What are the optimal dietary strategies for themanagement of cancer-related nausea and vomiting inadults: A PEN guideline update

Skye Marshall, Megan Crichton, Wolfgang Marx, Elisabeth Isenring

Research output: Contribution to journalMeeting AbstractResearchpeer-review

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Abstract

The symptoms of nausea and vomiting are primarily man-aged with anti-emetic medications in cancer patients; how-ever, dietary interventions and nutraceuticals are often recommended by health professionals. Therefore, a literature review was undertaken to update the PEN guideline and toolkit. To identify existing dietary recommendation sand determine their rigor for controlling cancer-related nausea and vomiting, literature was searched using three electronic databases. The quality of evidence was graded using PEN Evidence Grading Checklist. Anecdotal reports and expert opinion form the basis for many dietary modifications such as eating bland foods and consuming small meals and snacks regularly (Grade of Evidence: C-Limited). Dietary counselling during and up to 3 months after radiation treatment may decrease severity of nausea and vomiting for patients with colorectal and head and neck cancers (Grade of Evidence: C-Limited). The use ofginger supplements appears to be safe for chemotherapy patients, and may provide some benefit in combination with standard anti-emetics for chemotherapy-induced nausea and vomiting as well as fatigue and quality of life(Grade of Evidence: B-Fair). Managing taste changes maybe beneficial in relieving nausea and vomiting (Grade of Evidence: C-Limited). Habitual alcohol intake is related to lower incidence of nausea and vomiting; however, adherence to national alcohol guidelines and/or individualised advice from treating specialist doctors is recommended(Grade of Evidence: C-Limited). Updated patient education materials were produced. Although diet is generally not a first line of therapy, dietary and nutraceutical interventions may provide additional benefits when used in conjunction with anti-emetics; however, existing literature is limited,warranting further research
Original languageEnglish
Article number306
Pages (from-to)77
JournalNutrition and Dietetics
Volume76
Issue numberS1
DOIs
Publication statusPublished - 12 Aug 2019
EventDietitians Association of Australia 36th National Conference: More than meets the eye - The Gold Coast Convention and Exhibition Centre, Gold Coast, Australia
Duration: 12 Aug 201914 Aug 2019
Conference number: 36th
https://daa2019.com.au
https://daa2019.com.au/

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Nausea
Vomiting
Guidelines
Antiemetics
Neoplasms
Dietary Supplements
Alcohols
Diet Therapy
Drug Therapy
Snacks
Expert Testimony
Patient Education
Head and Neck Neoplasms
Checklist
Fatigue
Meals
Counseling
Colorectal Neoplasms
Eating
Quality of Life

Cite this

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abstract = "The symptoms of nausea and vomiting are primarily man-aged with anti-emetic medications in cancer patients; how-ever, dietary interventions and nutraceuticals are often recommended by health professionals. Therefore, a literature review was undertaken to update the PEN guideline and toolkit. To identify existing dietary recommendation sand determine their rigor for controlling cancer-related nausea and vomiting, literature was searched using three electronic databases. The quality of evidence was graded using PEN Evidence Grading Checklist. Anecdotal reports and expert opinion form the basis for many dietary modifications such as eating bland foods and consuming small meals and snacks regularly (Grade of Evidence: C-Limited). Dietary counselling during and up to 3 months after radiation treatment may decrease severity of nausea and vomiting for patients with colorectal and head and neck cancers (Grade of Evidence: C-Limited). The use ofginger supplements appears to be safe for chemotherapy patients, and may provide some benefit in combination with standard anti-emetics for chemotherapy-induced nausea and vomiting as well as fatigue and quality of life(Grade of Evidence: B-Fair). Managing taste changes maybe beneficial in relieving nausea and vomiting (Grade of Evidence: C-Limited). Habitual alcohol intake is related to lower incidence of nausea and vomiting; however, adherence to national alcohol guidelines and/or individualised advice from treating specialist doctors is recommended(Grade of Evidence: C-Limited). Updated patient education materials were produced. Although diet is generally not a first line of therapy, dietary and nutraceutical interventions may provide additional benefits when used in conjunction with anti-emetics; however, existing literature is limited,warranting further research",
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What are the optimal dietary strategies for themanagement of cancer-related nausea and vomiting inadults: A PEN guideline update. / Marshall, Skye; Crichton, Megan; Marx, Wolfgang; Isenring, Elisabeth.

In: Nutrition and Dietetics, Vol. 76, No. S1, 306, 12.08.2019, p. 77.

Research output: Contribution to journalMeeting AbstractResearchpeer-review

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