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Journal of Nutrition Research
An official journal of IAPEN India association

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IAPEN India : Nutrition Consensus Guidelines in Oncology Clinical Practice
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Journal of Nutrition Research

DOI: 10.55289/jnutres/v9i1.03

Year: 2021, Volume: 9, Issue: 1, Pages: 8-18

Review Article

IAPEN India : Nutrition Consensus Guidelines in Oncology Clinical Practice

Shivshankar Timmanpyati 1, Arvind Krishnamurthy 2, Purvish Parikh 3, Meenakshi Bajaj 4, Sumant Gupta 5, Purabi Mahajan 1, Priti Arolkar 1, Gargee Rai 6, Rajeswari Alagirimunuswamy 7, Arnab Gupta 8, Nagaraj Huilgol 9, Shamali Poojary 1, Nandita Dhanaki 10, Fagun Gandhi 10, Rajeshwari Prem 11, Shaveta Bhatta 12, M V Chandrakant 13, C Reena 14, Savita Goswami 1, Arun Balaji 1, Manjusha Vagal 1, Meenu Walia 15, Esther Sathiaraj 16, Manish Goswami​ ✉ 17

1 Tata Memorial Hospital (HBNI), Mumbai, India
2 Cancer Institute (WIA), Chennai, Adyar, India
3 Asian Institute of Oncology, Mumbai, India
4 Tamil Nadu Govt Multi Super Specialty Hospital, Chennai, India
5 Sarvodaya Health Care, Faridabad, India
6 National Cancer Institute, Nagpur, India
7 Apollo Cancer Centre, Chennai, India
8 Saroj Gupta Cancer Centre & Research Institute, Kolkatta, India
9 Mumbai, India
10 Nanavati Max super speciality Hospital, Navimumbai, India
11 Homi Bhaba cancer hospital and research centre, Vishakapatnam, India
12 Dayanand Medical College and Hospital, Ludhiana, India
13 Narayana Superspeciality Hospital, Howrah, India
14 Malabar cancer Centre, Thalassery, India
15 Max Institute of Cancer Care, Delhi, India
16 HCG Cancer Hospital
17 Medica Cancer Hospital, West Bengal, India
 
Corresponding author  ✉ : [email protected]

Received Date:12 December 2021, Accepted Date:22 December 2021, Published Date:28 December 2021

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Malnutrition is one of the most common and significant issue during the treatment of cancer. Poor nutritional management during the treatment may impede the progress in the treatment. Many international societies have nutritional recommendations published on their websites. India, being a multicultural population with varied nutritional habits and local beliefs have no cohesive evidence-based nutritional approach during and after treatment. The current guideline has been formulated jointly by oncologists, nutritionists, and multidisciplinary professionals with an aim to provide science based standard nutritional guidance to the community healthcare professionals across India. The committee referred to major international guidelines published in recent past. With intense deliberations adopted few selective recommendations which are compatible with Indian practice.

Keywords: Cancer, Nutrition, Consensus guideline, nutrition in cancer, IAPEN guidelines, IAPEN cancer guidelines

