Nutrition in modern oncology
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| Format: | Buch |
| Sprache: | English |
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Bremen [u.a.]
UNI-MED-Verl.
2013
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| Ausgabe: | 1. ed. |
| Schriftenreihe: | UNI-MED science
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| Online-Zugang: | Inhaltsverzeichnis |
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| 245 | 1 | 0 | |a Nutrition in modern oncology |c [ed. Christian Löser. Authors Jann Arends ...] |
| 250 | |a 1. ed. | ||
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Datensatz im Suchindex
| DE-BY-UBR_call_number | 91/XH 3520 L826 |
|---|---|
| DE-BY-UBR_katkey | 5877037 |
| DE-BY-UBR_location | 91 |
| DE-BY-UBR_media_number | 069040559689 |
| _version_ | 1822755271308476416 |
| adam_text | CONTENTS 9
CONTENTS
|H CHANGE OF PARADIGM - NEW SIGHTS ON NUTRITION 14
1.1. WHAT IS NUTRITION? 14
1.2. MEDICAL POINT OF VIEW - NUTRITION IS THERAPY AND PREVENTION 14
1.3. ECONOMIC ASPECTS OF MALNUTRITION 15
1.4. NUTRITION AND HEALTH CARE - POLITICAL DEMANDS 15
1.5. NUTRITION - CENTRAL CHALLENGE OF THE 21 CENTURY (WHO) 16
METABOLISM IN CANCER PATIENTS 20
2.1. METABOLIC SYNDROME IS A PROMOTER OF CANCER 20
2.1.1. METABOLISM AND CANCER INCIDENCE 20
2.1.2. METABOLISM AND CANCER RECURRENCE AND PROGRESSION 20
2.2. TREATMENT-INDUCED CATABOLISM 21
2.3. INFLAMMATION AS A HALLMARK OF ADVANCED CANCER 21
2.3.1. ANOREXIA - LOSS OF APPETITE AND WEIGHT 21
2.3.2. FATIGUE - LOSS OF CONCENTRATION AND PHYSICAL ACTIVITY 22
2.3.3. PROTEOLYSIS - LOSS OF MUSCLE MASS 22
2.3.4. REARRANGEMENT OF BODY COMPOSITION - LOSS OF IMMUNE COMPETENCE 22
2.3.5. ENERGY AND SUBSTRATE REQUIREMENTS 22
2.3.6. DOES NUTRITION FEED THE TUMOUR? 23
I
2.4. TERMINAL HYPOMETABOLISM 23
* MALNUTRITION AND CACHEXIA IN CANCER PATIENTS 28
3.1. EPIDEMIOLOGY 28
3.2. SYMPTOMS AND SIGNS 28
3.3. RISK OF MALNUTRITION 29
3.4. CAUSES FOR MALNUTRITION 29
3.4.1. NEGATIVE ENERGY BALANCE 29
3.4.2. REDUCED PHYSICAL ACTIVITY 30
3.4.3. CHRONIC INFLAMMATION OR REPEATED BOUTS OF INFLAMMATION 30
3.5. DEFINITIONS: WHICH PATIENTS ARE AT RISK? 30
3.6. SCREENING AND ASSESSMENT: BASIS FOR TREATMENT 32
3.7. PRINCIPLES OF TREATMENT 33
M ASSESSMENT OF NUTRITIONAL STATUS - CLINICAL STANDARDS 36
4.1. ASSESSMENT OF NUTRITIONAL STATUS 36
4.1.1. CLINICAL INSPECTION 36
4.1.2. BODY MASS INDEX (BMI) 37
4.1.3. WEIGHT LOSS 37
4.1.4. BLOOD PARAMETERS 37
4.1.5. SCREENING FOR MALNUTRITION 38
4.1.5.1. NUTRITIONAL RISK SCREENING (NRS-2002) 38
4.1.5.2. PATIENT-GENERATED SUBJECTIVE GLOBAL ASSESSMENT (PG-SGA) 39
4.2. BODY COMPOSITION 43
4.2.1. TECHNIQUES AND METHODS 43
4.2.2. BIOELECTRICAL IMPEDANCE ANALYSIS 43
HTTP://D-NB.INFO/1038508908
10 CONTENTS
4.2.2.1. CALCULATION OF BODY COMPARTMENTS 44
4.2.2.2. IMPEDANCE PARAMETERS AND BIOELECTRICAL IMPEDANCE VECTOR
ANALYSIS 44
M HEALTHY DIET AND NUTRITIONAL REQUIREMENTS 48
5.1. ENERGY 48
5.2. MACRONUTRIENTS 49
5.2.1. PROTEIN 49
5.2.2. FAT 50
5.2.3. CARBOHYDRATES 51
5.3. MICRONUTRIENTS 52
M MALNUTRITION - MODERN TREATMENT STRATEGIES 56
6.1. EARLY SCREENING 56
6.2. BASIC PRINCIPLES 57
6.3. SPECIAL CONDITIONS IN CANCER PATIENTS 57
6.4. UNDERLYING CAUSES 57
6.5. INDIVIDUAL DIETARY COUNSELLING 58
6.6. ESTABLISHED GENERAL MEASURES 58
