Are there any benefits to consumption of an oral nutritional supplement (ONS) ice lolly in lung cancer patients?
Kahai, R. Ullah, M. Beech, A. Cove-Smith, Laura Lyons, J. Ng, C.
Kahai, R.
Ullah, M.
Beech, A.
Cove-Smith, Laura
Lyons, J.
Ng, C.
Citations
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Abstract
Introduction: Nutrition plays an important role within lung cancer.
Weight loss is independently associated with reduced survival,
quality of life and treatment toxicity. It is estimated that up to 69%
of lung cancer patients are malnourished before treatment. Guy’s
Cancer Centre found that 33% of dietetic advice provided within
clinics involved oral nutritional supplements (ONS). ONS in NSCLC
patients may improve lean body mass, appetite and decrease fatigue.
Anecdotally, on the lung cancer ward, patients found ice-cream
enjoyable. This quality improvement project was to determine
whether lung cancer patients find an ONS ice-lolly enjoyable to
consume compared with an ONS drink.
Methods: An ONS drink and ice-lolly (made from Fortijuce or
Fortisip Compact Protein) were each given between mealtimes on
the ward and chemotherapy suite. The drink and ice-lolly were
weighed an hour later for consumption and participants completed
a questionnaire.
Results: Only 31% of patients stated they would have the ice lolly
again. This data varied between the ward and chemotherapy suite
where 50% and 13% would have the ice lolly again, respectively.
Consumption was overall poor, with 47% of the drink consumed
after an hour, compared with 28% of the ice-lolly. Fortisip Compact
Protein ice-lollies were preferred over the Fortijuce ice-lollies. The
ward rated the taste and textures of the ice-lollies higher compared
with the chemotherapy suite. Comments about the ice-lollies varied
from “it was refreshing” to “a bit bland”.
Conclusion: Overall, ONS drinks appear to be favoured over an icelolly
for chemotherapy patients, with no clear preference for ward
patients. This may reflect chemotherapy taste changes or comforting
nutrition in palliative ward patients. This data shows poor ONS
consumption and may suggest a need for dietetic counselling of ONS alongside ‘Food First’ approaches.
Affiliation
Description
Date
2020
Publisher
Collections
Keywords
Type
Meetings and Proceedings
Citation
Kahai R, Ullah M, Beech A, Cove-Smith L, Lyons J, Ng C. Are there any benefits to consumption of an oral nutritional supplement (ONS) ice lolly in lung cancer patients? Lung Cancer. 2020;139:S81-S