Cancer risk factors
- age
- tobacco
- alcohol
- family history
- carcinogens
- obesity
- physical inactivity
- dietary factors
dietary factors increases the risk of cancer
- salting
- pickling
- high heat in cooking
- alcohol
- saturated fat
- highly processed meat
- red meat
chemoprotective agents
- curcumin
- catechins
- carcinoids
- resveratrol
- quercetin
- silymarin
- diallyldisulide
- thymoquinone
dietary component in red grapes
- resveratrol
- in Italy we reserve wine in a barrel in a trolly
a dietary flavonoid
- quercetin
- I am quit certain I am the favorite
a dietary component extracted from plant seeds and considered and antioxidant
- silymarin
- in the Marin its silly to plant seeds because the water is salty
found in green and black tea
- catechins
found in garlic
- diallyldisulide
- vampires take garlic daily to be immune to dis sulide and evil food
another name to black seeds
- thymoquinone
- black quinoa is like the black seeds
gens influence cancer development
- proto-oncogene > oncogene > cell division
- tumor suppressor gene > death
tumor growth depends on
- age
- sex
- health
- nutrition
- immune
RT is delivered with
- electromagnetic rays
- electrons > charged particles
side effects of RT
- Mucositis
- dysgeusia
- esophagitis
- fatigue
- enteritis
chemotherapy categories
- DNA during replication
- small molecules interact with molecules that leads to proliferation of cancer cells
- macromolecules induce immune response
- hormonal therapies for abnormal cell behavior
chemo side effects
- nausea and vomiting
- neutropenia
- thrombocytopenia
- alopecia
- anemia
- diarrhea
- mucositis
- cardiotoxicity
- nephrotoxicity
- neurotoxicity
biological and targeted therapy
- immunotherapy
- cytokines (INF.IL)
- hematopoietic stem cell transplant
the nutritional diagnosis depends on
- the tumor site
- the modality of the treatment
- extent of the tumor burden
pathophysiology of cachexia
- increase proinflammatory cytokines
- decrease anabolic hormones
- anorexia
screening recommended for cancer patients? what score indicate the need for nutrition intervention?
- PG-SGA
- > 9
our primary goal
prevent malnutrition
protein for cancer
1.2-1.5 g
calories for cancer and sedentary
25-30 kcal
calories for cancer and slightly hypermetabolic + need to gain weight + anabolic
30-35 kcal
calories for cancer and hypermetabolic + malabsorption + severely stressed
35 kcal or higher
recommended equation
mifflin-st joer
nutrition support should be given to who as an adjunct to chemo or RT
malnourished
unable to ingest , absorb for a prolonged periods