Abstract

The purpose of this study was to identify dietary patterns among patients with advanced cancer. Differences between cancer groups are described, and food groups contributing higher proportions to overall caloric intake are identified. Patients with advanced cancer (n=51) were recruited from a regional cancer centre and completed a three-day dietary record. Food items were categorized according to macronutrient content. After adjustment for body weight, substantial variation in energy intake was observed (range: 13.7 to 55.4 kcal/kg/day). For 49% of patients, protein intake was below recommendations. Overall, patients consumed the largest proportion of their calories from meat (16%), other foods (11%), dessert (9%), fruit (9%), white bread (7%), and milk (7%). Only 5% of patients consumed meal replacement supplements. The results of this descriptive study provide important insights into the dietary habits of patients with advanced cancer. These insights could be translated into the development of effective recommendations for maintaining or improving health and quality of life.

Résumé

L’objectif de cette étude était d’identifier les habitudes alimentaires de patients atteints de cancer au stade avancé. Les différences entre les divers groupes de gens souffrant de cancer sont décrites, et les groupes alimentaires qui contribuent de manière plus importante à l’apport calorique global sont identifiés. Des patients souffrant de cancer au stade avancé (n = 51) ont été recrutés dans un centre régional pour le cancer et ont rempli un journal alimentaire pendant trois jours. Les aliments ont été catégorisés selon leur teneur en macronutriments. Après ajustement pour le poids corporel, une variation substantielle de l’apport énergétique a été observée (plage: 13,7 à 55,4 kcal/kg/ jour). L’apport en protéines était inférieur aux recommandations chez 49% des patients. Globalement, la plus grande proportion des calories consommées par les patients provenait de la viande (16%), des autres aliments (11%), des desserts (9%), des fruits (9%), du pain blanc (7%) et du lait (7%). Seulement 5% des patients consommaient des substituts de repas. Les résultats de cette étude descriptive offrent un aperçu représentatif des habitudes alimentaires des patients atteints de cancer au stade avancé. Ces résultats pourraient être utilisés pour établir des recommandations efficaces visant à maintenir ou à améliorer la santé et la qualité de vie.

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Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 73Number 4December 2012
Pages: e298 - e303

History

Version of record online: 22 November 2012

Authors

Affiliations

Carla M. M. Prado, PhD
Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB
Jessica R. Lieffers, MSc, RD
Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB
Gabriella Bergsten, RD
Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB
Marina Mourtzakis, PhD
Department of Oncology, University of Alberta, Edmonton, AB
Vickie E. Baracos, PhD
Department of Agricultural, Food and Nutritional Science and Department of Oncology, University of Alberta, Edmonton, AB
Tony Reiman, MD, SM, FRCPC
Department of Oncology, University of Alberta, Edmonton, AB
Michael B. Sawyer, MD, BSc Phm
Department of Oncology, University of Alberta, Edmonton, AB
Linda J. McCargar, PhD, RD
Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, AB

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