Food Consumption Behavior and Nutritional Status Among Persons with Head and Neck Cancer

Authors

  • Orawan Ruanmee Faculty of Nursing, Chiang Mai University
  • Pratum Soivong Faculty of Nursing, Chiang Mai University
  • Patcharaporn Aree Faculty of Nursing, Chiang Mai University

Keywords:

Food consumption behaviors, Nutritional status, Persons with head and neck cancer

Abstract

        Proper food consumption behaviors and nutritional status are essential for persons with head and neck cancer. Their bodies require adequate nutrients and energy in order to endure a continued regimen course to respond to treatment effectively. This descriptive study aimed to explore food consumption behaviors and nutritional status among persons with head and neck cancer who visited the division of therapeutic radiology and oncology outpatient department, Maharaj Nakorn Chiang Mai Hospital. The purposively selected subjects were 126 persons with head and neck cancer. Of these numbers, 63 of them received only radiotherapy and another 63 received chemotherapy in combination with radiotherapy. Research instruments included the Food Consumption Behavior among Persons with Head and Neck Cancer Questionnaire, and the Nutritional Status Data Record Form. The research instruments were approved for their quality prior to data collection. Data were analyzed using descriptive statistics.

        The results showed that:

  1. The overall food consumption behaviors among persons with head and neck cancer receiving only radiotherapy and chemotherapy in combination with radiotherapy were at a high level (80.16%). In determination by dimensions, it was found that food consumption behaviors regarding eating habits and food that should be taken, and taboo food were at a high level, at 68.25% and 85.71%, respectively.
  2. The overall nutritional status of the subjects receiving only radiotherapy and chemotherapy in combination with radiotherapy were at a normal level (46.83%), at a lower than normal level (33.33%), at a higher than normal level (9.52%), and at risk of a higher than normal level (10.32%). In regards to protein, it was revealed that the subjects were at a normal level (7.14%), and had protein deficiency (92.86%) which was categorized into mild, moderate, and severe protein deficiency (11.11%, 21.43%, and 60.32%, respectively).

        The results of this study show preliminary data of overall food consumption behaviors and nutritional status among persons with head and neck cancer receiving only radiotherapy and chemotherapy in combination with radiotherapy at a high level. Overall nutritional status is at a normal level, but protein deficiency is severe. Thus, a care model for promotion of nutritional status in protein among persons with head and neck cancer should be developed.

Downloads

Download data is not yet available.

References

Arthur, A. E. (2013). The role of diet in the pathogenesis and prognosis of head and neck squamous cell carcinoma (Doctoral dissertation, University of Michigan). Retrieved from https://deepblue.lib.umich.edu/bitstream/handle/2027.42/99852/aranna_1.pdf?sequence=1

Arundon, T., Ruangdam, A., Ruangkajorn, P., Pruphetkaew, N., & Sunpaweravong, P. (2017).

Nutritional status, beliefs, and meat-consumption behaviors among cancer patients. Journal of Cancer, 37(4)127-141. (in Thai)

Beirer, A. (2021). Malnutrition and cancer, diagnosis and treatment. Memo-Magazine of European Medical Oncology, 14, 168–173. doi:org/10.1007/s12254-020-00672-3

Bhattacharjee, A., Bahar, I., & Saikia, A. (2015). Nutritional assessment of patients with head and neck cancer in north-east India and dietary intervention. Indian Journal of Palliative Care, 21(3), 289. doi:10.4103/0973-1075.164889

Brook, I. (2020). Late side effects of radiation treatment for head and neck cancer. Radiation Oncology Journal, 38(2), 84. doi: 10.3857/roj.2020.00213

Chaikham, R., Raksanaves, L., Pichaya, N., & Sooksrisawat, C. (2018). Factors predicting nutritional behaviors among patients with head and neck cancer at Chon Buri Cancer Hospital. Journal of The Department of Medical Services, 43(6), 68-73. (in Thai)

Chaisang, P. (2011). Effects of the self-competency promotion program and support society towards changing food consumption behavior in the diabetes risk groupSi Sa Ket City, Si Sa Ket Province (Master of Public Health Degree ManagementHealth System). Graduate School, Mahasarakham University. (in Thai)

Chitapanarak, I. (2014). Effects of cancer treatment. Chiang Mai: Trick Think. (in Thai)

Citak, E., Tulek, Z., & Uzel, O. (2019). Nutritional status in patients with head and neck cancer undergoing radiotherapy: A longitudinal study. Supportive Care in Cancer, 27(1), 239-247.

Darrigues, J., van Meerwijk, J. P., & Romagnoli, P. (2018). Age-dependent changes in regulatory T lymphocyte development and function: A mini-review. Gerontology, 64(1), 28-35. doi:10.1159/000478044.