References

  1. Muscaritoli M, Lucia S, Farcomeni A, Lorusso V, Saracino V, Barone C, et al. Prevalence of malnutrition in patients at first medical oncology visit: the PreMiO study. Oncotarget. 2017;8(45):79884–79896. Available from: https://dx.doi.org/10.18632/oncotarget.20168
  2. Kim DH. Nutritional issues in patients with cancer. Intestinal Research. 2019;17(4):455–462.
  3. Alam MM, Rahman T, Afroz Z, Chakraborty PA, Wahab A, Zaman S, et al. Quality of Life (QoL) of cancer patients and its association with nutritional and performance status: A pilot study. Heliyon. 2020;6(10):e05250. Available from: https://dx.doi.org/10.1016/j.heliyon.2020.e05250
  5. Goswami L, Chakravarty C, Hazarika B. Prevalence of malnutrition in a tertiary care hospital in India. Indian Journal of Critical Care Medicine. 2013;17(3):170–173. Available from: https://dx.doi.org/10.4103/0972-5229.117058
  7. Ravasco P. Nutrition in Cancer Patients. Journal of Clinical Medicine. 2019;8(8):1211. Available from: https://dx.doi.org/10.3390/jcm8081211
  9. Platek ME. The role of dietary counseling and nutrition support in head and neck cancer patients. Current Opinion in Supportive & Palliative Care. 2012;6(4):438–445. Available from: https://dx.doi.org/10.1097/spc.0b013e32835999d5
  10. Ravasco P, Monteiro-Grillo I, Vidal PM, Camilo ME. Dietary Counseling Improves Patient Outcomes: A Prospective, Randomized, Controlled Trial in Colorectal Cancer Patients Undergoing Radiotherapy. Journal of Clinical Oncology. 2005;23(7):1431–1438. Available from: https://dx.doi.org/10.1200/jco.2005.02.054
  12. Gröber U, Holzhauer P, Kisters K, Holick M, Adamietz I. Micronutrients in Oncological Intervention. Nutrients. 2016;8(3):163. Available from: https://dx.doi.org/10.3390/nu8030163
  13. Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, Bozzetti F, et al. ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition. 2017;36(1):11–48. Available from: https://dx.doi.org/10.1016/j.clnu.2016.07.015
  14. Muscaritoli M, Arends J, Bachmann P, Baracos V, Barthelemy N, Bertz H, et al. ESPEN practical guideline: Clinical Nutrition in cancer. Clinical Nutrition. 2021;40(5):2898–2913. Available from: https://dx.doi.org/10.1016/j.clnu.2021.02.005
  15. August DA, Huhmann MB, . A.S.P.E.N. Clinical Guidelines: Nutrition Support Therapy During Adult Anticancer Treatment and in Hematopoietic Cell Transplantation. Journal of Parenteral and Enteral Nutrition. 2009;33(5):472–500. Available from: https://dx.doi.org/10.1177/0148607109341804
  16. Peñas Rdl, Majem M, Perez-Altozano J, Virizuela JA, Cancer E, Diz P, et al. SEOM clinical guidelines on nutrition in cancer patients (2018) Clinical and Translational Oncology. 2019;21:87–93. Available from: https://dx.doi.org/10.1007/s12094-018-02009-3
  17. Clarke P, Radford K, Coffey M, Stewart M. Speech and swallow rehabilitation in head and neck cancer: United Kingdom National Multidisciplinary Guidelines. The Journal of Laryngology & Otology. 2016;130(S2):S176–S180. Available from: https://dx.doi.org/10.1017/s0022215116000608
  18. Rauh S, Antonuzzo A, Bossi P, Eckert R, Fallon M, Fröbe A, et al. Nutrition in patients with cancer: a new area for medical oncologists? A practising oncologist’s interdisciplinary position paper. ESMO Open. 2018;3(4):e000345. Available from: https://dx.doi.org/10.1136/esmoopen-2018-000345
  19. Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA: A Cancer Journal for Clinicians. 2012;62(4):242–274. Available from: https://dx.doi.org/10.3322/caac.21142
