Food consumption of cancer patients: where are the inadequacies?
DOI:
https://doi.org/10.12957/demetra.2024.68454Keywords:
Quality of the diet. Side effects. Healthy eating. Nutrition.Abstract
Introduction: Eating habits can directly influence the individual's health status, and modulate the risk for Chronic Non-Communicable Diseases, such as cancer. Objective: To evaluate the diet quality of individuals undergoing cancer treatment. Methods: Descriptive cross-sectional study, with 50 adult individuals undergoing cancer treatment. To assess the diet quality, the 24-hour recalls were analyzed and the Diet Quality Index associated with the Digital Food Guide (DQI-DFG) was applied. The correlation of the DQI-DFG with the study variables was evaluated using Student's t-test, ANOVA and Pearson's correlation coefficient. Results: The study sample showed a predominance of females (68%), with a mean age of 58 years ± 12.0 years. The most common type of cancer among women was breast cancer (32%) and among men, intestinal cancer (6%). According to the DQI-DFG, most of the population studied was classified as having intermediate diet quality (66%), while 28% were classified as having low quality and only 6% as having good quality. Of the total sample, 48% of the patients were overweight and the most reported symptom was hyporexia, followed by nausea and vomiting. Conclusion: The diet quality of cancer patients was classified as intermediate, which indicates the need for interventions focused on dietary changes combined with the minimization of gastrointestinal symptoms to improve dietary intake and response to treatment.
Downloads
References
Instituto Brasileiro de Geografia e Estatística. Coordenação de Trabalho e Rendimento. Pesquisa de orçamentos familiares 2017-2018: Análise do consumo alimentar pessoal no Brasil. Rio de Janeiro: IBGE; 2020. 114 p. ISBN 9786587201153
Louzada ML, Martins APB, Canella DS, Baraldi LG, Levy RB, Claro RM et al. Alimentos ultraprocessados e perfil nutricional da dieta no Brasil. Rev Saúde Pública, 2015; 49(38) 1-11. https://doi.org/10.1590/S0034-8910.2015049006132.
Ministério da Saúde. Secretaria de Atenção à Saúde. Guia Alimentar para a População Brasileira. Departamento de Atenção Básica. 2ª Edição. Brasília (DF): Ministério da Saúde; 2014. 156 p. ISBN 978-85-334-2176-9
World Health Organization (WHO). Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Geneva: WHO; 2003. 160 p. ISBN 92 4 120916 X
Instituto Nacional de Câncer José Alencar Gomes da Silva. ABC do câncer: abordagens básicas para o controle do câncer. 6ª Edição. Rio de Janeiro: Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA); 2020. 112 p. ISBN 978-85-7318-394-8
Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2020: incidência de câncer no Brasil. Rio de Janeiro: Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA); 2019. 120 p. ISBN 978-85-7318-388-7
Pereira PL, Nunes ALS, Duarte SFP. Qualidade de vida e consumo alimentar de pacientes oncológicos. Rev. Bras. De Cancerologia, 2015; 61(3):243-251. https://doi.org/10.32635/2176-9745.RBC.2015v61n3.254.
Maniglia FP, Cruz LC, Costa LCM, Silva LCO, Oliveira BAP. Avaliação da percepção do paladar de pacientes oncológicos: relação com variáveis pessoais e clínicas e comparação com um grupo controle. Revista Brasileira de Cancerologia 2021; 67(1): e-11994. https://doi.org/10.32635/2176-9745.RBC.2021v67n1.994.
Takara FM, Morikawa W, Rivoir RV, Trevisan C, Tieko AE, Carvalho MG et.al. Avaliação nutricional em pacientes com câncer de cabeça e pescoço. Rev. Bras. Cir. Cabeça Pescoço, 2012;41(2): 70-74. ID: lil-641372.
Argilés JM, Anker SD, Evans WJ, Morley JE, Fearon KC, Strasser F, et al. Consensus on cachexia definitions. J Am Med Assoc. 2010; 11(4): 229-30. https://doi.org/10.1016/j.jamda.2010.02.004
Dias MV, Barreto APM, Coelho SC, Ferreira FMB, Vieira GBS, Cláudio MM, et al. O grau de interferência dos sintomas gastrointestinais no estado nutricional do paciente com câncer em tratamento quimioterápico. RevBrasNutr Clin, 2006; 21(3): 211-8.
