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Use and effects of oral nutritional supplements in patients with cancer
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Use and effects of oral nutritional supplements in patients with cancer
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Journal Article
Use and effects of oral nutritional supplements in patients with cancer
2019
Overview
Oncology feeds usually are energy and protein dense, containing ω-3 fatty acids in the form of eicosapentaenoic acid/docosahexaenoic acid, arginine, glutamine, nucleotides, or antioxidants. A recent review on nutritional counseling with or without ONS, and ONS enriched with ω-3 fatty acids, in patients undergoing chemotherapy or chemoradiotherapy [14], showed beneficial effects of supplementation on body weight, but not on treatment toxicity or survival. [...]we have to wonder whether it is realistic to expect that ONS alone may improve long-term outcomes such as survival. Carefully weighting both the positive and the negative sounds surrounding these supplements, recent guidelines from the European Society for Clinical Nutrition and Metabolism suggest using supplementation with long-chain ω-3 fatty acids or fish oil to stabilize or improve appetite, food intake, lean body mass, and body weight [26].Immunomodulating nutrition Immunomodulating nutrition refers to ONS enriched with immunomodulating nutrients, such as arginine, glutamine, nucleotides, and/or ω-3 fatty acids.