Deepanya, C. (2014). Relationship between social support and nutritional status of end stage renal disease patients on hemodialysis. Kuakarun Journal of Nursing, 21(2), 182-197. (in Thai)

French, S. A., Wall, M., & Mitchell, N. R. (2010). Household income differences in food sources and food items purchased. International Journal of Behavioral Nutrition and Physical Activity, 7(1), 1-8. doi:10.1186/1479-5868-7-77

Fungsungnoen, S. (2014). Nutrition status of head and neck cancer patients undergoing radiation

therapy at the cancer center, Maharat Nakhon Ratchasima Hospital. Journal of Sakon Nakhon Hospital, 17(1), 127-135. (in Thai)

Gabsi, A., Jbali, N., Yahiaoui, Y., Letaief-Ksontini, F., Mghirbi, F., Mokrani, A., … Mezlini, A. (2020). 1832P Nutritional status assessment in patients followed for head and neck cancer. Annals of Oncology, 31(suppl_4), S988-S1017. doi:10.1016/j.annonc.2020.08.1479

Intakhad, P., & Kaewpan, Y. (2015). Nutrition status after receiving chemotherapy in patientsnon-small cell lung cancer at Maharaj Na korn Chiang Mai Hospital. Chiang Mai: Faculty of Pharmacy, Chiang Mai University. (in Thai)

Iseh, K. R., Essien, E., & Bilbis, L. S. (2013). Demographic characteristics and food consumption pattern of head and neck cancer patients in a tertiary health institution north west Nigeria. Pakistan Journal of Nutrition, 12(10), 897-902.

Jiranthorn, R., Singphaiboonporn, N., Ngadulyawat, P., Mongkolsuk, S., & Mahatthanobol, S. (2007). Factors affecting on decision making on purchasing of dietary supplement: A case study of

Hat Yai District, Songkhla Province. Songklanakarin Journal of Social Sciences and Humanities, 13(2), 219-236. (in Thai)

Kang, W. X., Li, W., Huang, S. G., Dang, Y., & Gao, H. (2016). Effects of nutritional intervention in head and neck cancer patients undergoing radiotherapy: A prospective randomized clinical trial. Molecular and Clinical Oncology, 5(3), 279-282. doi:10.3892/mco.2016.943

Krapoohrit, A. (2014). Nutrition assessment and nutrition care in head and neck cancer patient by nurse (Master of Science Program Thesis Department of Nutrition). Graduate School, Nakhon Pathom Rajabhat University. (in Thai)

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Education and Psychological Measurement, 30, 607-176.

Kumar, R. R., Thommachan, C., Ramadas, K., & Rajan, B. (2012). Role of radiotherapy in head and neck cancer. In A. Staffieri, P. Sebastian, M. Kapre, B. T. Varghese, & R. Kazi (Eds.), Essentials of head and neck cancer (pp. 57-66). Mumbai: Byword Books Private.

Lalla, R. V., Brennan, M. T., Gordon, S. M., Sonis, S. T., Rosenthal, D. I., & Keefe, D. M. (2019). Oral mucositis due to high-dose chemotherapy and/or head and neck radiation therapy.

Journal of the National Cancer Institute, 2019(53), lgz011. doi:10.1093/jncimonographs/lgz011

Nanma, B. (2012). Factors related to nutrition status of head and neck cancer patients receiving radiotherapy. (Master’s thesis, Department of Nursing). Graduate School,Chulalongkorn University. (in Thai)

Orell, H., Schwab, U., Saarilahti, K., Osterlund, P., Ravasco, P., & Makitie, A. (2019). Nutritional counseling for head and neck cancer patients undergoing (chemo) radiotherapy a prospective randomized trial. Frontiers in Nutrition, 6, 22. doi:10.3389/fnut.2019.00022

Oun, R., Moussa, Y. E., & Wheate, N. J. (2018). The side effects of platinum-based chemotherapy drugs: A review for chemists. Dalton Transactions, 47(19), 6645-6653.doi: 10.1039/c8dt00838h

Peixoto da Silva, S., Santos, J. M., Costa e Silva, M. P., Gil da Costa, R. M., & Medeiros, R. (2020). Cancer cachexia and its pathophysiology: Links with sarcopenia, anorexia and asthenia. Journal of Cachexia, Sarcopenia and Muscle, 11(3), 619-635. doi:10.1002/jcsm.12528

Pezzuto, F., Buonaguro, L., Caponigro, F., Ionna, F., Starita, N., Annunziata, C., … Tornesello, M. L. (2015). Update on head and neck cancer: Current knowledge on epidemiology, risk factors, molecular features and novel therapies. Oncology, 89(3), 125-136. doi:10.1159/000381717

