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Published on: September 20, 2019
[Oral nutrition supplements: applied classification of formulas and basic rules of their prescribing in oncology]
A L Potapov1, V E Khoronenko1, E V Gameeva1
1National Medical Research Radiological Center of the Ministry of Health of the Russian Federation, 249036, Obninsk, Russian Federation.
Abstract:
The analysis of current data concerning the use of oral nutrition supplements (ONS) in cancer patients has been performed. The aim of the research is improving the effectiveness of medical nutrition in cancer patients by clarifying terms, definitions, developing an applied classification of ONS formulas and outlining the basic approaches for their use.
Material And Methods:
Using the keywords «cancer», «oral nutritional supplements», and «siping», the literature was searched in such databases as eLIBRARY (elibrary.ru) and MEDLINE (ncbi.nlm.nih.gov) in Russian and English.
Results And Discussion:
The definition of this type of nutritional support has been given. The applied classification of ONS formulas has been made. Depending on the energy and protein content, presence of some specific nutrients, osmolarity, nitrogen/non-protein kilocalories ratio and viscosity, they were divided into 3 groups. For the initial assessment of nutritional status of the cancer patient, the European society for medical oncology scale (ESMO, 2008) is the most appropriate. Emphasis is placed on the importance of maintaining physical activity.
Conclusion:
An approximate algorithm of ONS prescribing in oncology has been formulated.
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