Evidence-based nutrition guidelines for cancer survivors in Europe: a call for action

Keaver, Laura; Houlihan, Christine; O’Callaghan, Niamh; LaVertu, Amy; Ding, Xinge; Zhang, Fang Fang

doi:10.1038/s41430-021-01036-8

Cited by 10 publications

(5 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An overview of the results reveals that the majority of dietary patterns characterised by a 'high quality' diet, often defined according to existing guidelines, as well as a priori patterns defined as nutritionally 'healthy', can be associated with improved survival in breast and colon cancer survivors. Despite the assumption that dietary patterns are intended to evaluate diet quality as a whole and are a holistic approach to nutrition, this is to some extent, an expected result, which basically leaves us in the same situation already pointed out for nutritional recommendations [8]: we may end up with a tendency to use cancer prevention guidelines for cancer survivors. In this context, a promising approach could be the assessment of dietary patterns directly related to underlying mechanisms linking nutrition factors to cancer progression [10].…”

Section: Conclusion and Final Remarksmentioning

confidence: 98%

“…All of them reported associations between mortality and some foods or groups of foods among survivors of several common cancers. On the other hand, a recent review of the quality of five evidence-based nutrition guidelines for cancer survivors [8] reported that limited information on nutrition was available in these guidelines, with the focus being on the promotion of fruit, vegetables and wholegrains and reducing fat, red meat and alcohol. There was also a tendency to recommend cancer prevention guidelines be used for cancer survivors rather than developing specific guidance for this group.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, in reviews discussed above [4,8], a claim was made that further research, mainly from intervention studies, is needed to make specific recommendations for cancer survivors. In fact, it is not entirely true that clinical trials on the effect of diet as a prognostic factor in cancer survivors are lacking: during the first decade of this century, results of two large RCT evaluating the effect of dietary intervention on the risk of recurrence of breast cancer were published [11,12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Diet in Prognosis among Cancer Survivors: A Systematic Review and Meta-Analysis of Dietary Patterns and Diet Interventions

Castro-Espin

Agudo

2022

Nutrients

View full text Add to dashboard Cite

Cancer survival continues to improve in high-income countries, partly explained by advances in screening and treatment. Previous studies have mainly examined the relationship between individual dietary components and cancer prognosis in tumours with good therapeutic response (breast, colon and prostate cancers). The aim of this review is to assess qualitatively (and quantitatively where appropriate) the associations of dietary patterns and cancer prognosis from published prospective cohort studies, as well as the effect of diet interventions by means of randomised controlled trials (RCT). A systematic search was conducted in PubMed, and a total of 35 prospective cohort studies and 14 RCT published between 2011 and 2021 were selected. Better overall diet quality was associated with improved survival among breast and colorectal cancer survivors; adherence to the Mediterranean diet was associated to lower risk of mortality in colorectal and prostate cancer survivors. A meta-analysis using a random-effects model showed that higher versus lower diet quality was associated with a 23% reduction in overall mortality in breast cancer survivors. There was evidence that dietary interventions, generally combined with physical activity, improved overall quality of life, though most studies were in breast cancer survivors. Further cohort and intervention studies in other cancers are needed to make more specific recommendations.

show abstract

Section: Conclusion and Final Remarksmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Diet in Prognosis among Cancer Survivors: A Systematic Review and Meta-Analysis of Dietary Patterns and Diet Interventions

Castro-Espin

Agudo

2022

Nutrients

View full text Add to dashboard Cite

show abstract

“…In addition to a lack of standardized dietary guidelines for CCS, there are also systemic, environmental, and patient-specific barriers hindering successful and reproducible implementation of nutrition-based interventions in this population. These include poor healthcare access, limited resource availability, infrequent and/or ineffective provider communication, lack of education, diverse familial/cultural perceptions, physical health limitations, and psychological burden ( 74 , 80 ). Investigators have identified several key strategies to address these issues.…”

Section: Discussionmentioning

confidence: 99%

Nutritional assessment and dietary intervention among survivors of childhood cancer: current landscape and a look to the future

Feit,

Beals,

Dandekar

et al. 2024

Front. Nutr.

View full text Add to dashboard Cite

Over 85% of childhood cancer patients become long-term survivors. Still, cancer and its therapies are associated with a myriad of long-term complications such that childhood cancer survivors (CCS) endure excess disease burden, morbidity, and mortality throughout their lifetimes. Existing literature suggests that CCS maintain poor dietary intake and nutritional status. Thus, as childhood cancer cure rates continue to improve, the role of diet and nutrition in mitigating many of the most common adverse long-term health outcomes among CCS has gained significant interest. Herein we present an in-depth review of existing scientific literature evaluating dietary intake and nutrition status among CCS and its impact on treatment-related health complications; as well as contemporary intervention strategies aimed at overcoming distinctive barriers and improving deleterious lifestyle behaviors in this heterogeneous, at-risk population. Patient-specific, clinical, and systemic factors act as barriers to the timely conduct of comprehensive dietary/nutritional assessments and provision of tailored, risk-based recommendations. This Mini Review discusses the current state of the science, persisting research gaps, and opportunities for advancement of assessment and intervention strategies to address the unique needs of CCS.Search Strategy: We searched PubMed for peer-reviewed articles with the search terms “pediatric cancer,” “pediatric malignancy,” “pediatric oncology,” “childhood cancer,” “survivorship,” “cancer late effects,” “long-term follow-up,” “body mass index,” “nutritional status,” “malnutrition,” “body weight,” “body weight changes,” “body composition,” “obesity,” “overweight “, “Mediterranean diet,” “DASH diet,” “processed foods,” “micronutrients,” “antioxidants,” “vitamin D,” “calcium,” “selenium,” “zinc,” “metabolic syndrome,” “heart disease,” “cardiovascular disease,” “cardiometabolic disease,” “hypertension,” “hyperlipidemia,” “HDL,” “LDL,” and “small dense LDL” from January 1, 1995, to July 21, 2023. We also selected relevant articles from our personal files and from reference lists of identified papers. We prioritized publications after 2013; however, commonly cited and highly regarded (defined by high citation count and journal impact factor) older publications were also included. Randomized controlled trials, observational studies, retrospective studies, meta-analysis, editorials, and review articles were included, whereas conference abstracts and case reports were excluded. We only searched for articles published in English, or those translated into English.

show abstract

“…Guidelines on Cancer Patient Nutrition should be reviewed and discussed with health personnel ESPEN/ASPEN/SEOM/ASCO/ ESMO-European Society Parenteral Nutrition, American Society Parenteral and Enteral Nutrition, Spanish Society of Cancer, American Society of Cancer, European Society for Medical Oncology [27][28][29].…”

Section: Within the Metabolic Alterationsmentioning

confidence: 99%

Underestimated Issues in Cancer Patient

Baptista

2023

ACRCI

View full text Add to dashboard Cite

Evidence-based nutrition guidelines for cancer survivors in Europe: a call for action

Cited by 10 publications

References 58 publications

The Role of Diet in Prognosis among Cancer Survivors: A Systematic Review and Meta-Analysis of Dietary Patterns and Diet Interventions

The Role of Diet in Prognosis among Cancer Survivors: A Systematic Review and Meta-Analysis of Dietary Patterns and Diet Interventions

Nutritional assessment and dietary intervention among survivors of childhood cancer: current landscape and a look to the future

Underestimated Issues in Cancer Patient

Contact Info

Product

Resources

About