Pinto, B. M., & Trunzo, J. J. (2005). Health behaviors during and after a cancer diagnosis. Cancer, 104(11), 2614-2623. doi:10.1002/cncr.21248

Podesta, O. P. G. D., Curado, M. P., Marchioni, D. M. L., Podesta, J. R., de Oliveira, J. C., Kowalski, L. P., … von Zeidler, S. V. (2016). Food consumption and head and neck cancer in three Brazilian capitals - interchange study (Doctoral dissertation, University Federal do Espirito Santo). Retrieved from http://gapbrazil2016.org/wp-content/uploads/2016/05/473.pdf

Potarin, W., Saengthong, W., Chaiyasit, Y., Boonlom, T., & Nualsithong, N. (2021). The role of nurse for promoting nutrition in cancer patients receiving chemotherapy. Journal of MCU Nakhondhat, 8(9), 131-143. (in Thai)

Prachantasen, N. (2011). Decision on taking hospital food of cancer patients at Khon Kaen Hospital (Master’s thesis, Nutrition for Health). Graduate School, Khon Kaen University. (in Thai)

Prakokkit, K. (2008). Factors related to food consumption behavior of cancer patients who received chemotherapy in Phramongkutklao Hospital (Master's Thesis, Department of Health Education). Graduate School, Kasetsart University. (in Thai)

Prasomsri, J. (2012). The consequences of nursing care pattern based on the King's theory of goal attainment on food consumption behaviors in chronic kidney disease patients receiving continuous ambulatory peritoneal dialysis. Christian University of Thailand Journal. 18(1).68-83. (in Thai)

Rojanaphan, K. (2013). Factors predicting nutritional status in head and neck cancer patients receiving radiation. Treatment or radiotherapy in combination with chemotherapy. Journal of the Association of Radiation Oncology and Oncology of Thailand, 19(1), 35-36. (in Thai)

Rojanaphan, K., Chaiyaphut, P., Kimpee, S., & Iamwananonthachai, N. (2013). Influences of staging,

neck node metastasis, receiving opioid medication and radiation technique on nutritional status in head and neck cancer patients. Thai Journal of Nursing Council, 28(2), 13-29. (in Thai)

Sararak, M., & Saennam, S. (2014). Household food security in Mueng Mee Noi Village, Kaunwon Sub-district, Mueng District, Nong Khai Province. Science and Technology Journal Ubon Ratchathani University, 16(3), 25-37. (in Thai)

Schlenker, E., D. (2015). Nutrition and health. In E. D. Schlenker & J. Gilbert (Eds.), Williams’ essentials of nutrition & diet therapy (11th ed., pp. 6-13). Philadelphia: Elsevier Health Sciences.

Srimorakot, P. (2010). Nursing of adults and the elderly with health problems Volume 2 (2nd ed.). Bangkok: IGroup Place. (in Thai)

Srithamma, S. (2014). Eliminate wrong beliefs. Conquer the deadly cancer near you. Retrieved from http://www.dms.moph.go.th/dmsweb/ghsh/EliminatingMisconceptions% 20 Conquering Cancer.pdf (in Thai)

Suwittawas, J. (2021). Nursing care for cancer patients with nutrients and energy deficiencies. Journal Maha Sarakham Hospital, 18(2), 13-21. (in Thai)

Suwittawat, C. (2013). Nutritional status and food behavior of cancer patients in Arokaya Sala

hospice, Kampramong monastery, Punnanikhom District, Sakon Nakhon. Journal of Nursing and Health Care, 32(4), 40-48. (in Thai)

Tonaree, W. (2012). Food consumption behavior of people in Saluang-Khi Lek Sub-district, Amphoe Mae Rim, Chiang Mai Province (Office of Higher Education Research and Development Project, National Research University Office of the Higher Education Commission). Retrieved from http://www.research.cmru.ac.th/2014/ris/resout/arc/MUA-5-SCI-18-54.pdf (in Thai)

Tumwongsa, N. (2008). Consumption behavior under the concept of habitual consumption.(Master’s thesis, Department of Economics). Graduate School, Chulalongkorn University.(in Thai)

Vittayakasemsont, K., Klaithong, C., Phukosi, K., Chavasit, V., & Trachootham, D. (2018). Nutritional status of Thai patients with head and neck cancer during and after completion of radiotherapy. Journal of The Department of Medical Services, 43(5), 99-104. (in Thai)

Wagner, C. (2020). Nutritional management during treatment for head and neck cancer. Memo-Magazine of European Medical Oncology, 13, 405-408. doi.org/10.1007/s12254-020-00613-0

Wisuttikul, K. (2011). Nursing management for cancer patients experiencing anorexia. Nursing Science Journal of Thailand, 29(3), 8-16. (in Thai)

Published

2022-09-26

Issue

Section

Research Article