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Diet and Nutrition Advice After a Solid Tumor Diagnosis
Amy Mullee1, Aidan O'Donoghue2,3, Pauline Uí Dhuibhir2,4
1Department of Health and Nutritional Sciences, IT Sligo, Sligo, Ireland.
Patients with cancer often receive nutrition advice from family and friends before seeing a dietitian. This advice is frequently contradictory and difficult to discern, yet patients often follow it.
Area of Science:
- Oncology
- Nutrition Science
- Evidence-Based Practice
Background:
- Credible diet and nutrition advice is crucial for cancer patients.
- Patients often face nutrition-impact symptoms during cancer treatment.
Purpose of the Study:
- To investigate the sources and nature of diet and nutrition advice received by cancer patients before their initial dietetic consultation.
- To understand patient perceptions of advice trustworthiness and adherence.
Main Methods:
- A multicenter observational study involving 77 cancer patients at their first dietetic assessment.
- Participants completed a questionnaire on advice received since diagnosis from various sources.
Main Results:
- 69% of patients received advice from professional and nonprofessional sources before their dietetic visit.
- Family and friends were common sources; advice often focused on food inclusion/avoidance, was frequently contradictory, and rarely evidence-based.
- Patients struggled to identify trustworthy advice but generally followed it.
Conclusions:
- Most cancer patients receive pre-dietetic advice, predominantly from nonprofessional sources, which can be inconsistent and contradictory.
- Patients often followed unreliable advice, highlighting a need for earlier, evidence-based dietetic interventions.
- There is a clear need for earlier professional dietetic consultation to manage symptoms and resolve conflicting advice.
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