  20. Champ CE, Mishra MV, Showalter TN, Ohri N, Dicker AP, Simone NL. Dietary Recommendations During and After Cancer Treatment: Consistently Inconsistent? Nutrition and Cancer. 2013;65(3):430–439. Available from: https://dx.doi.org/10.1080/01635581.2013.757629
  21. Shridhar K, Dhillon PK, Bowen L, Kinra S, Bharathi AV, Prabhakaran D, et al. Nutritional profile of Indian vegetarian diets – the Indian Migration Study (IMS) Nutrition Journal. 2014;13(1). Available from: https://dx.doi.org/10.1186/1475-2891-13-55
  22. Bhattacharjee A, Bahar I, Saikia A. Nutritional assessment of patients with head and neck cancer in North-East India and dietary intervention. Indian Journal of Palliative Care. 2015;21(3):289. Available from: https://dx.doi.org/10.4103/0973-1075.164889
  23. Semple CJ, Sullivan K, Dunwoody L, Kernohan WG. Psychosocial Interventions for Patients With Head and Neck Cancer. Cancer Nursing. 2004;27(6):434–441. Available from: https://dx.doi.org/10.1097/00002820-200411000-00002
  24. Thompson KL, Elliott L, Fuchs-Tarlovsky V, Levin RM, Voss AC, Piemonte T. Oncology Evidence-Based Nutrition Practice Guideline for Adults. Journal of the Academy of Nutrition and Dietetics. 2017;117(2):297–310. Available from: https://dx.doi.org/10.1016/j.jand.2016.05.010
  25. Benoist S, Brouquet A. Nutritional assessment and screening for malnutrition. Journal of Visceral Surgery. 2015;152(1):S3–S7. Available from: https://dx.doi.org/10.1016/s1878-7886(15)30003-5
  26. Mattox TW. Cancer Cachexia: Cause, Diagnosis, and Treatment. Nutrition in Clinical Practice. American Society for Parenteral and Enteral Nutrition. 2017;32:599–606. Available from: https://doi.org/10.1177/0884533617722986
  27. Zanetti M, Cappellari GG, Barazzoni R, Sanson G. The Impact of Protein Supplementation Targeted at Improving Muscle Mass on Strength in Cancer Patients: A Scoping Review. Nutrients. 2020;12(7):2099. Available from: https://dx.doi.org/10.3390/nu12072099
  28. Deutz NEP, Safar A, Schutzler S, Memelink R, Ferrando A, Spencer H, et al. Muscle protein synthesis in cancer patients can be stimulated with a specially formulated medical food. Clinical Nutrition. 2011;30(6):759–768. Available from: https://dx.doi.org/10.1016/j.clnu.2011.05.008
  29. Arthur AE, Goss AM, Demark‐Wahnefried W, Mondul AM, Fontaine KR, Chen YT, et al. Higher carbohydrate intake is associated with increased risk of all‐cause and disease‐specific mortality in head and neck cancer patients: results from a prospective cohort study. International Journal of Cancer. 2018;143(5):1105–1113. Available from: https://dx.doi.org/10.1002/ijc.31413
  30. Patel AV, McCullough ML, Pavluck AL, Jacobs EJ, Thun MJ, Calle EE. Glycemic load, glycemic index, and carbohydrate intake in relation to pancreatic cancer risk in a large US cohort. Cancer Causes & Control. 2007;18(3):287–294. Available from: https://dx.doi.org/10.1007/s10552-006-0081-z
  31. Makarem N, Bandera EV, Nicholson JM, Parekh N. Consumption of Sugars, Sugary Foods, and Sugary Beverages in Relation to Cancer Risk: A Systematic Review of Longitudinal Studies. Annual Review of Nutrition. 2018;38(1):17–39. Available from: https://dx.doi.org/10.1146/annurev-nutr-082117-051805
  32. Groot Sd, Vreeswijk MP, Welters MJ, Gravesteijn G, Boei JJ, Jochems A, et al. The effects of short-term fasting on tolerance to (neo) adjuvant chemotherapy in HER2-negative breast cancer patients: a randomized pilot study. BMC Cancer. 2015;15(1). Available from: https://dx.doi.org/10.1186/s12885-015-1663-5
