Neutropenic diet and quality of food: a critical analysis

Garófolo, Adriana

doi:10.5581/1516-8484.20130022

Cited by 11 publications

(9 citation statements)

References 19 publications

(19 reference statements)

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“…The nutritional suggestions were given as brochures and included: the consumption of cooked vegetables, raw banana and pilled orange, fruit compote and juices, well-cooked egg and meat, pasteurized dairy products and boiled water. All patients were advised to avoid consuming raw vegetables 7,10 . Each patient was given 28 fizzy tablets containing 500 mg vitamin C for the duration of 4 weeks produced by Vita Fiz company approved by the FDA.…”

Section: Energy Calculation and Dietary Suggestionsmentioning

confidence: 99%

“…are still contradictory results about its efficacy [4][5][6][7][8][9][10][11][12] . The studies have suggested that raw and cooked diet have no effect on the infection incidence [4][5][6][7][8][9][10][11][12][13][14][15][16] and patients who adhere from the cooked dietary pattern, the principal of neutropenic diet, have significantly lower vitamin C intake (38.9%). Moreover, the level of vitamin C decreases in blood malignancies 17 .…”

Section: Introductionmentioning

confidence: 99%

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Untitled

2020

IJPSR

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Background: Leukemia is the seventh common cancer in Iran, and AML is considered as the most common type. Malnutrition is common among patients with cancer. Vitamin C deficiency has a high prevalence among patients with cancer, which may influence a patient's survival chance. This study was aimed to evaluate the effect of vitamin C supplementation on nutritional status and serum albumin in patients with acute myeloid leukemia referred to Shariati Hospital in Tehran. Methods: This study was recruited by a randomized selection of 50 patients with AML, including entrance criteria, into 2 groups including the supplement group and control group. The duration of the study was 1 month. Nutritional status was assessed by the PG-SGA questionnaire, body weight, serum albumin status, and 3 days of food record before and at the end of the study. Results: The results of this study have shown that the nutritional status and body weight in the supplementation group have improved significantly (p-value=0.001 and 0.004, respectively). The serum albumin status has increased significantly in the supplementation group compared to the control group. (P-value=0.002). Conclusion: The results of this study have suggested that vitamin C supplementation in patients with AML under chemotherapy has improved nutritional status and reduced malnutrition due to chemotherapy side effects.

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Section: Energy Calculation and Dietary Suggestionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Untitled

2020

IJPSR

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“…In general, this diet excludes raw fruits and vegetables based on the concept that some foods have a greater microbiological load that could be harmful . However, there is no scientific evidence to support its benefit, and this diet can lead to difficulties in compliance and oral intake . Moreover, the lack of knowledge regarding the neutropenic diet has led to a lack of uniformity in the dietary recommendations of centers .…”

Section: Introductionmentioning

confidence: 99%

“…1,2 However, there is no scientific evidence to support its benefit, 3 and this diet can lead to difficulties in compliance and oral intake. 6,7 Moreover, the lack of knowledge regarding the neutropenic diet has led to a lack of uniformity in the dietary recommendations of centers. 4,5 Therefore, the microbiological and nutritional contents of regular and neutropenic diets that are offered to pediatric patients were analyzed and compared.…”

Section: Introductionmentioning

confidence: 99%

Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

Maia

Cruz

Gregianin

2017

Pediatric Blood & Cancer

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It has been hypothesized that a neutropenic diet has lower microbe content. Here, the microbiological and nutritional contents of regular and neutropenic diets offered to pediatric patients were analyzed. Microbiological contamination was detected in five of 36 of the food samples analyzed, yet there was no statistical differences between the diets (P = 1.00) or in their odds ratio (0.62) (95% CI = 0.05-6.35; P = 0.63). The strict neutropenic diet did have less fiber (P = 0.05) and vitamin C (P = 0.01). Thus, the regular diet appears safe, and possibly provides greater benefits, for pediatric patients with neutropenia.

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“…Hence, the procedure of several institutions has suspended NDs practices, for example in the Northwestern Memorial Hospital in 2006. Nonetheless, there is a deficiency of clinical proof, some clinics resist using NDs and it is important to be careful in immune-suppressed cases with low microbial-bacterial diets, which results in higher dietary limitations (12). In spite of the limited evidence sustaining the practice of ND in patients treated with chemotherapy or stem cell transplantation (SCT), a lot of centers continue to apply this diet (11,13,14).…”

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confidence: 99%

Çocukluk Çağı Akut Lenfoblastik Lösemi Tedavisi Alan Hastaların Nötropenik Diyet Uyumunun Malnutrisyona ve Hastanede Yatış Süresıne Etkisi

Polat¹,

Bakır²,

Ayçicek³

2020

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Objectives: Neutropenic diet (ND) was once considered to be important for the protection of patients from neutropenia when chemotherapy continued. The nutritional problems that neutropenic patients are struggling with include decreased quality of life, inadequate nutrition, prolonged hospital stay, gastrointestinal complications, avoidance of food and decrease in cell mediated immunity resulting from vitamin deficiencies. This cross-sectional trial aimed to evaluate the effect of ND adherence on malnutrition and hospital stay. Material and Method: Between 1st July to 1st December 2017, 60 consecutive children with acute lymphoblastic leukemia treated in University of Health Science Kanuni Sultan Süleyman Research and Training Hospital who were between 1 to 18 years of age and of whom 58.3% (n=35) were boys and 41.7% (n=25) were girls included in the study. Baseline data collection included demographic and anthropometric information (body weight, height, mid upper arm circumference, skinfold thickness); medical history and adherence to ND was evaluated with a dietary survey method with questions asking actual dietary adherence based on the frequency of food consumed within limited food categories. Results: The adherence rate was 61.7% (n=37) for ND. The hospital stay was actually significantly lower in the low ND adherence (p=0.027). Patients in the ND adhering group had no statistically significant difference in malnutrition risk compared to ND incompatible patients (p=0.524). Conclusion:ND extends the length of stay in the hospital while it does not affect malnutrition status. Dietary guidelines with fewer limitations for children with cancer would be helpful for improving nutritional status and shortening hospital stays.

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Neutropenic diet and quality of food: a critical analysis

Cited by 11 publications

References 19 publications

Untitled

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Microbiological profile and nutritional quality of a regular diet compared to a neutropenic diet in a pediatric oncology unit

Çocukluk Çağı Akut Lenfoblastik Lösemi Tedavisi Alan Hastaların Nötropenik Diyet Uyumunun Malnutrisyona ve Hastanede Yatış Süresıne Etkisi

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