Chapter 10: Nutrition and Cancer Surviorship

Question 1

What common cancer often has long term nutrition related complications of metabolic syndrome and hypothyroidism, as a result of treatment requiring a change in diet to affect blood glucose, circulating insulin and lipid levels?

Answer 1

Blood cancers like non-hodgkin lymphoma or leukemia

Question 2

What type of cancer has long term nutrition related complications of malabsorption and irregular bowel movements as a result of treatment requiring pancreatic enzymes and the use of probiotics/prebiotics?

Answer 2

Pancreatic Cancer

Question 3

True or False: A study found that beta-carotene supplementation improved survival in colorectal cancer patients who used cigarettes and drank alcohol.

Answer 3

False - beta-carotene reduced survival

So does smoking and drinking

Question 4

What precent of patients with a cancer diagnosis that survive beyond 5 years?

Answer 4

70%

Question 5

What are the long term nutritional related complications of colon and rectal cancer?

Answer 5

Malabsorption
Altered liver function/cirrhosis
renal failure
impaired bone health
bowel strictures/obstruction

Question 6

A 60 yr old colorectal cancer survivor that was provided with healthy eating counseling and is now physically active was part of which study?

Answer 6

RENEW

Question 7

What are common nutrition complications with cancer of the kidney?

Answer 7

kidney stones

Question 8

weight lifting and weight bearing activity supports adequate _______ health, which is commonly comprised after cancer therapy.

Answer 8

Bone

Question 9

An altered liver function/cirrhosis can be a common nutrition complication of what type of cancer?

Answer 9

Cancer of the colon and rectum

Question 10

Impaired bone health can be a nutrition complication of what types of cancer?

Answer 10

Leukemia, ovarian, uterine, prostate, and breast cancers

Question 11

weight lifting and weight bearing activity supports bone health and is considered safe and effective for controlling ______ after breast cancer.

Answer 11

lymphedema

Question 12

Behavioral strategies for improving diet and physical activity include:

Answer 12

self-efficacy
motivational interviewing
self-determination theory

Question 13

What are the long term related complications associated with pancreatic cancer?

Answer 13

Malabsorption
Anorexia
Irregular Bowel movements

Question 14

When should nutrition therapy shift towards health promotion and cancer prevention?

Answer 14

When symptoms improve and able to tolerate all food groups and textures

Question 15

Which cancers are associated with poorer overall survival when alcohol is consumed after diagnosis?

Answer 15

Head and Neck and Esophageal

Question 16

Vast majority of cancer survivors are represented by what types of cancer types? Name one type of cancer that doesn’t have a high percentage of survival?

Answer 16

Breast
Prostate
Colon

One that is doesn’t - biliary

Question 17

Long term common nutrition related complications of breast cancer are:

Answer 17

impaired bone health
weight gain/metabolic syndrome
cardiovascular complications

Question 18

Evidence suggests that obesity is associated with a poorer prognosis and decreased survival rate for patients with what type of cancers?

Answer 18

Breast
Gynecological
Prostate
colorectal

Question 19

Cancer sites that may need calcium and vitamin D adequate intake to address impaired bone health include:

Answer 19

Breast
Uterine
Ovary
Prostate
Leukemia

Question 20

Which clinical trial emphasized a lowfat diet resulting in increased relapse-free survival rates?

Answer 20

WINS

Question 21

What is the adequate protein amount shown to reduce frailty in post-menopausal women?

Answer 21

1.2 g/kg

Question 22

The WHEL study showed a significant 50% decrease in mortality rate if they entered the study reporting dietary habits that included:

Answer 22

> 5 servings of vegetables and fruit daily combined with 30 minutes of moderate physical activity 5-6 days/week

Question 23

An 80 yr old woman with recent breast cancer diagnosis has gone through cancer treatment with a 15# wt loss. She most likely experienced what?

Answer 23

A decrease in skeletal muscle mass, increase in fat to lean mass ratio and an increase in osteopenia/osteoporosis