  33. Fuchs MA, Sato K, Niedzwiecki D, Ye X, Saltz LB, Mayer RJ, et al. Sugar-Sweetened Beverage Intake and Cancer Recurrence and Survival in CALGB 89803 (Alliance) PLoS ONE. 2014;9(6):e99816. Available from: https://dx.doi.org/10.1371/journal.pone.0099816
  34. Llaha F, Gil-Lespinard M, Unal P, Villasante Id, Castañeda J, Zamora-Ros R. Consumption of Sweet Beverages and Cancer Risk. A Systematic Review and Meta-Analysis of Observational Studies. Nutrients. 2021;13(2):516. Available from: https://dx.doi.org/10.3390/nu13020516
  35. Sieri S, Krogh V, Agnoli C, Ricceri F, Palli D, Masala G, et al. Dietary glycemic index and glycemic load and risk of colorectal cancer: results from the EPIC-Italy study. International Journal of Cancer. 2015;136(12):2923–2931. Available from: https://dx.doi.org/10.1002/ijc.29341
  36. Song M, Wu K, Meyerhardt JA, Ogino S, Wang M, Fuchs CS, et al. Fiber Intake and Survival After Colorectal Cancer Diagnosis. JAMA Oncology. 2018;4(1):71. Available from: https://dx.doi.org/10.1001/jamaoncol.2017.3684
  37. Masrul M, Nindrea RD. Dietary Fibre Protective against Colorectal Cancer Patients in Asia: A Meta-Analysis. Open Access Macedonian Journal of Medical Sciences. 2019;7(10):1723–1727. Available from: https://dx.doi.org/10.3889/oamjms.2019.265
  38. Singh K, Bhori M, Kasu YA, Bhat G, Marar T. Antioxidants as precision weapons in war against cancer chemotherapy induced toxicity – Exploring the armoury of obscurity. Saudi Pharmaceutical Journal. 2018;26(2):177–190. Available from: https://dx.doi.org/10.1016/j.jsps.2017.12.013
  39. Jung AY, Cai X, Thoene K, Obi N, Jaskulski S, Behrens S, et al. Antioxidant supplementation and breast cancer prognosis in postmenopausal women undergoing chemotherapy and radiation therapy. The American Journal of Clinical Nutrition. 2019;109(1):69–78. Available from: https://dx.doi.org/10.1093/ajcn/nqy223
  40. Hamad A, Fragkos KC, Forbes A. A systematic review and meta-analysis of probiotics for the management of radiation induced bowel disease. Clinical Nutrition. 2013;32(3):353–360. Available from: https://dx.doi.org/10.1016/j.clnu.2013.02.004
  42. Sivamaruthi BS, Kesika P, Chaiyasut C. The Role of Probiotics in Colorectal Cancer Management. Evidence-Based Complementary and Alternative Medicine. 2020;2020:1–17. Available from: https://dx.doi.org/10.1155/2020/3535982
  43. Sadanand A, Newland JG, Bednarski JJ. Safety of Probiotics Among High-Risk Pediatric Hematopoietic Stem Cell Transplant Recipients. Infectious Diseases and Therapy. 2019;8(2):301–306. Available from: https://dx.doi.org/10.1007/s40121-019-0244-3
  44. Langius JAE, Zandbergen MC, Eerenstein SEJ, Tulder MWv, Leemans CR, Kramer MHH, et al. Effect of nutritional interventions on nutritional status, quality of life and mortality in patients with head and neck cancer receiving (chemo)radiotherapy: a systematic review. Clinical Nutrition. 2013;32(5):671–678. Available from: https://dx.doi.org/10.1016/j.clnu.2013.06.012
  45. Ferreira IB, Lima EdNS, Canto PPL, Gontijo CA, Maia YCdP, Pena GdG. Oral Nutritional Supplementation Affects the Dietary Intake and Body Weight of Head and Neck Cancer Patients during (Chemo) Radiotherapy. Nutrients. 2020;12(9):2516. doi: 10.3390/nu12092516
  46. Rinninella E, Cintoni M, Raoul P, Pozzo C, Strippoli A, Bria E, et al. Effects of nutritional interventions on nutritional status in patients with gastric cancer: A systematic review and meta-analysis of randomized controlled trials. Clinical Nutrition ESPEN. 2020;38:28–42. doi: 10.1016/j.clnesp.2020.05.007
