Diet and Cancer – Flashcards

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cancer
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growth called a tumor can also be called a neoplasm
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carcinogens may include
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viruses
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carcinogens
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include some chemical substances
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cancer clients
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may suffer from cachexia
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Radiation and chemotherapy
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may create food aversions
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It is thought that cancer may be caused by
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frequent ingestion of smoked meats over a long period
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high-fat diets
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have been associated with breast and prostate cancer
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Phytochemicals
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are abundantly supplied in fruits and vegetables
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It is recommended to cancer clients to take
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a multivitamin with only 100% of the antioxidants
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Cachexia
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is the result of continued anorexia and weight loss
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neoplasm
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abnormal growth of new tissue
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neoplasia
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abnormal development of cells
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malignant
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life-threatening
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metastasize
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spread of cancer cells from one organ to another
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oncology
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the study of cancer
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oncologist
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doctor specializing in the study of cancer
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carcinogens are
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cancer-causing substances
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genetic predisposition
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inherited tendency
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Kaposi's sarcoma
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type of cancer common to individuals with AIDS
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endometrium
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mucous membrane of the uterus
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phytochemicals are
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substances occurring naturally in plant foods
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anorexia
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a loss of appetite, especially as a result of a disease
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hypoalbuminemia
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abnormal low amounts of protein in the blood
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cachexia
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severe malnutrition and body wasting caused by chronic disease
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chemotherapy
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treatment of diseased tissue with chemicals
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resection
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reduction
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xerostomia
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sore, dry mouth caused by a reduction of salivary secretions, may be caused by radiation for treatment of cancer
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dysphagia
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difficulty in swallowing
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the mortality rate for cancer clients is high but
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cancer does not always cause death
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Environmental carcinogens include
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radiation (whether from x-rays, sun, or nuclear wastes), certain chemicals ingested in food or water, some chemicals that touch the skin regularly, and certain substances that are breathed in, such as tobacco smoke and asbestos
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Carcinomas involve the epithelial cells(cells lining the body), these include:
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the outer layer of the skin, the membranes lining the digestive tract, the bladder, the womb, and any duct or tube that goes through organs in the body
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Sarcoma is cancer of the
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soft tissues of the body such as muscle, as well as fat, nerves, tendons, blood and lymph vessels, and any other tissues that support, surround, and protect the organs in the body
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Soft tissue sarcomas are uncommon and can also
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occur in bone rather than soft tissue and primarily in the legs
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Lymphomas are cancer of the
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lymphoid tissue, including the lymph nodes, bone marrow, spleen, and thymus gland
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Leukemias develop from
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the white blood cells and also affect the bone marrow and spleen
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Three types of skin cancer
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basal cell, squamous cell, and melanoma
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Basal cell carcinoma is
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the most common form of skin cancer, affecting the outer skin layer and caused by exposure to sunlight. Those at high risk have fair skin, light hair, and blue, green, or gray eyes and spend considerable leisure time in the sun
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Sqamous cell carcinoma affects
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the squamous cells that are in the upper layer of the skin. Most cases arise from chronic exposure to sunlight, but may also occur where skin has been injured--burns, scars, or long standing sores
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Melanoma is
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the most serious and deadliest form of skin cancer and originates in the cells that produce the pigment melanin, which colors our skin, hair, and eyes
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The majority of melanomas are what color?
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black, brown, but some melanomas occasionally stop producing pigment and are skin colored, pink, red, or purple. If caught early, melanoma is almost 100% curable, therefore a yearly exam by a dermatologist is recommended for early diagnosis of all skin cancers
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Viruses linked to cancer are:
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Epstein-Barr, hepatitis B, Kaposi sarcoma, herpes virus, retrovirus, and human papilloma virus(HPV)
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Epstein-Barr virus may cause
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nasopharyngeal cancer, T-cell lymphoma, Hodgkin's disease, and gastric carcinoma
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There is an anticancer vaccine available to prevent
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hepatitis B and it serious consequences--that is liver cancer
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Kaposi's sarcoma is
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a cancerous tumor of the connective tissue and is often associated with the AIDS virus
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A vaccine is now available to prevent cervical cancer caused by
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HPV, human papilloma virus
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Certain substances in foods that are though to be carcinogenic are
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Nitrites in cured and smoked foods such as bacon & ham can be changed to nitrosamines (carcinogens) during cooking, regular ingestion of these foods is associated with cancer of the stomach and the esophagus
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High-fat diets have been associated with cancers of the
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uterus, breast, prostate, and colon.
