Nutritional Management of Cancer Treatment Effects

Nagi B. Kumar, Ph.D., R.D., FADA: is a Senior Member in the Population Sciences Division at the Moffitt Cancer Center and a Professor in the Oncologic Sciences Department at the University of South Florida College of Medicine. Dr. Kumar is a Registered Dietitian and a Fellow of the American Dietetic Association and obtained her clinical training at the Elmhurst General, Mt. Sinai School of Medicine and Doctoral training at the University of South Florida College of Medicine. She has been in clinical nutrition practice for the past 33 years, and led the establishment and implementation of the Clinical Oncology Nutrition Program at the Moffitt Cancer Center in1986, and was the Director of this program until 2006. Dr. Kumar's is currently a Professor/Research Scientist, Senior Member at the Moffitt Cancer Center. She is the Director of Nutrition Research and Co-Leader of the Integrative Medicine Program at the Cancer Center focused on preventive medicine. Her focus of research is to examine the role of nutrients, lifestyle factors and other agents in prevention, treatment and survival and understanding the potential mechanism of action. Dr. Kumar's group is currently conducting several clinical trials examining the safety and effectiveness of purified isoflavones, green tea catechins, n-3 fatty acids, curcuminoid complex, tannic acid, anthocyanins, resveratrol and lycopene in prostate and other cancers for prevention, treatment and in treating cancer survivors suffering from symptoms of cancer treatment. Her research is funded by the National Institute of Health, National Cancer Center and the Department of Defense. This Endeavour has resulted in 75 national and international peer-reviewed publications in scientific journals and over 150 presentations in national and international symposia. Dr. Kumar represents the Cancer Center, University of South Florida and the National Cancer Institute in public forums and a spokes person on these topics. In addition, notably, Dr. Kumar was a co-author of the "Good Book of Nutrition" with 1 million published and 100% proceeds donated to the American Cancer Society;(1988); .First author of (Kumar NB, Moyers S & Schapira DV) Forkwise: Diet in the Prevention of Cancer. H. Lee Moffitt Cancer Center & Research Center, Tampa, Florida. 1998 January, 20,000 published and sold only at Moffitt Cancer Center; First author, (Kumar NB, Moyers S, Allen K, Riccardi D & Besterman K.) of Integrative Nutritional Therapies in Cancer Treatment & Prevention. Facts & Comparisons, a division of Lippincott Williams & Wilkins Inc., A Wolters Kluwer Company, St. Louis, Missouri, 2002 January. With her research experience, teaching skills both to the scientific community and public at large and her prolific communication skills, Dr. Kumar is uniquely qualified to author this book.

Part 1: Introduction

Magnitude of the problem and establishing need.-Number of individuals diagnosed with cancer.-Number of cancer survivors.-Need for strategies to improve patient outcomes and improve quality of life.-Overview of Current treatments and related symptoms.-Need for a systematic, proactive nutritional approaches to specific symptoms related to novel and current cancer treatment.

Part 2: Screening, Assessment and re-assessment of the Cancer Patient

Timing.-Tools and variables for assessment.-Epidemiological.-Social.-Psychological.-Physiological.-Co-morbidities-Medical history.-Nutritional deficits.-Planning Nutritional Care and follow up.-Role of Interdisciplinary teams.

Part 3: Physiological and psychological Symptoms of Cancer Treatment

Cancer Cachexia.-Cancer Anorexia.-Mucositis.-Dysphagia.-Radiation enteritis.-Diarrhea.-Nausea & Vomiting.-Depression.-Anxiety.-Fatigue.-Spontaneous Menopause.-Cognitive impairment.-Pain.

Part 4: Concluding Remarks

Summary of Future Directions in Symptom Management Research.