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Nutrition in Cancer Care (PDQ®)

Patient Version
Last Modified: 12/28/2011

Nutrition Therapy in Cancer Care

Key Points for This Section


Screening and assessment are done before cancer treatment begins, and assessment continues during treatment.

Screening is used to look for nutrition risks in a patient who has no symptoms. This can help find out if the patient is likely to become malnourished, so that steps can be taken to prevent it.

Assessment checks the nutritional health of the patient and helps to decide if nutrition therapy is needed to correct a problem.

Screening and assessment may include questions about the following:

  • Weight changes over the past year.
  • Changes in the amount and type of food eaten compared to what is usual for the patient.
  • Problems that have affected eating, such as loss of appetite, nausea, vomiting, diarrhea, constipation, mouth sores, dry mouth, changes in taste and smell, or pain.
  • Ability to walk and do other activities of daily living (dressing, getting into or out of a bed or chair, taking a bath or shower, and using the toilet).

A physical exam is also done to check the body for general health and signs of disease. The doctor will look for loss of weight, fat, and muscle, and for fluid buildup in the body.

Finding and treating nutrition problems early may improve the patient's prognosis (chance of recovery).

Early nutrition screening and assessment help find problems that may affect how well the patient's body can deal with the effects of cancer treatment. Patients who are underweight or malnourished may not be able to get through treatment as well as a well-nourished patient. Finding and treating nutrition problems early can help the patient gain weight or prevent weight loss, decrease problems with the treatment, and help recovery.

A healthcare team of nutrition specialists will continue to watch for nutrition problems.

A nutrition support team will check the patient's nutritional health often during cancer treatment and recovery. The team may include the following specialists:

A patient whose religion doesn't allow eating certain foods may want to talk with a religious advisor about allowing those foods during cancer treatment and recovery.

There are three main goals of nutrition therapy for cancer patients in active treatment and recovery.

The main goals of nutrition therapy for patients in active treatment and recovery are to provide nutrients that are missing, maintain nutritional health, and prevent problems. The health care team will use nutrition therapy to do the following:

  • Prevent or treat nutrition problems, including preventing muscle and bone loss.
  • Decrease side effects of cancer treatment and problems that affect nutrition.
  • Keep up the patient's strength and energy.
  • Help the immune system fight infection.
  • Help the body recover and heal.
  • Keep up or improve the patient's quality of life.

Good nutrition continues to be important for patients who are in remission or whose cancer has been cured.

The goal of nutrition therapy for patients who have advanced cancer is to help with the patient's quality of life.

The goals of nutrition therapy for patients who have advanced cancer include the following:

  • Control side effects.
  • Lower the risk of infection.
  • Keep up strength and energy.
  • Improve or maintain quality of life.

See the Nutrition in Advanced Cancer 1 section for more information.



