Nutrition and Cancer – A Time for Action

A. Hug
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Abstract

I would like to welcome you to this edition of Kompass Nutrition & Dietetics. On a topic as broad as Nutrition and Cancer, this issue aims to demonstrate how crucial a role nutrition plays across the entire cancer continuum, with dietitians at the forefront of its delivery. We now have an ever-growing body of evidence that good nutrition can reduce the risk of certain cancers, and it is best to avoid alcohol for cancer prevention [1]. Prehab to optimize health and nutritional status prior and during treatments is now well established in many surgical oncology pathways and recommended for all people with cancer before, during, and, as has been the traditional service of rehabilitation, after treatments [2]. People with cancer are living longer thanks to dramatic improvements in treatments such as targeted therapies and immunotherapies. However, these, and other treatments, cause known (and unknown) short-term nutrition impact symptoms and more long-term consequences that can occur during or well after treatment/s, affecting people’s ability to eat, their shortand long-term nutritional status, and their food-related quality of life [3, 4]. Appropriate nutrition supports treatment delivery to improve survival and enhance quality of life for those living with cancer [5]. As someone nears the end of their life due to cancer, nutritional issues may need to be supported. With nutrition so important at each stage, dietitians have the specialist skill set to deliver appropriate nutritional assessment, interventions, and ongoing monitoring. However, we never work in isolation and must lean on, train, support, and communicate well with our cancer care colleagues in both the cancer multidisciplinary team and primary care setting. How we deliver nutrition services continues to develop as we utilize alternative care deliv-
营养和癌症——是时候采取行动了
欢迎大家来到本期《康帕斯营养与营养学》。在营养与癌症这样一个广泛的话题上,本期杂志旨在展示营养在整个癌症治疗过程中扮演着多么重要的角色,而营养师则处于提供营养的最前沿。我们现在有越来越多的证据表明,良好的营养可以降低患某些癌症的风险,为了预防癌症,最好避免饮酒[1]。优化治疗前和治疗期间的健康和营养状况的预适应现已在许多外科肿瘤途径中得到广泛应用,并推荐给所有癌症患者在治疗前、治疗中以及治疗后的传统康复服务[2]。由于靶向治疗和免疫治疗等治疗方法的巨大进步,癌症患者的寿命延长了。然而,这些以及其他治疗方法会导致已知(和未知)的短期营养影响症状,并可能在治疗期间或治疗后很长一段时间内产生更长期的后果,影响人们的进食能力、短期和长期营养状况以及与食物相关的生活质量[3,4]。适当的营养支持治疗,以提高癌症患者的生存率和生活质量[5]。当有人因癌症而接近生命的尽头时,营养问题可能需要得到支持。由于营养在每个阶段都非常重要,营养师拥有专业技能,可以提供适当的营养评估、干预和持续监测。然而,我们从不孤立地工作,必须依靠、培训、支持和与癌症多学科团队和初级保健环境中的癌症护理同事进行良好的沟通。我们如何提供营养服务继续发展,因为我们使用替代护理服务
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