6.7. CALORIC ENRICHMENT OF MEALS 58
6.8. ORAL NUTRITIONAL SUPPLEMENTS (ONS) 58
6.9. SUPPORTIVE ARTIFICIAL ENTERAL NUTRITION 59
6.10. SUPPORTIVE PARENTERAL NUTRITION 59
6.11. DOCUMENTATION, DRG RELEVANCE 60
6.12. COMMUNICATION AND ANTICIPATION 60
APPLYING CURRENT EVIDENCE TO CLINICAL PRACTICE - THE KASSEL MODEL 64
7.1. * BACKGROUND AND CLINICAL AIMS 64
7.2. EU DECLARATION - POLITICAL AND ECONOMICAL DEMANDS 64
7.3. BASIC CONDITIONS 65
7.4. NUTRITIONAL SUPPORT TEAM 65
7.5. SPECIFIC DIET CATALOGUE 66
7.6. EARLY SYSTEMATIC SCREENING, CLINICAL PATHWAYS 66
*7.7. INDIVIDUALISED PATIENT CARE - THE KASSEL MODEL EXPERIENCE 66
ENTERAL AND PARENTERAL NUTRITION IN CANCER PATIENTS - CLINICAL
RECOMMENDATIONS 72
8.1. CLINICAL RELEVANCE 72
8.2. QUALITY OF LIFE 72
8.3. ENERGY REQUIREMENT 73
8.4. CLINICAL PATHWAYS 73
8.5. DOES FEEDING THE PATIENT FEED THE TUMOUR? 73
8.6. NUTRITIONAL COUNSELLING 73
8.7. ENTERAL NUTRITION 74
8.7.1. ORAL NUTRITIONAL SUPPLEMENTS (ONS) 74
8.7.2. ARTIFICIAL ENTERAL NUTRITION 74
8.8. PARENTERAL NUTRITION 75
CONTENTS 11
8.9. SPECIAL RECOMMENDATIONS FROM THE ESPEN GUIDELINES 75
8.10. REFEEDING SYNDROME 76
|
PHARMACOLOGICAL TREATMENT OF TUMOUR CACHEXIA 80
9.1. STIMULATION OF APPETITE 80
9.1.1. CORTICOSTEROIDS 80
9.1.2. PROGESTINS 80
9.1.3. CANNABINOIDS 81
9.1.4. OTHER DRUGS 81
9.1.5. EXPERIMENTAL AGENTS 81
9.2. MODULATION OF GASTROINTESTINAL FUNCTIONS 81
9.3. ANTI-INFLAMMATORY AGENTS 82
9.3.1. NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAID) 82
9.3.2. N-3 FATTY ACIDS 82
9.3.3. ANTI-CYTOKINE AGENTS 82
9.3.4. OTHER AGENTS 83
9.4. ANTICATABOLIC AND ANABOLIC AGENTS 83
9.4.1. INSULIN, IGF-1 AND GROWTH HORMONE 83
9.4.2. ANDROGENS 83
9.4.3. MYOSTATIN 84
9.4.4. OTHER AGENTS 84
; IS THERE A DIET AGAINST CANCER? 88
10.1.
1
RAW VEGETABLES AND FRUIT 88
10.2. FASTING FOR CURE (BUCHINGER) 88
10.3. BREUB S TOTAL CANCER CURE DIET 89
10.4. BUDWIG S OIL-PROTEIN DIET 89
10.5. GERSON SDIET 89
10.6. MACROBIOTIC 90
10.7. LOW CARB DIET AND KETOGENIC DIET 90
PERIOPERATIVE NUTRITION IN CANCER PATIENTS 94
11.1. SURGERY - RISK FACTOR MALNUTRITION 94
11.2. SCREENING TOOLS 94
11.3. INDICATION FOR NUTRITIONAL SUPPORT 95
11.4. PREOPERATIVE NUTRITION 95
11.4.1. SUBSTITUTION OF CALORIC DEFICIENCY 95
11.4.2. METABOLIC CONDITIONING 96
11.4.3. IMMUNOLOGIC PRECONDITIONING 96
11.5. POSTOPERATIVE NUTRITION 97
11.6. INDICATIONS FOR PARENTERAL NUTRITION (PN) 97
11.7. CALORIC AMOUNT, MACRO- AND MICRONUTRIENTS 98
11.8. FOLLOW-UP 98
11.9. POST-DISCHARGE NUTRITION 98
NUTRITIONAL SUPPLEMENTS 102
12.1. DEFINITION 102
12.2. USER RATE AND AIMS 102
12 CONTENTS
12.3. PROS A ND CONS - AN OVERVIEW OF THE DEBATE 102
12.4. EVIDENCE - FROM PRECLINICAL (IN VITRO AND IN VIVO) TO CLINICAL
DATA 102
12.5. PRIMARY PREVENTION WITH VITAMINS AND TRACE ELEMENTS 102
12.6. SUPPLEMENTS IN DETAIL 104
12.6.1. VITAMINS 104
12.6.1.1. VITAMIN A AND BETACAROTIN 104
12.6.1.2. B VITAMINS 104
12.6.1.3. VITAMIN C 104
12.6.1.4. VITAMIN D 104
12.6.1.5. VITAMIN E 105
12.6.2. FOLIC ACID 105
12.6.3. TRACE ELEMENTS 105
12.6.3.1. SELENIUM 105
12.6.3.2. ZINC 106
12.7. SECONDARY PLANT EXTRACTS 106
12.7.1. CURCUMIN 106
12.7.2. EGCG (EPIGALLOCATECHIN-3-GALLATE) 106
12.7.3. RESVERATROL 107
12.7.4. OTHERS 107
T
PHYSICAL ACTIVITY AND CANCER - PRIMARY AND TERTIARY PREVENTION 110
