James-Martin G, Koczwara B, Smith E L, Miller M D
Department of Nutrition & Dietetics, Flinders University, Adelaide, Australia.
Eur J Cancer Care (Engl). 2014 May;23(3):340-8. doi: 10.1111/ecc.12159. Epub 2013 Dec 3.
While advanced cancer is often associated with weight loss, curative cancer treatment is often associated with weight gain. Weight gain during treatment may be associated with greater risk of cancer recurrence and development of lifestyle diseases. Currently, limited resources are available to cancer patients focussed on weight control. This study assessed the information needs of patients undergoing curative chemotherapy regarding diet, exercise and weight management for the purpose of developing weight management resources. Focus groups were held with oncology practitioners, patients and survivors to determine current information provision and needs. Focus groups highlighted a perception that information provision regarding diet, exercise and weight management is insufficient and no routine assessment of weight occurs during chemotherapy. Barriers to information provision described included lack of resources and time, and practitioners' uncertainty regarding appropriate messages to provide. Patients wanted more information regarding diet, exercise and weight during treatment time. The findings of this study suggest an increase in provision of diet, exercise and weight management information is needed. This information should be evidence-based and delivered at an appropriate time by the preferred health care professional. It would also be beneficial to implement protocols regarding assessment of weight during treatment.
虽然晚期癌症常与体重减轻相关，但癌症根治性治疗往往与体重增加有关。治疗期间体重增加可能与癌症复发和生活方式疾病的发生风险更高有关。目前，针对癌症患者的体重控制资源有限。本研究评估了接受根治性化疗的患者在饮食、运动和体重管理方面的信息需求，以便开发体重管理资源。与肿瘤学从业者、患者和幸存者进行了焦点小组讨论，以确定当前的信息提供情况和需求。焦点小组强调，人们认为在饮食、运动和体重管理方面的信息提供不足，化疗期间也没有对体重进行常规评估。所描述的信息提供障碍包括资源和时间短缺，以及从业者对于应提供的适当信息存在不确定性。患者希望在治疗期间获得更多关于饮食、运动和体重的信息。本研究结果表明，需要增加饮食、运动和体重管理信息的提供。这些信息应以证据为基础，并由患者首选的医疗保健专业人员在适当时间提供。在治疗期间实施体重评估方案也将是有益的。
