Ernährung während und nach der Krebstherapie

Der Ernährungsstatus des Patienten während einer Krebstherapie hat Einfluss auf die Therapieverträglichkeit und die Lebensqualität. Während der Therapie steht neben der Gewichtsstabilisation die Linderung von therapiebedingten Nebenwirkungen im Vordergrund. In der Nachsorge wird eine gesunde, ausgewogene Ernährung angestrebt, um das Risiko für weitere onkologische Erkrankungen zu senken.

• Literatur

• 1 Loser C. Malnutrition in hospital: the clinical and economic implications. Dtsch Arztebl Int 2010; 107: 911-917
• 2 Muscaritoli M, Molfino A, Gioia G. et al. The “parallel pathway”: a novel nutritional and metabolic approach to cancer patients. Intern Emerg Med 2011; 6: 105-112
• 3 Erickson NS, Berling-Ernst A, Bertz H. Ernährungspraxis Onkologie. Stuttgart: Schattauer; 2017
• 4 Oeffinger KC, Mertens AC, Sklar CA. et al. Chronic health conditions in adult survivors of childhood cancer. N Engl J Med 2006; 355: 1572-1582
• 5 Mulrooney DA, Yeazel MW, Kawashima T. et al. Cardiac outcomes in a cohort of adult survivors of childhood and adolescent cancer: retrospective analysis of the Childhood Cancer Survivor Study cohort. Brit Med J 2009; 339: b4606
• 6 Tukenova M, Guibout C, Oberlin O. et al. Role of cancer treatment in long-term overall and cardiovascular mortality after childhood cancer. J Clin Oncol 2010; 28: 1308-1315
• 7 Lipshultz SE, Adams MJ, Colan SD. et al. Long-term cardiovascular toxicity in children, adolescents, and young adults who receive cancer therapy: pathophysiology, course, monitoring, management, prevention, and research directions: a scientific statement from the American Heart Association. Circulation 2013; 128: 1927-1995
• 8 Chow EJ, Chen Y, Kremer LC. et al. Individual prediction of heart failure among childhood cancer survivors. J Clin Oncol 2015; 33: 394-402
• 9 Marin Caro MM, Laviano A, Pichard C. Impact of nutrition on quality of life during cancer. Curr Opin Clin Nutr Metab Care 2007; 10: 480-487
• 10 Lis CG, Gupta D, Lammersfeld CA. et al. Role of nutritional status in predicting quality of life outcomes in cancer – a systematic review of the epidemiological literature. Nutrition J 2012; 11: 27
• 11 Ravasco P, Monteiro Grillo I. et al. Cancer wasting and quality of life react to early individualized nutritional counselling!. Clin Nutr 2007; 26: 7-15
• 12 Langius JA, Zandbergen MC, Eerenstein SE. 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. Clin Nutr 2013; 32: 671-678
• 13 Cotogni P, De Carli L, Passera R. et al. Longitudinal study of quality of life in advanced cancer patients on home parenteral nutrition. Cancer Med 2017; 6: 1799-1806
• 14 Escamilla DM, Jarrett P. The impact of weight loss on patients with cancer. Nurs Times 2016; 112: 20-22
• 15 Crowder SL, Douglas KG, Yanina Pepino M. et al. Nutrition impact symptoms and associated outcomes in post-chemoradiotherapy head and neck cancer survivors: a systematic review. J Cancer Survivors 2018;
• 16 Schulz KH, Patra S, Spielmann H. et al. Physical condition, nutritional status, fatigue, and quality of life in oncological out-patients. SAGE 2017; 5
• 17 Bowen JM, Elad S, Hutchins RD. et al. Methodology for the MASCC/ISOO Mucositis Clinical Practice Guidelines Update. Support Care Cancer 2013; 21: 303-308
• 18 Ganesh V, Chan S, Raman S. et al. A review of patterns of practice and clinical guidelines in the palliative radiation treatment of uncomplicated bone metastases. Radiother Oncol 2017; 124: 38-44
• 19 Fitzgerald RC, di Pietro M, Ragunath K. et al. British Society of Gastroenterology guidelines on the diagnosis and management of Barrett’s oesophagus. Gut 2014; 63: 7-42
• 20 Seufferlein T, Porzner M, Becker T. et al. S3-guideline exocrine pancreatic cancer. Z Gastroenterol 2013; 51: 1395-1440
• 21 Erickson N, Boscheri A, Linke B. et al. Systematic review: isocaloric ketogenic dietary regimes for cancer patients. Med Oncol 2017; 34: 72
• 22 Arends JBH, Bischoff SC, Fietkau R. et al. S3-Leitline Klinische Ernährung in der Onkologie. Aktuel Ernahrungsmed 2015; 40: e1-e74
• 23 Arends J, Bachmann P, Baracos V. et al. ESPEN guidelines on nutrition in cancer patients. Clin Nutr 2017; 36: 11-48
• 24 Hubner J, Muenstedt K, Muecke R. et al. Counseling cancer patients on complementary and alternative medicine. Background, theory, and implementation of nationwide counseling facilities. Strahlenther Onkol 2013; 189: 613-617
• 25 Hubner J, Marienfeld S, Abbenhardt C. et al. How useful are diets against cancer?. Dtsch Med Wochenschr 2012; 137: 2417-2422
• 26 Martin L, Senesse P, Gioulbasanis I. et al. Diagnostic criteria for the classification of cancer-associated weight loss. J Clin Oncol 2015; 33: 90-99
• 27 Basch E, Bent S, Collins J. et al. Flax and flaxseed oil (Linum usitatissimum): a review by the Natural Standard Research Collaboration. J Soc Integr Oncol 2007; 5: 92-105
• 28 Schwedhelm C, Boeing H, Hoffmann G. et al. Effect of diet on mortality and cancer recurrence among cancer survivors: a systematic review and meta-analysis of cohort studies. Nutrit Rev 2016; 74: 737-748
• 29 Research WCRFAIfC. Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective. Washington DC: American Institute for Cancer Research; 2007
• 30 Maschke J, Kruk U, Kastrati K. et al. Nutritional care of cancer patients: a survey on patients’ needs and medical care in reality. Int J Clin Oncol 2017; 22: 200-206
• 31 Shapiro CL, Jacobsen PB, Henderson T. et al. ReCAP: ASCO Core Curriculum for Cancer Survivorship Education. J Oncol Pract 2016; 12: 145
• 32 Vergnaud AC, Romaguera D, Peeters PH. et al. Adherence to the World Cancer Research Fund/American Institute for Cancer Research guidelines and risk of death in Europe. Am J Clin Nutr 2013; 97: 1107-1120
• 33 Quidde J, von Grundherr J, Koch B. et al. Improved nutrition in adolescents and young adults after childhood cancer – INAYA study. BMC Cancer 2016; 16: 872
• 34 Grundherr JV, Koch B, Bokemeyer C. et al. Effektivität einer Intervention zur Verbesserung des Ernährungsverhaltens von jungen Patienten nach überstandener Krebserkrankung im Kindes-, Jugend- und jungen Erwachsenenalter (AYAs) mit kardiovaskulärem Risiko – INAYA Studie. Aktuel Ernahrungsmed 2016; 41: P22
• 35 Quidde J, Koch B, Salchow J. et al. Das CARE-for-CAYA-Programm: Präventionskonzept für junge Menschen nach Krebserkrankung. Forum 2017; 32: 479