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The regular, excessive intake of calories is associated with cancers of the
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gallbladder and endometrium
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people who smoke and drink alcohol immoderately appear to be at greater risk of
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cancers of the mouth, pharynx, and esophagus than those who do not
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Diets high in fiber help to protect against
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colorectal cancer
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Diets containing sufficient amounts of vitamin C rich foods may protect against
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cancers of the stomach and esophagus
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Diets containing sufficient carotene and vitamin A-rich foods may protect against
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cancers of the lung, bladder, and larynx
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Phytochemicals are thought to be
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anticarcinogenic agents, examples are flavonoids, phenols, and indoles, and fruits and vegetables appear to have an abundance of them
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It is advisable to eat 9+ servings of fruit and vegetables each day, including
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2 1/2 cups of vegetables and 2 cups of fruit on a 2,000 calorie diet
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Legumes such as
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soybeans, dried beans, and lentils contain vitamins, minerals, protein, and fiber may protect against cancer
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Protein foods are essential for
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maintenance of a healthy immune system
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An immune system that has been damaged possibly through malnutrition
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may be a contributing factor in the development of cancer
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Excessive protein and fat intake, however, may be a factor in
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the development of cancer of the colon
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The most important principle is
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moderation
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Vitamins that are though to prevent cancer should be ingested in foods that
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naturally contain them. Excessive intake of supplements can be harmful
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Abnormally large amounts of vitamin A can cause
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bone pain and fragility, hair loss, headaches, and liver and skin problems
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One of the first indications of cancer may be
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unexplained weight loss because the tumor cells use for their own metabolism and development the nutrients the host has taken in
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compounds of weight loss are
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weakness and anorexia, this weight loss includes the loss of muscle tissue and hypoalbuminemia, and anemia may develop
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The effects of cancer may cause
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the sense of taste and smell to be affected. Some foods may taste different or everything may taste the same. Clients, after chemotherapy, may experience a metallic taste when eating protein foods
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Cancer clients become satiated earlier than normal, possibly because of
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decreased digestive secretions. Insulin production may be abnormal, and hyperglycemia can delay the stomach's emptying and dull the appetite
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Some cancer cause hypercalcemia, and if chronic can cause
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renal stones and impaired kidney function
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The effects of cancer on the host are particularly determined by
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the location of a tumor
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If cancer is untreated, the continued anorexia and weight loss will create a
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state of malnutrition, which in turn can lead to cachexia and ultimately, death
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Medical treatment of cancer can include
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surgical removal, radiation, chemotherapy, or a combination of these methods
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Cancer treatments have side effects that can
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further undermine nutritional status
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Radiation reduces the amount of absorptive tissue in
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the small intestine which can cause bowel obstruction or diarrhea
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Chemotherapy reduces the ability of the small intestine to regenerated absorptive cells, and it can cause
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hemorrhagic colitis
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Both radiation and chemotherapy depress appetite and may cause
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nausea, vomiting, and diarrhea leading to fluid and electrolyte imbalances, which can lead to fluid retention. When therapy is completed and a well-balanced diet is resumed, these problems may disappear
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The nutrients and calorie needs of cancer client are
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greater than what they were before onset of the disease
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Cancer causes an increase in the metabolic rate, and the tissue must be
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rebuilt, and the nutrients lost to cancer must be replaced
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Clients who can maintain their weight or minimize it loss
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increase their chances of responding positively to treatment
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High-protein high-calorie diet clients
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tolerate the side effects of therapy and higher does of drugs better than those who cannot eat normally
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strong food aversions are thought to be caused by the effects of
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chemotherapy
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receiving chemotherapy near mealtime may cause an association between
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food served and the nausea caused by the chemotherapy, which can often lead to food aversions
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It is recommended that chemotherapy be withheld for
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2-3 hours before and after meals
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comfort foods for cancer patients should be
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included liberally
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Energy demands are high for cancer clients because of
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hypermetabolic state often caused by cancer. Calorie needs are individualized, but 30-35 calories per kilogram of body weight may be recommended
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What is needed to provide energy and spare protein for tissue building and the immune system
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Carbohydrates and fat
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Clients with good nutritional status will need
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1.0 - 1.2 grams of protein per kilogram of body weight per day
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Malnourished clients may need
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1.3 - 2.0 grams of protein per kilogram of body weight per day
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During chemotherapy or radiation, oncologists advise against taking
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higher doses of antioxidant supplements, it is best for cancer clients receiving treatment to avoid dietary supplements that give more than 100% of the Daily Value for antioxidants
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Fluids are important to help the kidneys
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eliminate the metabolic wastes and the toxins from drugs
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If the client suffers from dry mouth,
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salad dressings, gravies, sauces, and syrups appropriately served on foods can be helpful
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If nausea or pain is a continuous problem
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drugs to control the problem, particularly at mealtimes, may be helpful
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Although oral feedings are definitely preferred,
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enteral or total parenteral nutrition may become necessary if cachexia is extreme
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Sometimes an oral diet with a nutritional supplement may be used in
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conjunction with total parenteral nutrition
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when appetite is poor
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a high-calorie, high protein liquid supplement may be given, as the client improves, calorie and nutritional content of the diet should be gradually increased
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