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Overview of
Nutrition in
Cancer Care
• Good nutrition is important for cancer
patients.
• Healthy eating habits are important
during and after cancer treatment.
• Cancer and cancer treatments may cause
side effects that affect nutrition.
• Cancer and cancer treatments may cause
malnutrition.
• Anorexia and cachexia are common
causes of malnutrition in cancer patients.
NUTRITION IN JOURNEY OF
CANCER
Ms. Suvarna Sawant
Chief Dietician
HCG Cancer Centre
Borivali Unit
▪ Maintain Weight
▪ Maintain Nutrition stores
▪ Lower Risk of Infection
▪ Better Treatment Toleration (lesser Side effects)
▪ Fast Recovery
▪ Improve Quality of Life
WHY NUTRITION IS IMPORTANT
DURING CANCER TREATMENT ?
RAINBOW IN YOUR PLATE
IDEAL PLATE
KITCHEN
INGREDIENTS
Haldi- Anti inlammatory
Hing- Good digestion
Methi - Controlling
blood sugar
Flaxseed (alsi) - Heart
protective
Garden cress seed
(haleem)
- Hemoglobin
KITCHEN
INGREDIENTS
Walnuts (akrot) –Anti
Inflammatory
Elaichi- decrease nausea & acidity
Vitamin C- Antioxidant
MANAGING TRATMENT
SIDE EFFECT
● NAUSEA:
-Remove your self from the cooking process.
-Avoid strong smells.
-Add mint, ginger & lemon to dish.
-Sit upright for eating and drinking.
● TASTE CHANGES:
-Cleanse your mouth properly.
-Maintain good oral hygiene.
-Avoid metal utensil.
-Try to eat food at room temperature.
-Increase your fluid intake.
LOSS OF APPETITE
● Eat five or six smaller meals per day.
● Eat the largest meal when you are hungriest.
● Start with high-protein foods while your appetite is strongest.
● Keep favorite high-calorie foods and beverages within easy reach.
● Try to be as physically active as you are able to be to help stimulate your
appetite.
● Avoid high-fat, greasy, spicy, or overly sweet foods.
● Sip on beverages between meals rather than with meals.
Diarrhea
● Drink plenty of fluids
● Eat small amounts of soft bland foods Examples: moong dal
khichadi, curd,
● Bread
● Avoid fried foods like bhajya, samosa, puri
● Have fruit like apple, pomegranate, banana
● Avoid spices
● Avoid Gas forming foods & beverages (beans, cabbage,
carbonated beverages).
● Avoid milk, instead take buttermilk or curd
● Limit foods and beverages with caffeine and beverages
extremely hot or cold.
Constipation
● Eat whole grains such as whole wheat, legumes and
nuts.
● Eat vegetable and fruits 3-4 serving in a day.
● Drink plenty of fluids. Example 8-10 glasses of water
or buttermilk
● Avoid processed or packet food
● Avoid maida products such as biscuit, bread, etc
● Do some exercise like walking or stretching exercise.
Mucositis/Esophagitis
● Encourage good oral hygiene practices to promote comfort, enhance taste and stimulate
appetite.
● Avoid intake of known irritants such as: acidic foods or fluids o Spicy, salty or very sweet foods
or fluids o Dry or rough foods Tobacco, alcohol.
● Encourage adequate fluid intake. Well-tolerated fluids include warm or cool milk based
beverages, cream soups.
● Alter the consistency and temperature of foods to suit individual tolerances (for example cool
or lukewarm temperature, soft solids, mashed solids, pureed solids, baby foods, thick or thin
liquids).
● Recommend dunking or moistening dry foods in liquid.
● Recommend small, frequent energy and protein dense meals or snacks.
● Ensure vitamin and mineral needs are met if nutrition modifications are to be long term.
NUTRITIONAL MYTHS AND FACT
Many people have been taught that juice
diets/fasts are a safe and productive
practice
• Juice should not be used to meet basic
nutrient needs as it significantly reduces
consumption of multiple food groups
• People who practice these methods need
to be aware that it significantly reduces the
amount of fiber in the diet
• Sugar feeds cancer
• A raw food diet prevents/cures cancer
• Carrot beet juice is a medicine for cancer
• Meat and dairy products cause cancer
• HERBAL SUPPLEMENTS WILL HELP TO FIGHT
CANCER
NUTRITIONAL MYTHS AND
FACT
Neutropenic Diet
● √
√
√
Physical Activity
● Check with your healthcare provider regarding the right
physical activity for you. Physiotherapist will help you with this.
● Engage in regular physical activity.
● Avoid inactivity and return to normal daily activities as soon as
possible.
● Aim to exercise at least 150 minutes per week.
● Include strength training exercises at least 2 days per week
(exercises in which you work against resistance such as
weights), with your healthcare provider’s approval.