Machry VR, Susin FC, Barros CR, Lago DL. Desnutrição em pacientes com câncer avançado: uma revisão com abordagem para o clínico. Rev AMRIGS, 2011; 55(3):296-301.ID: biblio-835371
Waitzberg DL, Caiffa WT, Correia IT. Hospital malnutrition: the Brazilian national survey (IBRANUTRI): a study of 4000 patients. Nutrition 2001;17(7-8):573-80.https://doi.org/10.1016/s0899-9007(01)00573-1
Brasil. Ministério da Saúde. Instituto Nacional de Câncer. Consenso nacional de nutrição oncológica. 2ª Edição. Rio de Janeiro: Instituto Nacional de Câncer (INCA), 2015. 182 p. ISBN 978-85-7318-154-8
Fearon K, Strasser F, Anker SD, Bosaeus I, Bruera E, Fainsinger RL, et al. Definition and classification of cancer cachexia: an international consensus. Lancet Oncol, 2011; 12(5):489-95. https://doi.org/10.1016/S1470-2045(10)70218-7
Tisdale MJ. Cancercachexia. CurrOpinGastroenterol, 2010; 26(2): 146-51. https://doi.org/10.1155/2011/601434.
Vega MCMD, Laviano A, Pimentel GD. Sarcopenia e toxicidade mediada pela quimioterapia. Einstein. 2016; 14(4): 580-4. https://doi.org/10.1590/S1679-45082016MD3740.
Poltronieri TS, Tusset C. Impacto do tratamento do câncer sobre o estado nutricional de pacientes oncológicos: atualização da literatura. Revista Brasileira de Ciências da Saúde, 2016; 20(4): 327-332. https://doi.org/10.4034/RBCS.2016.20.04.10.
Stewart A, Marfell-Jones M, Olds T, Ridder J. International Standards for Anthropometric Assessment. 3ª edition. New Zealand: International Society for the Advancement of Kinanthropometry; 2011. 115 p. ISBN 9780620362078, 0620362073.
World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO, 1997. 268 p. ISBN 92 4 120894 5
Caivano S, Colugnati FAB, Domeme, SMA. Diet quality index associated with digital food guide: update and validation. Cad. Saúde Pública, 2019; 35(9):e00043419. https://doi.org/10.1590/0102-311X00043419
Caivano S, Domene SMA. NutraBem Pro [Internet]. Brasil: Universidade Federal de São Paulo; número do registro 512022001589-7, 2009[Acesso 16 abr 2021] Disponível em: https://nutrabem.unifesp.br/
Rodrigues JSM, Ferreira NMLA. Caracterização do perfil epidemiológico do câncer em uma cidade do interior Paulista. Revista Brasileira de Cancerologia, 2010; 56(4): 431-441. https://doi.org/10.32635/2176-9745.
Ministério da Saúde. Secretaria de Atenção à Saúde. Instituto Nacional de Câncer. Coordenação de Prevenção e Vigilância. A situação do câncer no Brasil. Rio de Janeiro: Secretaria de Atenção à Saúde, Instituto Nacional de Câncer, Coordenação de Prevenção e Vigilância, 2006. 120 p. ISBN 85-7318-121-4
Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Mapa da obesidade [Acesso 03 maio 2021]. Disponível em: https://abeso.org.br/obesidade-e-sindrome-metabolica/mapa-da-obesidade/.
Miranda TV, Neves FMG, Costa GNR, Souza MAM. Estado Nutricional e Qualidade de Vida de Pacientes em Tratamento Quimioterápico. Revista Brasileira de Cancerologia, 2013; 59(1): 57-64. https://doi.org/10.32635/2176-9745.RBC.2013v59n1.544.
de Pinho NB, Martucci RB, Rodrigues VD, D’Almeida CA, Thuler LCS, Saunders C, et al. High prevalence of malnutrition and nutrition impact symptoms in older patients with cancer: results of a Brazilian multicenter study. Câncer, 2020; 126(1): 156-164. https://doi.org/10.1002/cncr.32437.
Perin LB, da Silva ACP, Bernardi JR, Vasconcellos SB. Qualidade da dieta de pacientes com câncer de mama em quimioterapia na Unidade de Alta Complexidade em Oncologia (UNACON) vinculada a um hospital público da Serra Gaúcha. Braspen J, 2017; 32(2): 144-148.ID: biblio-848148.
