energy requirement is assessed using 20-25 kcal / kg·d for bedridden patients and 25-30 kcal / kg·d for active patients and the protein supply is assessed using 1. 2-1. 5 g / kg·d . The energy supply ratio of glucose and fatty acid should be adjusted in the light of the insulin resistance of patients. It is suggested that tumor-bearing patients should reduce the proportion of glucose and increase fatty acid. The combination of multiple pharmacological nutrients has a positive effect on cancer patients. Nutrition therapy for endstage cancer patients requires individualization and full respect for the opinions of patients and their families.

Key words

Cancer nutrition therapy, First-line treatment / Four priorities, Five-step nutrition therapy

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1Wang Lin,2Cong Minghua,3Cui Jiuwei,4Xu Hongxia,5Chen Junqiang,6Li Tao,7Li Zengning,8Liu Ming,3Li Wei,9GuoZengqing,10Song Chunhua,11Weng Min,12Zhang Qi,2Zhang Xi,2Tang Meng. Principles in cancer nutrition therapy[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2022, 9(6): 727-734
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