Low cost Protein Foods
MILK & MILK PRODUCTS
EGG
PEAS
SATTU
SOY & SOY PRODUCTS
SPROUTS
Low cost protein food
● Egg custard
● Dry fruit milkshake
● Lassi/ Thick
Buttermilk
● Amylase Rich Flour
● Soyabean bhaji
● soyabean roti
● Peas roti
● Sattu
● Sprouted salad/
Sprouted pan cake
● Hummus
EGG CUSTARD RECIPE
Ingredient:
● 1 EGG
● 1 CUP MILK
● 1 TSP SUGAR
● VANILLA ESSENCE – OPTIONAL
Method:
● Beat the eggs, milk, sugar and vanilla essence.
● Pour in katori, in double boiler cook till it thickens.
Amylase Rich Flour
Ingredient
3 Parts cereal (rice/wheat) + 1 Part pulse (moong dal)
Method:
▪ Soak the grains in water until sprouting takes place (around 48 hours)
▪ Dry in the sun / roast lightly on low flame
▪ Powder by hand pounding or in an electric grinder
▪ Store in a wide mouthed screw cap bottle
Sattu
● Ingredients:2 cup channa dal
Method:
● Soak gram dal or gram in water for 8-9 hours.
● Remove out of water, and dry well in the pan.
● Keep a pan in medium flame and roast until they are golden brown.
● Grind them into a mixer.
● Put it in an air tight pot.
● Use as drink or can be added in chapatti.
Soyabean cutlet
Ingredient
● 100 grams soya chunks
● 10 grams ginger
● 2 tablespoons coriander leaves finely chopped
● 1 teaspoon Mint leaves
● 4 Carrot finely chopped
● 3 tablespoons sweet corn
● 1 green chilli finely chopped
● 3 bread multigrain
● salt to taste
● 1 tablespoon oil for shallow frying
Methods
● Soak the soya chunks into the hot water for 30 minutes.
● drain the water and in a large bowl squeeze off excess water.
● Now put these soya chunks into a blender jar and add carrot, corn, green chilli, ginger, mint leaves, coriander leaves, salt to taste and blend
everything to a coarse paste.
● Take it out in a big bowl.
● In another jar break bread into smaller chunks and whizz them to make fresh bread crumbs.
● Add these bread crumbs in soya chunks and veggie paste. Mix and make a smooth very soft dough.
● Shape these in form of round cutlets also known as tikki. And once again roll these cutlets with bread crumbs.
● While rolling take care to firmly press the bread crumbs around these soya cutlets. This will yield in crispy cutlets.
● In a pan heat oil and place these cutlets. Cook them over medium heat.
● Once golden brown from one side flip them over and cook till crispy from the other side as well.
● Serve these delicious protein rich snack of soya cutlet with tomato ketchup or green chutney.
Nutrition & Cancer : What is the Correlation ?
Nutrition & Cancer : What is the Correlation ?

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Nutrition & Cancer : What is the Correlation ?

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  • 3. Overview of Nutrition in Cancer Care • Good nutrition is important for cancer patients. • Healthy eating habits are important during and after cancer treatment. • Cancer and cancer treatments may cause side effects that affect nutrition. • Cancer and cancer treatments may cause malnutrition. • Anorexia and cachexia are common causes of malnutrition in cancer patients.
  • 4. NUTRITION IN JOURNEY OF CANCER Ms. Suvarna Sawant Chief Dietician HCG Cancer Centre Borivali Unit
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  • 7. ▪ Maintain Weight ▪ Maintain Nutrition stores ▪ Lower Risk of Infection ▪ Better Treatment Toleration (lesser Side effects) ▪ Fast Recovery ▪ Improve Quality of Life WHY NUTRITION IS IMPORTANT DURING CANCER TREATMENT ?
  • 10. KITCHEN INGREDIENTS Haldi- Anti inlammatory Hing- Good digestion Methi - Controlling blood sugar Flaxseed (alsi) - Heart protective Garden cress seed (haleem) - Hemoglobin
  • 11. KITCHEN INGREDIENTS Walnuts (akrot) –Anti Inflammatory Elaichi- decrease nausea & acidity Vitamin C- Antioxidant
  • 12. MANAGING TRATMENT SIDE EFFECT ● NAUSEA: -Remove your self from the cooking process. -Avoid strong smells. -Add mint, ginger & lemon to dish. -Sit upright for eating and drinking. ● TASTE CHANGES: -Cleanse your mouth properly. -Maintain good oral hygiene. -Avoid metal utensil. -Try to eat food at room temperature. -Increase your fluid intake.
  • 13. LOSS OF APPETITE ● Eat five or six smaller meals per day. ● Eat the largest meal when you are hungriest. ● Start with high-protein foods while your appetite is strongest. ● Keep favorite high-calorie foods and beverages within easy reach. ● Try to be as physically active as you are able to be to help stimulate your appetite. ● Avoid high-fat, greasy, spicy, or overly sweet foods. ● Sip on beverages between meals rather than with meals.
  • 14. Diarrhea ● Drink plenty of fluids ● Eat small amounts of soft bland foods Examples: moong dal khichadi, curd, ● Bread ● Avoid fried foods like bhajya, samosa, puri ● Have fruit like apple, pomegranate, banana ● Avoid spices ● Avoid Gas forming foods & beverages (beans, cabbage, carbonated beverages). ● Avoid milk, instead take buttermilk or curd ● Limit foods and beverages with caffeine and beverages extremely hot or cold.
