Aoyama Takashi, Oyakawa Takuya, Notsu Akifuimi, Oiyama Emi, Hashimoto Masao, Suzuki Reiko, Iida Kei
Dietary Department, Shizuoka Cancer Center, Nagaizumi, Shizuoka, Japan.
Division of Cardiology, The Cancer Institute Hospital, Tokyo, Japan.
Med Sci Monit Basic Res. 2021 Jan 19;27:e927719. doi: 10.12659/MSMBR.927719.
BACKGROUND The outcomes associated with nutritional guidance for patients with ischemic heart disease undergoing cancer treatment have not been explored. We examined the effects of nutritional guidance using estimated daily salt intake in cancer patients with ischemic heart disease. MATERIAL AND METHODS We examined the data from physical examinations and laboratory assessments of 27 patients with suspected excessive salt intake who underwent coronary angiography for the first time and received nutritional guidance on their next visit to the Department of Cardiology of Shizuoka Cancer Center between May 2018 and March 2020. Salinity measurement was not used in the nutritional guidance method, but the patients were instructed to reduce consumption of salt-containing foods. We compared the frequency of the estimated daily salt intake with the frequency of categories requiring salt control (food, cooking, and table salts). RESULTS The median age of the participants was 74 (range, 63-86) years. The estimated daily salt intake and the rate of change in the triglyceride level were negatively correlated (r=-0.61, P<0.01). The estimated daily salt intake was reduced in 16 cases; there was a relative decrease in the frequency of food intake among categories requiring salt control compared with that in the nonimproved cases (P<0.01). No difference was found between the cancer stage and the affected site of the digestive system in either group (P=0.64, P=0.39). CONCLUSIONS Nutritional guidance on dietary habits without using salinity measurement was beneficial in preventing ischemic heart disease and food intake reduction in cancer patients.
对于接受癌症治疗的缺血性心脏病患者，营养指导的相关结果尚未得到探索。我们研究了使用估计每日盐摄入量进行营养指导对患有缺血性心脏病的癌症患者的影响。
我们检查了2018年5月至2020年3月期间首次接受冠状动脉造影且怀疑盐摄入过量的27例患者的体格检查和实验室评估数据，并在他们下次前往静冈癌症中心心脏病科就诊时给予营养指导。营养指导方法中未使用盐度测量，但指导患者减少含盐食物的摄入。我们比较了估计每日盐摄入量的频率与需要控制盐的类别（食物、烹饪用盐和食用盐）的频率。
参与者的中位年龄为74岁（范围63 - 86岁）。估计每日盐摄入量与甘油三酯水平的变化率呈负相关（r = -0.61，P < 0.01）。16例患者的估计每日盐摄入量有所减少；与未改善的病例相比，需要控制盐的类别中食物摄入频率相对降低（P < 0.01）。两组在癌症分期和消化系统受累部位方面均未发现差异（P = 0.64，P = 0.39）。
不使用盐度测量的饮食习惯营养指导对预防癌症患者的缺血性心脏病和减少食物摄入有益。