Guenther PM, Casavale KO, Reedy KO, Kirkpatrick SI, Hiza HAB, Kuczynski KJ et al. Update of the healthy eating index: HEI-2010. Journal of the Academy of Nutrition and Dietetics, 2013; 113(4): 569-580. https://doi.org/10.1016/j.jand.2012.12.016
Zanchin FC, Sivieiro J, Santos JS, Silva ACP, Rombaldi RL. Estado nutricional e consumo alimentar de mulheres com câncer de mama atendidas em um serviço de mastologia no interior do Rio Grande do Sul, Brasil. Rev. HCPA, 2011; 31(3): 336-44.
Philippi ST, Latterza AR, Cruz AT, Ribeiro LC. Pirâmide alimentar adaptada: guia para escolha dos alimentos. RevNutr Campinas, 1999;12:65-80. https://doi.org/10.1590/S1415-52731999000100006
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2019. Brasília: Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis, 2020. 137 p. ISBN 978-85-334-2765-5
Lima FML, Latorre MRDO, Costa MJDC, Fisberg RM. Diet and cancer in Northeast Brazil: evaluation of eating habits and food group consumption in relation to breast cancer. CadSaúde Pública, 2008; 24(4): 820-828. https://doi.org/10.1590/S0102-311X2008000400012.
Marchioni DML, Fisberg RM, Filho JFDG, Kowalski LP, de Carvalho MB, Abrahão M, et al. Dietary patterns and risk of oral cancer: a case-control study in São Paulo, Brazil. Revista de Saúde Pública, 2007; 41(1): 19-26. https://doi.org/10.1590/S0034-89102007000100004.
Azevedo CD, Dal Bosco SM. Perfil nutricional, dietético e qualidade de vida de pacientes em tratamento quimioterápico. ConScientiae Saúde, 2011; 10(1): 23-30. https://doi.org/10.5585/conscientiaesaude/2011/v10n1/2489
Sanchéz-Lara K, Sosa-Sanchéz R, Green-Renner D, ET al. Influence of taste disorders on dietary behaviors incancer patients under chemotherapy. Nutr J. 2010; 9(15): 1-6. https://doi.org/10.1186/1475-2891-9-15.
Gonçalves T, Carneiro PCPD, Cals PMT, Leão LS, Lima CA, Verde SMML. Qualidade da dieta de mulheres com câncer de mama e sua relação com o conhecimento nutricional e o estado nutricional. RevBrasMastologia, 2012;22(1):13-20. ID: lil-722467
International Agency for Research on Cancer. Red meat and processed meat. Lyon, France: IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. 2018. ISBN 978-92-832-0180-9
Calabrich A.F.C, Katz A. Deficiência de ferro no paciente com câncer. Rev. Bras. Hematol. Hemoter, 2010; 32(2):95-98. https://doi.org/10.1590/S1516-84842010005000049.
Mattes RD, Curram Jr WJ, Alavi J, Powlis W, Whittington R. Clinical implications of learned food aversions in patients with cancer treated with chemotherapy or radiation therapy. Cancer, 1992; 70(1): 192-200. https://doi.org/10.1002/1097-0142(19920701)70:1<192::aid-cncr2820700130>3.0.co;2-g.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Amanda Cristina Torralbo Pugliesi
This work is licensed under a Creative Commons Attribution 4.0 International License.
STATEMENT OF AUTHORSHIP RESPONSIBILITY
Title of the manuscript:
________________________________________________________
1. Statement of responsability
I certify that I have participated in the work above specified and take public responsibility for its content.
I certify that the manuscript represents an original work and that none of the material in the manuscript has been previously published, is included in another manuscript, or is currently under consideration for publication elsewhere, whether in printed form or in electronic media, except that described in the attachment.
In case of acceptance of this text by Demetra: Alimentação, Nutrição & Saude, I declare to be in accordance with the policy of public access and copyright adopted by Demetra, which provides as follows: (a) the authors retain the copyright and grant to the Journal the right of first publication, the work being simultaneously licensed under the Creative Commons Attribution License, which allows the sharing of the work with acknowledgment of authorship and initial publication in this journal; (b) authors are authorized to enter additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal; and (c) authors are permitted and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this may lead to productive changes, as well as increase the impact and citation of the published work.
2. Conflict of Interest Statement
I certify that there is no conflict of interest in connection with the submitted article.
Date, signature and full address of all authors.
