Personalised nutritional care in an integrated screening protocol: the green way of oncology nutrition in Portugal
Paula Ravasco 1, 2 
, Paula Alves 3 , Diogo Alpuim-Costa 4, 5, 6
1 Universidade Católica Portuguesa, Faculty of Medicine and Centre for Interdisciplinary Research in Health, Rio de Mouro, Portugal; 2 Centre for Interdisciplinary Research in Health Egas Moniz, Almada, Portugal; 3 Nutrition Service, Department of Medicine and Cancer, Instituto Português de Oncologia do Porto Francisco Gentil (Porto Comprehensive Cancer Centre), Porto, Portugal; 4 Oncology Functional Unit, Hospital de Cascais, Cascais, Portugal; 5 Department of Haematology and Oncology, CUF Oncologia, Lisbon, Portugal; 6 NOVA Medical School, Faculdade de Ciências Médicas da Universidade NOVA de Lisboa, Lisbon, Portugal
*Correspondence: Paula Ravasco. Email: pravasco@ucp.pt
Abstract
Background: Nutrition is critical in the management of cancer. Among patients with cancer, it is of utmost importance to identify clinical findings such as malnutrition, sarcopenia, impaired physical function, or cachexia, which may negatively impact treatment tolerance, quality of life, and survival. Experts agree on the importance of early identification of patients at risk of malnutrition or muscle loss, and recent international guidelines advocate for incorporating nutritional screening, assessment, treatment, and monitoring as integral components of cancer care. Objectives: With this article, we propose a standardized approach to nutritional diagnosis, referral for nutritional intervention, and monitoring, in a comprehensive manner adapted to various clinical scenarios. Methods: This approach should be multidisciplinary throughout the cancer patient’s journey to ensure continuity of care and optimal outcomes. Results and Conclusion: It is recommended that physicians, nurses, pharmacists, dietitians/nutritionists, and other healthcare professionals working in oncology remain vigilant for signs and symptoms of nutritional impact.
