Publication:
[Adherence and tolerance as key in brake on weight loss in cancer patients with nutritional risk after intervention with a high calorie nutritional and specific hyperproteic supplement].

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2017-06-05

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García Almeida, Jose M
Lupiáñez Pérez, Yolanda
Blanco Naveira, Mercedes
Ruiz Nava, Josefina
Medina, José Antonio
Cornejo Pareja, Isabel
Gómez Pérez, Ana
Molina Vega, María
López-Medina, José A
Tinahones, Francisco J

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Background: In patients with nutritional risk, the European Society for Clinical Nutrition and Metabolism (ESPEN) recommends nutritional supplements during cancer treatment to prevent weight loss. Objectives: Our goal is to determine the acceptability, compliance and tolerance of a hyperproteic, high-calorie, omega-3 enriched supplement in cancer patients. Methods: Unicentric, prospective observational study in cancer patients with hyperproteic, high-calorie, rich in omega 3 and low volume nutritional supplement. Thirty patients with malnutrition or risk of malnutrition were included. Supplementation lasted six days. Compliance (packaging used), acceptability (Madrid scale), anthropometric variables and gastrointestinal adverse events (AEs) were evaluated. Results: Seventy per cent were men, with an average age of 60 years (range 32-79), with lung (43.3%), ENT (26.7%) and breast neoplasms (13.3%), stage III-IV (56.7%), and treated with radiotherapy (93.3%), chemotherapy (60%) and surgery (16.7%). The product was accepted by all patients. A compliance rate of 100% was observed. Gastrointestinal AE (grade II) related to the supplement was observed in two patients (6.7%). Both subjects had previous gastrointestinal diseases. The median weight, body mass index (BMI) and protein intake increased during supplementation (0.2 kg, 0.1 kg/m2 and 6.2 g). No differences were observed regarding calorie, fat and carbohydrates intake. Conclusion: The high acceptance and compliance with the specific nutritional supplement was associated with an improved nutritional status for cancer patients, and reversed the weight loss without severe gastrointestinal problems, or producing intake displacement.

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Adult
Aged
Dietary Proteins
Dietary Supplements
Energy Intake
Fatty Acids, Omega-3
Female
Humans
Male
Middle Aged
Neoplasms
Nutrition Disorders
Nutrition Therapy
Nutritional Status
Patient Acceptance of Health Care
Prospective Studies
Risk
Weight Loss

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Keywords

Desnutrición relacionada con la enfermedad aguda. Suplemento nutricional. Oncología. Ácidos grasos omega 3. Nutrición oral.

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