  48. de Aguiar Pastore Silva J, Emilia de Souza Fabre M, Waitzberg DL. Omega-3 supplements for patients in chemotherapy and/or radiotherapy: A systematic review. Clinical Nutrition. 2015;34(3):359–366. doi: 10.1016/j.clnu.2014.11.005
  49. Bolland MJ, Grey A, Gamble GD, Reid IR. The effect of vitamin D supplementation on skeletal, vascular, or cancer outcomes: a trial sequential meta-analysis. The Lancet Diabetes & Endocrinology. 2014;2(4):307–320. Available from: https://dx.doi.org/10.1016/s2213-8587(13)70212-2
  50. Wang L, Sesso HD, Glynn RJ, Christen WG, Bubes V, Manson JE. Vitamin E and C supplementation and risk of cancer in men: posttrial follow-up in the Physicians’ Health Study II randomized trial. The American Journal of Clinical Nutrition. 2014;100(3):915–923. Available from: https://dx.doi.org/10.3945/ajcn.114.085480
  51. Klein EA, Thompson IM, Tangen. Vitamin E and the risk of prostate cancer: The Selenium and Vitamin E Cancer Prevention Trial (SELECT) JAMA. 2011;(14) 1549–1556.
  52. Weimann A, Braga M, Carli F, Higashiguchi T, Hübner M, Klek S, et al. ESPEN guideline: Clinical nutrition in surgery. Clinical Nutrition. 2017;36(3):623–650. Available from: https://dx.doi.org/10.1016/j.clnu.2017.02.013
  55. Probst P, Ohmann S, Klaiber U, Hüttner FJ, Billeter AT, Ulrich A, et al. Meta-analysis of immunonutrition in major abdominal surgery. British Journal of Surgery. 2017;104(12):1594–1608. Available from: https://dx.doi.org/10.1002/bjs.10659
  56. Lawrie TA, Green JT, Beresford M, Wedlake L, Burden S, Davidson SE, et al. Interventions to reduce acute and late adverse gastrointestinal effects of pelvic radiotherapy for primary pelvic cancers. Cochrane Database of Systematic Reviews. 2018;1.
  58. Colomer R, Moreno-Nogueira JM, García-Luna PP, García-Peris P, García-de-Lorenzo A, Zarazaga A, et al. n-3 Fatty acids, cancer and cachexia: a systematic review of the literature. British Journal of Nutrition. 2007;97(5):823–831. Available from: https://dx.doi.org/10.1017/s000711450765795x
  59. Ghoreishi Z, Esfahani A, Djazayeri A, Djalali M, Golestan B, Ayromlou H, et al. Omega-3 fatty acids are protective against paclitaxel-induced peripheral neuropathy: A randomized double-blind placebo controlled trial. BMC Cancer. 2012;12(1):355. Available from: https://dx.doi.org/10.1186/1471-2407-12-355
  60. Midtgaard J, Christensen JF, Tolver A, Jones LW, Uth J, Rasmussen B, et al. Efficacy of multimodal exercise-based rehabilitation on physical activity, cardiorespiratory fitness, and patient-reported outcomes in cancer survivors: a randomized, controlled trial. Annals of Oncology. 2013;24(9):2267–2273. Available from: https://dx.doi.org/10.1093/annonc/mdt185
  61. Speck RM, Courneya KS, Mâsse LC, Duval S, Schmitz KH. An update of controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Journal of Cancer Survivorship. 2010;4(2):87–100. Available from: https://dx.doi.org/10.1007/s11764-009-0110-5
  62. Kim EH, Lee H, Chung H, Park JC, Shin SK, Lee SK, et al. Impact of metabolic syndrome on oncologic outcome after radical gastrectomy for gastric cancer. Clinics and Research in Hepatology and Gastroenterology. 2014;38(3):372–378. Available from: https://dx.doi.org/10.1016/j.clinre.2013.11.009
  63. Bozzetti F. Is there a place for nutrition in palliative care? Supportive Care in Cancer. 2020;28(9):4069–4075. Available from: https://dx.doi.org/10.1007/s00520-020-05505-x

Copyright

© 2021 Timmanpyati et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Published By India Association for Parenteral and Enteral Nutrition (IAPEN)

  • 14 March 2022

Year: 2021, Volume: 9, Issue: 1


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