13.1. EVIDENCE ON PRIMARY PREVENTIVE EFFECTS BY CANCER SITES 110
13.1.1. PHYSICAL ACTIVITY AND RISK OF COLON, RECTUM AND GASTRIC CANCER
110
13.1.2. PHYSICAL ACTIVITY AND RISK OF BREAST AND GYNECOLOGIC CANCERS 110
13.1.3. OTHER CANCERS ILL
13.2. CURRENT RECOMMENDATIONS FOR PRIMARY CANCER PREVENTION ILL
13.3. . CONCLUSIONS ON PRIMARY PREVENTIVE EFFECTS 111
13.4. TERTIARY PREVENTION: EVIDENCE FROM OBSERVATIONAL STUDIES 112
13.4.1.. PHYSICAL ACTIVITY AND MORTALITY AFTER BREAST CANCER 112
13.4.2. PHYSICAL ACTIVITY AND MORTALITY AFTER COLON CANCER 112
13.4.3. OTHER CANCERS 112
13.5. TERTIARY PREVENTION: EVIDENCE FROM INTERVENTIONAL STUDIES 113
13.6. POTENTIAL ROLE OF EXERCISE IN THE TREATMENT OF CACHEXIA 113
13.7. CURRENT RECOMMENDATIONS FOR CANCER PATIENTS 114
13.8. CONCLUSIONS ON TERTIARY PREVENTIVE EFFECTS 114
NUTRITION AT THE END OF LIFE - PALLIATIVE CARE PRINCIPLES, ETHICAL
LIMITS 118
14.1. END OF LIFE - MEDICAL DECISION MAKING 118
14.2. NUTRITION IN PALLIATIVE CARE - BASICS 118
14.3. TERMINAL PHASE 119
14.4. NUTRITION IN PALLIATIVE CANCER TREATMENT 120
14.5. TO PEG OR NOT TO PEG 120
14.6. THE PEG DILEMMA 122
INDEX 125
|
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| author2 | Löser, Christian 1957- |
| author2_role | edt |
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| author_GND | (DE-588)102806019X (DE-588)111026776 |
| author_facet | Löser, Christian 1957- |
| building | Verbundindex |
| bvnumber | BV041752014 |
| classification_rvk | XH 3520 |
| ctrlnum | (OCoLC)862460711 (DE-599)DNB1038508908 |
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| discipline | Medizin |
| edition | 1. ed. |
| format | Book |
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| id | DE-604.BV041752014 |
| illustrated | Illustrated |
| indexdate | 2024-12-24T04:04:35Z |
| institution | BVB |
| isbn | 9783837413441 9781848151987 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-027198367 |
| oclc_num | 862460711 |
| open_access_boolean | |
| owner | DE-578 DE-355 DE-BY-UBR |
| owner_facet | DE-578 DE-355 DE-BY-UBR |
| physical | 127 S. graph. Darst. 25 cm |
| publishDate | 2013 |
| publishDateSearch | 2013 |
| publishDateSort | 2013 |
| publisher | UNI-MED-Verl. |
| record_format | marc |
| series2 | UNI-MED science |
| spellingShingle | Nutrition in modern oncology Ernährung (DE-588)4015332-0 gnd Krebs Medizin (DE-588)4073781-0 gnd |
| subject_GND | (DE-588)4015332-0 (DE-588)4073781-0 |
| title | Nutrition in modern oncology |
| title_auth | Nutrition in modern oncology |
| title_exact_search | Nutrition in modern oncology |
| title_full | Nutrition in modern oncology [ed. Christian Löser. Authors Jann Arends ...] |
| title_fullStr | Nutrition in modern oncology [ed. Christian Löser. Authors Jann Arends ...] |
| title_full_unstemmed | Nutrition in modern oncology [ed. Christian Löser. Authors Jann Arends ...] |
| title_short | Nutrition in modern oncology |
| title_sort | nutrition in modern oncology |
| topic | Ernährung (DE-588)4015332-0 gnd Krebs Medizin (DE-588)4073781-0 gnd |
| topic_facet | Ernährung Krebs Medizin |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=027198367&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT loserchristian nutritioninmodernoncology AT arendsjann nutritioninmodernoncology |