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癌症患者味觉敏感性的改变:一种味觉障碍评估方法。

Modifications of taste sensitivity in cancer patients: a method for the evaluations of dysgeusia.

机构信息

Department of Clinical Sciences, Biology and Biochemistry Section, Università Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy.

Department of Experimental and Clinical Medicine, Human Physiology Section, Università Politecnica delle Marche, Ancona, Italy.

出版信息

Support Care Cancer. 2020 Mar;28(3):1173-1181. doi: 10.1007/s00520-019-04930-x. Epub 2019 Jun 15.

Abstract

PURPOSE

Taste changes due to chemotherapy may contribute to the high prevalence of malnutrition in cancer patients. It is believed that 50-70% of patients with cancer suffer from taste disorders. The aim of the present study was to analyze the taste alterations in patient population compared with that in controls, also in relation to gender. In this way, it could open to a new approach for a personalized diet to prevent and/or reduce taste alterations and malnutrition in cancer patients.

METHODS

Forty-five cancer patients undergoing chemotherapy were compared with healthy controls (n = 32). Taste function test was used to determine taste sensitivity. Different concentrations for each of the four basic tastes (salty, sweet, sour, bitter) and also fat and water tastes were evaluated.

RESULTS

A significant difference in taste sensitivity between patients and control group was found, in line with previous similar studies. As in the control group, taste perception in patients was better in females than in males, suggesting interaction effect between group and gender.

CONCLUSIONS

Coping strategies regarding subjective taste impairment should be provided since alterations in taste sensitivity influence food preferences and appetite. Clinicians could thus have the potential to underpin changes in dietary intake and consequently in nutritional status; understanding the extent of the contribution of each taste would help in the development of effective interventions in future. Consequently, patients can adopt appropriate appetizing strategies and, based on that, change their feeding habits.

摘要

目的

化疗引起的味觉改变可能是癌症患者营养不良高发的原因之一。据信,50-70%的癌症患者患有味觉障碍。本研究旨在分析癌症患者人群与对照组人群的味觉变化,并与性别相关。这样,就可以为癌症患者提供一种个性化的饮食方法,以预防和/或减少味觉改变和营养不良。

方法

将 45 名正在接受化疗的癌症患者与健康对照组(n=32)进行比较。味觉功能测试用于确定味觉敏感性。评估了四种基本味觉(咸、甜、酸、苦)以及脂肪和水味觉的不同浓度。

结果

患者组与对照组之间的味觉敏感性存在显著差异,与之前的类似研究一致。与对照组一样,女性患者的味觉感知优于男性患者,这表明组间和性别间存在交互作用。

结论

由于味觉敏感性的改变会影响食物偏好和食欲,因此应该为患者提供应对主观味觉障碍的策略。临床医生因此有可能支持饮食摄入的改变,进而改善营养状况;了解每种味觉的贡献程度将有助于未来制定有效的干预措施。因此,患者可以采用适当的开胃策略,并根据这些策略改变他们的饮食习惯。

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