Glossary Terms

activities of daily living (ak-TIH-vih-teez…DAY-lee LIH-ving)
The tasks of everyday life. These activities include eating, dressing, getting into or out of a bed or chair, taking a bath or shower, and using the toilet. Instrumental activities of daily living are activities related to independent living and include preparing meals, managing money, shopping, doing housework, and using a telephone. Also called ADL.
advanced cancer (ad-VANST KAN-ser)
Cancer that has spread to other places in the body and usually cannot be cured or controlled with treatment.
appetite (A-peh-tite)
A desire to satisfy a physical or mental need, such as for food, sex, or adventure.
assessment (uh-SES-ment)
In healthcare, a process used to learn about a patient’s condition. This may include a complete medical history, medical tests, a physical exam, a test of learning skills, tests to find out if the patient is able to carry out the tasks of daily living, a mental health evaluation, and a review of social support and community resources available to the patient.
cancer (KAN-ser)
A term for diseases in which abnormal cells divide without control and can invade nearby tissues. Cancer cells can also spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is a cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is a cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is a cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord. Also called malignancy.
constipation (KON-stih-PAY-shun)
A condition in which stool becomes hard, dry, and difficult to pass, and bowel movements don’t happen very often. Other symptoms may include painful bowel movements, and feeling bloated, uncomfortable, and sluggish.
cure (kyoor)
To heal or restore health; a treatment to restore health.
diarrhea (dy-uh-REE-uh)
Frequent and watery bowel movements.
fluid (FLOO-id)
A substance that flows smoothly and takes the shape of its container. Liquids and gases are fluids.
immune system (ih-MYOON SIS-tem)
The complex group of organs and cells that defends the body against infections and other diseases.
infection (in-FEK-shun)
Invasion and multiplication of germs in the body. Infections can occur in any part of the body and can spread throughout the body. The germs may be bacteria, viruses, yeast, or fungi. They can cause a fever and other problems, depending on where the infection occurs. When the body’s natural defense system is strong, it can often fight the germs and prevent infection. Some cancer treatments can weaken the natural defense system.
malnourished (mal-NER-isht)
Describes a condition caused by not getting enough calories or the right amount of key nutrients needed for health. Key nutrients include vitamins and minerals.
nausea (NAW-zee-uh)
A feeling of sickness or discomfort in the stomach that may come with an urge to vomit. Nausea is a side effect of some types of cancer therapy.
nurse (nurs)
A health professional trained to care for people who are ill or disabled.
nutrition (noo-TRIH-shun)
The taking in and use of food and other nourishing material by the body. Nutrition is a 3-part process. First, food or drink is consumed. Second, the body breaks down the food or drink into nutrients. Third, the nutrients travel through the bloodstream to different parts of the body where they are used as "fuel" and for many other purposes. To give the body proper nutrition, a person has to eat and drink enough of the foods that contain key nutrients.
nutrition therapy (noo-TRIH-shun THAYR-uh-pee)
Treatment based on nutrition. It includes checking a person’s nutrition status, and giving the right foods or nutrients to treat conditions such as those caused by diabetes, heart disease, and cancer. It may involve simple changes in a person’s diet, or intravenous or tube feeding. Nutrition therapy may help patients recover more quickly and spend less time in the hospital. Also called medical nutrition therapy.
physical examination (FIH-zih-kul eg-ZA-mih-NAY-shun)
An exam of the body to check for general signs of disease.
physician (fih-ZIH-shun)
Medical doctor.
psychologist (sy-KAH-loh-jist)
A specialist who can talk with patients and their families about emotional and personal matters, and can help them make decisions.
quality of life (KWAH-lih-tee ... life)
The overall enjoyment of life. Many clinical trials assess the effects of cancer and its treatment on the quality of life. These studies measure aspects of an individual’s sense of well-being and ability to carry out various activities.
recover (ree-KUH-ver)
To become well and healthy again.
registered dietitian (...dy-eh-TIH-shun)
A health professional with special training in the use of diet and nutrition to keep the body healthy. A registered dietitian may help the medical team improve the nutritional health of a patient.
religion (reh-LIH-jun)
A set of beliefs and practices that center on questions about the meaning of life and may involve the worship of a supreme being.
remission (reh-MIH-shun)
A decrease in or disappearance of signs and symptoms of cancer. In partial remission, some, but not all, signs and symptoms of cancer have disappeared. In complete remission, all signs and symptoms of cancer have disappeared, although cancer still may be in the body.
screening (SKREE-ning)
Checking for disease when there are no symptoms. Since screening may find diseases at an early stage, there may be a better chance of curing the disease. Examples of cancer screening tests are the mammogram (breast), colonoscopy (colon), Pap smear (cervix), and PSA blood level and digital rectal exam (prostate). Screening can also include checking for a person’s risk of developing an inherited disease by doing a genetic test.
side effect (side eh-FEKT)
A problem that occurs when treatment affects healthy tissues or organs. Some common side effects of cancer treatment are fatigue, pain, nausea, vomiting, decreased blood cell counts, hair loss, and mouth sores.
social worker (SOH-shul WUR-ker)
A professional trained to talk with people and their families about emotional or physical needs, and to find them support services.
symptom (SIMP-tum)
An indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
vomit (VAH-mit)
To eject some or all of the contents of the stomach through the mouth.

Table of Links

1http://www.cancer.gov/cancertopics/pdq/supportivecare/nutrition/Patient/Page6#S
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