  • 15. Constipation ● Eat whole grains such as whole wheat, legumes and nuts. ● Eat vegetable and fruits 3-4 serving in a day. ● Drink plenty of fluids. Example 8-10 glasses of water or buttermilk ● Avoid processed or packet food ● Avoid maida products such as biscuit, bread, etc ● Do some exercise like walking or stretching exercise.
  • 16. Mucositis/Esophagitis ● Encourage good oral hygiene practices to promote comfort, enhance taste and stimulate appetite. ● Avoid intake of known irritants such as: acidic foods or fluids o Spicy, salty or very sweet foods or fluids o Dry or rough foods Tobacco, alcohol. ● Encourage adequate fluid intake. Well-tolerated fluids include warm or cool milk based beverages, cream soups. ● Alter the consistency and temperature of foods to suit individual tolerances (for example cool or lukewarm temperature, soft solids, mashed solids, pureed solids, baby foods, thick or thin liquids). ● Recommend dunking or moistening dry foods in liquid. ● Recommend small, frequent energy and protein dense meals or snacks. ● Ensure vitamin and mineral needs are met if nutrition modifications are to be long term.
  • 17. NUTRITIONAL MYTHS AND FACT Many people have been taught that juice diets/fasts are a safe and productive practice • Juice should not be used to meet basic nutrient needs as it significantly reduces consumption of multiple food groups • People who practice these methods need to be aware that it significantly reduces the amount of fiber in the diet • Sugar feeds cancer • A raw food diet prevents/cures cancer • Carrot beet juice is a medicine for cancer • Meat and dairy products cause cancer • HERBAL SUPPLEMENTS WILL HELP TO FIGHT CANCER
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  • 21. Physical Activity ● Check with your healthcare provider regarding the right physical activity for you. Physiotherapist will help you with this. ● Engage in regular physical activity. ● Avoid inactivity and return to normal daily activities as soon as possible. ● Aim to exercise at least 150 minutes per week. ● Include strength training exercises at least 2 days per week (exercises in which you work against resistance such as weights), with your healthcare provider’s approval.
  • 22. Low cost Protein Foods MILK & MILK PRODUCTS EGG PEAS SATTU SOY & SOY PRODUCTS SPROUTS
  • 23. Low cost protein food ● Egg custard ● Dry fruit milkshake ● Lassi/ Thick Buttermilk ● Amylase Rich Flour ● Soyabean bhaji ● soyabean roti ● Peas roti ● Sattu ● Sprouted salad/ Sprouted pan cake ● Hummus
  • 24. EGG CUSTARD RECIPE Ingredient: ● 1 EGG ● 1 CUP MILK ● 1 TSP SUGAR ● VANILLA ESSENCE – OPTIONAL Method: ● Beat the eggs, milk, sugar and vanilla essence. ● Pour in katori, in double boiler cook till it thickens. Amylase Rich Flour Ingredient 3 Parts cereal (rice/wheat) + 1 Part pulse (moong dal) Method: ▪ Soak the grains in water until sprouting takes place (around 48 hours) ▪ Dry in the sun / roast lightly on low flame ▪ Powder by hand pounding or in an electric grinder ▪ Store in a wide mouthed screw cap bottle
  • 25. Sattu ● Ingredients:2 cup channa dal Method: ● Soak gram dal or gram in water for 8-9 hours. ● Remove out of water, and dry well in the pan. ● Keep a pan in medium flame and roast until they are golden brown. ● Grind them into a mixer. ● Put it in an air tight pot. ● Use as drink or can be added in chapatti.
  • 26. Soyabean cutlet Ingredient ● 100 grams soya chunks ● 10 grams ginger ● 2 tablespoons coriander leaves finely chopped ● 1 teaspoon Mint leaves ● 4 Carrot finely chopped ● 3 tablespoons sweet corn ● 1 green chilli finely chopped ● 3 bread multigrain ● salt to taste ● 1 tablespoon oil for shallow frying Methods ● Soak the soya chunks into the hot water for 30 minutes. ● drain the water and in a large bowl squeeze off excess water. ● Now put these soya chunks into a blender jar and add carrot, corn, green chilli, ginger, mint leaves, coriander leaves, salt to taste and blend everything to a coarse paste. ● Take it out in a big bowl. ● In another jar break bread into smaller chunks and whizz them to make fresh bread crumbs. ● Add these bread crumbs in soya chunks and veggie paste. Mix and make a smooth very soft dough. ● Shape these in form of round cutlets also known as tikki. And once again roll these cutlets with bread crumbs. ● While rolling take care to firmly press the bread crumbs around these soya cutlets. This will yield in crispy cutlets. ● In a pan heat oil and place these cutlets. Cook them over medium heat. ● Once golden brown from one side flip them over and cook till crispy from the other side as well. ● Serve these delicious protein rich snack of soya cutlet with tomato ketchup or green chutney.