Page 59 - Essentia Vol 5 Issue 1
P. 59

VOL V | ISSUE I | 5 AUGUST 2026  VOL V | ISSUE I | 5 AUGUST 2026
 A BIANNUAL NEWSLETTER OF ASSAM CANCER CARE FOUNDATION                                 A BIANNUAL NEWSLETTER OF ASSAM CANCER CARE FOUNDATION

              No diet can cure cancer                           the  right  oral  nutritional  supplement  —  the  right
             While  diet  and  lifestyle  are  among  the  most   product,  the  right  dose,  the  right  timing;  and  at
                                                                other  times,  it  means  suggesting  simple  cooking
             modifiable cancer risk factors, one message must   modifications to improve palatability and intake.
             be  stated  clearly:  no  “special”  diet  cures  cancer.
             There  is  no  scientific  evidence  that  eliminating   Diet plans must also work around real constraints.
             carbohydrates,  following  alkaline  diets,  drinking   Non-admitted patients travelling daily for radiation
             kahda,  or  relying  on  “detox”  drinks  can  treat   or chemotherapy often face fatigue, long waiting
             malignancy.  Many  patients  give  up  eggs,  fish,   hours,  nausea  and  disrupted  meal  timings,  so
             chicken  or  milk  out  of  fear  or  social  pressure,   modifications  must  fit  real-life  schedules  rather
             while  others  turn  to  excessive  protein  powders   than  ideal  textbook  situations.  In  government
             or  unverified  supplements  in  desperation.  Such   and allied cancer hospitals, patients may also be
             restrictive eating usually worsens nutritional status   staying  in  NGOs  or  temporary  accommodation
             rather than improving it.                          where  food  options  are  fixed  and  resources
             In India, where awareness of clinical nutrition is still   limited.  Nutritional  advice  must  therefore  be
             evolving, the belief that “starving the cancer” helps   practical,  culturally  acceptable,  locally  available
             remains  widespread.  Combined  with  treatment    and affordable.
             side  effects  such  as  reduced  appetite,  altered   Common challenges
             taste  and  nausea,  unnecessary  food  restriction
             can  lead  to  severe  malnutrition,  muscle  loss  and   Many patients are referred for nutritional support
             poorer treatment tolerance.                        only  after  significant  weight  loss  or  malnutrition
                                                                has  already  set  in.  Patients  and  caregivers  often
              Beyond meal plans                                 underestimate the importance of nutrition during
             Onco  nutrition  is  a  specialised  branch  of  clinical   treatment  and  focus  primarily  on  medication,
             nutrition that supports patients before, during and   while  misinformation  from  social  media  and
             after  treatment  through  scientifically  designed   other  unreliable  sources  can  lead  to  confusion
             strategies.  The  responsibilities  of  an  oncology   and  inappropriate  dietary  practices.  Financial
             dietitian extend well beyond meal planning.        constraints may also limit access to recommended
                                                                foods  or  supplements.  Effective  nutrition  care
              Cachexia and the realities of care                requires close collaboration with doctors, nurses,
             Cachexia and sarcopenia, marked by progressive     pharmacists  and  other  healthcare  professionals,
             weight loss, muscle wasting, systemic inflammation   and  ensuring  regular  follow-up  and  long-term
             and  metabolic  changes,  are  among  the  most    monitoring  in  outpatient  settings  remains  an
             challenging  conditions  in  cancer  care.  They   ongoing challenge.
             cannot  be  managed  by  simply  advising  patients   Conclusion
             to  “eat  more”.  They  require  structured  nutritional
             intervention  aimed  at  preserving  lean  body    A variety of whole foods, fruits, vegetables, whole
             mass,  improving  intake,  reducing  deficiencies,   grains, pulses, dairy and quality protein, supports
             and  maintaining  functionality  and  dignity  during   treatment and recovery far more reliable than any
             treatment. Individualised meal plans enriched with   miracle diet. What matters is nutritional adequacy,
             energy-dense, protein-rich foods, along with the   consistency  and  sustainability,  not  chasing
             judicious use of oral nutritional supplements, form   shortcuts.  Nutrition  should  no  longer  be  seen  as
             a cornerstone of this support.                     an  optional  add-on  in  healthcare;  it  is  one  of  the
             The  work  of  a  dietitian  is  therefore  not  limited  to   essential pillars of modern medicine.
             weight  loss  or  weight  gain  alone.  It  continuously   Because  food,  when  guided  by  evidence  and
             balances medical science with practical realities.   empathy,  becomes  more  than  nourishment.  It
             Sometimes     this   means   correcting   myths;   becomes  support.  It  becomes  strength.  And,
             sometimes  it  means  helping  a  patient  choose   often, it becomes hope.



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